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End-of-Life Care in Cardiovascular Disease pp 107–119Cite as

Management of Hospitalized Patients with Unexpected Cardiopulmonary Arrest

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Abstract

The optimal management of an in-hospital cardiac arrest goes beyond the measures employed during the resuscitation. Clinicians should possess skills to deliver bad news and to guide decision making discussions. Scores are available and should be utilized to aid in prognostication to better guide these discussions. Prediction of neurologic outcome is challenging in the era of therapeutic hypothermia but the wealth of literature available provides a guide to understanding which patients may survive and which patients are unlikely to do so. Finally, using risk scores to guide code status discussions and systems-based patient safety measures can reduce the number of in-hospital cardiac arrests.

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Author information

Authors and Affiliations

  1. Richard DeVos Heart & Lung Transplant Program, Frederik Meijer Heart and Vascular Institute, Spectrum Health, 330 Barclay NE, Suite 200, Grand Rapids, MI, 49503, USA

    Michael G. Dickinson MD

  2. Michigan State University, Grand Rapids, MI, USA

    Michael G. Dickinson MD

  3. Internal Medicine Department, Spectrum Health Butterworth, Grand Rapids, MI, USA

    Christopher M. Meeusen MD

  4. Palliative Care, Spectrum Health Medical Group, Spectrum Health, Grand Rapids, MI, USA

    Daniel L. Maison MD

Authors
  1. Michael G. Dickinson MD
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  2. Christopher M. Meeusen MD
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  3. Daniel L. Maison MD
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Corresponding author

Correspondence to Michael G. Dickinson MD .

Editor information

Editors and Affiliations

  1. Portland VA Medical Center,, Patient-Centered Education and Research, Salt Lake City, UT, USA, Portland, Oregon, USA

    Sarah J. Goodlin

  2. Washington University School of Medicine, St Louis, Missouri, USA

    Michael W. Rich

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© 2015 Springer-Verlag London

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Dickinson, M.G., Meeusen, C.M., Maison, D.L. (2015). Management of Hospitalized Patients with Unexpected Cardiopulmonary Arrest. In: Goodlin, S., Rich, M. (eds) End-of-Life Care in Cardiovascular Disease. Springer, London. https://doi.org/10.1007/978-1-4471-6521-7_7

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  • DOI: https://doi.org/10.1007/978-1-4471-6521-7_7

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6520-0

  • Online ISBN: 978-1-4471-6521-7

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