• J. Am. Coll. Cardiol. · Jan 2009

    Comment

    Cardiocerebral resuscitation: a broader perspective.

    • Daniel P Davis.
    • Department of Emergency Medicine, University of California San Diego, San Diego, CA 92103-8676, USA. davismd@cox.net
    • J. Am. Coll. Cardiol. 2009 Jan 13;53(2):158-60.

    AbstractHistorically, cardiac arrest outcomes have been stagnant with few therapies demonstrating clinical benefit. Recent advances in our understanding of cardiac arrest physiology and therapy have led to improved outcomes and renewed interest in defining the "optimal" approach. Cardiocerebral resuscitation (CCR) represents a bundle of specific therapies designed to enhance perfusion during cardiopulmonary arrest by emphasizing chest compressions over ventilations and "priming" the heart with compressions before and after defibrillation attempts. Implemented in Arizona and Wisconsin in 2003, patients treated using CCR appear to have improved outcomes compared with those treated under the 2000 guidelines from the International Liaison Committee on Resuscitation (ILCOR). This was particularly true in the subgroup of patients with bystander-witnessed collapse, who may represent a group with adequate oxygen reserves at the time of arrest and decreased requirement for immediate positive-pressure ventilation. Many components of CCR have since been incorporated in the 2005 ILCOR guidelines. Beyond the specific treatment approaches that define CCR, this alternative approach may represent the future of resuscitation science in which each institution and emergency medical services agency will define an optimal approach to treatment and training based on the specific resources available and patient population. This may mandate a paradigm shift away from advanced cardiac life support and basic life support, which emphasize standardization of content and format rather than institution- or agency-specific protocols and training.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.