Husselbee, Natalie, Davies, Robin P. and Perkins, Gavin D.. (2009) Advanced life support update. British Medical Bulletin, Vol.89 (No.1). pp. 79-91. ISSN 0007-1420

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Abstract

Cardiac arrest is a common emergency in acute hospitals. The Resuscitation Council (UK) Advanced Life Support Guidelines provide a systematic approach to cardiac arrest recognition, treatment and aftercare. This review provides an update on the current treatment guidelines and identifies areas where these may be strengthened.

The evidence informing the 2005 Resuscitation Guidelines is reviewed. New evidence since the publication of the guidelines was identified by searching Medline (December 2005-December 2008) with the term heart arrest or advanced life support.

Opportunities for strengthening the chain of survival exist for each link. These include better recognition of critically ill patients at risk of cardiac arrest, improved quality of cardiopulmonary resuscitation, defibrillation strategies, which minimize pre- and post-shock pauses and development of post-resuscitation care bundles.

Emerging evidence suggests opportunities where Resuscitation Guidelines could be strengthened by focusing on specific aspects of the chain of survival.

Item Type:	Journal Article
Subjects:	R Medicine R Medicine > RC Internal medicine
Divisions:	Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Life support systems (Critical care), Electric countershock, Resuscitation
Journal or Publication Title:	British Medical Bulletin
Publisher:	Oxford University Press
ISSN:	0007-1420
Official Date:	March 2009
Volume:	Vol.89
Number:	No.1
Number of Pages:	13
Page Range:	pp. 79-91
Identification Number:	10.1093/bmb/ldp002
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	National Institute for Health Research (Great Britain) (NIHR), Great Britain. Dept. of Health (DoH)
URI:	http://wrap.warwick.ac.uk/id/eprint/28394

Data sourced from Thomson Reuters' Web of Knowledge

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