After the heart restarts – post-arrest care in the Emergency Department

After the heart restarts- post-arrest care in the Emergency Department.

After the heart restarts- post-arrest care in the Emergency Department.

After the heart restarts – post-arrest care in the Emergency Department After the heart restarts- post-arrest care in the Emergency Department.

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Question 1 of 3

1. Question
The following are true of outcomes following cardiac arrest except:
- Survival to hospital discharge is approximately 8% following out-of-hospital arrest.
- Patients having peri-operative cardiac arrest have a much better prognosis than other in-hospital cardiac arrests.
- Absence of a pupillary light reflex 24 hours post-arrest predicts poor neurological outcome with high specificity.
- The lower the pH in the first 24 hours post-arrest the higher the mortality.
- Emergency percutaneous angiography benefits only those patients with ST elevation on ECG.
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Question 2 of 3

2. Question
The following are reliable prognostic markers in predicting outcome following cardiac arrest:
- Absence of pupillary light response at 12 hours.
- Time until commencement of CPR of > 8 minutes.
- Bilateral absence of cortical SSEPs (N20 response) at 1 to 3 days
- Recovery of brainstem reflexes within 48 hours.
- Myoclonic status epilepticus in first 24 hours.
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Question 3 of 3

3. Question
Which of the following are priorities in the management of the post-arrest patient in the first six hours:
- Controlling core body temperature between 32-36 degrees centigrade
- Consider percutaneous angiography
- Titration of FiO2 to achieve saturations of 94-98%
- Intubation and ventilation aiming for ETCO2 of 7-8kPa
- Insertion of a central venous catheter to guide IV fluid management
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2 Comments

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nichollh May 10, 2017 at 11:29 am

Useful update on literature

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Dr. Ajaz Amin Qasba June 13, 2021 at 6:03 pm

very useful

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