b"CARES Annual Report 2020 | 15CARES in ActionValuable Partnerships Form to Increase Survival from Out of Hospital Cardiac Arrest By Kim Harkins, Center for Resuscitation Medicine Program Manager at University of MinnesotaLucinda Hodgson, Minnesota CARES State CoordinatorThrough the support of the University of Minnesota (UMN) and the HeartRescue Project, Minnesota began state participation in 2010, as one of the first CARES state participants in the country. To date, Minnesota-CARES captures over 85% of the state population. Minnesotas mostly rural geography and the greater Twin Cities metro area collectively boasts survival rates higher than the CARES national average and has developed a collaborative culture committed to improving survival from out-of-hospital cardiac arrest (OHCA). Much of the states success can be attributed to widespread CARES participation and an invaluable partnership with the Helmsley Charitable Trust. The Helmsley Charitable Trust has committed more than $2.5 billion in grants with the goal of improving lives by supporting efforts in the US and around the world in health and select place-based initiatives.Minnesota was able to achieve significant early success by promoting awareness of CARES and informing providers about the benefits of enrollment. In 2013, Minnesota launched a Know Your Numbers campaign and proactively shared postcards with aggregate state and national metrics to every EMS and first responding agency in the state. This campaign was incredibly effective at not only generating interest in CARES participation, but also in acknowledging current participants' efforts and inspiring continued engagement, describes Lucinda Hodgson, Minnesota State Coordinator. By having so much of our EMS and hospital community participating in CARES, it has created a common language where regardless of where you live in the state, we all have the same foundation to discuss data, performance and quality improvement. It is a powerful advantage in improving survival and saving lives. Sample postcard used during the Know Your Numbers campaign. In late 2018, the University of Minnesota in partnership with the health systems of the Twin Cities and greater Minneapolis-St. Paul region, approached Helmsley Charitable Trust with a proposal that redefines the future of emergency medicine. The partnership sought to create an innovative and collaborative program to provide 24/7 mobile life support services to patients suffering from OHCA. The $19.5 million grant established the Minnesota Mobile Resuscitation Consortium (MMRC), launched in the Twin Cities, with the intent of expanding across Minnesota, and serving as the guide for replication across the country. Using CARES data, the goal was to increase survival rates for OHCA patients found in a shockable rhythm from 40% to 65% in a seven-year time frame, by providing extracorporeal membrane oxygenation (ECMO) life support within 40 minutes from the initial 911 call. In order to achieve this, highly specialized critical care teams consisting of physicians, nurses and EMS personnel are deployed using chase vehicles to intervene in OHCA cases in local emergency departments. The next phase includes a truck (see photo on next page) that is equipped with state-of-the-art medical equipment and virtual technology to help experts attend to patients remotely, essentially bringing the emergency room to cardiac arrest patients who need to be placed on ECMO. Ultimately, location will no longer be a barrier to survival with the truck and virtual technology in full implementation.Having CARES allowed us to pursue such a pivotal project with Helmsley because we had baseline OHCA metrics and the ability to assess the impact of the intervention and investment in the project explains Kim Harkins, Program Manager at the Center for Resuscitation Medicine in the University of Minnesota. To date the program has observed 63 consecutive patients, ages 18-75, enrolled in MMRC from December 1, 2019, to April 1, 20206. The study observed: 58 patients met the criteria and were treated by the MMRC SUV response team and the mean age was 57; 46 of 58 patients were male;6Bartos JA, Frascone RJ, Conterato M, et al. The Minnesota mobile extracorporeal cardiopulmonary resuscitation consortium for treatment of out-of-hospital refractory ventricular fibrillation: Program description, performance, and outcomes. EClinicalMedicine. 29-30:100632."