Chain of Survival Mystery?

What does the chain of survival logo look like and what does it tells us?

Here is the old logo:

Here is the new 2010 logo:



The new logo added the new link “Integrated post-cardiac arrest care.” It also changed “early” advanced care to “effective” advanced life support.

And here is another one I recently had pointed out to me:

I am not certain where this one comes from. It is still a mystery to me. My guess is that it is an international logo. It is back to four links. Gone is “Effective Advanced Life Support.” It jumps from defibrillation to post resucitation care.

I guess someone is paying attention to the literature that ALS care during cardiac arrest — drugs and intubation — doesn’t make a difference.

Early recognition, CPR, defibrillation and post resucitation care (induced hypothermia, blood pressure support, cardiac catheterization) do.

No mystery about that.




  • I suppose “effective” advanced care could include needle chest decompression, pericardiocentesis, fluid resuscitation, capnography monitoring, and ECMO… hopefully it does not mean intubation and useless drugs… although there is actually some data from a very large Japanese study that finally gives epinephrine ‘some’ validation.

  • Andrew Bowman says:

    I would make a new logo of 4 interlocking C’s
    Cardio vert

  • Post resuscitation care starts in the field, not the hospital. BP support, airway control, proper ventilation, and therapeutic hypothermia, should all start in the field. While ALS medications may not be effective in ROSC, they certainly are post ROSC.

    It does little good to get ROSC only to have the patient vomit and die from aspiration pneumonia a week later.

  • Ric P says:

    The bottom Chain of survival is the British Resuscitation Council version 🙂

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