EXPLORING STRATEGIES TO IMPROVE
CARDIAC ARREST
SURVIVAL
Proceedings of a Workshop
Margaret A. McCoy and Andrea M. Schultz, Rapporteurs
Board on Population Health and Public Health Practice
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This project was supported by Contract ID 81639 and Contract No. 200-2011-38807 (Task Order No. 0055) between the National Academy of Sciences and the American Heart Association and the Centers for Disease Control and Prevention, respectively, and by American Red Cross; Asmund S. Laerdal Foundation; Medtronic Foundation; Physio-Control, Inc.; Sudden Cardiac Arrest Foundation; and ZOLL Medical Corporation. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-45191-8
International Standard Book Number-10: 0-309-45191-4
Digital Object Identifier: 10.17226/23695
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Copyright 2017 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Exploring strategies to improve cardiac arrest survival: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: 10.17226/23695.
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PLANNING COMMITTEE ON A DISSEMINATION WORKSHOP ON THE STRATEGIES TO IMPROVE CARDIAC ARREST SURVIVAL REPORT1
TOM P. AUFDERHEIDE (Chair), Professor and Associate Chair of Research Affairs, Department of Emergency Medicine, Medical College of Wisconsin
DIANNE L. ATKINS, Professor of Pediatrics–Cardiology, Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine
LANCE B. BECKER, Chair and Professor of Emergency Medicine, Hofstra North Shore−Long Island Jewish School of Medicine
RICHARD N. BRADLEY, Chief of Division of Emergency Medicine, McGovern School of Medicine, University of Texas Health Science Center
JEREMY BROWN, Director, Office of Emergency Care Research, National Institute of General Medical Sciences, National Institutes of Health
MARINA DEL RIOS, Assistant Professor, Department of Emergency Medicine, University of Illinois at Chicago
PAUL E. PEPE, Professor of Medicine, Surgery, Pediatrics Public Health & Riggs Family Chair Emergency Medicine, Medical Center at Dallas, The University of Texas Southwestern
ARTHUR B. SANDERS, Professor, Department of Emergency Medicine, University of Arizona
Health and Medicine Division Staff
MARGARET A. McCOY, Project Director
R. BRIAN WOODBURY, Research Associate
MARJORIE PICHON, Senior Program Assistant
ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice
__________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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Reviewers
This Proceedings of a Workshop has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published Proceedings of a Workshop as sound as possible and to ensure that the Proceedings of a Workshop meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this Proceedings of a Workshop:
Robert A. Berg, Children’s Hospital of Philadelphia
Terry Vanden Hoek, University of Illinois at Chicago
Ahamed Idris, University of Texas Southwestern Medical Center
Myron L. Weisfeldt, Johns Hopkins University School of Medicine
Clyde Yancy, Northwestern University
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the Proceedings of a Workshop before its release. The review of this Proceedings of a Workshop was overseen by Dan G. Blazer, Duke University Medical Center. He was responsible for making certain that an independent examination of this Proceedings of a Workshop was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this Proceedings of a Workshop rests entirely with the rapporteurs and the institution.
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Acknowledgments
This publication reflects the work and collaboration of many dedicated individuals, and the planning committee of the National Academies of Sciences, Engineering, and Medicine appreciates their commitment, patience, and professionalism during the development and the execution of this workshop. This workshop was made possible by the generous support of our sponsors, including
American Heart Association
American Red Cross
Asmund S. Laerdal Foundation
Centers for Disease Control and Prevention
Medtronic Foundation
Physio-Control, Inc.
Sudden Cardiac Arrest Foundation
ZOLL Medical Corporation
The National Academies extends special thanks to the members of our planning committee for their expert guidance in developing the workshop agenda and their participation as moderators and presenters at the workshop. Many workshop speakers and participants graciously shared their diverse perspectives and experiences to enrich workshop discussions. The National Academies is also grateful to the members of the consensus committee for their vision in developing the Institute of Medicine report Strategies to Improve Cardiac Arrest Survival: A Time to Act, which guided the focus of this workshop.
Several devoted staff members supported the workshop planning and execution. Margaret McCoy, Marjorie Pichon, Annalyn Welp, and Brian Woodbury provided steadfast support to their planning committee and project. Rose Martinez and Andy Pope offered guidance and leadership. Special thanks to Bridget Callaghan, Autumn Downey, Nicole Fried, Ben Kahn, Priyanka Nalamada, Carrie Vergel de Dios, and Sophie Yang for their assistance on the day of the workshop. Additional recognition goes to Skip Day, Linda Kilroy, and Doris Romero for their financial and contractual advice and to Illiana Espinal, Tina Ritter, and Lauren Shern for facilitating the review, production, and dissemination of this Proceedings of a Workshop.
The workshop was webcast by SparkStreet Digital and transcribed by Chanda Chhay.
Contents
Improving the Chain of Survival
Surviving Cardiac Arrest: The Reason for Action
2 BUILDING A NATIONAL CARDIAC ARREST SURVEILLANCE SYSTEM
Envisioning National Surveillance for Cardiac Arrest
Breakout Session Report: Envisioning National Surveillance
3 ADVANCING CARDIAC ARREST RESEARCH AND TRANSLATION
Challenges and Opportunities in Research and Translation
Breakout Session Report: Accelerating Research and Translation
4 IMPROVING PUBLIC AWARENESS AND TRAINING
Crystallizing Messaging to Promote Public Awareness
Investing in Patient Advocacy and Community Educators to Change Policy
Public Awareness and Training: Innovative Technologies as a Tool to Improve Action
Breakout Session Report: Establishing a Public Awareness Campaign
Breakout Session Report: Fostering a Culture of Action in Communities Through Policy
Breakout Session Report: Innovative Technologies as a Public Health Tool
5 ENHANCING THE EMERGENCY MEDICAL SERVICES RESPONSE TO CARDIAC ARREST
Cardiac Arrest as a Policy Priority
Dispatcher-Assisted CPR: Current Progress and Emerging Technologies
Achieving Standardization and Adoption of High-Quality CPR Performance Across the Country
Promoting Quality Improvement Processes in EMS Systems
Breakout Session Report: Dispatcher-Assisted CPR
Breakout Session Report: Continuous Quality Improvement in EMS Systems
6 ENHANCING HOSPITAL RESPONSE TO CARDIAC ARREST
Current Efforts to Achieve Hospital Accreditation and Accountability in Cardiac Arrest
Children and Cardiac Arrest: Implications of the IOM Report
From Playbook to Policy: Antimicrobial Stewardship
Breakout Session Report: Improving the Quality of Hospital Response to Cardiac Arrest
7 EFFECTIVE COLLABORATION FOR CARDIAC ARREST
From the IOM Report to Formal Collaboration: Examples of Success
Collaboration and National Quality Improvement Efforts in Stroke
Breakout Session Reports: Establishing a Cardiac Arrest Collaborative