title: Optimized approach in cardiocerebral resuscitation.
abstract: Cardiocerebral Resuscitation (CCR) is a new approach to the resuscitation of patients with out-of-hospital cardiac arrest (OHCA). The first major component of CCR is continuous chest compressions (also referred to as chest compression-only CPR or "hands-only CPR") advocated as part of CCR for all bystanders who witness a sudden collapse of presumed cardiac origin. The second component of CCR is a new ACLS treatment algorithm for Emergency Medical Services. This algorithm emphasizes uninterrupted chest compressions regardless of other ongoing assignments as part of the rescue effort. A third component has recently been added to CCR, namely aggressive post-resuscitation care. Cardiocerebral resuscitation has increased bystander participation and has improved survival rates in a number of communities. Now is the time for other communities to re-examine their own outcomes with cardiac arrest and consider joining those cities and communities that have doubled and even tripled their survival from OHCA.
authors.affiliation: University of Arizona Sarver Heart Center, University of Arizona College of Medicine, Tucson, United States.
authors.forename: Karl B
authors.initials: KB
authors.lastname: Kern
authors.forename: Sergio
authors.initials: S
authors.lastname: Timerman
authors.forename: Maria Margarita
authors.initials: MM
authors.lastname: Gonzalez
authors.forename: José Antônio
authors.initials: JA
authors.lastname: Ramires
mesh_terms: D000465:Algorithms; D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000592:standards; D004554:Electric Countershock / Q000379:methods*; D006801:Humans; D058687:Out-of-Hospital Cardiac Arrest / Q000401:mortality / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care; D015996:Survival Rate; D016896:Treatment Outcome