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Integrating Voices of Survivors Into the System of Care Post-Cardiac Arrest

Herzog, Eyal MD*; Aziz, Emad F. DO*; Shapiro, Janet M. MD†

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine:
doi: 10.1097/HPC.0b013e318223c3bc
Original Article
Abstract

The management of patients after cardiac arrest is a prominent example of complexity on many levels of decisions. We designed a pathway for the management of survivors of cardiac arrest, guiding such decisions as cardiac catheterization, induction of therapeutic hypothermia, placement of defibrillator, and ethical decision making for life support. Our pathway outlines the comprehensive management of patients from the field through the emergency room, the cardiac catheterization laboratory, the cardiac care unit, step down unit, and the rehabilitation center. Involving patients and their families is a novel addition to a clinical pathway. We used the power of survivors' stories to inspire and educate clinicians in the utility of our multidisciplinary pathway approach. This approach may serve as a model for patient-centered care in medicine.

Author Information

From the Divisions of *Cardiology and †Pulmonary and Critical Care Medicine, Department of Medicine, St. Luke's and Roosevelt Hospital Center, New York, NY.

Reprints: Eyal Herzog, MD, Department of Medicine, St. Luke's and Roosevelt Hospital Center, 1111 Amsterdam Avenue, New York, New York 10025. E-mail: eherzog@chpnet.

© 2011 Lippincott Williams & Wilkins, Inc.