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Chapter 24 - Post-Arrest Neurologic Resuscitation

from Section 3 - Specific Neurological Disorders in Emergency Medicine

Published online by Cambridge University Press:  10 January 2024

By
John O’Neill  and
James P. Valeriano
Edited by
Thomas P. Campbell  and
Kevin M. Kelly
Thomas P. Campbell
Affiliation:
Allegheny Health Network, Pittsburgh
Kevin M. Kelly
Affiliation:
Allegheny Health Network, Pittsburgh
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Summary

The management of unresponsive post-cardiac arrest patients has been an area of much controversy and research. Interventions during the arrest, particularly no-pause cardiopulmonary resuscitation and the advent of the automated external defibrillator have placed patients in a better position to respond to post-resuscitative measures. The initiation of post-arrest therapeutic hypothermia protocols, now referred to as targeted temperature management (TTM), has resulted in significant improvement in the number of neurologically intact survivors. Post-arrest care is centered on TTM, but includes a series of protocolized steps that define the measures to be taken to optimize outcome in these patients. Post-arrest care is the fifth and final link in the American Heart Association’s out-of-hospital chain of survival.

Keywords

protocolized caretargeted temperature managementhypercapniahyperoxiamyoclonic activitybrainstem reflexes
Type
Chapter
Information
Handbook of Emergency Neurology , pp. 346 - 356
Publisher: Cambridge University Press
Print publication year: 2023

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References

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