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Circulation ; 142(16_suppl_2): S580-S604, 2020 10 20.
Artículo en Inglés | MEDLINE | ID: mdl-33081524

RESUMEN

Survival after cardiac arrest requires an integrated system of people, training, equipment, and organizations working together to achieve a common goal. Part 7 of the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care focuses on systems of care, with an emphasis on elements that are relevant to a broad range of resuscitation situations. Previous systems of care guidelines have identified a Chain of Survival, beginning with prevention and early identification of cardiac arrest and proceeding through resuscitation to post-cardiac arrest care. This concept is reinforced by the addition of recovery as an important stage in cardiac arrest survival. Debriefing and other quality improvement strategies were previously mentioned and are now emphasized. Specific to out-of-hospital cardiac arrest, this Part contains recommendations about community initiatives to promote cardiac arrest recognition, cardiopulmonary resuscitation, public access defibrillation, mobile phone technologies to summon first responders, and an enhanced role for emergency telecommunicators. Germane to in-hospital cardiac arrest are recommendations about the recognition and stabilization of hospital patients at risk for developing cardiac arrest. This Part also includes recommendations about clinical debriefing, transport to specialized cardiac arrest centers, organ donation, and performance measurement across the continuum of resuscitation situations.


Asunto(s)
Servicio de Cardiología en Hospital/normas , Cardiología/normas , Reanimación Cardiopulmonar/normas , Prestación Integrada de Atención de Salud/normas , Servicio de Urgencia en Hospital/normas , Paro Cardíaco/terapia , Grupo de Atención al Paciente/normas , Apoyo Vital Cardíaco Avanzado/normas , American Heart Association , Reanimación Cardiopulmonar/efectos adversos , Consenso , Conducta Cooperativa , Urgencias Médicas , Medicina Basada en la Evidencia/normas , Paro Cardíaco/diagnóstico , Paro Cardíaco/fisiopatología , Humanos , Comunicación Interdisciplinaria , Factores de Riesgo , Resultado del Tratamiento , Estados Unidos
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