Sudden cardiac arrest (SCA) is the leading cause of sudden death in athletes during high-level, organised sport. Patient-related and event-related factors provide an opportunity for rapid intervention and the potential for high survival rates. The aim of this consensus was to develop a best-practice guideline for dedicated field-of-play medical teams responding to SCA during an organised sporting event. A task-and-finish group from Resuscitation Council UK identified a stakeholder group of relevant experts and cardiac arrest survivors in March and April 2022. Together, they developed a best-practice guideline using the best available evidence. A public consultation period further refined the guideline before it was finalised in December 2023. Any sudden collapse, without rapid recovery during sporting activity, should be considered an SCA until proven otherwise. Field-of-play medical teams should be empowered to access the collapsed athlete as soon as possible and perform initial essential interventions in situ. This includes a suggested minimum of three cycles of cardiopulmonary resuscitation and defibrillation in persistent shockable rhythms while other aspects of advanced life support are initiated. There should be careful organisation and practice of the medical response, including plans to transport athletes to dedicated facilities for definitive medical care. This best-practice guideline complements, rather than supersedes, existing resuscitation guidelines. It provides a clear approach to how to best treat an athlete with SCA and how to organise the medical response so treatments are delivered effectively and optimise outcomes.

中文翻译：

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赛场上的复苏：英国复苏委员会的最佳实践指南


心脏骤停 （SCA） 是运动员在高水平、有组织的运动中猝死的主要原因。患者相关和事件相关因素为快速干预和高生存率提供了机会。该共识的目的是为在有组织的体育赛事期间应对 SCA 的专门比赛场地医疗团队制定最佳实践指南。2022 年 3 月和 4 月，英国复苏委员会的一个任务和完成小组确定了一个由相关专家和心脏骤停幸存者组成的利益相关者小组。他们共同利用现有的最佳证据制定了最佳实践指南。公众咨询期进一步完善了该指南，并于 2023 年 12 月最终确定。在体育活动期间任何突然的虚脱，如果没有快速恢复，都应被视为 SCA，除非证明不是这样。应授权赛场医疗团队尽快接触倒地运动员，并在现场进行初步的基本干预。这包括建议至少三个周期的心肺复苏和除颤，在持续性可电击节律中，同时开始高级生命支持的其他方面。应仔细组织和演练医疗应对措施，包括计划将运动员运送到专门的设施进行明确的医疗护理。本最佳实践指南是对现有复苏指南的补充，而不是取代现有复苏指南。它为如何最好地治疗患有 SCA 的运动员以及如何组织医疗反应以有效提供治疗并优化结果提供了一种明确的方法。