Journal of Angiotherapy
Integrative Biomedical Research (Journal of Angiotherapy) | Online ISSN  3068-6326
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Journal of Angiotherapy

Volume 8 Number 7 2024

Article Contents

REVIEWS   (Open Access)
Contents Vol 8 (7)

Evaluating ACLS and ERC Guidelines in Cardiac Arrest Management: Outcomes and Challenges in the ER

Mohammed Jamah Omar Tohari 1*, Abdullah Ali Jaber Hzazi 1, Mohammed Ghalib Ahmed Bhkali 1, Khaled Manaja Almutairi 1, Ali Saleh Alenzi 1, Sarah Hussain Alamiri 1, Mosa Asraan Mobarki 1, Bander Khalid Baurasien 1, Sultan Tami Abdullah Alqahtani 1 , Ahd Nasir Fahd Aleajami 1, Muhamad Bin Fahd Eabdallah Abusbihah 1

+ Author Affiliations

Journal of Angiotherapy 8 (7) 1-11 https://doi.org/10.25163/angiotherapy.8710462

Submitted: 30 April 2024 Revised: 10 July 2024  Published: 14 July 2024 

Abstract

Cardiac arrest is a medical emergency of great importance that is responsible for the death and disability of many people globally, and its treatment in an emergency room (ER) setting requires fast, well-coordinated, and effective interventions to increase the chances of survival and good neurological state. Even though there have been breakthroughs in the science of resuscitation, variability in adherence to protocols and resource availability remain the major factors that affect the outcomes of the patients. This paper compares the efficacy or effectiveness in terms of the outcomes of modern resuscitation protocols such as Advanced Cardiac Life Support (ACLS) and European Resuscitation Council (ERC) guidelines in managing cardiac arrest cases in ER settings. A thorough literature review was conducted which focused on survival rates, neurological outcomes, time-to-intervention, and adherence to protocols. The review also looked into the barriers to effective implementation and innovations in resuscitation care. Results show that if modern protocols are strictly followed, they can very much increase the chances of survival and recovery from brain damage, mainly by early defibrillation, high-quality CPR, and good post-resuscitation care. Nevertheless, there are still challenges like poor adherence, lack of resources, and insufficient training that prevent the best results from being achieved. New methods involving ECMO and real-time feedback devices are promising in these aspects. To sum up, the consistent use of standardized protocols leads to marked improvements in the outcomes of ER cardiac arrest management, yet further efforts are necessary to tackle the systemic barriers, upgrade the training programs, and incorporate advanced technologies to make resuscitation practices equitable and effective across the different healthcare systems.

Keywords: cardiac arrest, emergency room, resuscitation, ACLS, ERC guidelines, survival rates, post-resuscitation care.

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