The chain of survival
To survive an out of hospital cardiac arrest needs teamwork at every stage. Good communication to request assistance followed by effective, high quality basic life support at the scene and early use of a defibrillator are equally as important as safe transport to hospital and specialist care. Each step is as important as the others. The essential stages of care are known as the “chain of survival”.
The chain of survival varies according to whether your territory falls under the American Heart Association (AHA) or the European Resuscitation Council (ERC). Therefore, please ensure you take note of the diagram applicable to your territory.
AHA Adult Chain of Survival
The links in the new AHA Adult Chain of Survival are as follows:
- Immediate recognition of cardiac arrest and activation of the emergency response system
- Early CPR with an emphasis on chest compressions
- Rapid defibrillation
- Effective advanced life support
- Integrated post-cardiac arrest care
The American Heart Association chain of survival
Publication Name — Circulation.2020;142:S580-S604
2020 American Heart Association Guidelines for CPR & ECC – Part 7: Systems of Care
Specifically: Page S585, Figure 2. The Updated AHA Chains of Survival – chain for OHCA
Reprinted with permission, Circulation.2020;142:S580-S604, ©2020 American Heart Association, Inc.
https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms#adult
ANZCOR Medical Chain of Survival
Early recognition and call for help
- to prevent cardiac arrest
Early CPR
- to buy time
Early defibrillation
- to restart the hear
Post resuscitation care
- to restore quality of life
European Resuscitation Council Chain of Survival
Early recognition and call for help
- to prevent cardiac arrest
Early CPR
- to buy time
Early defibrillation
- to restart the heart
Post resuscitation care
- to restore quality of life
The European Resuscitation Council chain of survival