AI Article Synopsis
- Out-of-hospital cardiac arrest (OHCA) requires rapid intervention, and Japan has begun incorporating innovative resuscitation systems to improve emergency responses.
- The review highlights three key approaches: physician-staffed ambulances providing advanced on-site care, a physician-staffed helicopter for emergency support in remote areas, and a "hybrid ER" system designed for quick diagnosis and treatment.
- While these methods could enhance patient outcomes, their effectiveness is still uncertain, and there's a need to evaluate their cost-effectiveness and sustainability moving forward.*
Article Abstract
Aim: Out-of-hospital cardiac arrest (OHCA) is a life-threatening emergency that requires rapid and efficient intervention. Recently, several novel approaches have emerged and have been incorporated into resuscitation systems in some local areas of Japan. This review describes innovative resuscitation systems and highlights their strengths.
Main Text: First, we discuss the deployment of a physician-staffed ambulance, in which emergency physicians offer advanced resuscitation to patients with OHCA on site. In addition, we describe the experimental practice of extracorporeal membrane oxygenation (ECPR) in a prehospital setting. Second, we describe a physician-staffed helicopter, wherein a medical team provides advanced resuscitation at the scene. We also explain their initiative to provide early ECPR, even in remote areas. Finally, we provide an overview of the "hybrid ER" system which is a "one-fits-all" resuscitation bay equipped with computed tomography and fluoroscopy equipment. This system is expected to help swiftly identify and rule out irreversible causes of cardiac arrest, such as massive subarachnoid hemorrhage, and implement ECPR without delay.
Conclusion: Although these revolutionary approaches may improve the outcomes of patients with OHCA, evidence of their effectiveness remains limited. In addition, it is crucial to ensure cost-effectiveness and sustainability. We will continue to work diligently to assess the effectiveness of these systems and focus on the development of cost-effective and sustainable systems.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801325 | PMC |
| http://dx.doi.org/10.1016/j.resplu.2023.100541 | DOI Listing |
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