BACKGROUND: In 2013 the Minnesota Resuscitation Consortium developed an organized approach for the management of @entity1 resuscitated from shockable rhythms to gain early access to the @entity299 ( @entity299 ) in the metro area of Minneapolis-St. Paul. METHODS AND RESULTS: Eleven hospitals with 24/7 percutaneous coronary intervention capabilities agreed to provide early (within 6 hours of arrival at the Emergency Department) access to the @entity299 with the intention to perform coronary revascularization for outpatients who were successfully resuscitated from @entity2224 / @entity1165 . Other inclusion criteria were age >18 and <76 and presumed cardiac etiology. @entity1 with other rhythms, known do not resuscitate/do not intubate, noncardiac etiology, significant @entity548 , and @entity66 were excluded. The primary outcome was survival to hospital discharge with favorable neurological outcome. @entity1 (315 out of 331) who were resuscitated from VT/VF and transferred alive to the Emergency Department had complete medical records. Of those, 231 (73.3%) were taken to the @entity299 per the Minnesota Resuscitation Consortium protocol while 84 (26.6%) were not taken to the @entity299 (protocol deviations). Overall, 197 (63%) @entity1 survived to hospital discharge with good neurological outcome (cerebral performance category of 1 or 2). Of the @entity1 who followed the Minnesota Resuscitation Consortium protocol, 121 (52%) underwent percutaneous coronary intervention, and 15 (7%) underwent coronary artery bypass graft. In this group, 151 (65%) survived with good neurological outcome, whereas in the group that did not follow the Minnesota Resuscitation Consortium protocol, 46 (55%) survived with good neurological outcome (adjusted odds ratio: 1.99; [1.07-3.72], P=0.03). CONCLUSIONS: Early access to the @entity299 after @entity1167 due to a shockable rhythm in a selected group of @entity1 is feasible in a large metropolitan area in the United States and is associated with a 65% survival rate to hospital discharge with a good neurological outcome.

Early Access to the Cardiac Catheterization Laboratory for @entity1 Resuscitated From XXXX Due to a Shockable Rhythm: The Minnesota Resuscitation Consortium Twin Cities Unified Protocol.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1165 :: ('MESH:D017180', 'Disease') :: ['ventricular tachycardia arrest'] @entity66 :: ('MESH:D004194', 'Disease') :: ['terminal disease'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity2224 :: ('MESH:D014693', 'Disease') :: ['ventricular fibrillation'] @entity299 :: ('MESH:D006331', 'Disease') :: ['CCL', 'cardiac catheterization laboratory'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest']
@entity1167 :: (MESH:D006323,Disease) :: ['Cardiac Arrest']
