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Regional Continuous Quality Improvement in Cardiopulomary Resuscitation optimizing the local “Chain of Survival”

  • KJETIL SUNDE1

1,Surgical Intensive Care Unit Oslo University Hospital Ulleval

DOI: 10.22514/SV51.092010.10 Vol.5,Issue S1,September 2010 pp.46-49

Published: 07 September 2010

*Corresponding Author(s): KJETIL SUNDE E-mail: kjetil.sunde@medisin.uio.no

Abstract

Survival after out-of-hospital cardiac arrest (OHCA) depends on a well functioning Chain of Survival. In tihis article we ana-lysed different phases of process of improving outcome after OHCA: recognition of potential for improved survival within the local system and strictly implementation guidelines for elimination weak links. Continuous focus on the importance of a well functioning Chain of Survival with specific strategies to improve quality of care during advanced life support (ALS) and post resuscitation has lead to significantly improved outcome of patients with OHCA in Oslo.

Keywords

cardiac arrest, local Chain of Survival, improving outco-me, weak links, Oslo, three different time periods

Cite and Share

KJETIL SUNDE. Regional Continuous Quality Improvement in Cardiopulomary Resuscitation optimizing the local “Chain of Survival”. Signa Vitae. 2010. 5(S1);46-49.

References

1. Lund-Kordahl I, Olasveengen TM, Lorem T, Samdal M, Wik L, Sunde K. Improving outcome after out-of-hospital cardiac arrest by strengt-hening weak links of the local Chain of Survival; quality of advanced life support and post-resuscitation care. Resuscitation 2010;81:422-6.

2. Atwood C, Eisenberg MS, Herlitz J, Rea TD. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 2005;67:75-80. 3.2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005;112:IV-1-IV-203.

4. European Resuscitation Council Guidelines for Resuscitation 2005. Resuscitation 2005;67:S3-S180.

5. Cummins RO, Ornato JP, Thies WH, Pepe PE. Improving survival from sudden cardiac arrest: the "chain of survival" concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation 1991;83:1832-47.

6. Jacobs I, Nadkarni V, Bahr J,Berg RA, Billi JE, Bossaert L, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa). Circulation 2004;110:3385-97.

7. Lund I, Skulberg A. Cardiopulmonary resuscitation by lay people. Lancet 1976;2:702-4.

8. Sunde K, Eftestol T, Askenberg C, Steen PA. Quality assessment of defribrillation and advanced life support using data from the medical control module of the defibrillator. Resuscitation 1999;41:237-47.

9. Naess AC,.Steen PA. Long term survival and costs per life year gained after out-of-hospital cardiac arrest. Resuscitation 2004;60:57-64.

10. Guidelines for advanced life support. A statement by the Advanced Life Support Working Party of the European Resuscitation Council, 1992. Resuscitation 1992;24:111-21.

11. Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care – An international consensus on science. Resus-citation 2000;46:3-437.

12. Wik L, Hansen TB, Fylling F, Steen T,Vaagenes P, Auestad BH, et al. Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. JAMA 2003;289:1389-95.

13. Sunde K, Pytte M, Jacobsen D,Mangschau A, Jensen LP, Smersrud C, et al. Implementation of a standardised treatment protocol for post resuscitation care after out-of-hospital cardiac arrest. Resuscitation 2007;73:29-39.

14. The Hypothermia After Cardiac Arrest (HACA) study group: Mild TH to improve the neurologic outcome after cardiac arrest. New Engl J Med 2002;346:549-56.

15. Bernard SA, Gray TW, Buist MD, Jones BM, Silvester W, Gutteridge G,et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. New Engl J Med 2002;346:557-63.

16. Langhelle A, Tyvold SS, Lexow K, Hapnes S, Sunde K, Steen PA. In-hospital factors associated with improved outcome after out-of-hospital cardiac arrest. A comparison between four regions in Norway. Resuscitation 2003;56:247-63.

17. Carr BG, Kahn JM, Merchant RM, Kramer AA, Neumar RW. Inter-hospital variability in post-cardiac arrest mortality. Resuscitation 2009;80:30-4.

18. Olasveengen TM, Sunde K, Brunborg C, Thowsen J, Steen PA, Wik L. Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. JAMA 2009 Nov 25;302:2222-9.

19. Stiell IG, Wells GA, Field B, Spaite DW, Nesbitt LP, De Maio VJ, et al. Advanced Cardiac Life Support in Out-of-Hospital Cardiac Arrest. N Engl J Med 2004;351:647-56.

20. Olasveengen TM, Wik L, Kramer-Johansen J, Sunde K, Pytte M, Steen PA. Is CPR quality improving? A retrospective study of out-of-hospital cardiac arrest. Resuscitation 2007;75:260-6.

21. Olasveengen TM, Vik E, Kuzovlev A, Sunde K. Effect of implementation of new resuscitation guidelines on quality of cardiopulmonary resuscitation and survival. Resuscitation 2009;80:407-11.

22. Oddo M, Schaller MD, Feihl F, Ribordy V, Liaudet L. From evidence to clinical practice: effective implementation of therapeutic hypothermia to improve patient outcome after cardiac arrest. Crit Care Med 2006;34:1865-73.

23. Knafelj R, Radsel P, Ploj T, Noc M. Primary percutaneous coronary intervention and mild induced hypothermia in comatose survivors of ventricular fibrillation with ST-elevation acute myocardial infarction. Resuscitation 2007;74: 227-34.

24. Soreide E, Sunde K. TH after out-of hospital cardiac arrest: how to secure world-wide implementation? Curr Opin Anesth 2008;21:209-15.

25. Becker L, Gold LS, Eisenberg M, White L, Hearne T, Rea T. Ventricular fibrillation in King County, Washington: A 30-year perspective. Resuscitation 2008;79:22-7.

26. Iwami T, Nichol G, Hiraide A, Hayashi Y, Nishiuchi T, Kajino K, et al. Continuous improvements in "chain of survival" increased survival after out-of-hospital cardiac arrests: a large-scale population-based study. Circulation 2009;119:728-34.

27. Nichol G, Thomas E, Callaway CW,Hedges J, Powell JL, Aufderheide TP, et al. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA 2008;300:1423-31.

28. Fredriksson M, Herlitz J, Nichol G. Variation in outcome in studies of out-of-hospital cardiac arrest: a review of studies conforming to the Utstein guidelines. Am J Emerg Med 2003;21:276-81.

29. Grmec S, Krizmaric M, Mally S, Kozelj A, Spindler M, Lesnik B. Utstein style analysis of out-of-hospital cardiac arrest--bystander CPR and end expired carbon dioxide. Resuscitation 2007;72:404-14.

30. Grmec S, Strnad M, Kupnik D, Sinkovic A, Gazmuri RJ. Erythropoietin facilitates the return of spontaneous circulation and survival in victims of out-of-hospital cardiac arrest. Resuscitation 2009;80:631-7.

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