Shocking insights on resuscitation after sports-related cardiac arrest. (24th November 2022)

• Record Type: Journal Article
• Authors: Corrado, Domenico; Cipriani, Alberto; Zorzi, Alessandro
• Is Part Of: European heart journal. Volume 44:Number 3(2023)
• Page Start: 193
• Page End: 195
• Publication Date: 2022-11-24
• Subjects: Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; 616.12005
• DOI: 10.1093/eurheartj/ehac659
• Languages: English
• ISSNs: 0195-668X

Abstract

Graphical Abstract: Graphical Abstract The figure shows a working hypothesis, generated by the results of the meta-analysis of Michelland et al ., proposing an adaptation of the standard resuscitation algorithm (BLS-D) to a more specific (and expectedly more effective) protocol for management of sports-related sudden cardiac arrest (D-BLS). According to the proposed protocol, in the case of a witnessed non-traumatic fall during sports activity and an AED available in the field within moments, immediate placement of the device pads and rhythm analysis takes priority over other resuscitation manoeuvres. Accordingly, medical personnel attending sport events could be educated in the following actions: if an athlete falls to the ground and does not respond to questions, even if he/she appears to be breathing or moving, immediately bring the AED, switch it on, place the pads on the chest, and just listen to the voice prompts. If the shock is not advised, start assessment and treatment according to the standard resuscitation algorithm. 8 This working hypothesis needs to be tested by appropriated trials. AED = automated external defibrillator; BLS-D = basic life support and defibrillation; CPR = cardiopulmonary resuscitation; D-BLS = defibrillation and basic life support; ROSC = return of spontaneous circulation.