Volume : 11, Issue : 12, December – 2024
Title:
CARDIAC ARREST MANAGEMENT IN PREHOSPITAL SETTINGS: INNOVATIONS IN AMBULANCE-BASED INTERVENTIONS
Authors :
Abdullah Dafer Alqarni, Obaid Salem Alruways , Mansour Mohammed Sakk, Mousa Ali Gharawi , Saad Abdulrahman Alsufayyan , Faisal Saqar Almutairi , Salah Khalofah Toman Alahmari
Abstract :
Cardiac arrest remains a leading cause of mortality worldwide, with outcomes heavily dependent on the timeliness and quality of prehospital care. Ambulance-based innovations have significantly transformed cardiac arrest management, integrating advanced technologies, improved CPR techniques, pharmacological interventions, and real-time decision-making tools. This review explores the latest advancements in prehospital cardiac care, including automated external defibrillators, mechanical CPR devices, telemedicine, and the application of artificial intelligence. Additionally, the article highlights the critical role of training and simulation in enhancing the performance of emergency medical personnel. It evaluates the impact of these innovations on survival rates, neurological outcomes, and healthcare systems’ cost-effectiveness. The challenges of implementing these advancements, particularly in low-resource settings, are also discussed alongside future directions for integrating emerging technologies. This comprehensive review underscores the pivotal role of ambulance-based interventions in improving cardiac arrest outcomes and the need for continued innovation and global collaboration to address existing disparities in emergency medical services.
Keywords: Cardiac arrest, prehospital care, ambulance innovations, mechanical CPR, artificial intelligence, emergency medical services, survival outcomes, telemedicine, emergency training, EMS challenges.
Cite This Article:
Please cite this article in press Abdullah Dafer Alqarni et al., Cardiac Arrest Management In Prehospital Settings: Innovations In Ambulance-Based Interventions.,Indo Am. J. P. Sci, 2024; 11 (12).
Number of Downloads : 10
References:
1. Bigham, B. L., et al. (2019). Team dynamics and communication in prehospital cardiac arrest management. Resuscitation, 141, 20–26. https://doi.org/10.1016/j.resuscitation.2019.08.014
2. Boet, S., et al. (2020). Virtual reality training for prehospital care: A review. Simulation in Healthcare, 15(4), 238–245. https://doi.org/10.1097/SIH.0000000000000492
3. Dumas, F., et al. (2020). Prehospital pharmacological management in cardiac arrest. Resuscitation, 149, 170–177. https://doi.org/10.1016/j.resuscitation.2020.05.011
4. Gräsner, J.-T., et al. (2020). Epidemiology and survival outcomes of out-of-hospital cardiac arrest: An update. Resuscitation, 153, 16–27. https://doi.org/10.1016/j.resuscitation.2020.07.005
5. Hardig, B. M., et al. (2021). Mechanical chest compression devices in out-of-hospital cardiac arrest. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1), 42. https://doi.org/10.1186/s13049-021-00896-1
6. Holmén, J., et al. (2020). Artificial intelligence in prehospital cardiac arrest management. Resuscitation, 155, 1–7. https://doi.org/10.1016/j.resuscitation.2020.02.011
7. Myat, A., et al. (2018). Out-of-hospital cardiac arrest: Current concepts. Circulation, 137(1), 104–109. https://doi.org/10.1161/CIRCULATIONAHA.118.036680
8. Nadkarni, V. M., et al. (2020). Cardiac arrest in low-resource settings: A call for action. Resuscitation, 152, 78–89. https://doi.org/10.1016/j.resuscitation.2020.05.005
9. Nichol, G., et al. (2020). Effectiveness of prehospital interventions for cardiac arrest: A systematic review. JAMA, 324(10), 971–982. https://doi.org/10.1001/jama.2020.1565
10. Nolan, J. P., et al. (2021). Resuscitation guidelines update: The 2021 European perspective. Resuscitation, 167, 123–139. https://doi.org/10.1016/j.resuscitation.2021.03.011
11. Perkins, G. D., et al. (2021). Improving survival from out-of-hospital cardiac arrest: Current status and future priorities. Resuscitation, 162, 84–94. https://doi.org/10.1016/j.resuscitation.2021.01.001
12. Smekal, D., et al. (2020). Load-distributing band CPR: A review of its role in cardiac arrest management. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 28(1), 25. https://doi.org/10.1186/s13049-020-00781-4
13. Wang, H., et al. (2021). Effectiveness of simulation training in improving prehospital cardiac arrest management skills. Resuscitation, 167, 150–157. https://doi.org/10.1016/j.resuscitation.2021.06.016
14. Yeung, J., et al. (2019). Simulation-based CPR training for EMS providers: A systematic review. Circulation: Cardiovascular Outcomes, 12(5), e005768. https://doi.org/10.1161/CIRCOUTCOMES.119.005768
15. Zègre-Hemsey, J. K., et al. (2020). Telemedicine in EMS: Current perspectives and future directions. Prehospital Emergency Care, 24(4), 556–564. https://doi.org/10.1080/10903127.2020.1713485