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This link in the Chain of Survival is the D of the primary CABD paradigm and, at the same time, the beginning of the advanced resuscitation protocol.
The main cause of failure to adequately resuscitate in this chain of survival is the delay in initiating defibrillation when needed.
Called the Chain of Survival, actions include: | Prompt recognition and call for help; | early CPR to buy time; | early defibrillation to restart the heart; | rapid access to advanced resuscitation; | prompt, high quality post resuscitation care; | transport to the nearest appropriate hospital; | co-ordinated rehabilitation services.
When a medical professional is not immediately available, it is often family members, friends or bystanders who are on the scene first and become the first critical step in the chain of survival.
The British Heart Foundation regards defibrillators as an essential life-saving step in the chain of survival and points to numerous occasions when they have saved lives.
was formed with the purpose of strengthening the chain of survival in targeted communities.
Training is necessary to understand how defibrillation fits into the cardiac chain of survival.
Tony Connelly, resuscitation services manager for North Tees and Hartlepool NHS Trust, said: "We want to do all we can to recreate the key components of the chain of survival - call for help, basic life support, shock treatment and hospital intervention - which are proven to save lives.
Speaking at the launch, IHF chief executive Michael O'Shea said: "As CPR is a vital tool in the chain of survival, most adults should know this life-saving technique.
Highlighting the importance of early CPR in the Chain of Survival, Doctor David McManus, Interim Chief Executive of the Ambulance Service said: Once cardiac arrest has been identified 999 should be called immediately.