Cardiac Arrest, Start With The End In Mind; Roadside to Resus

Cardiac arrest management requires a shift from a purely medical focus to optimizing workflow efficiency through deliberate, structured planning. Success hinges on anticipating the entire patient journey—from initial dispatch and scene arrival to definitive care—to minimize cognitive load and physical clutter. Key strategies include creating adequate space for high-quality CPR, strategically positioning equipment to reduce unnecessary movement, and maintaining fluid team roles led by a clear leader. Effective management extends to involving family members during resuscitation and coordinating pre-alerts to ensure seamless transitions to hospital care. By applying these ergonomic and logistical principles, teams can improve resuscitation outcomes and maintain operational readiness for subsequent patients. This approach, applicable to both pre-hospital and emergency department settings, transforms chaotic environments into streamlined systems that prioritize both patient care and team performance.