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Chapter 24 - Post-Arrest Neurologic Resuscitation
from Section 3 - Specific Neurological Disorders in Emergency Medicine
- By John O’Neill, James P. Valeriano
Edited by Thomas P. Campbell, Allegheny Health Network, Pittsburgh, Kevin M. Kelly, Allegheny Health Network, Pittsburgh
Book:

Handbook of Emergency Neurology

Published online:

10 January 2024

Print publication:

17 August 2023, pp 346-356
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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.