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Cardiac Arrest in the Intensive Care Unit

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Annual Update in Intensive Care and Emergency Medicine 2019

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

Abstract

Most in-hospital cardiac arrests (IHCAs) occur on normal general wards due to non-cardiac etiology, and the prognosis is poor with only one fifth of IHCA patients surviving to hospital discharge [1–3]. Studies from the last two decades have repeatedly highlighted the presence of abnormal vital signs preceding a clear majority of IHCAs [4, 5]. This explains the poor survival even when immediate advanced cardiac life support is provided; if the cardiac arrest occurs after hours of continuous hemodynamic and respiratory instability, efforts to recover spontaneous circulation do not solve the core problem [6]. Therefore, in-hospital advanced cardiac life support programs have shifted towards the prevention of cardiac arrest in general wards through use of rapid response systems [7]. A multitude of before-after trials have shown that IHCAs (and indeed also in-hospital deaths) may be avoided through early detection of deteriorating vital signs and timely transfers to intensive care [8].

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Author information

Authors and Affiliations

  1. Department of Intensive Care Medicine and Department of Emergency, Anesthesia and Pain Medicine, Tampere University Hospital, Tampere, Finland

    J. Tirkkonen

  2. Division of Intensive Care Medicine, Department of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland

    I. Efendijev

  3. Department of Emergency Care and Services, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland

    M. B. Skrifvars

Authors
  1. J. Tirkkonen
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  2. I. Efendijev
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  3. M. B. Skrifvars
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Corresponding author

Correspondence to M. B. Skrifvars .

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Editors and Affiliations

  1. Dept. of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent

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Tirkkonen, J., Efendijev, I., Skrifvars, M.B. (2019). Cardiac Arrest in the Intensive Care Unit. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2019. Annual Update in Intensive Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-06067-1_9

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  • DOI: https://doi.org/10.1007/978-3-030-06067-1_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-06066-4

  • Online ISBN: 978-3-030-06067-1

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