Department of Cardiology, Saint Louis University School of Medicine, St. Louis, MO, United States; Department of Cardiology, Lahey Hospital and Medical Center, Burlington, MA, United States.
Department of Medicine, Richmond University Medical Center, Staten Island, NY, United States.
Indian Heart J. 2023 Sep-Oct;75(5):321-326. doi: 10.1016/j.ihj.2023.08.005. Epub 2023 Aug 31.
Bystander cardiopulmonary resuscitation (CPR) is the cornerstone in managing out-of-hospital cardiac arrest (OHCA). However, India lacks a formal sudden cardiac arrest (SCA) registry and the infrastructure for a robust emergency medical services (EMS) response system. Also, there exists an opportunity to improve widespread health literacy and awareness regarding SCA. Other confounding variables, including religious, societal, and cultural sentiments hindering timely intervention, need to be considered for better SCA outcomes.
We highlight the current trends and practices of managing OHCA in India and lay the groundwork for improving the awareness, education, and infrastructure regarding the management of SCA.
Effective management of OHCA in India needs collaborative grassroots reformation. Establishing a large-scale SCA registry and creating official and societal guidelines will be pivotal for transforming OHCA patient outcomes.
旁观者心肺复苏术（CPR）是管理院外心脏骤停（OHCA）的基石。然而，印度缺乏正式的突发心脏骤停（SCA）登记处和强大的紧急医疗服务（EMS）响应系统的基础设施。此外，还有机会提高有关 SCA 的广泛健康素养和意识。其他混杂变量，包括宗教、社会和文化情绪，阻碍了及时干预，需要考虑以获得更好的 SCA 结果。
我们强调了印度管理 OHCA 的当前趋势和实践，并为提高 SCA 管理的意识、教育和基础设施奠定了基础。
印度 OHCA 的有效管理需要基层合作改革。建立大规模的 SCA 登记处并制定官方和社会准则对于改变 OHCA 患者的结局将至关重要。
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