Postarrest Interventions that Save Lives

Emerg Med Clin North Am. 2020 Nov;38(4):771-782. doi: 10.1016/j.emc.2020.06.001. Epub 2020 Jul 21.


Patients resuscitated from cardiac arrest require complex management. An organized approach to early postarrest care can improve patient outcomes. Priorities include completing a focused diagnostic work-up to identify and reverse the inciting cause of arrest, stabilizing cardiorespiratory instability to prevent rearrest, minimizing secondary brain injury, evaluating the risk and benefits of transfer to a specialty care center, and avoiding early neurologic prognostication.

Keywords: Mechanical circulatory support; Percutaneous coronary intervention; Seizure; Temperature-targeted management.

Publication types

  • Review

MeSH terms

  • Body Temperature
  • Brain / diagnostic imaging
  • Cerebrovascular Circulation
  • Electrocardiography
  • Electroencephalography
  • Emergency Service, Hospital
  • Extracorporeal Membrane Oxygenation
  • Heart Arrest / etiology
  • Heart Arrest / therapy*
  • Humans
  • Hypoxia-Ischemia, Brain / prevention & control
  • Medical History Taking
  • Patient Transfer
  • Percutaneous Coronary Intervention
  • Physical Examination
  • Prognosis
  • Radiography, Thoracic
  • Respiration, Artificial
  • Secondary Prevention*
  • Seizures / diagnosis
  • Seizures / etiology
  • Tomography, X-Ray Computed