000			03990nam a22005897a 4500
008			210607s20212021 xxu||||| |||| 00| 0 eng d
022			_a0735-6757
024			_a10.1016/j.ajem.2021.04.033 [doi]
024			_aPMC8057692 [pmc]
024			_aS0735-6757(21)00319-3 [pii]
040			_aOvid MEDLINE(R)
099			_a33894661
245			_aAn international perspective of out-of-hospital cardiac arrest and cardiopulmonary resuscitation during the COVID-19 pandemic. [Review]
251			_aAmerican Journal of Emergency Medicine. 47:192-197, 2021 Sep.
252			_aAm J Emerg Med. 47:192-197, 2021 Sep.
252			_zAm J Emerg Med. 47:192-197, 2021 Apr 20.
253			_aThe American journal of emergency medicine
260			_c2021
260			_fFY2022
265			_saheadofprint
265			_sppublish
266			_d2021-06-07
268			_aAmerican Journal of Emergency Medicine. 47:192-197, 2021 Apr 20.
269			_fFY2021
520			_aBACKGROUND: Out-of-hospital cardiac arrest (OHCA) accounts for a substantial proportion of sudden cardiac events globally, with hundreds of thousands of cases reported annually in the United States. The mortality rate of patients who suffer OHCA remains high despite extensive utilization of resources.
520			_aCONCLUSIONS: The ongoing COVID-19 pandemic modified the approach of first responders to OHCA. With the rise in OCHA during the pandemic in several geographic regions and the risks of disease transmission with superimposed equipment shortages, novel noninvasive, adjunct tools, such as point of care ultrasound, warrant consideration. Further prehospital studies should be considered to optimize OHCA and resource management while minimizing risk to personnel. Copyright (c) 2021 Elsevier Inc. All rights reserved.
520			_aDISCUSSION: Recent studies in Italy, New York City, and France characterized a significant increase in OHCA incidence in conjunction with the arrival of the 2019 coronavirus disease (COVID-19) pandemic. The presence of the pandemic challenged existing protocols for field resuscitation of cardiac arrest patients as the pandemic necessitated prioritization of EMS personnel and other healthcare providers' safety through stringent personal protective equipment (PPE) requirements. Studies also characterized difficulties encountered by the first responder system during COVID-19, such as dispatcher overload, increased response times, and adherence to PPE requirements, superimposed on PPE shortages. The lack of guidance by governmental agencies and specialty organizations to provide unified safety protocols for resuscitation led to the development of different resuscitative protocols globally.
520			_aOBJECTIVES: We aim to describe the current landscape of OHCA during the COVID-19 pandemic and provide an overview of the logistical challenges and resuscitation protocols amongst emergency medical service (EMS) personnel.
546			_aEnglish
650			_a*Cardiopulmonary Resuscitation/mt [Methods]
650			_a*COVID-19/ep [Epidemiology]
650			_a*Emergency Medical Services/sn [Statistics & Numerical Data]
650			_a*Out-of-Hospital Cardiac Arrest/mo [Mortality]
650			_aCOVID-19/pc [Prevention & Control]
650			_aCOVID-19/tm [Transmission]
650			_aEmergency Responders
650			_aHumans
650			_aIncidence
650			_aInfection Control/mt [Methods]
650			_aInternationality
650			_aPandemics
650			_aPersonal Protective Equipment/sd [Supply & Distribution]
651			_aMedStar Washington Hospital Center
656			_aEmergency Medicine
657			_aJournal Article
657			_aReview
700			_aMazer-Amirshahi, Maryann
700			_aPourmand, Ali
790			_aMazer-Amirshahi M, O'Connell F, Ong J, Pourmand A
856			_uhttps://dx.doi.org/10.1016/j.ajem.2021.04.033 _zhttps://dx.doi.org/10.1016/j.ajem.2021.04.033
942			_cART _dArticle
999			_c6267 _d6267