[Out-of-hospital cardiac arrest : Current recommendations along the chain of survival and patient management].

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2026-10-01 Epub Date: 2026-06-23 DOI:10.1007/s00063-026-01462-1

Markus Bork, J-S Pooth, G Michels, H-J Busch

引用次数: 0

Abstract

Out-of-hospital cardiac arrest (OHCA) continues to pose a significant clinical challenge with low survival rates. The updated 2025 guidelines emphasize the critical role of the chain of survival, optimized basic life support (BLS) and the strategic use of extracorporeal cardiopulmonary resuscitation (ECPR). Following the return of spontaneous circulation (ROSC) the clinical course is predominantly shaped by the post-cardiac arrest syndrome (PCAS). Structured care within specialized centers and a multimodal timely neuroprognostication are essential to improve neurological outcomes and facilitate evidence-based decision-making regarding further treatment.

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[院外心脏骤停：目前关于生存和患者管理的建议]。

院外心脏骤停（OHCA）生存率低，继续构成一个重大的临床挑战。更新后的2025年指南强调了生存链的关键作用、优化的基本生命支持（BLS）和体外心肺复苏（ECPR）的战略性使用。随着自然循环（ROSC）的恢复，临床过程主要由心脏骤停后综合征（PCAS）形成。专业中心的结构化护理和多模式及时的神经预后对于改善神经预后和促进基于证据的进一步治疗决策至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.