Resuscitation 2007;72:404-14. Spindelboeck W, Schindler O, Moser A, et al. I: Resistive properties of nitrile gloves. Tracheal intubation should be attempted only by trained personnel able to carry out the procedure with a high level of skill and confidence. Infections are common in patients who have a CA and particularly in those receiving TH, which suppresses cellular and antibody immunity.
The absence of any abnormal finding in these tests alone does not indicate a good prognosis, but the presence of 1 abnormal finding does not automatically indicate a poor outcome. 2014 Apr. Glaeser PW, Hellmich TR, Szewczuga D, Losek JD, Smith DS.
Temperature-regulated surface and endovascular devices that circulate cold water allow easier temperature control during the maintenance phase and prevent rapid temperature changes during rewarming.12 Several liters of cooled intravenous saline will promptly decrease temperatures by 1°C within 30 minutes,13 will help prevent postresuscitation hypotension, and can be delivered by first responders or emergency department personnel.
Where available, the appropriate antidotes should be used, but most often treatment is supportive and standard ALS protocols should be followed. Ann Emerg Med. Alex Koyfman, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, Society for Academic Emergency MedicineDisclosure: Nothing to disclose. Eur Heart J Acute Cardiovasc Care. 1988 Oct. 16 (10):942-6. The two-person technique for bag-mask ventilation is preferable.
Cardiac mechano-electric feedback and arrhythmias: form pipette to patient.
If a fibrinolytic drug is given in these circumstances, consider performing CPR for at least 60–90 min before termination of resuscitation attempts.
Crit Care Med.
Use head tilt and chin lift, or jaw thrust to open the airway. Resuscitation 2012;83:40-5.
We have found that selective use of NMBA boluses (3 doses of cisatracurium 0.15 mg/kg IV every 10 minutes) is often effective and allows patients to achieve target temperature without a continuous NMBA infusion.
Does the presence or absence of sonographically identified cardiac activity predict resuscitation outcomes of cardiac arrest patients? Nolan JP, Soar J, Smith GB, et al.
[Guideline] Adams HP Jr, del Zoppo G, Alberts MJ, AHA, ASA Stroke Council, CLCD, et al.
Terms | Privacy (EHS) | About | Site Map | Blog. Safety and feasibility of prehospital extra corporeal life support implementation by non-surgeons for out-of-hospital refractory cardiac arrest. 2008.
J Emerg Med 2010;38:614-21. Park SO, Kim JW, Na JH, et al. Resuscitation 2015;95:e43-e70.
2005 Aug 2. Expired air ventilation (rescue breathing) is effective but the rescuer’s expired oxygen concentration is only 16–17%, so it must be replaced as soon as possible by ventilation with oxygen-enriched air. What is the Hypothermia Protocol That Saves the Brain. Resuscitation 2015;89:A7-9. Acad Emerg Med. [Medline]. Femoral venous pulsations during open-chest cardiac massage. Kim F, Olsufka M, Carlbom D, et al. [Medline].
Resuscitation 1995;29:195-201. Part 4: Advanced life support: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. 2011 Sep. 82 (9):1162-7.