Resuscitation on the field of play: a best-practice guideline from Resuscitation Council UK.

Autor:	Smith CM; Resuscitation Council UK, London, UK c.smith.12@warwick.ac.uk.; University of Warwick, Coventry, UK., Moore F; Resuscitation Council UK, London, UK., Drezner JA; Center for Sports Cardiology, University of Washington, Seattle, Washington, USA., Aird R; PPI representative, NA, UK., Benson Clarke A; Resuscitation Council UK, London, UK., Cant J; Resuscitation Council UK, London, UK., Hamilton-Bower I; Resuscitation Council UK, London, UK., Hampshire S; Resuscitation Council UK, London, UK., Hodgson L; Football Association, Saint Georges Park, Burton on Trent, UK.; Leeds Beckett University School of Health, Leeds, UK., Johnston C; PPI representative, NA, UK., O'Sullivan J; British Heart Foundation, London, UK., Patterson M; Consultant in Intensive Care & Emergency Medicine, Chief Medical Officer, Venues, Events & Emergency Care, Football Association, London, UK., Pitcher D; Resuscitation Council UK, London, UK., Smith A; Rugby Football Union, Twickenham, UK.; Welsh Rugby Union, Cardiff, UK., Soar J; Resuscitation Council UK, London, UK.; North Bristol NHS Trust, Bristol, UK., Thomas L; St John Ambulance Training Ltd, Sheffield, UK., Zideman DA; International Olympic Committee, Lausanne, Switzerland., Perkins GD; Resuscitation Council UK, London, UK.; University of Warwick, Coventry, UK.
Jazyk:	angličtina
Zdroj:	British journal of sports medicine [Br J Sports Med] 2024 Oct 17; Vol. 58 (19), pp. 1098-1106. Date of Electronic Publication: 2024 Oct 17.
DOI:	10.1136/bjsports-2024-108440
Abstrakt:	Sudden cardiac arrest (SCA) is the leading cause of sudden death in athletes during high-level, organised sport. Patient-related and event-related factors provide an opportunity for rapid intervention and the potential for high survival rates. The aim of this consensus was to develop a best-practice guideline for dedicated field-of-play medical teams responding to SCA during an organised sporting event. A task-and-finish group from Resuscitation Council UK identified a stakeholder group of relevant experts and cardiac arrest survivors in March and April 2022. Together, they developed a best-practice guideline using the best available evidence. A public consultation period further refined the guideline before it was finalised in December 2023. Any sudden collapse, without rapid recovery during sporting activity, should be considered an SCA until proven otherwise. Field-of-play medical teams should be empowered to access the collapsed athlete as soon as possible and perform initial essential interventions in situ. This includes a suggested minimum of three cycles of cardiopulmonary resuscitation and defibrillation in persistent shockable rhythms while other aspects of advanced life support are initiated. There should be careful organisation and practice of the medical response, including plans to transport athletes to dedicated facilities for definitive medical care. This best-practice guideline complements, rather than supersedes, existing resuscitation guidelines. It provides a clear approach to how to best treat an athlete with SCA and how to organise the medical response so treatments are delivered effectively and optimise outcomes. Competing Interests: Competing interests: Author affiliations are listed in the acknowledgements. In addition, the following authors report these conflicts of interest: JAD is editor-in-chief of BJSM. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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