3754 Sudden cardiac arrest reduction via early defibrillation, without traditional education in cardiac-pulmonary resuscitation

Context: Sudden cardiac arrest is the leading cause of death in young athletes. The purpose of this review is to summarize the role of automated external defibrillators and emergency planning for sudden cardiac arrest in the athletic setting. Evidence Acquisition: Relevant studies on automated external defibrillators, early defibrillation, and public-access defibrillation programs were reviewed. Recommendations from consensus guidelines and position statements applicable to automated external defibrillators in athletics were also considered. Results: Early defibrillation programs involving access to automated external defibrillators by targeted local responders have demonstrated a survival benefit for sudden cardiac arrest in many public and athletic settings. Conclusion: Schools and organizations sponsoring athletic programs should implement automated external defibrillators as part of a comprehensive emergency action plan for sudden cardiac arrest. In a collapsed and unresponsive athlete, sudden cardiac arrest should be suspected and an automated external defibrillator applied as soon as possible, as decreasing the time interval to defibrillation is the most important priority to improve survival in sudden cardiac arrest.

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Immediate Bystander Response to Sudden Cardiac Arrest During Sports is Associated with Improved Survival -- A Video Analysis.

10.21203/rs.3.rs-39762/v1 ◽

2020 ◽

Author(s):

Nicole M Panhuyzen-Goedkoop ◽

Hein JJ Wellens ◽

Andre LM Verbeek ◽

Jan J Piek ◽

Ron JG Peters

Keyword(s):

Cardiac Arrest ◽

Video Analysis ◽

Elite Athletes ◽

Sudden Cardiac Arrest ◽

Early Defibrillation ◽

Chest Compressions ◽

Neurologic Dysfunction ◽

Bystander Response ◽

Current Guidelines

Abstract Background Sudden cardiac arrest (SCA) during sports can be the first symptom of yet undetected cardiovascular conditions. Immediate chest compressions and early defibrillation offer SCA victims the best chance of survival, which requires prompt bystander response.Aims To determine the effect of rapid bystander response to SCA during sports by searching for and analyzing videos of these SCA/SCD events from the internet.Methods We searched images.google.com, video.google.com and YouTube.com, and included any camera-witnessed non-traumatic SCA in athletes and other sports participants at any sports facility. The rapidity of starting bystander chest compressions and defibrillation was classified as <3, 3-5, or >5 minutes. The year SCA occurred was allocated to 1990-2009, 2010-2014 or 2015 onwards, compatible with the current guidelines.ResultsWe identified and included 28 victims of average age 27.9 years (SD=9.8); 27 were males, 22 elite athletes, and 17 participated in soccer. Bystander response <3 minutes (6/28) or 3-5 minutes (1/28) and defibrillation <3 minutes was associated with 100% survival. Not performing chest compressions and defibrillation was associated with death (14/28), and >5 minutes delay of intervention with worse outcome (death 4/28, severe neurologic dysfunction 1/28). Survival was highest between 2010-2014 (71.4%).ConclusionsAnalysis of internet videos showed that immediate bystander response to non-traumatic SCA during sports was associated with improved survival. This suggests that immediate chest compressions and early defibrillation are crucially important in SCA during sport, as they are in other settings. Optimal use of both will most likely result in survival. The observed bystander responses to SCA during sports do not show awareness of current guidelines.

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Cardiac arrest

Oxford Textbook of Medicine ◽

10.1093/med/9780198746690.003.0385 ◽

2020 ◽

pp. 3839-3848

Author(s):

Gavin D. Perkins ◽

Jasmeet Soar ◽

Jerry P. Nolan ◽

David A. Gabbott

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Early Recognition ◽

Sudden Cardiac Arrest ◽

Early Defibrillation ◽

High Quality ◽

Common Cause ◽

Initial Resuscitation ◽

Treatment Plans

Cardiovascular disease is the most common cause of sudden cardiac arrest, which causes over 60% of adult coronary heart disease deaths. Most cardiac arrests are preventable. Survival depends on early recognition and prompt initiation of chest compressions and ventilations (cardiopulmonary resuscitation), and early defibrillation if appropriate. High-quality cardiopulmonary resuscitation is defined by compressions to a depth of 5–6 cm, at a rate of 100–120 per minute, full release of pressure between compressions and minimal interruptions to chest compression. Drugs have a limited role in treating cardiac arrest. If initial resuscitation is successful the quality of post-resuscitation care determines the patient’s final outcome. Use emergency care treatment plans to record in advance, recommendations for emergency treatments, including CPR.

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Cardiac arrest

Oxford Textbook of Medicine ◽

10.1093/med/9780199204854.003.1701_update_002 ◽

2010 ◽

pp. 3097-3105

Author(s):

Jasmeet Soar ◽

Jerry P. Nolan ◽

David A. Gabbott

Keyword(s):

Cardiac Arrest ◽

Life Support ◽

Early Recognition ◽

Sudden Cardiac Arrest ◽

Advanced Life Support ◽

Early Defibrillation ◽

Medical Systems ◽

Postresuscitation Care ◽

Chain Of Survival ◽

Emergency Medical Systems

Cardiovascular disease is the most common cause of sudden cardiac arrest, which causes over 60% of adult coronary heart disease deaths. In Europe, the annual incidence of out-of-hospital cardiopulmonary arrests treated by emergency medical systems is 38 per 100 000. Survival from cardiac arrest depends on a sequence of interventions—the Chain of Survival—comprising (1) early recognition and call for help, (2) early cardiopulmonary resuscitation (CPR), (3) early defibrillation, and (4) postresuscitation care. The division between basic life support and advanced life support (ALS) is arbitrary—the resuscitation process is a continuum....

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Immediate Bystander Cardiopulmonary Resuscitation to Sudden Cardiac Arrest During Sports is Associated with Improved Survival—a Video Analysis

Sports Medicine - Open ◽

10.1186/s40798-021-00346-2 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Nicole M. Panhuyzen-Goedkoop ◽

Hein J. Wellens ◽

André L. M. Verbeek ◽

Jan J. Piek ◽

Ron J. G. Peters

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Sudden Cardiac Arrest ◽

Early Defibrillation ◽

Chest Compressions ◽

Sports Activity ◽

Link Type ◽

Elite Level ◽

Bystander Cardiopulmonary Resuscitation ◽

Bystander Cpr

Abstract Background Sudden cardiac arrest (SCA) during sports can be the first symptom of yet undetected cardiovascular conditions. Immediate chest compressions and early defibrillation offer SCA victims the best chance of survival, which requires prompt bystander cardiopulmonary resuscitation (CPR). Aims To determine the effect of rapid bystander CPR to SCA during sports by searching for and analyzing videos of these SCA/SCD events from the internet. Methods We searched images.google.com, video.google.com, and YouTube.com, and included any camera-witnessed non-traumatic SCA during sports. The rapidity of starting bystander chest compressions and defibrillation was classified as < 3, 3–5, or > 5 min. Results We identified and included 29 victims of average age 27.6 ± 8.5 years. Twenty-eight were males, 23 performed at an elite level, and 18 participated in soccer. Bystander CPR < 3 min (7/29) or 3–5 min (1/29) and defibrillation < 3 min was associated with 100% survival. Not performing chest compressions and defibrillation was associated with death (14/29), and > 5 min delay of intervention with worse outcome (death 4/29, severe neurologic dysfunction 1/29). Conclusions Analysis of internet videos showed that immediate bystander CPR to non-traumatic SCA during sports was associated with improved survival. This suggests that immediate chest compressions and early defibrillation are crucially important in SCA during sport, as they are in other settings. Optimal use of both will most likely result in survival. Most videos showing recent events did not show an improvement in the proportion of athletes who received early resuscitation, suggesting that the problem of cardiac arrest during sports activity is poorly recognized.

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