Prairie Heart Institute, Springfield, IL, USA.
Mayo Clinic, Phoenix, AZ, USA.
J Interv Card Electrophysiol. 2022 Sep;64(3):567-571. doi: 10.1007/s10840-021-00969-1. Epub 2021 Apr 28.
Sudden cardiac arrest (SCA) is the most common cause of death in the world. This manuscript highlights the various challenges in prevention and early management of SCA and also discusses the current state of SCA awareness. The manuscript also outlines the various national and international initiatives in improving SCA awareness and their impact on improving outcomes in SCA. Various campaigns have strived for widespread dissemination of cardiopulmonary resuscitation training and advocated for broader public access defibrillator availability. Finally, the manuscript describes future directions including harnessing technology with voice command and artificial intelligence to allow lay person deliver effective CPR, to improve EMS response times, and to allow wider CPR knowledge dissemination in schools and places of employment. Future research should be focused on optimizing SCA outcomes among vulnerable populations and minorities. Advancements in resuscitation science and use of big data for improvement of EMS services will improve outcomes in SCA.
心脏骤停（SCA）是世界上最常见的死亡原因。本文稿重点介绍了 SCA 的预防和早期管理中的各种挑战，还讨论了 SCA 意识的现状。本文稿还概述了提高 SCA 意识的各种国家和国际举措，以及它们对改善 SCA 结局的影响。各种活动都致力于广泛传播心肺复苏培训，并倡导更广泛地提供公众可获取的除颤器。最后，本文稿描述了未来的方向，包括利用语音指令和人工智能技术，使非专业人员能够提供有效的心肺复苏，以改善紧急医疗服务的响应时间，并在学校和工作场所更广泛地传播 CPR 知识。未来的研究应集中在优化弱势群体和少数族裔的 SCA 结局上。复苏科学的进步和使用大数据来改进紧急医疗服务将改善 SCA 的结局。
