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المستخلص SUMMARY AND CONCLUSION The new Guidelines for CPR and ECC mark the 50th anniversary of modern CPR. And yet we still have a long road to travel if we are to fulfill the potential offered by the Chain of Survival. There is a striking disparity in survival across systems of care for cardiac arrest. Survival disparities that were present a generation ago appear to persist. Although future discoveries will offer opportunities to improve survival, we currently possess the knowledge and tools - represented by the Chain of Survival - to address many of these care gaps. The challenge is one of real-world translation across diverse systems, many instructive and encouraging examples have been published, describing ways in which that translation can be accomplished. Each system, whether in the hospital or in the community, must assess its performance and implement a strategy for improving care in cases of cardiac arrest. That strategy should support the building blocks of resuscitation: the BLS links of immediate recognition and emergency activation, early CPR, and rapid defibrillation. If we accept this imperative to act, we can achieve the full potential offered by the Chain of Survival and, in turn, improve public health. |