Arriving Alive at the Hospital

Structured interventions improve hospital outcomes

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Implementing Proven Survival Strategies

In the past few years, new evidence has highlighted the importance of the medical care provided during the immediate post-cardiac arrest period.

While optimal prehospital care is critical to restore a heartbeat and preserve brain function, the best chance of a favorable outcome is significantly enhanced by systematic delivery of advanced post-cardiac arrest care in the hospital setting.
Survivors of out-of-hospital sudden cardiac arrest should have access to a program that includes structured interventions which have been shown to improve survival, including:

  • Therapeutic hypothermia
  • Hemodynamic stabilization
  • Immediate coronary reperfusion when indicated
  • Glycemic control
  • Neurologic diagnosis, management and prognostication


Community SCA Response Planning Guide

Read more information on the role of the hospital in SCA response./community-sca-response-planning-guide/

Best Practices

  • Optimize cardiopulmonary function and vital organ perfusion after return of spontaneous circulation (ROSC)
  • Transport/transfer to an appropriate hospital or critical care unit with a comprehensive post-cardiac arrest treatment system of care
  • Identify and treat ACS and other reversible causes
  • Control temperature to optimize neurologic recovery
  • Anticipate, treat, and prevent multiple organ dysfunction – this includes avoiding excessive ventilation and hyperoxia
  • Highlights of the 2015 American Heart Association Guidelines for CPR and ECC