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Annual Update in Intensive Care and Emergency Medicine 2016 pp 241–254Cite as

Cardiac Arrest Centers

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Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

Abstract

Cardiac arrest accounts for considerable mortality and morbidity in the developed world. In the United States, it is estimated that the emergency medical services (EMS) assess out-of-hospital cardiac arrest (OHCA) in 103 per 100,000 inhabitants each year (a total of 326,000); approximately 56% of these are treated and 5.6% survive to hospital discharge [1]. United Kingdom ambulance services initiate resuscitation on about 28,000 people who sustain an OHCA each year (52 cases per 100,000 inhabitants) and approximately 8% survive to leave hospital [2]. Recent evidence suggests improved patient outcomes when care for certain conditions is centralized to nominated healthcare centers [3–6]. Conditions that appear to benefit from this structured approach are those with high acuity requiring timesensitive specialist interventions, such as ST segment elevation myocardial infarction (STEMI), major trauma and acute stroke. It seems feasible that patients with OHCA might also benefit from regionalization of their care.

In 2010, the American Heart Association (AHA) [7] published a policy statement outlining the evidence and goals for regionalization of OHCA care services, based on the concept of cardiac arrest centers. Recently, efforts have been made to define regionalization of cardiac arrest care and, in particular, the services that a cardiac arrest center should provide. Observational studies have documented the impact of such regionalization on patient outcome.

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Author information

Authors and Affiliations

  1. Department of Anaesthesia, Royal United Hospital, BA1 3NG, Bath, UK

    E. L. Riley

  2. Intensive Care Unit, University Hospitals, Bristol, UK

    M. Thomas

  3. School of Clinical Sciences, University of Bristol, Bristol, UK

    J. P. Nolan

  4. Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK

    J. P. Nolan

Authors
  1. E. L. Riley
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  2. M. Thomas
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  3. J. P. Nolan
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Corresponding author

Correspondence to E. L. Riley .

Editor information

Editors and Affiliations

  1. Université libre de Bruxelles Dept. of Intensive Care, Erasme Hospital, Brussels, Belgium

    Jean-Louis Vincent

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© 2016 Springer International Publishing Switzerland

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Riley, E.L., Thomas, M., Nolan, J.P. (2016). Cardiac Arrest Centers. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2016. Annual Update in Intensive Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-27349-5_20

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  • DOI: https://doi.org/10.1007/978-3-319-27349-5_20

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27348-8

  • Online ISBN: 978-3-319-27349-5

  • eBook Packages: MedicineMedicine (R0)

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