TEST QUESTION: Post Cardiac Arrest

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TODAY’S TEST QUESTION:

 

 

CORRECT ANSWER:

B) 32-36 C


MORE INFORMATION:

  • Patients who are comatose after cardiac arrest, are often put on targeted temperature management (TTM). This is maintained for at least 24 hours. These patients are in the ICU.
  • This helps improve neurological outcomes. Reperfusion injury still continues even after patient has been revived. Cooling helps prevents further injury. (4)
  • Note however- in prolonged cardiac arrest, there is some doubt that TTM has such effect (especially if structures are already damaged) (3).
  • Most information seems to imply TTM “can significantly improve rates of long-term neurologically intact survival and may prove to be one of the most important clinical advancements in the science of resuscitation.” (reference 2- medscape)
  • Cooling methods include: ice packs, cooling helmets, catheter-based technologies, infusion of cold fluids, cooling blankets (2)
  • After 24 hours, the rewarming process often begins..but is done slowly
  • Medscape has an excellent article with more detailed information about this process (see #2 link below)
  • Another interesting very article talks about what cooling actually does After a Heart Attack, New “Code Ice” Procedure Used at Mather Hospital

SaREFERENCE

  1. ACLS AHA MANUAL 2016
  2. Targeted Temperature Management, Feb 23, 2017 Medscape Targeted Temperature Management Author: Alex Koyfman, MD; Chief Editor: Karlheinz Peter, MD, Phd
  3. Targeted Temperature Management after Cardiac Arrest Nejm.org N Engl J Med 2014;
  4. Therapeutic hypothermia after cardiac arrest. July 2011 Vol. 6 No. 7 Author: Michelle E. Deckard, MSN, CNS, CCRN-CMC, and Patricia R. Ebright, DNS, CNS, RN
    American Nurse Today

DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information.

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