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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.

Author: Olga Smékalová, MD, Veronika Machalová, Tereza Novotná

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

Keywords: postresuscitation care | hypothermia | arrhythmia

Educational evel: Undergraduate level | Graduate

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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Review

Reviewer:

MUDr. Roman Škulec, Ph.D., 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.

publikováno: 25.5.2017 | last modified on: 16.5.2018