ROSC 恢復自發性循環, 需脈搏跳動 30 秒以上才算
存活 Survived Event 定義, 是指 sustained ROSC 恢復脈搏持續 20 分鐘以上
參考資料來自 AHA Scientific Statement
Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports Update and Simplification of the Utstein Templates for Resuscitation Registries A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa)
Return of Spontaneous Circulation Signs of the return of spontaneous circulation (ROSC) include breathing (more than an occasional gasp), coughing, or movement. For healthcare personnel, signs of ROSC also may include evidence of a palpable pulse or a measurable blood pressure. For the purposes of the Utstein registry template, “successful resuscitation” or ROSC is defined for all rhythms as the restoration of a spontaneous perfusing rhythm that results in more than an occasional gasp, fleeting palpated pulse, or arterial waveform. Assisted circulation (eg, extracorporeal support such as extracorporeal membrane oxygenation or a biventricular assist device) should not be considered ROSC until “patient-generated” (ie, spontaneous) circulation is established. Previous reports that focused on outcomes from ventricular fibrillation have variably defined “successful defibrillation” as the termination of fibrillation to any rhythm (including asystole) and the termination of fibrillation to an organized electrical rhythm at 5 seconds after defibrillation (including pulseless electrical activity [PEA]). Neither of these definitions of successful defibrillation would qualify as ROSC unless accompanied by evidence of restored circulation. By consensus, the phrase “any ROSC” is intended to represent a brief (approximately 30 seconds) restoration of spontaneous circulation that provides evidence of more than an occasional gasp, occasional fleeting palpable pulse, or arterial waveform. The time at which ROSC is achieved is a core data element.
Survived Event
“Survived event” for the out-of-hospital setting means sustained ROSC with spontaneous circulation until admission and transfer of care to the medical staff at the receiving hospital. For the in-hospital setting, survived event means sustained ROSC for 20 minutes (or the return of circulation if extracorporeal circulatory support is applied).
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