Rationale and development of a prehospital goal-directed bundle of care to prevent rearrest after return of spontaneous circulation
In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immedia...
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Published in | Journal of the American College of Emergency Physicians Open Vol. 5; no. 6; p. e13321 |
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Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
John Wiley and Sons Inc
01.12.2024
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Subjects | |
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Abstract | In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post-ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation. We sought to develop an evidenced-based, goal-directed bundle of care targeting specified vital parameters in the immediate post-ROSC period, with the goal of decreasing the incidence of rearrest and improving survival outcomes. Here, we describe the rationale and development of this goal-directed bundle of care, which will be adopted by several EMS agencies within California. We convened a group of EMS experts, including EMS Medical Directors, quality improvement officers, data managers, educators, EMS clinicians, emergency medicine clinicians, and resuscitation researchers to develop a goal-directed bundle of care to be applied in the field during the period immediately following ROSC. This care bundle includes guidance for prehospital personnel on recognition of impending rearrest, hemodynamic optimization, ventilatory strategies, airway management, and diagnosis of underlying causes prior to the initiation of transport. |
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AbstractList | In patients with out‐of‐hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post‐ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation. We sought to develop an evidenced‐based, goal‐directed bundle of care targeting specified vital parameters in the immediate post‐ROSC period, with the goal of decreasing the incidence of rearrest and improving survival outcomes. Here, we describe the rationale and development of this goal‐directed bundle of care, which will be adopted by several EMS agencies within California. We convened a group of EMS experts, including EMS Medical Directors, quality improvement officers, data managers, educators, EMS clinicians, emergency medicine clinicians, and resuscitation researchers to develop a goal‐directed bundle of care to be applied in the field during the period immediately following ROSC. This care bundle includes guidance for prehospital personnel on recognition of impending rearrest, hemodynamic optimization, ventilatory strategies, airway management, and diagnosis of underlying causes prior to the initiation of transport. In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post-ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation. We sought to develop an evidenced-based, goal-directed bundle of care targeting specified vital parameters in the immediate post-ROSC period, with the goal of decreasing the incidence of rearrest and improving survival outcomes. Here, we describe the rationale and development of this goal-directed bundle of care, which will be adopted by several EMS agencies within California. We convened a group of EMS experts, including EMS Medical Directors, quality improvement officers, data managers, educators, EMS clinicians, emergency medicine clinicians, and resuscitation researchers to develop a goal-directed bundle of care to be applied in the field during the period immediately following ROSC. This care bundle includes guidance for prehospital personnel on recognition of impending rearrest, hemodynamic optimization, ventilatory strategies, airway management, and diagnosis of underlying causes prior to the initiation of transport.In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post-ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation. We sought to develop an evidenced-based, goal-directed bundle of care targeting specified vital parameters in the immediate post-ROSC period, with the goal of decreasing the incidence of rearrest and improving survival outcomes. Here, we describe the rationale and development of this goal-directed bundle of care, which will be adopted by several EMS agencies within California. We convened a group of EMS experts, including EMS Medical Directors, quality improvement officers, data managers, educators, EMS clinicians, emergency medicine clinicians, and resuscitation researchers to develop a goal-directed bundle of care to be applied in the field during the period immediately following ROSC. This care bundle includes guidance for prehospital personnel on recognition of impending rearrest, hemodynamic optimization, ventilatory strategies, airway management, and diagnosis of underlying causes prior to the initiation of transport. |
Author | Donofrio-Odmann, Joelle Ballard, Dustin W Toy, Jake Kidane, Senai Thompson, Kristin Gausche-Hill, Marianne Menegazzi, James J Kazan, Clayton Dillon, David G Montoy, Juan Carlos C Bosson, Nichole Schlesinger, Shira A Morr, Brian Staats, Katherine Mackey, Kevin Brown, John |
AuthorAffiliation | 17 Sacramento City Fire Department Sacramento California USA 7 Contra Costa County Emergency Medical Services Martinez California USA 8 The Permanente Medical Group Oakland California USA 15 Department of Emergency Medicine University of California San Diego California USA 18 San Francisco Emergency Medical Services Agency San Francisco Department of Public Health San Francisco California USA 14 Imperial County Emergency Medical Services Imperial USA 19 Department of Emergency Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 16 Los Angeles County Fire Department Los Angeles California USA 4 Lundquist Institute for Biomedical Innovation Harbor‐UCLA Medical Center Torrance California USA 6 Department of Emergency Medicine Harbor‐UCLA Medical Center Torrance California USA 3 Los Angeles County EMS Agency Santa Fe Springs California USA 9 Division of Research Kaiser Permanente Northern California Oakland California USA 5 Department of Emergency Medicine David Geffen Sch |
AuthorAffiliation_xml | – name: 10 Departments of Emergency Medicine and Pediatrics University of California San Diego California USA – name: 6 Department of Emergency Medicine Harbor‐UCLA Medical Center Torrance California USA – name: 7 Contra Costa County Emergency Medical Services Martinez California USA – name: 11 Department of Emergency Medicine David Geffen School of Medicine Los Angeles California USA – name: 5 Department of Emergency Medicine David Geffen School of Medicine at UCLA Los Angeles California USA – name: 9 Division of Research Kaiser Permanente Northern California Oakland California USA – name: 14 Imperial County Emergency Medical Services Imperial USA – name: 18 San Francisco Emergency Medical Services Agency San Francisco Department of Public Health San Francisco California USA – name: 1 Department of Emergency Medicine University of California Davis California USA – name: 4 Lundquist Institute for Biomedical Innovation Harbor‐UCLA Medical Center Torrance California USA – name: 12 Harbor‐UCLA Medical Center Los Angeles California USA – name: 15 Department of Emergency Medicine University of California San Diego California USA – name: 16 Los Angeles County Fire Department Los Angeles California USA – name: 19 Department of Emergency Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA – name: 17 Sacramento City Fire Department Sacramento California USA – name: 3 Los Angeles County EMS Agency Santa Fe Springs California USA – name: 8 The Permanente Medical Group Oakland California USA – name: 13 Newport Beach Fire Department Newport Beach California USA – name: 2 Department of Emergency Medicine University of California San Francisco California USA |
Author_xml | – sequence: 1 givenname: David G surname: Dillon fullname: Dillon, David G organization: Department of Emergency Medicine University of California Davis California USA – sequence: 2 givenname: Juan Carlos C surname: Montoy fullname: Montoy, Juan Carlos C organization: Department of Emergency Medicine University of California San Francisco California USA – sequence: 3 givenname: Nichole surname: Bosson fullname: Bosson, Nichole organization: Department of Emergency Medicine Harbor-UCLA Medical Center Torrance California USA – sequence: 4 givenname: Jake surname: Toy fullname: Toy, Jake organization: Department of Emergency Medicine Harbor-UCLA Medical Center Torrance California USA – sequence: 5 givenname: Senai surname: Kidane fullname: Kidane, Senai organization: The Permanente Medical Group Oakland California USA – sequence: 6 givenname: Dustin W surname: Ballard fullname: Ballard, Dustin W organization: Division of Research Kaiser Permanente Northern California Oakland California USA – sequence: 7 givenname: Marianne surname: Gausche-Hill fullname: Gausche-Hill, Marianne organization: Department of Emergency Medicine Harbor-UCLA Medical Center Torrance California USA – sequence: 8 givenname: Joelle surname: Donofrio-Odmann fullname: Donofrio-Odmann, Joelle organization: Departments of Emergency Medicine and Pediatrics University of California San Diego California USA – sequence: 9 givenname: Shira A surname: Schlesinger fullname: Schlesinger, Shira A organization: Newport Beach Fire Department Newport Beach California USA – sequence: 10 givenname: Katherine surname: Staats fullname: Staats, Katherine organization: Department of Emergency Medicine University of California San Diego California USA – sequence: 11 givenname: Clayton surname: Kazan fullname: Kazan, Clayton organization: Los Angeles County Fire Department Los Angeles California USA – sequence: 12 givenname: Brian surname: Morr fullname: Morr, Brian organization: Sacramento City Fire Department Sacramento California USA – sequence: 13 givenname: Kristin surname: Thompson fullname: Thompson, Kristin organization: Newport Beach Fire Department Newport Beach California USA – sequence: 14 givenname: Kevin surname: Mackey fullname: Mackey, Kevin organization: Sacramento City Fire Department Sacramento California USA – sequence: 15 givenname: John surname: Brown fullname: Brown, John organization: San Francisco Emergency Medical Services Agency San Francisco Department of Public Health San Francisco California USA – sequence: 16 givenname: James J surname: Menegazzi fullname: Menegazzi, James J organization: Department of Emergency Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA |
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Cites_doi | 10.1016/j.resuscitation.2021.10.040 10.1001/jama.2018.11597 10.1093/eurheartj/ehz120 10.1080/10903127.2017.1399185 10.5847/wjem.j.1920‐8642.2017.02.010 10.1016/j.resuscitation.2017.04.007 10.1016/j.resuscitation.2018.09.016 10.1001/jama.2022.17701 10.1001/jama.2018.0156 10.1016/j.resuscitation.2013.12.005 10.1016/j.resuscitation.2016.08.033 10.3109/10903127.2010.497902 10.1007/s00134‐018‐5453‐9 10.1056/NEJMoa2214552 10.1161/CIR.0000000000000899 10.1016/j.resuscitation.2014.10.011 10.1016/j.resuscitation.2018.05.028 10.1080/10903127.2021.1977877 10.1001/jama.283.6.783 10.1001/jama.2010.707 10.1161/CIR.0000000000000918 10.1016/j.resuscitation.2018.09.024 10.1161/JAHA.119.015599 10.1016/j.resuscitation.2016.03.023 10.1016/j.resuscitation.2022.09.018 10.1016/j.resuscitation.2016.09.004 10.1016/j.resuscitation.2012.11.015 10.1016/j.resuscitation.2020.04.031 10.1080/10903127.2020.1754979 10.1001/jama.2018.7044 10.1080/10903127.2021.1981506 10.1016/j.ajem.2018.09.012 10.1186/s13054‐018‐2121‐y 10.1016/j.resuscitation.2018.04.028 10.1016/j.resuscitation.2015.07.016 10.1080/10903127.2021.1971349 10.1016/j.resuscitation.2016.05.026 10.1016/j.resuscitation.2021.10.012 10.1016/j.resuscitation.2006.09.012 10.1371/journal.pone.0201565 10.1161/01.CIR.0000126594.79136.61 10.1155/2020/5296519 10.1186/s12873‐018‐0214‐1 10.1378/chest.07‐0131 10.1001/jama.293.3.305 10.1155/2017/2834956 10.1016/j.annemergmed.2016.05.022 10.1016/j.jacadv.2022.100065 10.1016/j.ajem.2017.07.019 10.1016/j.resuscitation.2021.06.006 10.1016/j.annemergmed.2022.01.045 10.1016/j.resuscitation.2018.04.019 10.1016/j.resuscitation.2022.10.011 10.1161/CIR.0000000000000916 10.1007/s00134‐018‐5446‐8 10.1016/j.resuscitation.2019.03.037 10.1016/j.resuscitation.2013.02.014 10.1002/emp2.12065 10.1016/j.resuscitation.2008.07.019 10.1097/ccm.0b013e3181b01d8c 10.1056/NEJM199706053362302 10.1177/2048872619900095 10.1161/CIR.0000000000000893 10.1080/10903127.2023.2172633 10.3109/10903127.2010.519820 10.1056/NEJMc2029240 10.1016/S0140‐6736(04)16740‐8 10.1136/openhrt‐2021‐001654 10.1001/jama.2020.14185 10.5811/westjem.2017.12.34699 10.1016/j.ajem.2021.05.073 10.1097/01.ccm.0000134335.46859.09 10.1007/s00134‐021‐06368‐4 10.1097/SHK.0000000000001880 10.1056/NEJMoa2208687 10.1016/j.ajem.2016.06.022 |
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Keywords | oxygenation post resuscitation care hemodynamic management out of hospital cardiac arrest prehospital emergency care ventilation |
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References | e_1_2_8_28_1 e_1_2_8_24_1 e_1_2_8_47_1 e_1_2_8_26_1 e_1_2_8_49_1 e_1_2_8_68_1 e_1_2_8_3_1 e_1_2_8_5_1 e_1_2_8_7_1 e_1_2_8_9_1 e_1_2_8_20_1 e_1_2_8_43_1 e_1_2_8_66_1 e_1_2_8_22_1 e_1_2_8_45_1 e_1_2_8_64_1 e_1_2_8_62_1 e_1_2_8_41_1 e_1_2_8_60_1 e_1_2_8_17_1 e_1_2_8_19_1 e_1_2_8_13_1 e_1_2_8_36_1 e_1_2_8_59_1 e_1_2_8_15_1 e_1_2_8_38_1 e_1_2_8_57_1 e_1_2_8_70_1 e_1_2_8_32_1 e_1_2_8_55_1 e_1_2_8_78_1 e_1_2_8_11_1 e_1_2_8_34_1 e_1_2_8_53_1 e_1_2_8_76_1 e_1_2_8_51_1 e_1_2_8_74_1 e_1_2_8_30_1 e_1_2_8_72_1 e_1_2_8_29_1 e_1_2_8_25_1 e_1_2_8_46_1 e_1_2_8_27_1 e_1_2_8_48_1 e_1_2_8_69_1 e_1_2_8_2_1 e_1_2_8_4_1 e_1_2_8_6_1 e_1_2_8_8_1 e_1_2_8_21_1 e_1_2_8_42_1 e_1_2_8_67_1 e_1_2_8_23_1 e_1_2_8_44_1 e_1_2_8_65_1 e_1_2_8_63_1 e_1_2_8_40_1 e_1_2_8_61_1 e_1_2_8_18_1 e_1_2_8_39_1 e_1_2_8_14_1 e_1_2_8_35_1 e_1_2_8_16_1 e_1_2_8_37_1 e_1_2_8_58_1 e_1_2_8_10_1 e_1_2_8_31_1 e_1_2_8_56_1 e_1_2_8_77_1 e_1_2_8_12_1 e_1_2_8_33_1 e_1_2_8_54_1 e_1_2_8_75_1 e_1_2_8_52_1 e_1_2_8_73_1 e_1_2_8_50_1 e_1_2_8_71_1 |
References_xml | – ident: e_1_2_8_27_1 doi: 10.1016/j.resuscitation.2021.10.040 – ident: e_1_2_8_48_1 doi: 10.1001/jama.2018.11597 – ident: e_1_2_8_29_1 doi: 10.1093/eurheartj/ehz120 – ident: e_1_2_8_41_1 doi: 10.1080/10903127.2017.1399185 – ident: e_1_2_8_70_1 doi: 10.5847/wjem.j.1920‐8642.2017.02.010 – ident: e_1_2_8_6_1 doi: 10.1016/j.resuscitation.2017.04.007 – ident: e_1_2_8_11_1 doi: 10.1016/j.resuscitation.2018.09.016 – ident: e_1_2_8_14_1 doi: 10.1001/jama.2022.17701 – ident: e_1_2_8_46_1 doi: 10.1001/jama.2018.0156 – ident: e_1_2_8_31_1 doi: 10.1016/j.resuscitation.2013.12.005 – ident: e_1_2_8_74_1 doi: 10.1016/j.resuscitation.2016.08.033 – ident: e_1_2_8_5_1 doi: 10.3109/10903127.2010.497902 – ident: e_1_2_8_30_1 doi: 10.1007/s00134‐018‐5453‐9 – ident: e_1_2_8_42_1 doi: 10.1056/NEJMoa2214552 – ident: e_1_2_8_58_1 doi: 10.1161/CIR.0000000000000899 – ident: e_1_2_8_7_1 doi: 10.1016/j.resuscitation.2014.10.011 – ident: e_1_2_8_4_1 doi: 10.1016/j.resuscitation.2018.05.028 – ident: e_1_2_8_50_1 doi: 10.1080/10903127.2021.1977877 – ident: e_1_2_8_72_1 doi: 10.1001/jama.283.6.783 – ident: e_1_2_8_56_1 doi: 10.1001/jama.2010.707 – ident: e_1_2_8_57_1 doi: 10.1161/CIR.0000000000000918 – ident: e_1_2_8_76_1 doi: 10.1016/j.resuscitation.2018.09.024 – ident: e_1_2_8_69_1 doi: 10.1161/JAHA.119.015599 – ident: e_1_2_8_77_1 doi: 10.1016/j.resuscitation.2016.03.023 – ident: e_1_2_8_9_1 doi: 10.1016/j.resuscitation.2022.09.018 – ident: e_1_2_8_40_1 doi: 10.1016/j.resuscitation.2016.09.004 – ident: e_1_2_8_68_1 doi: 10.1016/j.resuscitation.2012.11.015 – ident: e_1_2_8_78_1 doi: 10.1016/j.resuscitation.2020.04.031 – ident: e_1_2_8_8_1 doi: 10.1080/10903127.2020.1754979 – ident: e_1_2_8_47_1 doi: 10.1001/jama.2018.7044 – ident: e_1_2_8_52_1 doi: 10.1080/10903127.2021.1981506 – ident: e_1_2_8_38_1 doi: 10.1016/j.ajem.2018.09.012 – ident: e_1_2_8_45_1 doi: 10.1186/s13054‐018‐2121‐y – ident: e_1_2_8_32_1 doi: 10.1016/j.resuscitation.2018.04.028 – ident: e_1_2_8_26_1 doi: 10.1016/j.resuscitation.2015.07.016 – ident: e_1_2_8_62_1 doi: 10.1080/10903127.2021.1971349 – ident: e_1_2_8_22_1 doi: 10.1016/j.resuscitation.2016.05.026 – ident: e_1_2_8_36_1 doi: 10.1016/j.resuscitation.2021.10.012 – ident: e_1_2_8_44_1 doi: 10.1016/j.resuscitation.2006.09.012 – ident: e_1_2_8_75_1 doi: 10.1371/journal.pone.0201565 – ident: e_1_2_8_64_1 doi: 10.1161/01.CIR.0000126594.79136.61 – ident: e_1_2_8_73_1 doi: 10.1155/2020/5296519 – ident: e_1_2_8_54_1 doi: 10.1186/s12873‐018‐0214‐1 – ident: e_1_2_8_71_1 doi: 10.1378/chest.07‐0131 – ident: e_1_2_8_67_1 doi: 10.1001/jama.293.3.305 – ident: e_1_2_8_51_1 doi: 10.1155/2017/2834956 – ident: e_1_2_8_35_1 doi: 10.1016/j.annemergmed.2016.05.022 – ident: e_1_2_8_55_1 doi: 10.1016/j.jacadv.2022.100065 – ident: e_1_2_8_20_1 doi: 10.1016/j.ajem.2017.07.019 – ident: e_1_2_8_49_1 doi: 10.1016/j.resuscitation.2021.06.006 – ident: e_1_2_8_33_1 doi: 10.1016/j.annemergmed.2022.01.045 – ident: e_1_2_8_19_1 doi: 10.1016/j.resuscitation.2018.04.019 – ident: e_1_2_8_10_1 doi: 10.1016/j.resuscitation.2022.10.011 – ident: e_1_2_8_15_1 doi: 10.1161/CIR.0000000000000916 – ident: e_1_2_8_17_1 doi: 10.1007/s00134‐018‐5446‐8 – ident: e_1_2_8_63_1 doi: 10.1016/j.resuscitation.2019.03.037 – ident: e_1_2_8_2_1 – ident: e_1_2_8_13_1 doi: 10.1016/j.resuscitation.2013.02.014 – ident: e_1_2_8_66_1 doi: 10.1002/emp2.12065 – ident: e_1_2_8_21_1 doi: 10.1016/j.resuscitation.2008.07.019 – ident: e_1_2_8_23_1 doi: 10.1097/ccm.0b013e3181b01d8c – ident: e_1_2_8_34_1 doi: 10.1056/NEJM199706053362302 – ident: e_1_2_8_18_1 doi: 10.1177/2048872619900095 – ident: e_1_2_8_24_1 doi: 10.1161/CIR.0000000000000893 – ident: e_1_2_8_28_1 doi: 10.1080/10903127.2023.2172633 – ident: e_1_2_8_3_1 doi: 10.3109/10903127.2010.519820 – ident: e_1_2_8_59_1 doi: 10.1056/NEJMc2029240 – ident: e_1_2_8_60_1 doi: 10.1016/S0140‐6736(04)16740‐8 – ident: e_1_2_8_37_1 doi: 10.1136/openhrt‐2021‐001654 – ident: e_1_2_8_43_1 doi: 10.1001/jama.2020.14185 – ident: e_1_2_8_53_1 doi: 10.5811/westjem.2017.12.34699 – ident: e_1_2_8_12_1 doi: 10.1016/j.ajem.2021.05.073 – ident: e_1_2_8_61_1 doi: 10.1097/01.ccm.0000134335.46859.09 – ident: e_1_2_8_25_1 doi: 10.1007/s00134‐021‐06368‐4 – ident: e_1_2_8_65_1 doi: 10.1097/SHK.0000000000001880 – ident: e_1_2_8_16_1 doi: 10.1056/NEJMoa2208687 – ident: e_1_2_8_39_1 doi: 10.1016/j.ajem.2016.06.022 |
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Snippet | In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting... In patients with out‐of‐hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting... |
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Title | Rationale and development of a prehospital goal-directed bundle of care to prevent rearrest after return of spontaneous circulation |
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