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Part 7: Systems of Care: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
- Source :
-
Circulation [Circulation] 2020 Oct 20; Vol. 142 (16_suppl_2), pp. S580-S604. Date of Electronic Publication: 2020 Oct 21. - Publication Year :
- 2020
-
Abstract
- Survival after cardiac arrest requires an integrated system of people, training, equipment, and organizations working together to achieve a common goal. Part 7 of the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care focuses on systems of care, with an emphasis on elements that are relevant to a broad range of resuscitation situations. Previous systems of care guidelines have identified a Chain of Survival, beginning with prevention and early identification of cardiac arrest and proceeding through resuscitation to post-cardiac arrest care. This concept is reinforced by the addition of recovery as an important stage in cardiac arrest survival. Debriefing and other quality improvement strategies were previously mentioned and are now emphasized. Specific to out-of-hospital cardiac arrest, this Part contains recommendations about community initiatives to promote cardiac arrest recognition, cardiopulmonary resuscitation, public access defibrillation, mobile phone technologies to summon first responders, and an enhanced role for emergency telecommunicators. Germane to in-hospital cardiac arrest are recommendations about the recognition and stabilization of hospital patients at risk for developing cardiac arrest. This Part also includes recommendations about clinical debriefing, transport to specialized cardiac arrest centers, organ donation, and performance measurement across the continuum of resuscitation situations.
- Subjects :
- Advanced Cardiac Life Support standards
American Heart Association
Cardiopulmonary Resuscitation adverse effects
Consensus
Cooperative Behavior
Emergencies
Evidence-Based Medicine standards
Heart Arrest diagnosis
Heart Arrest physiopathology
Humans
Interdisciplinary Communication
Risk Factors
Treatment Outcome
United States
Cardiology standards
Cardiology Service, Hospital standards
Cardiopulmonary Resuscitation standards
Delivery of Health Care, Integrated standards
Emergency Service, Hospital standards
Heart Arrest therapy
Patient Care Team standards
Subjects
Details
- Language :
- English
- ISSN :
- 1524-4539
- Volume :
- 142
- Issue :
- 16_suppl_2
- Database :
- MEDLINE
- Journal :
- Circulation
- Publication Type :
- Academic Journal
- Accession number :
- 33081524
- Full Text :
- https://doi.org/10.1161/CIR.0000000000000899