[Survival cycle of Chinese cardiopulmonary resuscitation]

Area of Science:

• Emergency Medicine
• Cardiology
• Public Health

Background:

• Cardiac arrest presents a critical medical emergency with a complex, multi-phase patient journey.
• Existing survival chains, like the American Heart Association's model, provide a framework but require adaptation for diverse healthcare contexts.
• Patient-centered needs are paramount in optimizing resuscitation efforts and improving survival rates.

Purpose of the Study:

• To develop and explore a comprehensive "survival cycle" for cardiopulmonary resuscitation (CPR) tailored to the needs of cardiac arrest patients in China.
• To enhance the established American Heart Association survival chain by integrating it across the entire CPR lifecycle.
• To introduce a novel conceptual framework for understanding and managing cardiac arrest events from a holistic, patient-centered perspective.

Main Methods:

• The study conceptualizes the cardiac arrest timeline into three distinct phases: pre-arrest, intra-arrest, and post-resuscitation.
• It proposes a framework incorporating "three-prevention" policies (precaution, pre-warning, early identification).
• The approach integrates "three-ways" strategies (standardization, diversification, individuation) and "three lives" general plans (demutation, transcending, extension).

Main Results:

• A novel "survival cycle" of CPR, adapted for the Chinese context, has been constructed.
• This cycle emphasizes a continuum of care encompassing prevention, curation, and relief throughout the cardiac arrest timeline.
• The proposed model aims to provide a more integrated and effective approach to managing cardiac arrest.

Conclusions:

• The developed "survival cycle" offers a unique, Chinese-contextualized model for CPR, extending beyond traditional survival chains.
• Integrating prevention, curation, and relief strategies across all phases of cardiac arrest is crucial for improving patient outcomes.
• This patient-centered approach redefines CPR management by considering the entire patient journey and specific healthcare system needs.