Maine Cardiac Arrest Survival Project

Level One Cardiac Resuscitation Center Requirements

· Works with EMS medical direction to develop plan;

· Aligned with ST segment elevation myocardial infarction (STEMI) centers;

· External certification not self-designation;

· Initiates hypothermia as soon as feasible when indicated;

· Capable of Percutaneous coronary intervention (PCCI);

· Hospital or most responsible physician group treats at least 40 patients resuscitated from OOHCA annually, meets ACC/AHA STEMI guidelines for PCCI, resuscitation-related services available 24 hours a day, 7 days a week;

· Plan for and treat re-arrest, including mechanical device or pharmacological support if appropriate;

· Capable of electrophysiology testing and ICD assessment and placement;

· Provides CPR training for lay public;

· Provides CPR, ACLS, and PALS training for staff;

· Defers assessment of prognosis to 72 h after rewarming;

· Establishes and maintains multidisciplinary team including EMS, emergency medicine, nursing, cardiology, neurology, and critical care personnel, to monitor and improve resuscitation process and outcome;

· Reimbursed for participation.