Since the first use of basic life support (BLS) and defibrillation in the pre-hospital setting in Belfast in 1966, few would argue that there have been major improvements in the rate of survival for out-of-hospital cardiac arrests. Indeed, until the widespread introduction of BLS and defibrillators to emergency medical service (EMS) vehicles, an out-of-hospital cardiac arrest would mean certain death. The initial rhythm of a patient in cardiac arrest is predictive of their chances of survival. In this regard, the rhythms with the highest rate of survival to hospital discharge are ventricular fibrillation (VF) and ventricular tachycardia (VT). As VF is a more common presenting rhythm in out-of-hospital cardiac arrest and much of our knowledge of VF is relevant to VT, this book focuses primarily on VF cardiac arrest.
Introduction; A Brief History of the Development of Modern Day Cardiopulmonary Resuscitation & Defibrillation; Cardiovascular Disease & Sudden Cardiac Death:: The Demographics & Survival Rates of Patients; Mechanism of Sudden Cardiac Death & Ventricular Fibrillation:: The Arrhythmogenicity of Myocardial Ischaemia; The Management of Out-of-Hospital Cardiac Arrest:: Evolution of Emergency Medical Services; The Evolution of Advanced Life Support; Establishment of the International Liaison Committee on Resuscitation to Develop a Concerted International Approach; The 2005 IICOR Guidelines for Resuscitation:: CPR Before Defibrillation in VF Cardiac Arrest; Conclusion:: A Look to the Future; Charts & Figures; Index.
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