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Optimizing survival outcomes for adult patients with nontraumatic cardiac arrest [digest]
Julianna Jung1, Milana Zaurova2
1Associate Professor and Director of Undergraduate Medical Education, Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Abstract:
Patient survival after cardiac arrest can be improved significantly with prompt and effective resuscitative care. This systematic review analyzes the basic life support factors that improve survival outcome, including chest compression technique and rapid defibrillation of shockable rhythms. For patients who are successfully resuscitated, comprehensive postresuscitation care is essential. Targeted temperature management is recommended for all patients who remain comatose, in addition to careful monitoring of oxygenation, hemodynamics, and cardiac rhythm. Management of cardiac arrest in circumstances such as pregnancy, pulmonary embolism, opioid overdose and other toxicologic causes, hypothermia, and coronary ischemia are also reviewed. [Points & Pearls is a digest of Emergency Medicine Practice].
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