Week 7: Cardiac arrest and post-arrest management

Topics to consider

• Cardiac arrest (and peri-arrest) management

• To PCI or not to PCI?

• What is post cardiac arrest syndrome?

• Induced hypothermia or targetted temperature management?

• Prognostication after cardiac arrest

Resources

• Current recommendations on adult resuscitation : (BJA Education)

• Post Cardiac Arrest syndrome : (American heart association)

• Prognostication of patients after cardiopulmonary resuscitation : (BJA Education)

• Prognostication after cardiac arrest (Dr Howatson)

Key trials and guidelines

• RC(UK) guidelines: Advanced Life Support, Peri-arrest arrhythmias, and post-resuscitation care

• brand new ERC/ECISM guidelines: Post resuscitation care

Managing an arrest:

• Continuous or intermittent chest compressions: ROC-CCC

• Adrenaline or not: PARAMEDIC2

• Amiodarone or not: ALPS

• Vasopressin and steroids: VSE

• Choice of airway: An inhospital comparison, and two big prehospital studies (AIRWAYS2 and PART)

• ECMO and CPR: ARREST and CHEER

Post arrest management

• Temperature management: HYPERION, the OG TTM, and second TTM, and the 33 vs 36C follow up

• How long should we keep them cold? TTM48 and a follow up study

• Paralysis during TTM

• Prognostication after TTM

• Prevention of VAP: ANTHARCTIC

• Early or delayed PCI: COACT

• Mechanical support: IABP-SHOCK2

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