Updates in Cardiac Arrest Resuscitation - 24/09/20

Doi : 10.1016/j.emc.2020.06.003

Vivian Lam, MD, MPH ^a, Cindy H. Hsu, MD, PhD ^b,^c,^⁎
^a Department of Emergency Medicine, University of Michigan Medical School, 1500 East Medical Center Drive, B1-380 Taubman Center, SPC 5305, Ann Arbor, MI 48109-5305, USA
^b Department of Emergency Medicine, Michigan Center for Integrative Research in Critical Care, University of Michigan Medical School, NCRC B026-309N, 2800 Plymouth Road, Ann Arbor, MI 48109-2800, USA
^c Department of Surgery, Michigan Center for Integrative Research in Critical Care, University of Michigan Medical School, NCRC B026-309N, 2800 Plymouth Road, Ann Arbor, MI 48109-2800, USA

^∗Corresponding author. NCRC B026-309N, 2800 Plymouth Road, Ann Arbor, MI 48109-2800.NCRC B026-309N2800 Plymouth RoadAnn ArborMI48109-2800

Résumé

There are approximately 350,000 out-of-hospital cardiac arrests and 200,000 in-hospital cardiac arrests annually in the United States, with survival rates of approximately 5% to 10% and 24%, respectively. The critical factors that have an impact on cardiac arrest survival include prompt recognition and activation of prehospital care, early cardiopulmonary resuscitation, and rapid defibrillation. Advanced life support protocols are continually refined to optimize intracardiac arrest management and improve survival with favorable neurologic outcome. This article focuses on current treatment recommendations for adult nontraumatic cardiac arrest, with emphasis on the latest evidence and controversies regarding intracardiac arrest management.

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Keywords : Cardiac arrest, Cardiopulmonary resuscitation, Airway management, Vasopressor, Epinephrine, Antiarrhythmic medication, Hypothermia, Defibrillation