Cardiac Arrest: Pre-hospital Strategies to Facilitate Successful Resuscitation and Improve Recovery Rates

Overview

Journal World J Cardiol

Publisher Baishideng Publishing Group

Date 2025 Jan 27

PMID 39866210

Authors

George Latsios

Elias Sanidas

Maria Velliou

George Nikitas

Pavlos Bounas

Charalampos Parisis

Andreas Synetos

Konstantinos Toutouzas

Costas Tsioufis

Affiliations

Soon will be listed here.

Abstract

The estimated annual incidence of out-of-hospital cardiac arrest (OHCA) is approximately 120 cases per 100000 inhabitants in western countries. Although the rates of bystander cardiopulmonary resuscitation (CPR) and use of automated external defibrillator are increasing, the likelihood of survival to hospital discharge is no more than 8%. To date, various devices and methods have been utilized in the initial CPR approach targeting to improve survival and neurological outcomes in OHCA patients. The aim of this review is to discuss strategies that facilitate resuscitation, increase the chance to achieve return to spontaneous circulation and improve survival to hospital discharge and neurological outcomes in the pre-hospital setting.

References

Apiratwarakul K, Phungoen P, Cheung L, Tiamkao S, Suzuki T, Pearkao C . Optimizing Operation Time and Travel Distance for Motorcycle Ambulances in Emergency Medical Services. Prehosp Disaster Med. 2024; 38(1):88-94. PMC: 9885430. DOI: 10.1017/S1049023X2200228X. View

Jonsson M, Berglund E, Muller M . Automated external defibrillators and the link to first responder systems. Curr Opin Crit Care. 2023; 29(6):628-632. DOI: 10.1097/MCC.0000000000001109. View

Richardson A, Tonna J, Nanjayya V, Nixon P, Abrams D, Raman L . Extracorporeal Cardiopulmonary Resuscitation in Adults. Interim Guideline Consensus Statement From the Extracorporeal Life Support Organization. ASAIO J. 2021; 67(3):221-228. PMC: 7984716. DOI: 10.1097/MAT.0000000000001344. View

Wengenmayer T, Tigges E, Staudacher D . Extracorporeal cardiopulmonary resuscitation in 2023. Intensive Care Med Exp. 2023; 11(1):74. PMC: 10616028. DOI: 10.1186/s40635-023-00558-8. View

Kiguchi T, Okubo M, Nishiyama C, Maconochie I, Ong M, Kern K . Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR). Resuscitation. 2020; 152:39-49. DOI: 10.1016/j.resuscitation.2020.02.044. View

Varney J, Motawea K, Mostafa M, AbdelQadir Y, Aboelenein M, Kandil O . Efficacy of heads-up CPR compared to supine CPR positions: Systematic review and meta-analysis. Health Sci Rep. 2022; 5(3):e644. PMC: 9128396. DOI: 10.1002/hsr2.644. View

Latsios G, Leopoulou M, Synetos A, Karanasos A, Papanikolaou A, Bounas P . Cardiac arrest and cardiopulmonary resuscitation in "hostile" environments: Using automated compression devices to minimize the rescuers' danger. World J Cardiol. 2023; 15(2):45-55. PMC: 9993930. DOI: 10.4330/wjc.v15.i2.45. View

Diggs L, Wie Yusuf J, De Leo G . An update on out-of-hospital airway management practices in the United States. Resuscitation. 2014; 85(7):885-92. DOI: 10.1016/j.resuscitation.2014.02.032. View

Blewer A, Ibrahim S, Leary M, Dutwin D, McNally B, Anderson M . Cardiopulmonary Resuscitation Training Disparities in the United States. J Am Heart Assoc. 2017; 6(5). PMC: 5524119. DOI: 10.1161/JAHA.117.006124. View

10.

Cheskes S, Dorian P, Scales D . Defibrillation Strategies for Refractory Ventricular Fibrillation. Reply. N Engl J Med. 2023; 388(9):861-863. DOI: 10.1056/NEJMc2216382. View

11.

Bondarenko A, Navolokina A, Kozyk M . The head-up cardiopulmonary resuscitation method: Improving neurological outcomes. Cardiol J. 2023; 30(3):497-498. PMC: 10287069. DOI: 10.5603/CJ.a2023.0034. View

12.

Wu Z, Panczyk M, Spaite D, Hu C, Fukushima H, Langlais B . Telephone cardiopulmonary resuscitation is independently associated with improved survival and improved functional outcome after out-of-hospital cardiac arrest. Resuscitation. 2017; 122:135-140. DOI: 10.1016/j.resuscitation.2017.07.016. View

13.

Smida T, Price B, Scheidler J, Crowe R, Wilson A, Bardes J . Stay and play or load and go? The association of on-scene advanced life support interventions with return of spontaneous circulation following traumatic cardiac arrest. Eur J Trauma Emerg Surg. 2023; 49(5):2165-2172. DOI: 10.1007/s00068-023-02279-9. View

14.

Oving I, de Graaf C, Masterson S, Koster R, Zwinderman A, Stieglis R . European first responder systems and differences in return of spontaneous circulation and survival after out-of-hospital cardiac arrest: A study of registry cohorts. Lancet Reg Health Eur. 2022; 1:100004. PMC: 8454711. DOI: 10.1016/j.lanepe.2020.100004. View

15.

. Guidelines for cardiopulmonary resuscitation and emergency cardiac care. Emergency Cardiac Care Committee and Subcommittees, American Heart Association. Part II. Adult basic life support. JAMA. 1992; 268(16):2184-98. View

16.

Bougouin W, Cariou A, Jouven X . Extracorporeal cardiopulmonary resuscitation in out-of-hospital cardiac arrest: do not neglect potential for organ donation!. Eur Heart J. 2020; 41(37):3588. DOI: 10.1093/eurheartj/ehaa626. View

17.

Izawa J, Komukai S, Gibo K, Okubo M, Kiyohara K, Nishiyama C . Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: nationwide cohort study. BMJ. 2019; 364:l430. PMC: 6393774. DOI: 10.1136/bmj.l430. View

18.

Liu X, Yuan Q, Wang G, Bian Y, Xu F, Chen Y . Drones delivering automated external defibrillators: A new strategy to improve the prognosis of out-of-hospital cardiac arrest. Resuscitation. 2022; 182:109669. DOI: 10.1016/j.resuscitation.2022.12.007. View

19.

Nielsen C, Andelius L, Hansen C, Blomberg S, Christensen H, Kjolbye J . Bystander interventions and survival following out-of-hospital cardiac arrest at Copenhagen International Airport. Resuscitation. 2021; 162:381-387. DOI: 10.1016/j.resuscitation.2021.01.039. View

20.

Yeung J, Matsuyama T, Bray J, Reynolds J, Skrifvars M . Does care at a cardiac arrest centre improve outcome after out-of-hospital cardiac arrest? - A systematic review. Resuscitation. 2019; 137:102-115. DOI: 10.1016/j.resuscitation.2019.02.006. View