Out-of-Hospital Cardiac Arrest – Resuscitation to Recovery


A best practice pathway of care for those who suffer OHCA has been produced by an OHCA steering group. The resulting document, “Resuscitation To Recovery, A National Framework to improve care of people with out-of-hospital cardiac arrest (OHCA) in England” is linked to below and can be downloaded from the resus.org.uk website.

The study came about after concerns on the low survival rate of those who suffer out-of-hospital cardiac arrest in the UK compared to a number of other countries.

In 2013 the Department of Health published Cardiovascular Outcomes Strategy which showed the potential for many lives to be saved if CPR and early defibrillation were done promptly and more often.

This report states, “more than 1,000 lives could be saved each year in England if more members of the public were trained in CPR and there was earlier and greater access to, and willingness to use, PADs.”

The need was also identified for a pathway of care from successful resuscitation to subsequent rehabilitation. Highlighted also was the need for greater uniformity of practice to improve survival rates.

The current guidance states, “More recently, an OHCA steering group was convened in order to produce a single consensus document intended to describe and illustrate a good pathway of care for those who suffer OHCA and provide helpful guidance to the newly established Urgent & Emergency Care Networks in England.”

“Resuscitation to Recovery” calls for a systems approach to improving survival of OHCA sufferers and an implementation of the “Chain of Survival” concept. Chain of Survival is internationally recognised as summarising the important components of successful resuscitation, namley,

  1. early recognition that cardiac arrest has occurred,
  2. an immediate call to the emergency services,
  3. prompt initiation of CPR and defibrillation,
  4. optimal post-resuscitation care.

Download and read the full document below.

Resuscitation to Recovery (pdf download from resus.org.uk)

Improving cardiovascular disease outcomes: strategy (pdf download from Gov.uk)

About Gary Hepburn

Gary Hepburn is Managing Director of Sirius Business Services Ltd who are approved suppliers of the Practice Index and offer, Basic Life Support, AED and Anaphylaxis, Fire Safety and Health & Safety consultancy and training to GP Practices, Dental Practices and Private Hospitals. Visit their page on The Practice Index. Gary is happy to discuss any issues, or concerns Practice Managers may have with existing providers, or to give advice on how the standard of training can be checked, email him at gary@SiriusBusinessServices.co.uk or Telephone 01305 769969