The chain of survival: Not all links are equal

Resuscitation
Charles D Deakin

Abstract

The chain of survival aims to demonstrate the interrelationship between key stages of resuscitation and emphasises the need for all links to be effective in order to optimise the chances of survival. The contribution of each of the four links diminishes rapidly as patients succumb at each stage and the actual attrition rate results in rapidly decreasing numbers of patients progressing along the chain. This revised representation adjusts the area of each link in order to graphically represent the flow of patients through the chain. Greatest benefit in improving outcome will be achieved by focussing on improving care at links in the chain where there is the greatest number of patients.

Associated Clinical Trials

Citations

Mar 30, 2019·JAMA Network Open·George F Glass, William J Brady
Mar 11, 2020·European Heart Journal. Quality of Care & Clinical Outcomes·Chen JiUNKNOWN OHCAO Collaborators
May 24, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Clément DerkenneBertrand Prunet
Mar 13, 2019·Nature Reviews. Cardiology·David D BergRobert A Berg
Dec 5, 2019·The New England Journal of Medicine·William J BradyCorey M Slovis
Jun 5, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ronan McBrideMark H Wilson
Feb 28, 2019·Critical Care : the Official Journal of the Critical Care Forum·Franck CalamaiBertrand Prunet
Dec 5, 2020·Emergency Medicine Journal : EMJ·Andrew S Lockey
Feb 11, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Victor Nathan ChappuisRobert Larribau
Mar 19, 2021·Cardiovascular Research·Saraschandra VallabhajosyulaVirginia M Miller
Mar 27, 2021·Resuscitation·Clément DerkenneUNKNOWN Paris Fire Brigade Cardiac Arrest Task Force
Mar 29, 2021·Resuscitation·Federico SemeraroKoenraad G Monsieurs
Apr 17, 2021·Health Technology Assessment : HTA·Gavin D PerkinsRanjit Lall
Mar 27, 2021·Current Opinion in Critical Care·Andrew Fu Wah Ho, Marcus Eng Hock Ong
Apr 23, 2021·Resuscitation·Ziad Nehme, Karen Smith
Jul 6, 2021·Resuscitation Plus·Tasuku MatsuyamaTaku Iwami
Jul 6, 2021·Resuscitation Plus·Tomas BarryGerard Bury
Jul 6, 2021·Resuscitation Plus·C A HawkesUNKNOWN RSAH collaborators and study team

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