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Published in:

01-09-2017

Emergency Neurological Life Support: Resuscitation Following Cardiac Arrest

Authors: Jonathan Elmer, Kees H. Polderman

Published in: Neurocritical Care | Special Issue 1/2017

Abstract

Cardiac arrest is the most common cause of death in North America. An organized bundle of neurocritical care interventions can improve chances of survival and neurological recovery in patients who are successfully resuscitated from cardiac arrest. Therefore, resuscitation following cardiac arrest was chosen as an Emergency Neurological Life Support protocol. Key aspects of successful early post-arrest management include: prevention of secondary brain injury; identification of treatable causes of arrest in need of emergent intervention; and, delayed neurological prognostication. Secondary brain injury can be attenuated through targeted temperature management (TTM), avoidance of hypoxia and hypotension, avoidance of hyperoxia, hyperventilation or hypoventilation, and treatment of seizures. Most patients remaining comatose after resuscitation from cardiac arrest should undergo TTM. Treatable precipitants of arrest that require emergent intervention include, but are not limited to, acute coronary syndrome, intracranial hemorrhage, pulmonary embolism and major trauma. Accurate neurological prognostication is generally not appropriate for several days after cardiac arrest, so early aggressive care should never be limited based on perceived poor neurological prognosis.

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Title: Emergency Neurological Life Support: Resuscitation Following Cardiac Arrest
Authors: Jonathan Elmer
Kees H. Polderman
Publication date: 01-09-2017
Publisher: Springer US
Published in: Neurocritical Care / Issue Special Issue 1/2017
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-017-0457-9

ACC 2024 Congress

Springer Medicine

Emergency Neurological Life Support: Resuscitation Following Cardiac Arrest

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

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