The Postcardiac Arrest Consult Team: Impact on Hospital Care Processes for Out-of-Hospital Cardiac Arrest Patients*

Brooks, Steven C.; Scales, Damon C.; Pinto, Ruxandra; Dainty, Katie N.; Racz, Elizabeth; Gaudio, Michelle; Amaral, Andre Carlos Kajdacsy-Balla; Gray, Sara; Friedrich, Jan O.; Chapman, Martin; Dorian, Paul; Fam, Neil; Fowler, Robert; Hayes, Chris; Baker, Andrew J.; Crystal, Eugene; Madan, Mina; Rubenfeld, Gordon D.; Smith, Orla M.; Morrison, Laurie J.

doi:10.1097/ccm.0000000000001863

Cited by 23 publications

(4 citation statements)

References 28 publications

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“…A total of 21 observational studies 183,184,[188][189][190][191][192][193][194][195][196][197][198][199][200][201][202][203][204][205][206] and 1 pilot randomized trial 207 were included in the SR. 10 Of these, 17 observational studies were ultimately included in meta-analysis. 183,184,[188][189][190][191][192][193][194][199][200][201][202][203][204][205][206] All studies were in OHCA cohorts; 1 study 195 also included patients with IHCA, but outcomes were not reported separately.…”

Section: [H3]consensus On Sciencementioning

confidence: 99%

2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Wyckoff¹,

Greif²,

Morley³

et al. 2023

Pediatrics

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This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. Topics covered by systematic reviews include cardiopulmonary resuscitation during transport; approach to resuscitation after drowning; passive ventilation; minimizing pauses during cardiopulmonary resuscitation; temperature management after cardiac arrest; use of diagnostic point-of-care ultrasound during cardiac arrest; use of vasopressin and corticosteroids during cardiac arrest; coronary angiography after cardiac arrest; public-access defibrillation devices for children; pediatric early warning systems; maintaining normal temperature immediately after birth; suctioning of amniotic fluid at birth; tactile stimulation for resuscitation immediately after birth; use of continuous positive airway pressure for respiratory distress at term birth; respiratory and heart rate monitoring in the delivery room; supraglottic airway use in neonates; prearrest prediction of in-hospital cardiac arrest mortality; basic life support training for likely rescuers of high-risk populations; effect of resuscitation team training; blended learning for life support training; training and recertification for resuscitation instructors; and recovery position for maintenance of breathing and prevention of cardiac arrest. Members from 6 task forces have assessed, discussed, and debated the quality of the evidence using Grading of Recommendations Assessment, Development, and Evaluation criteria and generated consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections, and priority knowledge gaps for future research are listed.

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Section: [H3]consensus On Sciencementioning

confidence: 99%

2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Wyckoff¹,

Greif²,

Morley³

et al. 2023

Pediatrics

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“…110 Some initiatives at the federal level grant immunity from civil liability not only to lay rescuers but also to AED device owners under certain circumstances. 111…”

Section: Innovative Approaches To Public-access Defibrillationmentioning

confidence: 99%

“…110 Some initiatives at the federal level grant immunity from civil liability not only to lay rescuers but also to AED device owners under certain circumstances. 111 The Chase McEachern Act in Ontario, Canada, protects from civil liability the defibrillator user, the owner of the equipment, and the premises on which it is located, as well as health care professionals outside a health care facility. 112 Other countries such as South Korea, Taiwan, and Japan also have Good Samaritan laws that protect bystander rescuers from civil liability when performing CPR or using an AED.…”

Section: Addressing Perceived and Real Legal Barriersmentioning

confidence: 99%

Optimizing Outcomes After Out-of-Hospital Cardiac Arrest With Innovative Approaches to Public-Access Defibrillation: A Scientific Statement From the International Liaison Committee on Resuscitation

Brooks¹,

Clegg²,

Bray³

et al. 2022

Circulation

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Out-of-hospital cardiac arrest is a global public health issue experienced by ≈3.8 million people annually. Only 8% to 12% survive to hospital discharge. Early defibrillation of shockable rhythms is associated with improved survival, but ensuring timely access to defibrillators has been a significant challenge. To date, the development of public-access defibrillation programs, involving the deployment of automated external defibrillators into the public space, has been the main strategy to address this challenge. Public-access defibrillator programs have been associated with improved outcomes for out-of-hospital cardiac arrest; however, the devices are used in <3% of episodes of out-of-hospital cardiac arrest. This scientific statement was commissioned by the International Liaison Committee on Resuscitation with 3 objectives: (1) identify known barriers to public-access defibrillator use and early defibrillation, (2) discuss established and novel strategies to address those barriers, and (3) identify high-priority knowledge gaps for future research to address. The writing group undertook systematic searches of the literature to inform this statement. Innovative strategies were identified that relate to enhanced public outreach, behavior change approaches, optimization of static public-access defibrillator deployment and housing, evolved automated external defibrillator technology and functionality, improved integration of public-access defibrillation with existing emergency dispatch protocols, and exploration of novel automated external defibrillator delivery vectors. We provide evidence- and consensus-based policy suggestions to enhance public-access defibrillation and guidance for future research in this area.

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