Managing the post-resuscitation patient in the field

David E. Persse, Brian S. Zachariah, Jane G. Wigginton

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The principal goal after successful resuscitation of a cardiac arrest patient is to maintain the patient's pulse and avoid a pulseless state. Of equal importance in the post-resuscitation patient are efforts to prevent myocardial dysfunction and increase the likelihood of a good neurologic outcome. To optimize cardiac and hemodynamic resuscitation, paramedics should obtain good background information, which could provide clues to factors contributing to the cardiac arrest, such as the use of certain drugs or being overdue for dialysis, and could aid in customizing therapy for rhythm disturbances and hemodynamic aberrations. Treatment of rhythm disturbances depends on the type of arrhythmia identified, the history of present illness, and the resuscitation efforts provided. Common post-resuscitation dysrhythmias are wide-complex tachycardia, narrow-complex tachycardia, and bradycardia. Optimizing neurologic resuscitation is difficult, but evidence suggests that hypertensive reperfusion, hemodilution, and mild hypothermia may be of benefit in improving neurologic outcome after resuscitation. Unfortunately, to date, no proven therapies are available to improve neurologic outcome after resuscitation from cardiac arrest.

Original languageEnglish (US)
Pages (from-to)114-122
Number of pages9
JournalPrehospital Emergency Care
Volume6
Issue number1
StatePublished - 2002

Fingerprint

Resuscitation
Nervous System
Heart Arrest
Tachycardia
Hemodynamics
Allied Health Personnel
Hemodilution
Bradycardia
Hypothermia
Reperfusion
Cardiac Arrhythmias
Dialysis
Therapeutics
History
Pharmaceutical Preparations

Keywords

  • Cardiac arrest
  • Neurologic outcome
  • Post-resuscitation syndrome
  • Resuscitation

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Managing the post-resuscitation patient in the field. / Persse, David E.; Zachariah, Brian S.; Wigginton, Jane G.

In: Prehospital Emergency Care, Vol. 6, No. 1, 2002, p. 114-122.

Research output: Contribution to journalArticle

Persse, DE, Zachariah, BS & Wigginton, JG 2002, 'Managing the post-resuscitation patient in the field', Prehospital Emergency Care, vol. 6, no. 1, pp. 114-122.
Persse, David E. ; Zachariah, Brian S. ; Wigginton, Jane G. / Managing the post-resuscitation patient in the field. In: Prehospital Emergency Care. 2002 ; Vol. 6, No. 1. pp. 114-122.
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