The Heart Team approach to cardiac arrest.

Cardiac arrest is a critical emergency in cardiovascular medicine, requiring rapid, multidisciplinary interventions to enhance patient survival and neurological outcomes. This review explores the unique challenges of managing out-of-hospital (OHCA) and in-hospital cardiac arrest (IHCA), with a focus on mechanical circulatory support (MCS) and extracorporeal cardiopulmonary resuscitation for selected patients. While OHCA management should prioritize rapid transport to specialized centres, IHCA may allow for immediate, patient-tailored interventions. Post-cardiac arrest syndrome adds complexity, often requiring nuanced MCS escalation and weaning. Standardized protocols, ethical considerations, and further research are essential to refine patient selection and improve outcomes, ultimately advancing cardiac arrest care.