RT Journal Article
SR Electronic
T1 Advances in the hospital management of patients following an out of hospital cardiac arrest
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 1201
OP 1206
DO 10.1136/heartjnl-2011-301293
VO 98
IS 16
A1 Jerry P Nolan
A1 Richard M Lyon
A1 Comilla Sasson
A1 Andrea O Rossetti
A1 Alexandra J Lansky
A1 Keith A A Fox
A1 Pascal Meier
YR 2012
UL http://heart.bmj.com/content/98/16/1201.abstract
AB The outcome for patients after an out-of-hospital cardiac arrest (OHCA) has been poor over many decades and single interventions have mostly resulted in disappointing results. More recently, some regions have observed better outcomes after redesigning their cardiac arrest pathways. Optimised resuscitation and prehospital care is absolutely key, but in-hospital care appears to be at least as important. OHCA treatment requires a multidisciplinary approach, comparable to trauma care; the development of cardiac arrest pathways and cardiac arrest centres may dramatically improve patient care and outcomes. Besides emergency medicine physicians, intensivists and neurologists, cardiologists are playing an increasingly crucial role in the post-resuscitation management, especially by optimising cardiac output and undertaking urgent coronary angiography/intervention.