Take Heart America: A comprehensive, community-wide, systems-based approach to the treatment of cardiac arrest*

Lick, Charles; Aufderheide, Tom P.; Niskanen, Robert A.; Steinkamp, Janet; Davis, Scott; Nygaard, Susan; Bemenderfer, Kim K; Gonzales, Louis; Kalla, Jeffrey A; Wald, Sarah K; Gillquist, Debbie L; Sayre, Michael R.; Holm, Susie Y Osaki; Oakes, Dana A; Provo, Terry A.; Racht, Ed; Olsen, John D.; Yannopoulos, Demetris; Lurie, Keith G.

doi:10.1097/ccm.0b013e3181fa7ce4

Cited by 115 publications

(67 citation statements)

References 31 publications

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“…154,156,158,163,165,[167][168][169][170][172][173][174] Three studies examined neurologic intact survival at 30 days. 154,170,173 The other 9 studies reported survival to hospital discharge with good neurologic outcome.…”

Section: October 20 2015mentioning

confidence: 99%

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Part 8: Education, Implementation, and Teams

et al. 2015

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Section: October 20 2015mentioning

confidence: 99%

“…[155][156][157][158][159][160][161][162][163][164] Six observational studies compared OHCA patient survival outcomes before and after the implementation of a regionalized system of postresuscitation care. [165][166][167][168][169][170] Six observational studies compared patient…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 8: Education, Implementation, and Teams

et al. 2015

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“…11 This update on OHCA resuscitation systems of care describes recent advances, evidence Since 2010, many municipalities and regions have continued or begun to implement cardiac resuscitation systems modeled on prior experience implementing and maintaining similar interconnected systems for patients with traumatic injury, STEMI, and acute stroke. To assist in the evolution of regional resuscitation systems of care, several national organized efforts have emerged, including Mission: Lifeline, 16,17 Take Heart America, 18 and the HeartRescue Project. 19 Each of these initiatives is intended to facilitate implementation of evidencebased treatments across the continuum of care delivery and to establish an interconnected community, EMS, and hospital response to improve cardiac arrest outcomes.…”

mentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

McCarthy¹,

Carr²,

Sasson³

et al. 2018

Circulation

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ABSTRACT:The American Heart Association previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, emergency medical services, and hospital efforts to measure and improve the process of care and outcome for patients with cardiac arrest. In addition, the American Heart Association proposed a national process to develop and implement evidence-based guidelines for cardiac resuscitation systems of care. Significant experience has been gained with implementing these systems, and new evidence has accumulated. This update describes recent advances in the science of cardiac resuscitation systems and evidence of their effectiveness, as well as recent progress in dissemination and implementation throughout the United States. Emphasis is placed on evidence published since the original recommendations (ie, including and since 2010). Cardiac arrest is loss of mechanical activity of the heart confirmed by the absence of signs of circulation.1 Approximately 356 461 people are treated for out-of-hospital cardiac arrest (OHCA) annually in the United States.2 One third of cases occur without any prior recognized heart disease; half occur without any prodromal symptoms.3 Despite robust systems of care for patients with trauma and rapidly evolving systems of care for patients with ST-segment-elevation myocardial infarction (STEMI) and stroke, the majority of communities do not achieve optimal survival after OHCA because of large discrepancies in resuscitation-related processes of care.4-6 As a result, survival to hospital discharge varies significantly both across different regions and by presenting rhythm. 7,8 Survival increases significantly if the OHCA is quickly recognized and responded to with prompt activation of 9-1-1, bystander-initiated cardiopulmonary resuscitation (CPR), bystander and/or basic first responder application of an automated external defibrillator (AED) before arrival of other emergency medical services (EMS) providers on scene, advanced life support, and postresuscitation care. The American Heart Association (AHA) previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, EMS, and hospital efforts to measure and improve the process and outcome of care for patients with cardiac arrest.10 Simultaneously, the AHA proposed a national process to develop and implement evidence-based guidelines for the implementation and measurement of such systems. The 2015 AHA guidelines for CPR and emergency cardiovascular care delved deeper into the elements of an effective system of care for both OHCA and in-hospital cardiac arrest.11 This update on OHCA resuscitation systems of care describes recent advances, evidence

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“…These first responders perform continuous CPR and apply AED until the arrival of an ALS team. A 2-tier system outside the EMS can shorten call-to-defibrillation time; and it may improve outcome if the call-to defibrillation time is reduced to a few minutes, especially in areas where an ALS team is not rapidly available [3,15,[45][46][47][48][49][50]. Some studies did not report improved outcomes because call-to defibrillation time could not be sufficiently reduced (eg, b 10 minutes).…”

Section: Early Defibrillation Programs In Urban Areas Outside Emsmentioning

confidence: 92%