Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan.
Department of Anaesthesia and Intensive Care and EMS, Maggiore Hospital Bologna, Bologna, Italy.
Curr Opin Crit Care. 2022 Jun 1;28(3):250-255. doi: 10.1097/MCC.0000000000000930. Epub 2022 Mar 9.
Technology is being increasingly implemented in the fields of cardiac arrest and cardiopulmonary resuscitation. In this review, we describe how recent technological advances have been implemented in the chain of survival and their impact on outcomes after cardiac arrest. Breakthrough technologies that are likely to make an impact in the future are also presented.
Technology is present in every link of the chain of survival, from prediction, prevention, and rapid recognition of cardiac arrest to early cardiopulmonary resuscitation and defibrillation. Mobile phone systems to notify citizen first responders of nearby out-of-hospital cardiac arrest have been implemented in numerous countries with improvement in bystanders' interventions and outcomes. Drones delivering automated external defibrillators and artificial intelligence to support the dispatcher in recognising cardiac arrest are already being used in real-life out-of-hospital cardiac arrest. Wearables, smart speakers, surveillance cameras, and artificial intelligence technologies are being developed and studied to prevent and recognize out-of-hospital and in-hospital cardiac arrest.
This review highlights the importance of technology applied to every single step of the chain of survival to improve outcomes in cardiac arrest. Further research is needed to understand the best role of different technologies in the chain of survival and how these may ultimately improve outcomes.
目的综述：技术正越来越多地应用于心脏骤停和心肺复苏领域。在本次综述中，我们将描述最近的技术进步如何在生存链中得到实施，以及它们对心脏骤停后结局的影响。同时还介绍了一些未来可能具有重要影响的突破性技术。
最新发现：技术存在于生存链的每一个环节，从心脏骤停的预测、预防和快速识别，到早期心肺复苏和除颤。许多国家已经实施了通过手机系统通知现场民众附近院外心脏骤停的公民急救员的方案，从而改善了旁观者的干预和结局。在现实生活中的院外心脏骤停中，已经使用了无人机输送自动体外除颤器和人工智能来协助调度员识别心脏骤停。可穿戴设备、智能音箱、监控摄像头和人工智能技术正在被开发和研究，以预防和识别院外和院内的心脏骤停。
总结：本综述强调了将技术应用于生存链的每一个步骤对改善心脏骤停结局的重要性。需要进一步的研究来了解不同技术在生存链中的最佳作用，以及这些技术最终如何改善结局。
