Jerry P Nolan1,2, Robert A Berg3,4, Clifton W Callaway5, Laurie J Morrison6, Vinay Nadkarni7, Gavin D Perkins8, Claudio Sandroni9, Markus B Skrifvars10, Jasmeet Soar11, Kjetil Sunde12, Alain Cariou13,14. 1. Bristol Medical School, University of Bristol, Bristol, UK. jerry.nolan@nhs.net. 2. Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK. jerry.nolan@nhs.net. 3. Pediatric Critical Care Medicine, Russell Raphaely Endowed Chair of Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, USA. 4. Anesthesiology and Critical Care Medicine, The University of Pennsylvania Perelman School of Medicine, Philadelphia, USA. 5. Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 6. Rescu, St.Michael's Hospital, 30 Bond St, Toronto, ON, M5B 1W8, Canada. 7. Department of Anesthesia and Critical Care Medicine, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA. 8. Warwick Medical School and Heart of England NHS Foundation Trust, University of Warwick, Coventry, CV4 7AL, UK. 9. Istituto Anestesiologia E Rianimazione, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario "Agostino Gemelli", Largo Francesco Vito, 1, 00168, Rome, Italy. 10. Division of Intensive Care, Department of Anaesthesiology, Intensive Care and Pain Medicine, Helsinki University Hospital and University of Helsinki, Haartmaninkatu 4, 00029 HUS, Helsinki, Finland. 11. Intensive Care Medicine, Southmead Hospital, North Bristol NHS Trust, Bristol, BS10 5NB, UK. 12. Department of Anaesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 13. Medical ICU, Cochin Hospital (AP-HP), Paris-Cardiovascular-Research-Centre, INSERM U970 (Sudden Death Expertize Centre), Paris, France. 14. Université Paris-Descartes-Sorbonne-Paris-Cité, Paris, France.
Abstract
PURPOSE: The purpose of this review is to describe the epidemiology of out-of-hospital cardiac arrest (OHCA), disparities in organisation and outcome, recent advances in treatment and ongoing controversies. We also outline the standard of care that should be provided by the critical care specialist and propose future directions for cardiac arrest research. METHODS: Narrative review with contributions from international resuscitation experts. RESULTS: Although it is recognised that survival rates from OHCA are increasing there is considerable scope for improvement and many countries have implemented national strategies in an attempt to achieve this goal. More resources are required to enable high-quality randomised trials in resuscitation. CONCLUSIONS: Increasing international collaboration should facilitate resuscitation research and knowledge translation. The International Liaison Committee on Resuscitation (ILCOR) has adopted a continuous evidence review process, which facilitate the implementation of resuscitation interventions proven to improve patient outcomes.
PURPOSE: The purpose of this review is to describe the epidemiology of out-of-hospital cardiac arrest (OHCA), disparities in organisation and outcome, recent advances in treatment and ongoing controversies. We also outline the standard of care that should be provided by the critical care specialist and propose future directions for cardiac arrest research. METHODS: Narrative review with contributions from international resuscitation experts. RESULTS: Although it is recognised that survival rates from OHCA are increasing there is considerable scope for improvement and many countries have implemented national strategies in an attempt to achieve this goal. More resources are required to enable high-quality randomised trials in resuscitation. CONCLUSIONS: Increasing international collaboration should facilitate resuscitation research and knowledge translation. The International Liaison Committee on Resuscitation (ILCOR) has adopted a continuous evidence review process, which facilitate the implementation of resuscitation interventions proven to improve patient outcomes.
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Authors: Gavin D Perkins; Robert Neumar; Koenraad G Monsieurs; Swee Han Lim; Maaret Castren; Jerry P Nolan; Vinay Nadkarni; Bill Montgomery; Petter Steen; Richard Cummins; Douglas Chamberlain; Richard Aickin; Allan de Caen; Tzong-Luen Wang; David Stanton; Raffo Escalante; Clifton W Callaway; Jasmeet Soar; Theresa Olasveengen; Ian Maconochie; Myra Wyckoff; Robert Greif; Eunice M Singletary; Robert O'Connor; Taku Iwami; Laurie Morrison; Peter Morley; Eddy Lang; Leo Bossaert Journal: Resuscitation Date: 2017-10-06 Impact factor: 5.262
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Authors: Lauri Wihersaari; Nicholas J Ashton; Matti Reinikainen; Pekka Jakkula; Ville Pettilä; Johanna Hästbacka; Marjaana Tiainen; Pekka Loisa; Hans Friberg; Tobias Cronberg; Kaj Blennow; Henrik Zetterberg; Markus B Skrifvars Journal: Intensive Care Med Date: 2020-08-27 Impact factor: 17.440