Postcardiac Arrest Management

Jon C Rittenberger; Ankur A Doshi; Joshua C Reynolds; Post Cardiac Arrest Service

doi:10.1016/j.emc.2015.04.011

Postcardiac Arrest Management

Emerg Med Clin North Am. 2015 Aug;33(3):691-712. doi: 10.1016/j.emc.2015.04.011. Epub 2015 Jun 10.

Authors

Jon C Rittenberger¹, Ankur A Doshi¹, Joshua C Reynolds²; Post Cardiac Arrest Service

Collaborators

Post Cardiac Arrest Service:
Jon C Rittenberger, Clifton W Callaway, Francis X Guyette, Ankur A Doshi, Cameron Dezfulian, Joshua C Reynolds, Adam Frisch

Affiliations

¹ Department of Emergency Medicine, University of Pittsburgh, Suite 10028, Forbes Tower, Pittsburgh, PA 15260, USA.
² Department of Emergency Medicine, Michigan State University College of Human Medicine, 15 Michigan Street Northeast, Suite 420, Grand Rapids, MI 49503, USA. Electronic address: reyno406@msu.edu.

PMID: 26226874
DOI: 10.1016/j.emc.2015.04.011

Abstract

Cardiac arrest afflicts more than 300,000 persons annually in North America alone. Advances in systematic, regimented postresuscitation care have lowered mortality and improved neurologic outcomes in select cohorts of patients over the last decade. Postcardiac arrest care now comprises its own link in the chain of survival. For most patients, high-quality postcardiac arrest care begins in the Emergency Department. This article reviews the evidence and offers treatment strategies for the key components of postcardiac arrest care.

Keywords: Critical care; Heart arrest; Hypothermia; Prognostication; Resuscitation.

Publication types

Review

MeSH terms

Airway Management / methods
Brain Injuries / etiology
Brain Injuries / prevention & control
Cardiopulmonary Resuscitation / methods*
Disease Management
Emergency Service, Hospital
Heart Arrest / therapy*
Humans
Hypothermia / etiology
Hypothermia / therapy
Hypothermia, Induced
Multiple Organ Failure / etiology
Multiple Organ Failure / prevention & control
Reperfusion Injury / therapy
Time Factors