title: Looking over the wall: Using a Haddon Matrix to guide public policy making on the problem of sudden cardiac arrest.
abstract: Sudden cardiac arrest remains an important health care problem. If survival rates of all regions would equal those of the best performers, literally thousands of lives would be saved. Similar to injury, there is a need for an epidemiology-based approach for planning and execution of countermeasures. In this policy paper, we present the Haddon Matrix as an all-inclusive conceptual framework to assist in this. We advocate for a more community-centred 'public health' approach, with a crucial role for policy-level executives. There is a large potential gain in outcome by implementing 'passive' - not requiring individual action - measures. As happened for injury, 'Cardiac Arrest Academies' should be created to facilitate and coordinate this process.
authors: Emergency Medicine, Paediatrics, Intensive Care, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium. Electronic address: patrick.vandevoorde@ugent.be.
authors: P
authors: P
authors: Van de Voorde
authors: Emergency Medicine, Antwerp University Hospital, Belgium.
authors: K G
authors: KG
authors: Monsieurs
authors: Critical Care Unit, Warwick Medical School and Heart of England NHS Foundation Trust, Coventry CV47AL, UK.
authors: G D
authors: GD
authors: Perkins
authors: Emergency Medicine, Karolinska Institute, Stockholm, Sweden.
authors: M
authors: M
authors: Castren
mesh_terms: D016887:Cardiopulmonary Resuscitation; D006323:Heart Arrest / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D015233:Models, Statistical; D011050:Policy Making; D011640:Public Policy
keywords: Cardiac arrest; Haddon Matrix; Healthcare organisation; Policy making; Public health approach; Resuscitation