Resuscitation Strategies for Maximizing Survival

Elisabeth K McHale; Johanna C Moore

doi:10.1016/j.emc.2023.05.002

Resuscitation Strategies for Maximizing Survival

Emerg Med Clin North Am. 2023 Aug;41(3):573-586. doi: 10.1016/j.emc.2023.05.002.

Authors

Elisabeth K McHale¹, Johanna C Moore²

Affiliations

¹ Department of Emergency Medicine, Hennepin Healthcare, 701 Park Avenue, Minneapolis, MN 55415, USA; Department of Internal Medicine, Hennepin Healthcare, Minneapolis, MN, USA.
² Department of Emergency Medicine, Hennepin Healthcare, 701 Park Avenue, Minneapolis, MN 55415, USA; Department of Emergency Medicine, University of Minnesota Medical School, Minneapolis, MN, USA. Electronic address: Johanna.Moore@hcmed.org.

PMID: 37391251
DOI: 10.1016/j.emc.2023.05.002

Abstract

There 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.

Keywords: Active compression decompression CPR; Cardiac arrest; Early defibrillation; Head-up CPR; High-quality CPR; Impedance threshold device; Refractory cardiac arrest; Stellate ganglion block.

Publication types

Review

MeSH terms

Heart Arrest* / therapy
Heart*
Humans
Resuscitation