Does emergent PCI for patients with ROSC after VF/VT cardiac arrest and no STEMI but with signs of Should severely hypothermic patients receive intubation and mechanical ventilation or simply warm This is a separate question from the decision of if or when to transport a patient to the hospital with resuscitation ongoing. Does sodium thiosulfate provide additional benefit to patients with cyanide poisoning who are treated Verapamil is a calcium channel blocking agent that slows AV node conduction, shortens the refractory period of accessory pathways, and acts as a negative inotrope and vasodilator. Because pregnant patients are more prone to hypoxia, oxygenation and airway management should be prioritized during resuscitation from cardiac arrest in pregnancy. 4. Prompt treatment of cardiac glycoside toxicity is imperative to prevent or treat life-threatening arrhythmias. A wide-complex tachycardia is defined as a rapid rhythm (generally 150 beats/min or more when attributable to an arrhythmia) with a QRS duration of 0.12 seconds or more. Despite steady improvement in the rate of survival from IHCA, much opportunity remains. The controlled administration of IV potassium for ventricular arrhythmias due to severe hypokalemia may be useful, but case reports have generally included infusion of potassium and not bolus dosing. If atropine is ineffective, either alternative agents to increase heart rate and blood pressure or transcutaneous pacing are reasonable next steps. When performed with other prognostic tests, it may be reasonable to consider persistent status epilepticus 72 h or more after cardiac arrest to support the prognosis of poor neurological outcome. There is also inconsistency in definitions used to describe specific findings and patterns. 3. cardiac arrest with shockable rhythm? The International Liaison Committee on Resuscitation (ILCOR) Formula for Survival emphasizes 3 essential components for good resuscitation outcomes: guidelines based on sound resuscitation science, effective education of the lay public and resuscitation providers, and implementation of a well-functioning Chain of Survival.4, These guidelines contain recommendations for basic life support (BLS) and advanced life support (ALS) for adult patients and are based on the best available resuscitation science. 1. Care of any patient with cardiac arrest in the setting of acute exacerbation of asthma begins with standard BLS. Debriefings and referral for follow-up for emotional support for lay rescuers, EMS providers, and hospital-based healthcare workers after a cardiac arrest event may be beneficial. It is reasonable that TTM be maintained for at least 24 h after achieving target temperature. More uniform definitions for status epilepticus, malignant EEG patterns, and other EEG patterns are Sparse data have been published addressing this question. treatable/preventable/recoverable? Acknowledging these data, the use of mechanical CPR devices by trained personnel may be beneficial in settings where reliable, high-quality manual compressions are not possible or may cause risk to personnel (ie, limited personnel, moving ambulance, angiography suite, prolonged resuscitation, or with concerns for infectious disease exposure). Multiple agents, including magnesium, coenzyme Q10 (ubiquinol), exanatide, xenon gas, methylphenidate, and amantadine, have been considered as possible agents to either mitigate neurological injury or facilitate patient awakening. A 12-lead ECG should be obtained as soon as feasible after ROSC to determine whether acute ST-segment elevation is present. Explanation: Standard BLS and ACLS are the cornerstones of treatment, with airway management and ventilation being of particular importance because of the respiratory cause of arrest.
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