The chain of survival (for all age groups) is a pictorial that outlines the sequence of events that should take place to maximize the chances of survival for a victim. Early initiation of CPR has been shown to increase the probability of survival in case of a cardiac arrest. But before we can start CPR on time, recognizing the cardiac arrest is vital. Each link in chain of survival has been designed to make sure you have some guidance on what to do next. Learn the sequence and save lives.
Previously, there were 2 chains for in hospital and out of hospital scenarios. Now, they are unified and are followed in all age groups alike.
Follow the chain of survival, to increase the chances of survival for the cardiac arrest victim.
- Identify a cardiac arrest as soon as possible and involve the Emergency medical services in your locality as soon as possible. Inside the hospital, this is equivalent to activating a code blue.
- If you think it’s a cardiac arrest or if you are not sure if you can feel a pulse, assume cardiac arrest and start CPR without waiting for advanced teams to arrive.
- Early use of an AED or Defibrillator in case of shockable rhythms (VF or pulseless VT) improves the outcomes. Check the initial rhythm fast (interrupt CPR to check first rhythm).
- Advanced resuscitation can only be delivered by trained EMS systems, and their timely presence will make all the difference.
- Once you achieve a “Return of spontaneous circulation” – ROSC, it’s important to provide advanced care to prevent a re-arrest. (Explained later in the ACLS course).
- The recovery could take a long time, and it should not be neglected. (Physiotherapy, psychological support etc.)
If you want to get certified in BLS from American heart association, please check upcoming workshops in India. Resource to learn First-aid.