Sudden Cardiac Arrest: A Call to Action From the Institute of Medicine
Authors: Thomas Rea, Mickey Eisenberg
Journal: Annals of Internal Medicine (2015)

Ideas and Opinions17 November 2015Sudden Cardiac Arrest: A Call to Action From the Institute of MedicineThomas Rea, MD, MPH and Mickey Eisenberg, MD, PhDThomas Rea, MD, MPHFrom the University of Washington and Public Health—Seattle and King County, Seattle, Washington.Search for more papers by this author and Mickey Eisenberg, MD, PhDFrom the University of Washington and Public Health—Seattle and King County, Seattle, Washington.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M15-1926 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail “Code blue” is called as you are preparing for hospital work rounds. As part of the designated “code team,” you rush up 3 flights of stairs, around the corner, and into room 603. There, you find a host of hospital staff. Everyone is hustling to provide resuscitation care to a 67-year-old man hospitalized overnight for new-onset shortness of breath that he developed while attending a local theater production.Now envision a different scenario. A 56-year-old woman has collapsed after walking upstairs to get ready for bed after a busy day visiting her infant grandson. Her spouse hears the collapse and ...References1. Theophanous C. First code. Ann Intern Med. 2015;163:238-9. [PMID: 26237754]. doi:10.7326/M15-0195 LinkGoogle Scholar2. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2015 update: a report from the American Heart Association. Circulation. 2015;131:e29-322. [PMID: 25520374] doi:10.1161/CIR.0000000000000152 CrossrefMedlineGoogle Scholar3. Nolan JP, Hazinski MF, Billi JE, Boettiger BW, Bossaert L, de Caen AR, et al. Part 1: executive summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation. 2010;81 Suppl 1:e1-25. [PMID: 20956042] doi:10.1016/j.resuscitation.2010.08.002 CrossrefMedlineGoogle Scholar4. Nichol G, Thomas E, Callaway CW, Hedges J, Powell JL, Aufderheide TP, et al; Resuscitation Outcomes Consortium Investigators. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA. 2008;300:1423-31. [PMID: 18812533] doi:10.1001/jama.300.12.1423 CrossrefMedlineGoogle Scholar5. Kragholm K, Wissenberg M, Mortensen RN, Fonager K, Jensen SE, Rajan S, et al. Return to work in out-of-hospital cardiac arrest survivors: a nationwide register-based follow-up study. Circulation. 2015;131:1682-90. [PMID: 25941005] doi:10.1161/CIRCULATIONAHA.114.011366 CrossrefMedlineGoogle Scholar6. Graham R, McCoy MA, Schultz AM, eds; Committee on the Treatment of Cardiac Arrest: Current Status and Future Directions; Board on Health Sciences Policy; Institute of Medicine. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: National Academies Pr; 2015. Accessed at http://iom.nationalacademies.org/Reports/2015/Strategies-to-Improve-Cardiac-Arrest-Survival.aspx on 23 July 2015. Google Scholar7. McNally B, Robb R, Mehta M, Vellano K, Valderrama AL, Yoon PW, et al; Centers for Disease Control and Prevention. Out-of-hospital cardiac arrest surveillance—Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005–December 31, 2010. MMWR Surveill Summ. 2011;60:1-19. [PMID: 21796098] MedlineGoogle Scholar8. Chan PS, McNally B, Tang F, Kellermann A; CARES Surveillance Group. Recent trends in survival from out-of-hospital cardiac arrest in the United States. Circulation. 2014;130:1876-82. [PMID: 25399396] doi:10.1161/CIRCULATIONAHA.114.009711 CrossrefMedlineGoogle Scholar9. National Quality Forum. ABCs of Measuring. Washington, DC: National Quality Forum; 2015. Accessed at www.qualityforum.org/Measuring_Performance/ABCs_of_Measurement.aspx on 30 July 2015. Google Scholar10. Rea TD, Page RL. Community approaches to improve resuscitation after out-of-hospital sudden cardiac arrest. Circulation. 2010;121:1134-40. [PMID: 20212292] doi:10.1161/CIRCULATIONAHA.109.899799 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Thomas Rea, MD, MPH; Mickey Eisenberg, MD, PhDAffiliations: From the University of Washington and Public Health—Seattle and King County, Seattle, Washington.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-1926.Corresponding Author: Thomas Rea, MD, MPH, 401 5th Avenue, Suite 1200, Seattle, WA 98104; e-mail, [email protected]washington.edu.Current Author Addresses: Drs. Rea and Eisenberg: 401 5th Avenue, Suite 1200, Seattle, WA 98104.Author Contributions: Conception and design: M. Eisenberg.Drafting of the article: T. Rea.Critical revision of the article for important intellectual content: M. Eisenberg.Final approval of the article: T. Rea, M. Eisenberg.Administrative, technical, or logistic support: T. Rea.This article was published online first at www.annals.org on 8 September 2015. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA pragmatic randomized trial of cardiopulmonary resuscitation training for families of cardiac patients before hospital discharge using a mobile applicationCharacterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative*Irrational Exuberance: Cardiopulmonary Resuscitation as FetishÉpidémiologie de l’arrêt cardio-respiratoire : données France–États-Unis 17 November 2015Volume 163, Issue 10Page: 794-795KeywordsCardiopulmonary resuscitationDisclosureEmergency medical servicesHeartPrevention, policy, and public healthQuality of lifeResuscitationTreatment guidelinesVentricular fibrillationWalking ePublished: 8 September 2015 Issue Published: 17 November 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...