What is a Resuscitation Center?
Resuscitation centers are being established across the U.S. to care for post-cardiac-arrest patients who have return of spontaneous circulation (ROSC) with coma and without neurological signs. This new resuscitation center designation is based on growing evidence supporting the need for resuscitation centers to improve overall outcomes for these patients.
Both Deaconess emergency departments—at Deaconess Hospital and Deaconess Gateway Hospital—are fully capable Resuscitation Centers.
When resuscitation center protocols are used to care for ROSC patients, resuscitation rates double. Of patients who are resuscitated and leave the hospital, 80%–90% are neurologically intact.
What are the components of a Resuscitation Center?
The Deaconess Resuscitation Center uses a team approach involving multiple key players, both in-hospital and out-of-hospital, to care for ROSC patients. We recognize the value of coordination between the EMS system, the ED staff, interventional cardiologists, electrophysiologists, critical care doctors and hospital administration.
The resuscitation center concept emphasizes early use of proven interventions for resuscitation and post-resuscitation care, including:
Sedation and coma management
Cardiac intervention and consideration of urgent catheterization and pacemaker/defibrillator
Aggressive medical management of patient status
What can you do in the pre-hospital environment?
The most important things EMS providers can do are to provide excellent CPR and begin hypothermia before arrival at the hospital. Deaconess offers a variety of tools to help ensure that patients receive the best possible CPR and hypothermia treatment in the prehospital environment.
What happens at the hospital?
When a patient reaches the hospital, Deaconess continues the hypothermia that was started pre-hospital. The patient’s coma is managed, and pacemaker/defibrillator implantation is considered. The patient may be taken urgently to the cath lab for stent placement.
Deaconess Is a Take Heart America Resuscitation Center
Deaconess is proud to announce its affiliation with Take Heart America, a leader in developing cardiac arrest and resuscitation centers in the United States. As the first local chapter of Take Heart in Indiana, Deaconess has a system for improving cardiac arrest care and resuscitation rates for post-cardiac arrest patients.
Sudden cardiac arrest claims more than 300,000 lives per year, nearly 1,000 people each day in the United States alone. Current statistics reveal merely five percent of SCA victims survive to leave the hospital. Take Heart America was founded by a network of visionaries who recognized that a coordinated, comprehensive approach to resuscitation therapies would substantially increase sudden cardiac arrest (SCA) survival rates beyond the benefits achieved with individual therapies alone. Building community awareness is paramount to the Deaconess Resuscitation Center strategy for saving lives. Teaching CPR and encouraging those who have been trained to act when necessary can significantly increase an SCA victim’s chance of survival.