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Exploring Strategies to Improve Cardiac Arrest Survival Proceedings of a Workshop (2017) / Chapter Skim
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Appendix A: Recommendations from the Institute of Medicine Report *Strategies to Improve Cardiac Arrest Survival: A Time to Act*
Pages 113-118

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From page 113...
... data, to help increase federal and state accountability for current system performance and promote actions to improve cardiac arrest outcomes. Specifically, CDC should • establish a cardiac arrest surveillance system for the nation that includes IHCA and OHCA data in pediatric and adult populations; • make data publicly available through appropriate mechanisms to enable comparisons across datasets in order to increase public awareness about cardiac arrest incidence and treatments, improve accountability for emergency medical services system and health care system performance, and target interventions that will reduce disparities and improve patient outcomes; • identify and adopt standardized definitions, criteria, and metrics (e.g., age, gender, race and ethnicity, socioeconomic status, and primary language)
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From page 114...
... Specifically, • state and local education departments should partner with train ing organizations and public advocacy groups to promote and facilitate CPR and AED training as a graduation requirement for middle and high school students; • employers (e.g., federal agencies, private business owners, and schools) should be encouraged to maintain easy-to-locate and clearly marked AEDs, provide CPR and AED training to their employees, and specifically include cardiac arrest in formal emer gency response plans; and • local health departments should engage with community and neighborhood organizations and service providers to expand the types and locations of available CPR and AED training to popula tions over age 65 and caregivers for this population.
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From page 115...
... Systems As the informal agency for EMS, the National Highway Traffic Safety Administration should coordinate with other federal agencies and representatives from private industry, states, professional organizations, first responders, EMS systems, and nonprofit organizations to promote uniformly high-quality emergency medical systems by • convening interested stakeholders to develop standardized dis patcher-assisted cardiopulmonary resuscitation (CPR) protocols and national educational standards for use by all public safety answering points; and • establishing a standardized definition and training curriculum for high-performance CPR to be used in basic emergency medical technician training and certification.
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From page 116...
... Department of Health and Human Services and other federal agencies, national and international resuscitation councils, professional organizations, private industry, and patient advocates -- should establish a National Cardiac Arrest Collaborative to unify the cardiac arrest field, identify common goals, and build momentum within the field to ultimately improve survival from cardiac arrest with good neurologic and functional outcomes. The Collaborative should
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From page 117...
... systems, hospitals, local health departments, and local health care providers) in order to facilitate effective system and individual responses to cardiac arrest; • hold an annual collaborative meeting in conjunction with a regu larly scheduled health professional conference to discuss short and long-term goals and progress; and • encourage public–private partnerships to support activities that focus on reducing the time to defibrillation for cardiac arrest, including the development of technologies to facilitate automated external defibrillator registries for use by the public, EMS sys tems, and other stakeholders.
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Key Terms

  • local health
  • improve cardiac
  • national cardiac
  • medical services
  • quality improvement

  • emergency medical
  • health departments
  • continuous quality
  • american heart
  • heart association

  • arrest collaborative
  • accelerate research
  • american red
  • gency medical
  • arrest registry

  • arrest response
  • veterans affairs
  • aed training
  • automated external
  • cardiopulmonary resuscitation

  • pediatric populations
  • efforts require
  • increase bystander
  • informal agency
  • care facilities

  • available national
  • arrest measures
  • arrest events
  • set national
  • implementation strategies


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