• Yew Woon Chia, Shir Lynn Lim, Julian Kenrick Loh, Benjamin Sieu-Hon Leong, and OngMarcus Eng HockMEHDepartment of Emergency Medicine, Singapore General Hospital, Singapore.Duke-NUS Medical School, Singapore..
• Cardiac Intensive Care Unit, Department of Cardiology, Tan Tock Seng Hospital, Singapore.
• Singap Med J. 2021 Aug 1; 62 (8): 444-451.

AbstractA well-functioning chain of survival is critical for good outcomes following out-of-hospital cardiac arrest, a major public health concern in Singapore. While the percentage of survivors to hospital admission has increased over the years, the percentage of survivors to hospital discharge and the number of patients with good neurological recovery can be greatly improved. This underscores the urgent need to focus on 'post-cardiac arrest care', the fifth link in the chain of survival, to improve the outcomes of patients who are admitted to the intensive care unit (ICU) after return of spontaneous circulation. This review builds on earlier recommendations of the Singapore National Targeted Temperature Management Workgroup in 2017 to provide a focused update on post-cardiac arrest management and a practical guide for physicians managing resuscitated patients with cardiac arrest in the ICU.Copyright: © Singapore Medical Association.

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