Postresuscitation care


The return of spontaneous circulation is just the first step towards recovery after cardiac arrest. Based on prolonged hypoperfusion or even organ ischaemia and following reperfusion, a patophysiological phenomenons develop. We call this post resuscitation syndrome. This algorithm will guide you through the current recommendations in post-resuscitation care, from securing the patient’s airways in the ambulance through treatment in ICU to post cardiac arrest rehabilitation.

2017
postresuscitation care
hypothermia
arrhythmia
Published at: 25.5.2017

Review

Assoc. Prof. Roman Škulec, MD, PhD
Department of Anesthesiology, Perioperative and Intensive medicine, Masaryk Hospital Ústí nad Labem, Czech Republic

Out-of-hospital cardiac arrest is a cardiovascular catastrophe often encountered by Emergency Medical Services and in-hospital emergency and ICU teams.  The elaborated educational algorithm focuses on the training of pre-hospital and in-hospital post-cardiac arrest management. All key decision-making moments and procedures according to current guidelines are included. It is the best I have ever seen before. It contains clear and explanatory correct answers, incorrect answers include the most common dilemmas and less appropriate approaches. It does not glut with a lot of descriptive data but inspire to further more detailed study. I also greatly appreciate the final emphasis on the need for subsequent neurorehabilitation care.

Sources

ŠEVČÍK, Pavel. Intenzivní medicína. 3rd edition Praha : Galén, 2014. 1196 p. ISBN 978-80-7492-066-0

KLEMENTA, Bronislav. Resuscitace. 1st edition Olomouc : EPAVA, 2014. 279 p. ISBN  978-80-86297-41-5

ERC Guidelines 2015. https://cprguidelines.eu [online]
Available on: https://cprguidelines.eu/sites/573c777f5e61585a053d7ba5/content_entry573c77e35e61585a053d7baf/573c780e5e61585a083d7bcc/files/S0300-9572_15_00330-5_main.pdf?

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Algorithms