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Published on: January 30, 2020
The development and implementation of cardiac arrest centers
Michael W Donnino1, Jon C Rittenberger, David Gaieski
1Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC2, Boston, MA 02215, United States. mdonnino@bidmc.harvard.edu
Regionalized cardiac arrest centers offer organized, multi-disciplinary care for post-cardiac arrest patients. This paper details the formation and implementation of these specialized centers, aiding future development.
Area of Science:
- Cardiology
- Emergency Medicine
- Healthcare Systems
Background:
- Numerous regionalized cardiac arrest centers have independently emerged over the past decade.
- These centers aim to provide organized, multi-disciplinary care for post-cardiac arrest patients.
- The American Heart Association supports this approach in position papers and guidelines.
Purpose of the Study:
- To outline the formation, structure, and implementation of four cardiac arrest centers.
- To discuss a statewide model for post-arrest center care.
- To assist other institutions in developing their own cardiac arrest centers.
Main Methods:
- Description of the establishment and operational framework of four distinct cardiac arrest centers.
- Analysis of a comprehensive statewide model for post-cardiac arrest care delivery.
- Review of best practices in multi-disciplinary care coordination for this patient cohort.
Main Results:
- Successful establishment and operation of four independent cardiac arrest centers.
- Development of a scalable statewide model for post-arrest care.
- Demonstrated feasibility of organized, multi-disciplinary care pathways.
Conclusions:
- Regionalized cardiac arrest centers are crucial for optimizing post-cardiac arrest patient outcomes.
- The described models provide a blueprint for establishing new centers.
- Standardized, multi-disciplinary care is essential for improving survival and recovery after cardiac arrest.
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