The Chain of Survival is an internationally recognised series of actions that, if carried out properly, may reduce mortality from OHCA. In Scotland, an “augmented” Chain of Survival has been proposed as a means of improving survival rates. This version has two additonal elements – community readiness to respond to OHCA and the rehabilitation and aftercare of patients and families involved. This resource will contribute to improving the rehabilitation and aftercare offered to those affected by an OHCA.
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Readiness:
- Culture of bystander action
- Community based training
- Advanced End of Life decision making
Early recognition and call for help to prevent cardiac arrest:
- Ambulance control centre recognises cardiac arrest
- Early dispatch
- Telephone guided CPR
Early CPR to buy time:
- Bystander CPR
- First responder CPR
- Excellent SAS resuscitation
Early Defibrillation to restart the heart:
- Bystander Defibrillation
- CPR Defibrillation
- Excellent SAS resuscitation
Post resuscitation care to restore quality of life:
- SAS advanced life support
- Transport to appropriate care
- Standardised, cardio-cerebral resuscitation
Aftercare:
- Recognition of the impact of OHCA on survivors and their families
- Recognition of needs and offer Rehabilitation
This resource is focused on the final link in the chain – the Aftercare.
Out of Hospital Cardiac Arrest
Who responds to OHCAs?