Out-of-hospital cardiac arrest with onset witnessed by emergency medical services: Implications for improvement in overall survival.

Cardiac arrest Emergency medical services Pulseless electrical activity Sudden cardiac death Survival Ventricular fibrillation Witnessed status

Journal

Resuscitation
ISSN: 1873-1570
Titre abrégé: Resuscitation
Pays: Ireland
ID NLM: 0332173

Informations de publication

Date de publication:
06 2022
Historique:
received: 10 02 2022
revised: 01 04 2022
accepted: 04 04 2022
pubmed: 15 4 2022
medline: 25 5 2022
entrez: 14 4 2022
Statut: ppublish

Résumé

Out-of-hospital cardiac arrest (OHCA) remains a major public health problem. Even in high-income countries, survival rates have plateaued in the range of ten percent, stimulating an ongoing interest in developing novel approaches to resuscitation. Emergency Medical Services (EMS)-witnessed OHCAs constitute a subgroup of overall OHCA that occur after the arrival of EMS, leading to rapid initiation of resuscitation and significantly improved survival. In this narrative review we summarize and interpret recent developments in knowledge of EMS-witnessed OHCA regarding prevalence, demographics, location, circumstances, survival outcomes and clinical profile. We examine the possibility of informing novel resuscitation approaches and enhancing mechanistic knowledge by studying EMS-witnessed OHCA, with the goal of improving overall survival from OHCA.

Identifiants

pubmed: 35421535
pii: S0300-9572(22)00106-X
doi: 10.1016/j.resuscitation.2022.04.003
pmc: PMC10306322
mid: NIHMS1899713
pii:
doi:

Types de publication

Journal Article Review Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

19-27

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL145675
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL147358
Pays : United States

Informations de copyright

Copyright © 2022 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Lauri Holmström (L)

Center for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, CA, United States; Research Unit of Internal Medicine, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.

Kyndaron Reinier (K)

Center for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, CA, United States.

Lorrel Toft (L)

Department of Medicine, Cardiology, University of Nevada, Reno School of Medicine, United States.

Henry Halperin (H)

Division of Cardiology, The Johns Hopkins University, United States.

Angelo Salvucci (A)

Ventura County Health Care Agency, Ventura, CA, United States.

Jonathan Jui (J)

Department of Emergency Medicine, Oregon Health and Science University, Portland, OR, United States.

Sumeet S Chugh (SS)

Center for Cardiac Arrest Prevention, Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Health System, Los Angeles, CA, United States; Division of Artificial Intelligence in Medicine, Department of Medicine, Cedars-Sinai Health System, Los Angeles, CA, United States. Electronic address: sumeet.chugh@cshs.org.

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