Intra-Arrest Transport and Neurological Outcomes in Out-of-Hospital Cardiac Arrest with Initial Shockable Rhythm Who Failed the First Defibrillation: A Nationwide Study in Limited Prehospital Advanced Cardiac Life Support (ACLS) Settings

In an EMS setting with a limited-service level, intra-arrest transport showed no benefit for OHCA patients with an initial shockable rhythm who remained in refractory shockable rhythms despite the first defibrillation attempt. High-quality on-scene management is crucial before the initiation of hospital transport. Further research is needed to develop integrated systems ensuring effective prehospital and hospital care.

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Publication Details

Journal
Prehospital Emergency Care
Published
2025-04-07
DOI
https://doi.org/10.1080/10903127.2025.2489036
Primary Topic
Cardiac Arrest and Resuscitation
Type
article
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article

Intra-Arrest Transport and Neurological Outcomes in Out-of-Hospital Cardiac Arrest with Initial Shockable Rhythm Who Failed the First Defibrillation: A Nationwide Study in Limited Prehospital Advanced Cardiac Life Support (ACLS) Settings

Kyoung Jun Song, Hyun Ho Ryu, Sang Do Shin, Eujene Jung et al.
Prehospital Emergency Care
Cardiac Arrest and Resuscitation
article

Intra-Arrest Transport and Neurological Outcomes in Out-of-Hospital Cardiac Arrest with Initial Shockable Rhythm Who Failed the First Defibrillation: A Nationwide Study in Limited Prehospital Advanced Cardiac Life Support (ACLS) Settings

Kyoung Jun Song, Hyun Ho Ryu, Sang Do Shin, Eujene Jung, Jeong Ho Park, Jungho Lee
article en

Abstract

In an EMS setting with a limited-service level, intra-arrest transport showed no benefit for OHCA patients with an initial shockable rhythm who remained in refractory shockable rhythms despite the first defibrillation attempt. High-quality on-scene management is crucial before the initiation of hospital transport. Further research is needed to develop integrated systems ensuring effective prehospital and hospital care.

Prehospital Emergency CareVol. 30(2)
Seoul National University (KR), New Generation University College (ET), Seoul National University Hospital (KR), Chonnam National University Hospital (KR), SNUH SMG-SNU Boramae Medical Center (KR), National University College (PR), Biomedical Research Institute (US)
Openalex Percentile: Top 88%
Cardiac Arrest and Resuscitation
DOISourceOpenAlex
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Intra-Arrest Transport and Neurological Outcomes in Out-of-Hospital Cardiac Arrest with Initial Shockable Rhythm Who Failed the First Defibrillation: A Nationwide Study in Limited Prehospital Advanced Cardiac Life Support (ACLS) Settings — Kyoung Jun Song, Hyun Ho Ryu, et al. · Prehospital Emergency Care (2025) | TGRS Research Map | TGRS