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 Nolan, Jerry P A1 Lyon, Richard M A1 Sasson, Comilla A1 Rossetti, Andrea O A1 Lansky, Alexandra J A1 Fox, Keith A A A1 Meier, Pascal 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.