Key result
This review highlights the need for individualized treatment in out-of-hospital cardiac arrest and discusses engineering perspectives to optimize cardiopulmonary resuscitation and the chain of survival.
This review highlights the need for individualized treatment and engineering approaches to optimize cardiopulmonary resuscitation and improve survival in out-of-hospital cardiac arrest.
May support individualized out-of-hospital cardiac arrest care; leaves open engineering optimizations for CPR pending prospective trials.
In the USA alone, several hundred thousand people die of sudden cardiac arrests each year. Basic life support, defined as chest compressions and ventilations, and early defibrillation are the only factors proven to increase the survival of patients with out-of-hospital cardiac arrest and are key elements in the chain of survival defined by the American Heart Association. The current cardiopulmonary resuscitation guidelines treat all patients the same but studies show a need for more individualization of treatment. This review focusses on ideas on how to strengthen the weak parts of the chain of survival including the ability to measure the effects of therapy, improve time efficiency and optimize the sequence and quality of the various components of cardiopulmonary resuscitation.
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Eftestøl et al. (2003) conducted a review in Out-of-hospital cardiac arrest. Advanced life support therapy / cardiopulmonary resuscitation was evaluated. This review highlights the need for individualized treatment in out-of-hospital cardiac arrest and discusses engineering perspectives to optimize cardiopulmonary resuscitation and the chain of survival.
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