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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.

Olga Smékalová, MD, Veronika Machalová, Tereza Novotná

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.

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Keywords: postresuscitation care, hypothermia, arrhythmia

Review

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.

created: 25. 5. 2017 | last modified on: 13. 9. 2019


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