title: Optimizing neurologically intact survival from sudden cardiac arrest: a call to action.
abstract: The U.S. national out-of-hospital and in-hospital cardiac arrest survival rates, although improving recently, have remained suboptimal despite the collective efforts of individuals, communities, and professional societies. Only until very recently, and still with inconsistency, has focus been placed specifically on survival with pre-arrest neurologic function. The reality of current approaches to sudden cardiac arrest is that they are often lacking an integrative, multi-disciplinary approach, and without deserved funding and outcome analysis. In this manuscript, a multidisciplinary group of authors propose practice, process, technology, and policy initiatives to improve cardiac arrest survival with a focus on neurologic function.
authors.affiliation: The University of Oklahoma School of Community Medicine, Department of Emergency Medicine, Tulsa, Oklahoma.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Goodloe
authors.affiliation: University of Washington School of Medicine, Emergency Department, PeaceHealth St. Joseph Medical Center, Bellingham, Washington.
authors.forename: Marvin
authors.initials: M
authors.lastname: Wayne
authors.affiliation: Proehl PRN, LLC, Cornish, New Hampshire.
authors.forename: Jean
authors.initials: J
authors.lastname: Proehl
authors.affiliation: University of Alaska, Anchorage, Alaska.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Levy
authors.affiliation: University of Minnesota Medical School, Department of Medicine, Duluth, Minnesota.
authors.forename: Demetris
authors.initials: D
authors.lastname: Yannopoulos
authors.affiliation: St. Dominic Hospital - Jackson Memorial Hospital, Department of Pulmonary Services Jackson, Mississippi.
authors.forename: Ken
authors.initials: K
authors.lastname: Thigpen
authors.affiliation: University of Virginia School of Medicine, Department of Emergency Medicine Charlottesville, Virginia.
authors.forename: Robert E
authors.initials: RE
authors.lastname: O'Connor
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002985:Clinical Protocols; D003072:Cognition Disorders / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D004569:Electroencephalography; D004632:Emergency Medical Services; D006323:Heart Arrest / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D009422:Nervous System Diseases / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D011050:Policy Making; D017410:Practice Guidelines as Topic; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D016019:Survival Analysis; D014481:United States