2006 Heart-Brain summit proceedings

Cardiocerebral resuscitation:
The optimal approach to cardiac arrest

Gordon A. Ewy, MD

Professor and Chief of Cardiology
Director, University of Arizona Sarver Heart Center,
University of Arizona College of Medicine
Tucson, AZ

gaewy@aol.com

ARTICLE INTRODUCTION

Cardiac arrest highlights one of the critical interactions between the heart and the brain, and it remains a leading cause of death in the United States, Canada, and Europe. This summit provides an opportunity to advocate cardiocerebral resuscitation as an alternative to traditional cardiopulmonary respiration (CPR) for out-of-hospital cardiac arrest. Because cardiocerebral resuscitation results in improved survival and cerebral function in patients with witnessed cardiac arrest with a shockable rhythm (the subgroup with the greatest chance of survival), it should replace CPR for out-of-hospital cardiac arrest. CPR should be reserved for respiratory arrest.

This discussion will explore the rationale for abandoning traditional CPR for out-of-hospital cardiac arrest and explain what cardiocerebral resuscitation is and why it should replace CPR in this setting.

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