• Emerg. Med. Clin. North Am. · Aug 2023

    Review

    Resuscitation Strategies for Maximizing Survival.

    • Elisabeth K McHale and Johanna C Moore.
    • Department of Emergency Medicine, Hennepin Healthcare, 701 Park Avenue, Minneapolis, MN 55415, USA; Department of Internal Medicine, Hennepin Healthcare, Minneapolis, MN, USA.
    • Emerg. Med. Clin. North Am. 2023 Aug 1; 41 (3): 573586573-586.

    AbstractThere is no single resuscitation strategy that will uniformly improve cardiac arrest outcomes. Traditional vital signs cannot be relied on in cardiac arrest, and the use of continuous capnography, regional cerebral tissue oxygenation, and continuous arterial monitoring are options for use early defibrillation are critical elements of resuscitation. Cardio-cerebral perfusion may be improved with the use of active compression-decompression CPR, an impedance threshold device, and head-up CPR. In refractory shockable arrest, if ECPR is not an option, consider changing defibrillator pad placement and/or double defibrillation, additional medication options, and possibly stellate ganglion block.Copyright © 2023 Elsevier Inc. All rights reserved.

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