- For patients with out-of-hospital cardiac arrest (OHCA), dispatcher-assisted CPR (DA-CPR) correlates with better outcomes and is recommended.
- Transporting resuscitated patients to specialty cardiac arrest centers (CACs) is reasonable if it can be done in a timely fashion.
Why this matters
- DA-CPR may empower more bystanders to render aid to OHCA victims.
- CACs are not everywhere locally available, presenting prehospital personnel with a pivotal decision about transport.
- Update of part 4 of 2015 American Heart Association (AHA) guidelines.
- Recommendations relate to DA-CPR and CACs.
- The availability of DA-CPR correlates with better clinical outcomes in OHCA.
- Emergency centers should empower dispatchers to help bystanders begin CPR for adults with suspected OHCA.
- Strong recommendation despite very low certainty of effect.
- Group “also believes there is merit in dispatchers…continuing to coach callers in delivering high-quality CPR until the arrival of professional rescuers and their assumption of patient care.”
- When comprehensive postarrest care is not available at nearby hospitals, timely transport of resuscitated patients to specialized CACs is reasonable.
- Moderate-strength recommendation based on limited data.
- “Although supportive evidence for comprehensive post-cardiac arrest interventions remains largely observational...they may nonetheless represent a logical clinical link between successful resuscitation and ultimate survival.”