الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Sudden cardiac arrest (SCA) is a leading cause of death and a major public health problem worldwide. It represents a huge impact on social and economic status in addition to affecting a large number of patients. CA survivors experience many medical problems attributable to critical illness, including cognitive deficits and impaired consciousness. Many of CA survivors experience moderate to severe functional impairment after being discharged from hospital. Functional impairments are associated with shortened lifespan, reduced quality of life, and reduced function.
Cardiopulmonary resuscitation (CPR) is a series of lifesaving interventions that improve the probability of survival after cardiac arrest. Successful ROSC is the first goal toward the complete recovery from cardiac arrest. Post-resuscitation care starts immediately after sustained ROSC regardless of patient location.
Cardiac arrest is divided into two main groups according to the presenting heart rhythm: shockable rhythms (VF/pVT)) and non-shockable rhythms (PEA and asystole). The main difference between the two groups is the need for defibrillation in those patients with VF/pVT. European Guidelines highly recommend management of all reversible causes of cardiac arrest during resuscitation.
The quality indicators related to process of care include the percentage of patients with witnessed and monitored CA, percentage of patients with the start of CPR ≤1 minute and percentage of patients with time to the first rhythm analysis of ≤2 minutes. The outcome indicators include the percentage of patients with return of spontaneous circulation, survival to discharge from hospital and 30 day survival.