Key result
Bystander CPR and uninterrupted chest compressions are critical in out-of-hospital cardiac arrest, whereas evidence for feedback devices, mechanical compression, and drug therapy is limited.
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Successful treatment of out-of-hospital cardiac arrest remains an unmet health need. Key elements of treatment comprise early recognition of cardiac arrest, prompt and effective cardiopulmonary resuscitation (CPR), effective defibrillation strategies and organised post-resuscitation care. The initiation of bystander CPR followed by a prompt emergency response that delivers high quality CPR is critical to outcomes. The integration of additional tasks such as defibrillation, airway management, vascular access and drug administration should avoid interruptions in chest compressions. Evidence for the routine use of CPR prompt/feedback devices, mechanical chest compression devices and pharmacological therapy is limited.
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Perkins et al. (2011) conducted a review in Out-of-hospital cardiac arrest. Cardiopulmonary resuscitation (CPR) and advanced resuscitation strategies was evaluated. Bystander CPR and uninterrupted chest compressions are critical in out-of-hospital cardiac arrest, whereas evidence for feedback devices, mechanical compression, and drug therapy is limited.
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