Resuscitation
-
Review Practice Guideline Guideline
Part 10: pediatric advanced life support. European Resuscitation Council.
-
Review Practice Guideline Guideline
Part 12: from science to survival. Strengthening the chain of survival in every community. European Resuscitation Council.
Cardiac arrest treatment continues to evolve. Adequate treatment of the individual patient requires that the whole ECC system function smoothly, consistently, and rapidly. To maximize community-wide survival rates, a careful evaluation of the entire Chain of Survival is necessary, using standard measurements of performance. The challenge for the next decade is to establish this infrastructure and conduct multicenter, prospective, controlled clinical trials to better define the key factors that will improve survival from cardiac arrest in every community.
-
Review Practice Guideline Guideline
Part 8: advanced challenges in resuscitation. Section 3: special challenges in ECC. 3C: near-fatal asthma. European Resuscitation Council.
-
Review Practice Guideline Guideline
Part 8: advanced challenges in resuscitation. Section 2: toxicology in ECC. European Resuscitation Council.
Use of standard ACLS protocols for all patients who are critically poisoned may not result in an optimal outcome. Care of severely poisoned patients can be enhanced by urgent consultation with a medical toxicologist. Alternative approaches required in severely poisoned patients include: o Higher doses than usual. o Drugs that are rarely used to treat cardiac arrest (amrinone, calcium, esmolol, glucagon, insulin, labetalol, phenylephrine, physostigmine, and sodium bicarbonate). o Heroic measures, such as prolonged CPR and use of circulatory assist devices. When resuscitation is unsuccessful, organ donation may still be an option.