A non-guidelines approach to cardiocerebral resuscitation

Cardiovascular disease is a leading cause of death in most Western industrialized nations, making out-of-hospital cardiac arrest (OHCA) a major public health problem (Atwood et al, 2005; Lloyd-Jones, 2010). Unfortunately, the first sign of cardiovascular disease is often the last, as the first sign is often sudden cardiac arrest (Roger et al, 2011). It is not just a problem of the elderly as the average decade of adults with OHCA is the sixth (Bobrow et al, 2010). In the US, a 40 year-old-male has a 1 in 8 chance of dying from cardiac arrest (Lloyd-Jones, 2010). This article will present a non-guidelines approach to the management of patients with primary OHCA that significantly improves survival. It is called ‘cardiocerebral resuscitation’ as it limits interruptions of blood flow to the heart and the brain by emphasizing near continuous chest compressions not only by bystanders but also by advanced life support (ALS) providers. It deemphasizes assisted ventilation, as patients with primary cardiac arrest have nearly normal arterial blood oxygenation at the onset of their arrest. We present the details of cardiocerebral resuscitation and the published studies that have documented improved survival of patients with OHCA so treated. It emphasized that guideline cardiopulmonary resuscitation (CPR) and ALS should be reserved for patients with secondary cardiac arrest; secondary to drowning, drug overdose and other forms cardiac arrest that are secondary to respiratory failure.

Subscribe to get full access to the Journal of Paramedic Practice

Thank you for vising the Journal of Paramedic Practice and reading our archive of expert clinical content. If you would like to read more from the only journal dedicated to those working in emergency care, you can start your subscription today for just £48.

CPD Focus

Reading the Journal of Paramedic Practice counts towards your professional development

Develop your career

We provide professional information dedicated to paramedics covering training, education and jobs

Stay informed

Get the latest clinical information to ensure you are aware of the latest think and best practice in paramedicne

Subscribe now

Already registered? - Sign in here

Keep up to date with Journal of Paramedic Practice!

Sign up to Journal of Paramedic Practice’s regular newsletters and keep up-to-date with the very latest clinical research and CPD we publish each month.