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Out-of-hospital cardiac arrest : prehospital management
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Ong, Marcus Eng Hock, Perkins, Gavin D. and Cariou, Alain (2018) Out-of-hospital cardiac arrest : prehospital management. The Lancet, 391 (10124). pp. 980-988. doi:10.1016/S0140-6736(18)30316-7
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WRAP-out-of-hospital-cardiac-arrest-pre-hospital-management-Perkins-2018.pdf - Accepted Version - Requires a PDF viewer. Download (1108Kb) | Preview |
Official URL: http://dx.doi.org/10.1016/S0140-6736(18)30316-7
Abstract
Sudden out-of-hospital cardiac arrest is the most time-critical medical emergency. In the second paper of this Series on out-of-hospital cardiac arrest, we considered important issues in the prehospital management of cardiac arrest. Successful resuscitation relies on a strong chain of survival with the community, dispatch centre, ambulance, and hospital working together. Early cardiopulmonary resuscitation and defibrillation has the greatest impact on survival. If the community response does not restart the heart, resuscitation is continued by emergency medical services' staff. However, the best approaches for airway management and the effectiveness of currently used drug treatments are uncertain. Prognostic factors and rules for termination of resuscitation could guide the duration of a resuscitation attempt and decision to transport to hospital. If return of spontaneous circulation is achieved, the focus of treatment shifts to stabilisation, restoration of normal physiological parameters, and transportation to hospital for ongoing care.
| Item Type: | Journal Item | ||||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Cardiac arrest, Cardiac arrest -- Treatment | ||||||||
| Journal or Publication Title: | The Lancet | ||||||||
| Publisher: | Lancet Publishing Group | ||||||||
| ISSN: | 0140-6736 | ||||||||
| Official Date: | 10 March 2018 | ||||||||
| Dates: |
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| Volume: | 391 | ||||||||
| Number: | 10124 | ||||||||
| Page Range: | pp. 980-988 | ||||||||
| DOI: | 10.1016/S0140-6736(18)30316-7 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| RIOXX Funder/Project Grant: |
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