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Cardiac Arrest Care in Resource-Limited Settings
Nneoma E Okonkwo1, Ssentamu John Vanglist2, Hendry R Sawe3
1Department of Emergency Medicine, Harvard Medical School, Boston, MA, USA; Department of Emergency Medicine, Brigham and Women's Hospital/Mass General Brigham, Boston, MA, USA.
Abstract:
Cardiac arrest care is a global problem, with high rates of morbidity and mortality. In resource-limited settings (RLS), survival is low for both in-hospital cardiac arrest and out-of-hospital cardiac arrest. Cardiac arrest care in RLS is limited by low rates of basic and advanced life support training, limited bystander cardiopulmonary resuscitation, nascent prehospital, emergency and critical care capacity and systems, limited human and material resources, and a paucity of data from RLS to inform guideline adaptation. Future steps to improve cardiac arrest care across the chain of survival include synergistic health systems strengthening, education, research, and legal and policy adaptations.
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