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Schnaubelt S, Monsieurs KG, Fijacko N, Veigl C, Al-Hilali Z, Atiq H, Bigham BL, Eastwood K, Ko YC, Matsuyama T, Athieno Odakha J, Olaussen A, Greif R. International facets of the 'chain of survival' for out-of-hospital and in-hospital cardiac arrest - A scoping review. Resusc Plus 2024; 19:100689. [PMID: 38988609 PMCID: PMC11234005 DOI: 10.1016/j.resplu.2024.100689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Revised: 05/27/2024] [Accepted: 05/30/2024] [Indexed: 07/12/2024] Open
Abstract
Background The "chain of survival" was first systematically addressed in 1991, and its sequence still forms the cornerstone of current resuscitation guidelines. The term "chain of survival" is widely used around the world in literature, education, and awareness campaigns, but growing heterogeneity in the components of the chain has led to confusion. It is unclear which of these emerging chains is most suitable, or if adaptations are needed in particular contexts to depict key actions of resuscitation in the 21st century. This scoping review provides an overview of the variety of chains of survival described. Objectives To identify published facets of the chain of survival, to assess views and strategies about adapting the chain, and to identify reports on how the chain of survival affects teaching, implementation, or patient outcomes. Methods eligibility criteria and sources of evidence A scoping review as part of the continuous evidence evaluation process of the International Liaison Committee on Resuscitation (ILCOR) was conducted. MEDLINE(R) ALL (Ovid), Embase (Ovid), APA PsycINFO (Ovid), CINAHL (Ebscohost), ERIC (Ebscohost), Web of Science (Clarivate), Scopus (Elsevier), and Cochrane Library (Wiley Online) were searched. All publications in all languages describing chains of survival were eligible, without time restrictions. Due to the heterogeneity and publication types of the relevant studies, we did not pursue a systematic review or meta-analysis. Results A primary search yielded 1713 studies and after screening we included 43 publications. Modified versions of the chain of survival for specific contexts were found (e.g., in-hospital cardiac arrest or paediatric resuscitation). There were also numerous versions with minor adaptations of the existing chain. Three publications suggested an impact of the use of the chain of survival on patient outcomes. No educational or implementation outcomes were reported. Conclusion There is a vast heterogeneity of chain of survival concepts published. Future research is warranted, especially into the concept's importance concerning educational, implementation, and clinical outcomes.
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Affiliation(s)
- Sebastian Schnaubelt
- Dpt. of Emergency Medicine, Medical University of Vienna, Austria
- PULS – Austrian Cardiac Arrest Awareness Association, Vienna, Austria
- Dpt. of Emergency Medicine, Antwerp University Hospital, and University of Antwerp, Belgium
| | - Koenraad G Monsieurs
- Dpt. of Emergency Medicine, Antwerp University Hospital, and University of Antwerp, Belgium
| | - Nino Fijacko
- University of Maribor, Faculty of Health Sciences, and Maribor University Medical Centre, Maribor, Slovenia
| | - Christoph Veigl
- Dpt. of Emergency Medicine, Medical University of Vienna, Austria
- PULS – Austrian Cardiac Arrest Awareness Association, Vienna, Austria
| | | | - Huba Atiq
- Dpt. of Anaesthesiology, Centre of Excellence for Trauma & Emergency, The Aga Khan University Hospital, Karachi, Pakistan
| | - Blair L. Bigham
- Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
| | - Kathryn Eastwood
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Ying-Chih Ko
- Section of Emergency Medicine, Dpt. of Medicine, National Taiwan University Cancer Center, Taipei, Taiwan
| | - Tasuku Matsuyama
- Dpt. of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Justine Athieno Odakha
- Dpt. of Emergency Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Alexander Olaussen
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
- Alfred Health Emergency Service, Melbourne, Victoria, Australia
| | - Robert Greif
- University of Bern, Bern, Switzerland
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - International Liaison Committee on Resuscitation Education, Implementation and Teams Task Force
- Dpt. of Emergency Medicine, Medical University of Vienna, Austria
- PULS – Austrian Cardiac Arrest Awareness Association, Vienna, Austria
- Dpt. of Emergency Medicine, Antwerp University Hospital, and University of Antwerp, Belgium
- University of Maribor, Faculty of Health Sciences, and Maribor University Medical Centre, Maribor, Slovenia
- Arab Resuscitation Council, Dubai, United Arab Emirates
- Dpt. of Anaesthesiology, Centre of Excellence for Trauma & Emergency, The Aga Khan University Hospital, Karachi, Pakistan
- Dalla Lana School of Public Health, University of Toronto, Ontario, Canada
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
- Section of Emergency Medicine, Dpt. of Medicine, National Taiwan University Cancer Center, Taipei, Taiwan
- Dpt. of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan
- Dpt. of Emergency Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
- Alfred Health Emergency Service, Melbourne, Victoria, Australia
- University of Bern, Bern, Switzerland
- Department of Surgical Sciences, University of Turin, Turin, Italy
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Koike M, Aikawa L. Much More Than Just Women: Wonder Women. Arq Bras Cardiol 2022; 119:317-318. [PMID: 35946693 PMCID: PMC9363059 DOI: 10.36660/abc.20220443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Marcia Koike
- Universidade de São PauloFaculdade de MedicinaDepartamento de Clínica MédicaSão PauloSPBrasilLIM-51 - Laboratório de Investigação médica da Disciplina de Emergências Clínicas - Departamento de Clínica Médica, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP – Brasil
- Instituto de Assistência Médica do Servidor Público EstadualPós-Graduação em Ciências da SaúdeSão PauloSPBrasilPós-Graduação em Ciências da Saúde, Instituto de Assistência Médica do Servidor Público Estadual (IAMSPE), São Paulo, SP – Brasil
| | - Luciana Aikawa
- Instituto de Assistência Médica do Servidor Público EstadualPós-Graduação em Ciências da SaúdeSão PauloSPBrasilPós-Graduação em Ciências da Saúde, Instituto de Assistência Médica do Servidor Público Estadual (IAMSPE), São Paulo, SP – Brasil
- Hospital do Servidor Público MunicipalAmbulatório de AcupunturaSão PauloSPBrasilAmbulatório de Acupuntura, Hospital do Servidor Público Municipal (HSPM), São Paulo, SP – Brasil
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