Resuscitation plus最新文献

{"title":"Psychological and cognitive support after cardiac arrest: a systematic review","authors":"Giuseppe Ristagno,&nbsp;Erga Cerchiari,&nbsp;Fabiana Madotto,&nbsp;Alberto Cucino,&nbsp;Aurora Magliocca,&nbsp;Giulia Merigo,&nbsp;Riccardo Boverio,&nbsp;Katya Ranzato,&nbsp;Andrea Scapigliati,&nbsp;Federico Semeraro,&nbsp;Lorenzo Gamberini,&nbsp;Fondazione Italian Resuscitation Council","doi":"10.1016/j.resplu.2026.101450","DOIUrl":"10.1016/j.resplu.2026.101450","url":null,"abstract":"<div><h3>Background</h3><div>Adult survivors of cardiac arrest (CA) with favourable neurological recovery often experience persistent cognitive and psychological difficulties that impact quality of life and functional independence. However, post-discharge interventions remain heterogeneous, and evidence to support the prioritisation and implementation of specific cognitive and psychological interventions is limited.</div></div><div><h3>Objective</h3><div>To systematically review the evidence on psychological and cognitive support interventions delivered after hospital discharge in adult CA survivors with good neurological recovery.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following PRISMA 2020 guidelines (PROSPERO CRD420251267160). Eligible studies included adults surviving CA with favourable neurological recovery who received structured post-discharge interventions. Outcomes were assessed across multiple domains, including: psychological well-being; cognitive performance; functional status and participation; health-related and global quality of life; and feasibility and implementation.</div></div><div><h3>Results</h3><div>Six studies (<em>n</em> = 352 survivors) were included: two randomised controlled trials, two feasibility/pre-post studies, one single-case experimental design, and one process evaluation. Interventions varied in content and delivery (face-to-face, remote, home-based) and included nurse-led follow-up, psychotherapy, cognitive rehabilitation, and mindfulness-based strategies. Small improvements were observed in anxiety, depression, post-traumatic stress symptoms, and selected health-related quality-of-life domains, whereas cognitive, functional, and participation in daily and social activities showed limited or short-term gains in small uncontrolled studies. Interventions were feasible and well-tolerated.</div></div><div><h3>Conclusions</h3><div>Post-discharge psychological and cognitive interventions are feasible and associated with modest improvements in psychological well-being and selected quality-of-life domains. Further rigorous research using standardised outcomes is needed.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101450"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and ethnic differences in time to shock delivery in out-of-hospital cardiac arrest","authors":"Akira Shimabukuro,&nbsp;Sho Komukai,&nbsp;Koichiro Shiba,&nbsp;Audrey L. Blewer,&nbsp;Tom P. Aufderheide,&nbsp;Jestin N. Carlson,&nbsp;Jonathan Elmer,&nbsp;Ahamed H. Idris,&nbsp;Joshua R. Lupton,&nbsp;Christian Martin-Gill,&nbsp;Amira Mohamed,&nbsp;Graham Nichol,&nbsp;Sylvia Owusu-Ansah,&nbsp;Sriram Ramgopal,&nbsp;Shannon W. Stephens,&nbsp;Henry E. Wang,&nbsp;Clifton W. Callaway,&nbsp;Masashi Okubo","doi":"10.1016/j.resplu.2026.101463","DOIUrl":"10.1016/j.resplu.2026.101463","url":null,"abstract":"<div><h3>Background</h3><div>While prompt defibrillation is a key intervention in out-of-hospital cardiac arrest (OHCA), it remains unknown whether the time to first shock delivery by emergency medical services (EMS) clinicians varies across patients’ races and ethnicities.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included adults (≥18 years) with nontraumatic initially shockable OHCA in the Pragmatic Airway Resuscitation Trial, a cluster randomized control trial, comparing the effects of laryngeal tube and endotracheal intubation at 27 EMS agencies in the US from 2015 through 2017. We compared the differences in restricted mean survival time (RMST) of time from EMS arrival on the scene to the first shock delivery: the average time-to-event duration in survival analysis, across non-Hispanic White (hereafter, White), non-Hispanic Black (hereafter, Black), and Hispanic patients, with and without adjustment for patient demographics and cardiac arrest characteristics.</div></div><div><h3>Results</h3><div>Four hundred thirty-four individuals (White: 303, Black: 103, Hispanic: 28) were included. The median interval between EMS arrival and shock delivery was 4.3 min (IQR 3.0–7.2) in White, 5.2 min (IQR 3.4–7.8) in Black, and 5.0 min (IQR 3.6–9.0) in Hispanic patients. The unadjusted RMST was 6.37 min (95% CI 5.78–6.97) for White, 7.47 min (95% CI 6.36–8.57) for Black, and 9.47 min (95% CI 6.62–12.33) for Hispanic patients. Compared to White patients, the unadjusted RMST differences were 1.10 min (95% CI −0.16 to 2.35) for Black and 3.10 min (95% CI 0.18–6.02) for Hispanic patients, and the adjusted RMST differences were 0.42 min (95% CI −0.88 to 1.72) for Black patients and 3.25 min (95% CI 0.43–6.07) for Hispanic patients.</div></div><div><h3>Conclusions</h3><div>In this cohort study, compared to White patients, Hispanic patients had longer time from EMS arrival to first shock delivery, whereas time to shock delivery in Black patients was not significantly different.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101463"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variability of automated external defibrillator (AED) signage across six continents: a descriptive cross-sectional study","authors":"Sanjana Karamcheti,&nbsp;Christian K. Beÿ,&nbsp;Blake K. Marble,&nbsp;Robert Greif,&nbsp;Keith A. Marill,&nbsp;J. Joelle Donofrio-Odmann,&nbsp;Jon C. Rittenberger,&nbsp;José G. Cabañas,&nbsp;Paul J. Snobelen,&nbsp;Angus Jameson,&nbsp;Nino Fijačko,&nbsp;Timmy Li","doi":"10.1016/j.resplu.2026.101470","DOIUrl":"10.1016/j.resplu.2026.101470","url":null,"abstract":"<div><h3>Background</h3><div>Out-of-hospital cardiac arrests are associated with high mortality. Despite lay rescuer automated external defibrillator (AEDs) use being crucial for improving outcomes, public utilization of AEDs remains low. Signage characteristics directing lay rescuers to AEDs in public areas vary. We describe AED signage variability across six continents, focusing on shape, color, text, and symbols.</div></div><div><h3>Methods</h3><div>A convenience sample of 120 publicly available online AED signage, collected between December 2024 and May 2025, was analyzed. Six continents were included: Europe (38.3%), North America (23.3%), Africa (14.2%), Australia (12.5%), Asia (7.5%), and South America (4.2%). Separately, 90 crowd-sourced images of airport AED signage were collected from 71 airports across six continents between January and November 2025: Europe (37.8%), North America (36.7%), Africa (1.1%), Australia (6.7%), Asia (15.6%), and South America (5.6%). We reported frequencies and proportions of signage characteristics for the samples and stratified by continent.</div></div><div><h3>Results</h3><div>The distribution of signage characteristics in the publicly available signage varied across six continents (<em>p</em> &lt; 0.05). In the airport sample, the distribution of sign shape; cross symbol color; and the presence of heart, lightning bolt, and arrow symbols did not differ across continents. However, background color, text color, presence of the cross symbol, and colors of the heart and lightning bolt symbols differed across continents (<em>p</em> &lt; 0.05). Over 90% of all signs analyzed contained a heart and lightning bolt symbol.</div></div><div><h3>Conclusions</h3><div>There appears to be significant variation in public AED signage globally. Further research is needed to determine if specific signage characteristics improve AED recognition and utilization.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101470"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148952754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing accessibility to the extracorporeal cardiopulmonary resuscitation pathway for out-of-hospital cardiac arrests in London","authors":"Amiyesh Sahay,&nbsp;Caitlin Sears,&nbsp;Mark Faulkner,&nbsp;Rachael Fothergill","doi":"10.1016/j.resplu.2026.101468","DOIUrl":"10.1016/j.resplu.2026.101468","url":null,"abstract":"<div><h3>Aims</h3><div>Extracorporeal cardiopulmonary resuscitation (ECPR) may improve outcomes in selected patients with refractory out-of-hospital cardiac arrest (OHCA), but timely access is essential. In Greater London, a prehospital ECPR pathway enables transport of eligible patients to extracorporeal membrane oxygenation (ECMO)-capable centres within a target arrest-to-arrival interval of 45 min. We quantified accessibility to this pathway and explored how alternative service configurations might influence access.</div></div><div><h3>Methods</h3><div>This retrospective, observational study analysed five years of routinely collected OHCA data from the London Ambulance Service to identify patients meeting the ECPR eligibility criteria. Using pathway modelling and geospatial analysis we estimated the proportion of patients able to reach an ECMO-capable centre within 45 min and evaluated potential strategies for improving access.</div></div><div><h3>Results</h3><div>776 patients were identified as being eligible for the prehospital ECPR pathway, but only 3% (<em>n</em> = 23/776) were estimated to reach an ECMO-capable centre during operating hours and within 45 min of cardiac arrest. In many cases, the threshold was exceeded before patients were ready for transport. Extending the arrest-to-arrival interval to 60 min resulted in a 217% increase (50 additional patients) predicted to access the pathway. Other improvements included extending operating hours (+104%, <em>n</em> = 24), broadening pathway activation criteria (+52%, <em>n</em> = 12), and increasing the number of receiving centres (+30%, <em>n</em> = 7).</div></div><div><h3>Conclusion</h3><div>Accessibility to the prehospital ECPR pathway appears limited. Modifications to operational parameters, particularly extending time thresholds and operating hours, could substantially increase access. These findings have important implications for the design and optimisation of ECPR services in urban medical systems.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101468"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148935799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One termination of resuscitation rule to guide them all? When external validation meets system heterogeneity in a clinical prediction rule: a young ERC journal club article","authors":"Laura Herrera-Castillo,&nbsp;Musab Z. Alharthi,&nbsp;Simon Schauder,&nbsp;Kasper G. Lauridsen","doi":"10.1016/j.resplu.2026.101443","DOIUrl":"10.1016/j.resplu.2026.101443","url":null,"abstract":"<div><div>This journal club article was part of the Young European Resuscitation Council Masterclass 2025–2026. It reviews the paper “Performance of Universal TOR rule for out-of-hospital cardiac arrest in the Pan-Asian Resuscitation Outcomes Study” by Onoe et al. (2025).</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101443"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148855336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurofilament light chain for assessment of brain injury in four porcine cardiac arrest models","authors":"Olof Persson,&nbsp;Attila Frigyesi,&nbsp;Anna Valerianova,&nbsp;Mikuláš Mlček,&nbsp;Renaud Tissier,&nbsp;Fanny Lidouren,&nbsp;Matthias Kohlhauer,&nbsp;Giuseppe Ristagno,&nbsp;Aurora Magliocca,&nbsp;Francesca Fumagalli,&nbsp;Kaj Blennow,&nbsp;Henrik Zetterberg,&nbsp;Mohamad Hakam Tiba,&nbsp;Cindy H. Hsu,&nbsp;Thomas H. Sanderson,&nbsp;Robert Neumar,&nbsp;Hans Friberg","doi":"10.1016/j.resplu.2026.101466","DOIUrl":"10.1016/j.resplu.2026.101466","url":null,"abstract":"<div><h3>Background</h3><div>Anoxic brain injury is the leading cause of death following successful resuscitation after out-of-hospital cardiac arrest. No experimental neuroprotective therapy has translated into clinical benefit. Collaborative efforts to harmonize methods may be essential for translational success. Neurofilament light chain (NfL) is a biomarker of neuroaxonal injury with emerging use in clinical practice, but data on its robustness and association with outcomes in porcine models is limited. Our aim was to use NfL as a quantitative marker to compare brain injury severity in different porcine cardiac arrest models.</div></div><div><h3>Methods</h3><div>Forty-four pigs (<em>Sus scrofa domestica</em>) were resuscitated after cardiac arrest in different experimental models in four laboratories. Plasma samples were collected prior to the arrest and at 4 and 24 h after return of spontaneous circulation. NfL concentration was measured using a Single molecule array (Simoa) immunoassay.</div></div><div><h3>Results</h3><div>NfL levels changed significantly over time (<em>p</em> &lt; 0.001), with similar temporal patterns observed across all laboratories. Inter-laboratory comparisons indicated essentially consistent NfL levels, with modest differences at 24 h. NfL levels at 24 h showed an association with no-flow duration (<em>n</em> = 43) in both correlation and univariate regression analyses (<em>p</em> = 0.034, <em>p</em> = 0.041), while no significant associations were found with functional outcomes (<em>n</em> = 26) (<em>p</em> = 0.32, <em>p</em> = 0.20).</div></div><div><h3>Conclusion</h3><div>NfL increased consistently across four porcine cardiac arrest models, and higher 24-h NfL levels were associated with longer no-flow duration, supporting its robustness as a biomarker of neuroaxonal injury. Larger studies are needed to clarify its relationship with functional outcome, as the exploratory analyses were underpowered.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101466"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148935747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood gas parameters during cardio-pulmonary resuscitation in a post hoc analysis-porcine study with data pooled from two studies: increased acidosis with repeated adrenaline injections compared to a control group during prolonged advanced life support","authors":"Felicia Feurstein,&nbsp;Adam Åkerman,&nbsp;Jakob Lundager Forberg,&nbsp;Jan Belohlavek,&nbsp;Mikuláš Mlček,&nbsp;Carl-David Dolata,&nbsp;Henrik Wagner","doi":"10.1016/j.resplu.2026.101459","DOIUrl":"10.1016/j.resplu.2026.101459","url":null,"abstract":"<div><h3>Background</h3><div>Cardiopulmonary resuscitation (CPR) guidelines recommend an injection of 1 mg of adrenaline every 3–5 min in a cardiac arrest situation. Adrenaline increases return of spontaneous circulation (ROSC) and induces a more acidotic state in cardiac arrest situations. Blood gas analysis is a useful tool to assess the metabolic state during CPR.</div><div>Most experimental studies have been conducted with a single injection of adrenaline. However, little is known about how blood gas parameters are affected by repeated adrenaline injections during prolonged CPR.</div></div><div><h3>Methods</h3><div>This was a pooled post-hoc analysis from two studies, in which repeated injections of adrenaline and saline as a control were administered during 16- or 21-min of CPR according to current guidelines. Sixty pigs were induced with cardiac arrest, randomised to either adrenaline or saline. Arterial blood gases were drawn at baseline, after the second and fourth injection of adrenaline/saline, and after 5 and 10 min of ROSC. The analysis included pH, Base excess, Bicarbonate, lactate, partial pressure of carbon dioxide, partial pressure of oxygen, oxygen saturation, haemoglobin, and potassium.</div></div><div><h3>Results</h3><div>Sixteen/twenty-four animals (66.7%) obtained ROSC in the control group and 17/36(47.2%) in the adrenaline group (ns). Adrenaline resulted in significantly lower pH, base excess, and bicarbonate higher lactate, carbon dioxide, haemoglobin and potassium, compared to a control-group among animals that achieved ROSC, but not in non-ROSC groups.</div></div><div><h3>Conclusion</h3><div>Repeated adrenaline injections was associated with a more acidotic profile and higher potassium and haemoglobin levels in animals that achieved ROSC during prolonged CPR compared with the control-group. However, this was not seen in the non-ROSC groups.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101459"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148935809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronary angiography and reperfusion therapy following out-of-hospital cardiac arrest in women","authors":"Charlotte Miedel,&nbsp;Lis Abazi,&nbsp;Sune Forsberg,&nbsp;Martin Jonsson,&nbsp;Gabriel Riva","doi":"10.1016/j.resplu.2026.101462","DOIUrl":"10.1016/j.resplu.2026.101462","url":null,"abstract":"<div><h3>Introduction</h3><div>Survival after out-of-hospital cardiac arrest is lower in women than in men, often attributed to older age, more comorbidities and non-shockable rhythms at presentation. Coronary angiography and reperfusion therapy are cornerstones in post-cardiac arrest care yet appear to be used less often in women. Data on coronary artery disease among patients presenting with non-shockable rhythms and no ST-segment elevation remain limited.</div></div><div><h3>Methods</h3><div>We conducted a nationwide cohort study including all out-of-hospital cardiac arrest patients admitted alive to Swedish hospitals between 2010 and 2019. Adjusted odds ratios (OR) of coronary angiography and percutaneous coronary intervention during hospitalization were calculated for women compared with men, controlling for age, comorbidities, and initial rhythm. Sex-specific angiographic findings were examined in patients without shockable rhythm or ST-segment elevation.</div></div><div><h3>Results</h3><div>Of 8641 patients, 29.4% were women. Coronary angiography was performed in 31.5% of women versus 51.0% of men. Women were less likely to undergo coronary angiography (OR 0.77, 95% CI 0.66–0.90) and percutaneous coronary intervention (OR 0.76, 95% CI 0.64–0.90). After adjusting for angiographic findings, intervention rates were similar between sexes (OR 0.97, 95% CI 0.80–1.18). Among angiographed patients with non-shockable rhythms and no ST-elevation, significant coronary artery disease was found in 31% of women and 53% of men.</div></div><div><h3>Conclusion</h3><div>Women with resuscitated out-of-hospital cardiac arrest were less likely to undergo coronary angiography yet had similar rates of percutaneous coronary intervention when obstructive coronary artery disease was present. In patients without an initial shockable rhythm or ST-segment elevation, many had significant coronary artery disease.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101462"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148935748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The implementation of diverse skin-toned female manikins in hospital provider basic life support training","authors":"Nicole L. Tegg,&nbsp;Ashley Hyde,&nbsp;Jenna Semmens,&nbsp;Sarra Dobson,&nbsp;Carol Price,&nbsp;Charlotte Oostveen,&nbsp;Colleen M. Norris","doi":"10.1016/j.resplu.2026.101473","DOIUrl":"10.1016/j.resplu.2026.101473","url":null,"abstract":"<div><h3>Background</h3><div>Women are less likely than men to receive bystander cardiopulmonary resuscitation (CPR). CPR training has traditionally relied on manikins depicting a lean, white male chest, which may reinforce disparities. This quality improvement initiative evaluated healthcare staff perceptions of sex/gender differences in CPR and the impact of diverse skin-toned female manikins on provider confidence.</div></div><div><h3>Methods</h3><div>Six female CPR manikins representing diverse skin tones were introduced into basic life support training at two Covenant Health hospitals. Participants completed anonymous pre- and post-training surveys assessing perceptions of sex/gender disparities, confidence performing CPR across different body types, and experiences with the manikins. Data were collected from July to October 2025. Staff were grouped by years of clinical practice (1–5, 5–10, 10–20, and ≥20 years). Between-group comparisons were performed using Kruskal–Wallis tests with post hoc pairwise comparisons. Open-text responses were analyzed using summary template analysis.</div></div><div><h3>Results</h3><div>A total of 573 healthcare staff participated; most were nurses (83.6%), women (85.9%), and had ≥10 years of practice (58.5%). Staff with ≥20 years of practice were less likely to believe sex differences exist in CPR administration. Fewer years of practice were associated with greater hesitation to perform CPR due to body differences (<em>p</em> &lt; 0.001). Pre-training confidence differed significantly across groups, with greater confidence reported among more experienced staff (all <em>p</em> &lt; 0.001). Following training, 73.1% of participants reported increased confidence performing CPR on someone with breasts.</div></div><div><h3>Conclusions</h3><div>Using manikins with breasts during CPR training increased healthcare staff confidence in providing CPR to people with breasts. Incorporating diverse female CPR manikins into hospital training may improve provider confidence and support more equitable, inclusive resuscitation education.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101473"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148935865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Twenty years in the battle against sudden cardiac death: progress, pitfalls, and prospects for the future","authors":"Mary M. Newman,&nbsp;Gina Peattie,&nbsp;Arvind Subramanian,&nbsp;Henry Jampel,&nbsp;Joseph Farrell,&nbsp;Raymond L. Fowler","doi":"10.1016/j.resplu.2026.101401","DOIUrl":"10.1016/j.resplu.2026.101401","url":null,"abstract":"<div><div>Sudden cardiac arrest (SCA) is a life-threatening emergency that requires immediate intervention from lay responders. To address this critical need, the national Sudden Cardiac Arrest Foundation (SCAF) was established in 2005 to raise awareness, promote community engagement, and support survivors. The history of cardiopulmonary resuscitation, defibrillation, and public response programs illustrates decades of progress in resuscitation science and has helped lay the groundwork for the creation of SCAF. In addition to serving as a trusted information hub, SCAF leads several key initiatives. The Cardiac Arrest Survivor Alliance™ provides an online community for those affected by cardiac arrest, offering connection, support, and resources. The Call-Push-Shock campaign promotes three lifesaving steps to address out-of-hospital cardiac arrest: call 911, perform CPR, and use an automated external defibrillator (AED). While SCA remains a major cause of death, significant progress has been made in public education and response. Technological innovations such as dispatcher-assisted CPR, the widespread placement of AEDs, and improved EMS and cardiac arrest registries, have all strengthened the chain of survival. Public understanding has also improved, with the media increasingly distinguishing SCA from heart attacks, thanks in part to SCAF’s tireless advocacy. As SCAF marks its 20th anniversary, the organization celebrates two decades of progress and looks ahead with optimism. Its mission remains steadfast: to raise awareness, empower bystanders to act, support survivors, and advance innovations that reduce preventable deaths from sudden cardiac arrest.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"31 ","pages":"Article 101401"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148935868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}