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Cardiac Arrest, An Issue of Emergency Medicine Clinics - E-Book

Cardiac Arrest, An Issue of Emergency Medicine Clinics - E-Book

Bill Brady | Nathan P. Charlton | Benjamin J. Lawner | Sara F. Sutherland

(2012)

Additional Information

Book Details

Abstract

Topics include: Cardiac Arrest as a Public Health Concern, Prehospital Cardiac Arrest, Cardiopulmonary Resuscitation, Cardioactive Medications in Cardiac Arrest, Airway Management in Cardiac Arrest, Rapid Response Teams, and  Pediatric Cardiac Arrest.

Table of Contents

Section Title Page Action Price
Front Page Cover
Emergency Medicine Clinics of North America i
Copyright Page ii
Table of Contents vii
Contributors iii
Forthcoming Issues xi
Goal Statement xii
Foreword xiii
Preface xv
Introduction xix
Chapter 1. Cardiac Arrest: A Public Health Perspective 1
INCIDENCE 2
SURVIVAL 2
NET BURDEN 3
NEED FOR PUBLIC HEALTH SURVEILLANCE OF CARDIAC ARREST 3
PATIENT-LEVEL RISK FACTORS 5
COMMUNITY-LEVEL RISK FACTORS 7
A PUBLIC HEALTH APPROACH TO CARDIAC ARREST 8
SUMMARY 8
REFERENCES 8
Chapter 2. Out-of-Hospital Cardiac Arrest 13
ACCESS AND PRESENTATION 13
DEMOGRAPHICS 14
OHCA OUTCOMES 15
RESPONSE SYSTEMS AND PROCESS 17
SUMMARY 20
REFERENCES 20
Chapter 3. In-Hospital Cardiac Arrest 25
DEMOGRAPHICS 25
PATHOPHYSIOLOGY 26
PREDICTION 27
PRESENTATION 28
RESPONSE SYSTEMS AND PROCESS 29
OUTCOMES 31
SUMMARY 31
REFERENCES 31
Chapter 4. Cardiopulmonary Resuscitation Update 35
CIRCULATION 35
DEFIBRILLATION 40
AIRWAY AND BREATHING 41
SUMMARY 42
ACKNOWLEDGMENTS 42
REFERENCES 42
Chapter 5. Electrical Therapies in Cardiac Arrest 51
DEFIBRILLATION 52
CARDIAC PACING 55
AUTOMATED EXTERNAL DEFIBRILLATORS 57
SUMMARY 59
REFERENCES 59
Chapter 6. The Impact of the Code Drugs: Cardioactive Medications in Cardiac Arrest Resuscitation 65
VASOPRESSOR MEDICATIONS 66
PARASYMPATHOLYTIC MEDICATION (ATROPINE) 68
ANTIARRHYTHMIC MEDICATIONS (LIDOCAINE AND AMIODARONE) 69
OTHER MEDICATIONS 70
SUMMARY 73
REFERENCES 73
Chapter 7. Airway Management in Cardiac Arrest 77
PARADIGM SHIFTS IN AIRWAY MANAGEMENT 78
EMERGENCY MEDICINE AIRWAY MANAGEMENT: FROM PREHOSPITAL TO THE EMERGENCY DEPARTMENT 79
VENTILATORY MANAGEMENT STRATEGIES 83
SUMMARY 87
REFERENCES 87
Chapter 8. Prognosis in Cardiac Arrest 91
PREARREST FACTORS 91
OUT-OF-HOSPITAL CARDIAC ARREST 91
IN-HOSPITAL CARDIAC ARREST 94
INTRA-ARREST FACTORS 94
END-TIDAL CO2 MONITORING 94
ULTRASONOGRAPHY 95
POSTARREST FACTORS 96
IMMEDIATE POSTARREST FACTORS 96
NEUROLOGIC PREDICTORS 97
CLINICAL SIGNS 98
ELECTROPHYSIOLOGICAL TESTING 98
BIOCHEMICAL TESTING 98
NEUROIMAGING 99
SUMMARY 99
REFERENCES 99
Chapter 9. “Putting It All Together” to Improve Resuscitation Quality 105
CURRENT STATE OF RESUSCITATION PERFORMANCE 106
IMPROVING PERFORMANCE IMPROVES OUTCOMES 108
BEFORE: RESUSCITATION TRAINING 108
DURING: MONITORING CPR QUALITY WITH TITRATION TO PATIENT PHYSIOLOGY 110
AFTER: PERFORMANCE DEBRIEFING 114
EVIDENCE THAT PUTTING IT ALL TOGETHER IMPROVES OUTCOMES 115
SUMMARY 116
ACKNOWLEDGMENTS 116
REFERENCES 116
Chapter 10. Postresuscitation Care 123
POST–CARDIAC ARREST SYNDROME 123
ED MANAGEMENT OF THE PATIENT AFTER CARDIAC ARREST 126
SUPPORTIVE CARE 132
REGIONALIZATION OF RESUSCITATION CENTERS 134
SUMMARY 135
ACKNOWLEDGMENTS 136
REFERENCES 136
Chapter 11. Rapid Response Systems: Identification and Management of the “Prearrest State” 141
THE RAPID RESPONSE SYSTEM 142
THE AFFERENT LIMB 142
CONTROVERSY 146
SUMMARY 147
REFERENCES 147
Chapter 12. Pediatric Resuscitation and Cardiac Arrest 153
EPIDEMIOLOGY OF PEDIATRIC CARDIAC ARREST 153
PREVENTION OF CARDIAC ARREST (PREARREST) 154
CARE OF THE CHILD IN CARDIAC ARREST 156
EQUIPMENT 158
THE AMERICAN HEART ASSOCIATION GUIDELINES 2010 160
SPECIAL SITUATIONS 164
SUMMARY 165
REFERENCES 165
Chapter 13. Cardiac Arrest in Special Populations 169
TRAUMATIC INJURY 169
ASTHMA 171
PREGNANCY 171
POISONING 173
ELECTRICAL/LIGHTNING INJURY 174
HYPOTHERMIA 174
SUBMERSION INJURY/DROWNING 175
ELDERLY 175
SUMMARY 176
REFERENCES 176
Chapter 14. Devices Used in Cardiac Arrest 179
DEVICES USED AS ADJUNCTS TO MANUAL CHEST COMPRESSIONS 180
SUMMARY 189
REFERENCES 189
Index 195