Out-of-hospital cardiac arrest: prehospital management

Lina Matuliauskaitė1, Pranas Šerpytis1,2,3,4

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


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.