b'A Year in ReviewDear CARES Community,If 2022 was the year of resilience, 2023 looks to be the year of advancement in resuscitation practice. The millionth patient was entered in CARES earlier this year which deserves a moment of pause. The 2022 CARES National reports published last week acknowledge positive signs of recovery in overall cardiac arrest survival, bystander defibrillation in public locations, and continuity in community-based CPR efforts, reversing downward trends since the onset of the pandemic. Many Americans added cardiac arrest to their vocabulary after witnessing the collapse, resuscitation, and eventual recovery of Damar Hamlin during a widely televised NFL playoff game. This national moment precipitated a surge in online interest to learn bystander CPR and more recently has led to a collective commitment of all major sports leagues to promote CPR training and development of emergency response plans in schools countrywide.New funding that will advance CARES expansion to all 50 states over the next five years while providing for dedicated improvement activities nationally became a reality on two fronts. The first is a result of Congressional passage of the CAROL Act late last year that will appropriate 25 million dollars in funding over five years (2023-2027), as part of a public-private partnership (American Red Cross, American Heart Association, CDC, HHS, and Emory University). Goals include expansion of CARES while strengthening the existing partnership with the Seattle based Resuscitation Academy team and promoting the NHTSA CPR LifeLinks curriculum (dispatcher assisted CPR and professional team-based CPR training) with colleagues at the University of Texas-Houston. A more coordinated approach to measurement and improvement activities will be realized through a regional implementation plan nationally. A sincere note of thanks to the American Heart Association and American Red Cross Government Affairs teams and all the local and state level efforts advocating for this federal legislation which would not have been possible without this coordinated effort. The second funding announcement will be made public later this month. We are proud to present the 2022 CARES Annual Report that highlights survivors, CARES in Action stories, and impactful research publications. The survivor wall is a testament to your efforts and a reminder about the work that remains ahead. Two publications that deserve greater attention include CARES Trend Data from 2015-2019, that found improvement in both overall and witnessed cardiac arrest survival. The second article received significant visibility in the NEJM and found that Black and Hispanic patients with witnessed cardiac arrest in public settings were even less likely to receive bystander CPR than in a residential setting. This disparity existed irrespective of neighborhood demographics, suggesting implicit or explicit bias.We hope you enjoy the 2022 CARES Annual Report and look forward to sharing more information soon about CARES expansion efforts nationally. Bryan McNally, MD, MPHExecutive Director CARESProfessor of Emergency MedicineEmory University School of MedicineRollins School of Public HealthAtlanta, Georgia USA 7'