Optimizing Survival Outcomes For Adult Patients With Nontraumatic Cardiac Arrest
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Optimizing Survival Outcomes For Adult Patients With Nontraumatic Cardiac Arrest
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Publication Date: October 2016 (Volume 18, Number 10)

Awarded by Sipa, Best Instructional Reporting

CME: This issue includes 4 AMA PRA Category 1 Credits™; 4 ACEP Category I credits; 4 AAFP Prescribed credits; and 4 AOA Category 2 A or 2B CME credits.

Author

Julianna Jung, MD, FACEP
Associate Professor and Director of Undergraduate Medical Education, Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD

Peer Reviewers

William J. Brady, MD
Professor of Emergency Medicine and Medicine; Chair, Medical Emergency Response Committee; Medical Director, Emergency Management, University of Virginia Medical Center, Charlottesville, VA

Faheem Guirgis, MD, FACEP
Assistant Professor of Emergency Medicine, University of Florida Health Jacksonville, Department of Emergency Medicine, Division of Research, Jacksonville, FL

Abstract
 
Patient survival after cardiac arrest can be improved significantly with prompt and effective resuscitative care. This systematic review analyzes the basic life support factors that improve survival outcome, including chest compression technique and rapid defibrillation of shockable rhythms. For patients who are successfully resuscitated, comprehensive postresuscitation care is essential. Targeted temperature management is recommended for all patients who remain comatose, in addition to careful monitoring of oxygenation, hemodynamics, and cardiac rhythm. Management of cardiac arrest in circumstances such as pregnancy, pulmonary embolism, opioid overdose and other toxicologic causes, hypothermia, and coronary ischemia are also reviewed.
 

Excerpt From This Issue

Shortly after starting your night shift, you get STAT paged to bed 34. You rush to the room and find the nurses giving chest compressions. You wrack your brain to remember sign-out – wasn’t this the man who came in with chest pain, no ECG changes, but a concerning history? He was stable, just waiting on an inpatient bed! Not anymore, you sigh. You hold compressions to take a look at the monitor, and see V-fib. “Charge to 200 joules,” you say. “Clear!” calls the tech. The patient jumps with the force of the electricity. The nurse resumes compressions, but a few moments later, the patient moans, moving his hand to his chest. As you hold on compressions and continue to stabilize the patient, you wonder if he would be a good candidate to go to the cath lab . . .

 

 
 

Product Reviews
Kimber Ward, MD - 08/10/2017
Good review and outline of care for non-traumatic cardiac arrest.
Peter Benson, MD - 07/06/2017
Nice review. I will more strongly consider post-resuscitation hypothermia.

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Last Modified: 12/18/2018
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