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Cardiac Arrest Management

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Evidence-Based Critical Care

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Abstract

Each year in the United States, over 500,000 patients are treated for unexpected cardiac arrest either outside or inside the hospital. Survival rates are approximately 10% for EMS treated out-of-hospital cardiac arrest (OHCA) and 20% for in-hospital cardiac arrest (IHCA). The most important contributors to survival and good neurologic outcome are early CPR and early defibrillation resulting in early return of spontaneous circulation (ROSC). The quality of CPR also plays a key role. The evidence supporting advanced life support measures such as airway management, vasopressors, and antiarrhythmic drugs is less robust. Diagnosing and treating the underlying cause of cardiac arrest during CPR is challenging but can be lifesaving. Extracorporeal cardiopulmonary resuscitation (ECPR) using veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is emerging as a rescue strategy for cardiac arrest refractory to standard resuscitation efforts in appropriate patients and settings. It is essential to recognize that resuscitation efforts do not end with ROSC. Management of post-cardiac arrest syndrome requires additional diagnostics, continuous monitoring and active treatment to achieve optimal outcomes.

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Authors and Affiliations

  1. Emergency Medicine, Michigan Medicine, Ann Arbor, MI, USA

    Nathan L. Haas & Robert W. Neumar

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  1. Nathan L. Haas
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  2. Robert W. Neumar
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Correspondence to Nathan L. Haas .

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Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Robert C. Hyzy

  2. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Jakob McSparron

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Haas, N.L., Neumar, R.W. (2020). Cardiac Arrest Management. In: Hyzy, R.C., McSparron, J. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-26710-0_1

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  • DOI: https://doi.org/10.1007/978-3-030-26710-0_1

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