Lina Matuliauskaitė¹, Pranas Šerpytis^1,2,3,4

¹Vilnius University, faculty of medicine

 ²Vilnius University, faculty of medicine, Clinical Medicine Institute

 ³Vilnius University Hospital, Santaros Clinics, Heart and Vessels  Clinic

 ⁴Emergency medicine center

ABSTRACT

Background: Out-of-hospital cardiac arrest has high rates of morbidity and mortality rates for patients.

Objective: Our aim was review the evidence for interventions commonly deployed in cardiac arrest management, examine the outcomes of patients transferred to hospital with on-going cardiopulmonary resuscitation and propose a successful pre-hospital resuscitation management strategy.

Methods: systemic analysis was grounded by academic articles, found in the following databases: PubMed, BioMedCentral, Cohrane Library, Science Direct, Embase. Search of academic articles has been performed according to the strategies, adapted to each database. Systemic summary contained random controlled researches, published in 2013-2018. A review and analysis of 21 publications were performed.

Results and conclusion:

1. The analysed articles demonstrates that, overall survival among patients, transported to the hospital with on-going cardiopulmonary resuscitation, was very poor.
2. Strengthening the early links in the pre-hospital management of cardiac arrest (cardiac arrest recognition, call for help, bystander cardiopulmonary resuscitation and bystander automated external defibrillators use) have the greatest potential to improve survival.
3. Team−focused cardiopulmonary resuscitation is a focused approach to cardiac arrest care that emphasizes early defibrillation and high quality, minimally interrupted chest compressions while de-emphasizing endotracheal intubation and intravenous drug administration.

Keywords: cardiac arrest, resuscitation, dispatch, cardio-pulmonary resuscitation, ambulance, defibrillation, emergency medical services.