Post cardiac arrest care: Difference between revisions
Line 9: | Line 9: | ||
*PCI | *PCI | ||
**Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases<ref>Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017</ref> | **Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases<ref>Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017</ref> | ||
*Aggressively | *Aggressively treat hyperglycemia | ||
**no IVFs with glucose | **no IVFs with glucose | ||
**RISS | **RISS | ||
*Aggressive | *Aggressive seizure treatment | ||
**prophylaxis unproven | **prophylaxis unproven | ||
*Minimize Irritation | *Minimize Irritation |
Revision as of 11:52, 18 July 2015
Treatment
- Maintain perfusion (cerebral)
- Tx hypotension
- ignore HTN
- normal PaCO2 (~40)
- Normoxia
- PaO2 80-120
- Therapeutic Hypothermia
- PCI
- Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases[1]
- Aggressively treat hyperglycemia
- no IVFs with glucose
- RISS
- Aggressive seizure treatment
- prophylaxis unproven
- Minimize Irritation
- sedatives +/- paralytics
- supine flat
See Also
References
- ↑ Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017