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It outlines objectives to improve survival through dispatcher-assisted CPR, compression-only education, AED use, high-quality team-based resuscitation, and post-cardiac arrest intensive care including hypothermia protocols. The manual also describes data-driven performance assessment using NCOEMS records and CARES reporting elements such as CPR, AED application, outcomes, and neurologic status.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cardiac-arrest-resuscitation-system-version-30-optimal-cardiac-arrest-system-specification-by-point-of-care-operations-manual/369265/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cardiac-arrest-resuscitation-system-version-30-optimal-cardiac-arrest-system-specification-by-point-of-care-operations-manual/369265.png","ImageObject",300,407,{"name":92,"@type":93},"kopisore","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",17,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What does the RACE CARS approach focus on?","Question",{"text":113,"@type":114},"The operations manual states that the current RACE CARS phase focuses on out-of-hospital cardiac arrest, coordinating care across community, pre-hospital, and hospital responses.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which community and pre-hospital measures are included?",{"text":118,"@type":114},"Community response includes mass education in compression-only CPR and AED use, while pre-hospital response includes rapid dispatch of first responders and defibrillators plus dispatcher-assisted CPR and high-quality team-based resuscitation.",{"name":120,"@type":111,"acceptedAnswer":121},"How is performance and impact measured?",{"text":122,"@type":114},"Progress is assessed using North Carolina Office of Emergency Medical Services (NCOEMS) records, with CARES reporting data elements covering details of the arrest episode, CPR and AED use, outcomes, hospital destination, hypothermia application, and neurologic outcome.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},369265,1790219376,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},962090880963,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Cardiac Arrest Resuscitation System  \nOptimal Cardiac Arrest System Specification By Point Of Care Operations Manual  \nVersion 3.0  \n© RACE 2013  \n[heartrescueproject.com](heartrescueproject.com)  \n[heartrescuenow.com](heartrescuenow.com)[ ](heartrescuenow.com)[https://cee.dcri.duke.edu/race-cars-1](https://cee.dcri.duke.edu/race-cars-1)  \nContents  \n| Optimal System Specification by Point of Care\u003Cbr>Community EMS: Dispatch\u003Cbr>EMS: First Responder\u003Cbr>EMS: Initial Contact\u003Cbr>EMT: Basic, Intermediate, or Paramedic\u003Cbr>EMS: Interfacility Transfer\u003Cbr>EMT: Basic, Intermediate, or Paramedic Hospital\u003Cbr>Cardiac Arrest Center Law Enforcement\u003Cbr>Government: Local (including EMS providers)\u003Cbr>Government: State and Federal\u003Cbr>Pre-Hospital\u003Cbr>Emergency Response Plan Characteristics of High Quality CPR Pit Crew Resuscitation\u003Cbr>Team Approach\u003Cbr>EMS Protocols\u003Cbr>Team focused CPR VF pulseless VT\u003Cbr>Adult Asystole/Pulseless Electrical Activity Cardiac Arrest; Adult\u003Cbr>Post Resuscitation\u003Cbr>Induced Hypothermia (Optional) Chest Pain and STEMI\u003Cbr>Hospital\u003Cbr>Cardiac Arrest Center\u003Cbr>Resuscitation Capable Hospital\u003Cbr>CARES Post Cardiac Arrest Hypothermia Order Set\u003Cbr>CARES Post-Cardiac Arrest Hypothermia Initiation Orders for Transferring Hospitals\u003Cbr>Post-Cardiac Arrest Protocol\u003Cbr>Resuscitation Capable Hospital Pre-Transfer Guidelines\u003Cbr>Community\u003Cbr>Community Training\u003Cbr>Compression Only- “Hands Only” CPR\u003Cbr>The 3 “C’s” of seeing when you should call 911 Cardiovascular Emergencies: Myocardial Infarction\u003Cbr>Cardiovascular Emergencies: Stroke\u003Cbr>Cardiovascular Emergencies: Cardiac Arrest\u003Cbr>CARES Data Form INTCAR Data Registry Glossary of Terms | Pages 2–6\u003Cbr>Page 2\u003Cbr>Page 2\u003Cbr>Page 2\u003Cbr>Page 3\u003Cbr>Page 3\u003Cbr>Page 4\u003Cbr>Page 4\u003Cbr>Page 5\u003Cbr>Page 6\u003Cbr>Page 6\u003Cbr>Page 7\u003Cbr>Page 8\u003Cbr>Page 9\u003Cbr>Page 10\u003Cbr>Pages 11–12\u003Cbr>Page 13\u003Cbr>Page 14\u003Cbr>Page 15\u003Cbr>Page 16\u003Cbr>Page 17\u003Cbr>Page 18\u003Cbr>Page 19\u003Cbr>Page 20\u003Cbr>Page 21\u003Cbr>Page 22\u003Cbr>Page 23\u003Cbr>Pages 24–26\u003Cbr>Page 27\u003Cbr>Pages 28–29\u003Cbr>Page 30\u003Cbr>Page 31\u003Cbr>Page 32\u003Cbr>Page 33\u003Cbr>Page 34\u003Cbr>Page 35\u003Cbr>Page 36\u003Cbr>Pages 37–38\u003Cbr>Page 39\u003Cbr>Page 40 |\n| --- | --- |\n\nIntroduction  \nThe Regional Approach to Cardiovascular Emergencies (RACE) project is a North Carolina statewide system for providing rapid coordinated care of cardiovascular emergencies. Established in 2003, the RACE system incorporates quality improvement efforts of over 119 hospitals, 540 emergency medical agencies and thousands of health care providers working in a coordinated manner to provide timely and lifesaving care. Initially, the RACE system was developed to treat acute myocardial infarction. With an eventual goal to rapidly coordinate the treatment of all cardiovascular emergencies, our current phase called RACE CARS (Cardiac Arrest Resuscitation System) is focusing on out of hospital cardiac arrest.  \nAs the third leading cause of death, cardiac arrest claims 300,000 Americans lives each year. If witnessed, recognized and treated with cardiopulmonary resuscitation (CPR), external defibrillation, and hospital post-arrest care, almost half of victims can survive and return to functional lives. Unfortunately, we currently fall well short of this goal in North Carolina, with only 1 in 5 victims receiving bystander CPR, and only 1 in 20 surviving to hospital discharge. Supported by the Medtronic Foundation HeartRescue Project, and hospitals and emergency medical systems throughout the state, we hope to double survival from cardiac arrest within 5 years.  \nOur approach includes three components  \n1) community response – mass education in compression only CPR and automatic external defibrillator (AED) use;  \n2) pre-hospital response – rapid dispatch of first responders and defibrillators; dispatcher assisted CPR to increase by-stander CPR rates; high quality CPR and team based resuscitation.  \n3) hospital response – coordinated  \npost-cardiac arrest intensive care including hypothermia protocols.  \nThe key elements of our system include regional org","cbCaihlTkdAz4hxC","https://ap.wps.com/l/cbCaihlTkdAz4hxC","pdf",2147131,48,"English","# Contents\n## Community EMS: Dispatch\n## EMS: First Responder\n## EMS: Initial Contact\n## EMT: Basic, Intermediate, or Paramedic\n## EMS: Interfacility Transfer\n## EMT: Basic, Intermediate, or Paramedic Hospital\n## Cardiac Arrest Center Law Enforcement\n## Government: Local (including EMS providers)\n## Government: State and Federal\n## Pre-Hospital\n## Emergency Response Plan Characteristics of High Quality CPR Pit Crew Resuscitation\n## Team Approach\n## EMS Protocols\n## Team focused CPR VF pulseless VT\n## Adult Asystole/Pulseless Electrical Activity Cardiac Arrest; Adult\n## Post Resuscitation\n## Induced Hypothermia (Optional)\n## Chest Pain and STEMI\n## Hospital\n## Cardiac Arrest Center\n## Resuscitation Capable Hospital\n## CARES Post Cardiac Arrest Hypothermia Order Set\n## CARES Post-Cardiac Arrest Hypothermia Initiation Orders for Transferring Hospitals\n## Post-Cardiac Arrest Protocol\n## Resuscitation Capable Hospital Pre-Transfer Guidelines\n## Community\n## Community Training\n## Compression Only- “Hands Only” CPR\n## The 3 “C’s” of seeing when you should call 911 Cardiovascular Emergencies: Myocardial Infarction\n## Cardiovascular Emergencies: Stroke\n## Cardiovascular Emergencies: Cardiac Arrest\n## CARES Data Form\n## INTCAR Data Registry\n## Glossary of Terms","[{\"question\":\"What does the RACE CARS approach focus on?\",\"answer\":\"The operations manual states that the current RACE CARS phase focuses on out-of-hospital cardiac arrest, coordinating care across community, pre-hospital, and hospital responses.\"},{\"question\":\"Which community and pre-hospital measures are included?\",\"answer\":\"Community response includes mass education in compression-only CPR and AED use, while pre-hospital response includes rapid dispatch of first responders and defibrillators plus dispatcher-assisted CPR and high-quality team-based resuscitation.\"},{\"question\":\"How is performance and impact measured?\",\"answer\":\"Progress is assessed using North Carolina Office of Emergency Medical Services (NCOEMS) records, with CARES reporting data elements covering details of the arrest episode, CPR and AED use, outcomes, hospital destination, hypothermia application, and neurologic outcome.\"}]","Cardiac Arrest Resuscitation System - Version 3.0 - Optimal Cardiac Arrest System Specification By Point Of Care Operations Manual | PDF",1790181654,121]