For clinicians
Resources
Cardiac arrest and post-arrest care are complex and important. No single source is definitive.
Some of our favorite articles (and their take-home message) that inform our local practices include:
Hypothermic temperature control may be more effective for patients with greater illness severity and/or non-shockable rhythms.
Early prophylactic antibiotics prevent later pneumonia.
Hypoxic-ischemic brain injury after cardiac arrest is heterogenous and requires neuromonitoring to characterize and treat.
Not all myoclonus is ominous -- you need EEG to distinguish bad news from those who might survive
Treatment strategies needs to be chosen and titrated based on illness severity.
With time, many post-arrest patients will awaken from coma (if you don't withdraw life-sustaining treatments first)!
Withdrawal of life-sustaining therapies is common and prevents us from observing potential recovery in many cases.
Be skeptical of near infrared spectroscopy.