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N Engl J Med. 2016 Aug 25;375(8):802-3
Emerg Med J 2017;34:318–325.
Emerg Med J
2017;0:1–5.
Emerg Med J 2016;33: 286–292
Emerg Med J
2016;33: 61–70
Ann Emerg Med. 2016;67:538-545
The future of out-of-hospital
cardiac arrest
SMACC 2017
Maaret Castrén
Helsinki
Finland
32
“Precision medicine”
• “Most medical treatments have been designed for the
“average patient.” As a result of this “one-size-fits-all-
approach,” treatments can be very successful for some
patients but not for others.
This is changing with the emergence of precision medicine,
an innovative approach to disease prevention and
treatment that takes into account individual differences in
people’s genes, environments, and lifestyles.”
White House website, 30 January 2015
• A “culture of excellence” is, by
definition, out of the ordinary.
• A culture of excellence is a choice
to go beyond the ordinary.
• If you always do what you’ve always
done, you’ll always get what you
always got
• “We’ve always done it that way”
• “That will never work”
• “Check your ego at the door”
„The Enhanced Chain of
Survival“
10 Steps to
improve
Cardiac Arrest
Survival
European
Resuscitation
Academy C
0
15
30
45
60
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Development of VF survival rates
from
2005 to 2014 in Canton Ticino,
Switzerland
16%
38%
33%
43%
55%
Post
Resuscitati
on
Academy
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Out for blood

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  • 21. Emerg Med J 2017;34:318–325.
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  • 29. Ann Emerg Med. 2016;67:538-545
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  • 32. The future of out-of-hospital cardiac arrest SMACC 2017 Maaret Castrén Helsinki Finland 32
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  • 38. “Precision medicine” • “Most medical treatments have been designed for the “average patient.” As a result of this “one-size-fits-all- approach,” treatments can be very successful for some patients but not for others. This is changing with the emergence of precision medicine, an innovative approach to disease prevention and treatment that takes into account individual differences in people’s genes, environments, and lifestyles.” White House website, 30 January 2015
  • 39.
  • 40. • A “culture of excellence” is, by definition, out of the ordinary. • A culture of excellence is a choice to go beyond the ordinary.
  • 41.
  • 42. • If you always do what you’ve always done, you’ll always get what you always got • “We’ve always done it that way” • “That will never work” • “Check your ego at the door”
  • 43.
  • 44. „The Enhanced Chain of Survival“
  • 45. 10 Steps to improve Cardiac Arrest Survival European Resuscitation Academy C
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  • 47.
  • 48. 0 15 30 45 60 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Development of VF survival rates from 2005 to 2014 in Canton Ticino, Switzerland 16% 38% 33% 43% 55% Post Resuscitati on Academy