Updates in Cardiac Arrest Resuscitation

被引:9
作者
Lam, Vivian [1 ]
Hsu, Cindy H. [2 ,3 ]
机构
[1] Univ Michigan, Sch Med, Dept Emergency Med, 1500 East Med Ctr Dr,B1-380 Taubman Ctr,SPC 5305, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Med, Dept Emergency Med, Michigan Ctr Integrat Res Crit Care, NCRC B026-309N,2800 Plymouth Rd, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Sch Med, Dept Surg, Michigan Ctr Integrat Res Crit Care, NCRC B026-309N,2800 Plymouth Rd, Ann Arbor, MI 48109 USA
关键词
Cardiac arrest; Cardiopulmonary resuscitation; Airway management; Vasopressor; Epinephrine; Antiarrhythmic medication; Hypothermia; Defibrillation; SEQUENTIAL EXTERNAL DEFIBRILLATION; ASSOCIATION GUIDELINES UPDATE; TIDAL CARBON-DIOXIDE; REFRACTORY VENTRICULAR-FIBRILLATION; CORONARY PERFUSION-PRESSURE; BASIC LIFE-SUPPORT; CARDIOPULMONARY-RESUSCITATION; THERAPEUTIC HYPOTHERMIA; ENDOTRACHEAL INTUBATION; CHEST COMPRESSION;
D O I
10.1016/j.emc.2020.06.003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
There are approximately 350,000 out-of-hospital cardiac arrests and 200,000 in-hospital cardiac arrests annually in the United States, with survival rates of approximately 5% to 10% and 24%, respectively. The critical factors that have an impact on cardiac arrest survival include prompt recognition and activation of prehospital care, early cardiopulmonary resuscitation, and rapid defibrillation. Advanced life support protocols are continually refined to optimize intracardiac arrest management and improve survival with favorable neurologic outcome. This article focuses on current treatment recommendations for adult nontraumatic cardiac arrest, with emphasis on the latest evidence and controversies regarding intracardiac arrest management. © 2020 Elsevier Inc.
引用
收藏
页码:755 / 769
页数:15
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