Cardiac Arrest

Optimizing Survival in Out-of-Hospital Cardiac Arrest

Strategic Initiative Leader

Jim Christenson

Vision
Survival to hospital discharge rates consistent with the best communities in the world

Long Term Goals
To provide consistently best care during out-of-hospital cardiac arrest and consistently best post resuscitation care so that the probability of survival to discharge from hospital in BC is as among the best in the world.

Short Term Goals

  • Share the knowledge of best resuscitation practices with the BC Ambulance Service and First Responder Agencies
  • Share the knowledge and assist in implementation of best post resuscitation clinical care in all emergency departments and ICUs in BC
  • To collect province wide data on outcomes and CPR process
  • To report publically on resuscitation survival and the impact of this initiative
  • Engage in local and multicenter clinical trials in resuscitation

Key Partners and Stakeholders

  • British Columbia Ambulance Service
  • Emergency Department operational heads in BC
  • The international and Canadian Resuscitation Outcomes Consortium (ROC and CanROC)
  • Intensive care unit heads in BC
  • First Responder Agencies in BC

Work to date
Dr. Christenson is the BC Principal Investigator of the Resuscitation Outcomes Consortium (ROC) an international research group funded by multiple agencies including the NIH and the CIHR (since 2006). As of October 2015 he is one of 3 Principal Investigators of the Canadian Resuscitation Outcomes Consortium (CanROC) funded by ICRH and HSFC with local support from PHSA. Resuscitation practices in the prehospital setting have been improved and continue to be to evidence based standards. Five cardiac arrest clinical trials are complete and one is ongoing. Publications from the observational data have informed best practices and will be incorporated into international guidelines. BC survival rates to hospital discharge rose from 6.6% to 14.3% in 2014. More than 150 more British Columbians are alive every year than previously.
Future goals include more formal collaboration among basic, translational and clinical scientist in a BC Center for Resuscitation Excellence. It will incorporate an ongoing provincial cardiac arrest event and outcomes registry, with an effective and efficient knowledge exchange mechanism through the BC Emergency Health Services and the Emergency Medicine Network.