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Improving the Outcome of In-Hospital Cardiac Arrest: The Importance of Being EARNEST

^* To whom correspondence should be addressed. E-mail: einav_s{at}szmc.org.il.

	Abstract

Cardiopulmonary resuscitation techniques were introduced more than 50 years ago, yet the rate of survival from cardiac arrest, particularly in the hospital setting, remains dismally low. This article reviews the prevalence, etiology, and outcome of in-hospital cardiac arrest, with a focus on the determinants of outcome that are amenable to improvement. These include principally components of basic life support that may be supported by either prompting or mechanical assistance (eg, chest compression, ventilation, and defibrillation). Also reviewed are preevent and postevent effectors such as medical staff skills and recognition of impending arrest, induction of mild hypothermia, and stabilization after return of spontaneous circulation.

First published on February 16, 2009, doi:10.1177/1089253209332212

Seminars in Cardiothoracic and Vascular Anesthesia 2009;13:19.

A more recent version of this article appeared on March 1, 2009


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