Podcast
Questions and Answers
What percentage of adults in the United States receive layperson-initiated CPR?
What percentage of adults in the United States receive layperson-initiated CPR?
What is the survival rate from nontraumatic out-of-hospital cardiac arrest (OHCA) since 2012?
What is the survival rate from nontraumatic out-of-hospital cardiac arrest (OHCA) since 2012?
What is the recommendation regarding routine use of double sequential defibrillation?
What is the recommendation regarding routine use of double sequential defibrillation?
What is recommended during resuscitation from cardiac arrest in pregnancy?
What is recommended during resuscitation from cardiac arrest in pregnancy?
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Why is fetal monitoring not recommended during cardiac arrest in pregnancy?
Why is fetal monitoring not recommended during cardiac arrest in pregnancy?
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What is particularly important in the setting of pregnancy during resuscitation?
What is particularly important in the setting of pregnancy during resuscitation?
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What should be sought during targeted temperature management of the pregnant patient?
What should be sought during targeted temperature management of the pregnant patient?
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What should pregnant women who survive cardiac arrest receive?
What should pregnant women who survive cardiac arrest receive?
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Why is evaluation of the fetal heart not helpful during maternal cardiac arrest?
Why is evaluation of the fetal heart not helpful during maternal cardiac arrest?
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What is the preferred route for medication administration during ACLS resuscitation?
What is the preferred route for medication administration during ACLS resuscitation?
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What is a key aspect of post-ROSC care?
What is a key aspect of post-ROSC care?
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What does the ACLS guidelines emphasize for improved outcomes in cardiac arrest?
What does the ACLS guidelines emphasize for improved outcomes in cardiac arrest?
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What does the 2020 Guidelines recommend for monitoring and optimizing CPR quality?
What does the 2020 Guidelines recommend for monitoring and optimizing CPR quality?
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What did the 2020 ILCOR systematic review find about double sequential defibrillation?
What did the 2020 ILCOR systematic review find about double sequential defibrillation?
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What does the 2020 Guidelines suggest regarding IV and IO access for drug administration in cardiac arrest?
What does the 2020 Guidelines suggest regarding IV and IO access for drug administration in cardiac arrest?
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What does the 2020 AHA guidelines emphasize for survivors of cardiac arrest?
What does the 2020 AHA guidelines emphasize for survivors of cardiac arrest?
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What is recommended for lay rescuers, EMS providers, and hospital-based healthcare workers after a cardiac arrest event?
What is recommended for lay rescuers, EMS providers, and hospital-based healthcare workers after a cardiac arrest event?
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When should neuroprognostication be performed for cardiac arrest survivors?
When should neuroprognostication be performed for cardiac arrest survivors?
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Study Notes
ACLS Resuscitation and Post-ROSC Care Summary
- Intravenous (IV) access is the preferred route for medication administration during ACLS resuscitation, with intraosseous (IO) access as an acceptable alternative.
- Post-ROSC care involves close attention to oxygenation, blood pressure control, percutaneous coronary intervention evaluation, targeted temperature management, and neuroprognostication.
- Long-term recovery support for physical, cognitive, and psychosocial needs is necessary for cardiac arrest survivors.
- Debriefing for lay rescuers, EMS providers, and healthcare workers after resuscitation can support their mental well-being.
- Management of cardiac arrest in pregnancy focuses on maternal resuscitation and early perimortem cesarean delivery if needed.
- The ACLS guidelines include updated algorithms and visual aids for resuscitation and post-cardiac arrest care.
- New and updated recommendations include early initiation of CPR by lay rescuers and early administration of epinephrine for nonshockable and shockable rhythms.
- New evidence supports the low risk of harm from laypersons initiating CPR and the benefit of early epinephrine administration.
- Real-time audiovisual feedback devices may be reasonably used to optimize CPR performance.
- The guidelines emphasize the importance of layperson-initiated CPR and early epinephrine administration for improved outcomes in cardiac arrest.
- The ACLS guidelines provide comprehensive support for resuscitation and post-ROSC care, including specific algorithms for opioid-associated emergencies and cardiac arrest in pregnancy.
- The guidelines aim to improve survival and favorable neurologic outcomes for cardiac arrest patients through evidence-based recommendations and visual training aids.
Cardiac Arrest Guidelines 2020
- A recent RCT showed a 25% increase in survival to hospital discharge from in-hospital cardiac arrest (IHCA) with audio feedback on compression depth and recoil.
- It may be reasonable to use physiologic parameters such as arterial blood pressure or ETCO2 to monitor and optimize CPR quality.
- New data from the AHA’s Get With The Guidelines®-Resuscitation registry show higher likelihood of return of spontaneous circulation (ROSC) when CPR quality is monitored using ETCO2 or diastolic blood pressure.
- Double sequential defibrillation for refractory shockable rhythm has not been established as useful, based on a 2020 ILCOR systematic review.
- IV access is preferred over intraosseous (IO) access for drug administration in cardiac arrest, but IO access may be considered if IV access is unsuccessful or not feasible.
- Post–Cardiac Arrest Care and Neuroprognostication recommendations from the 2015 AHA Guidelines Update for CPR and ECC were reaffirmed with new supporting evidence.
- Neuroprognostication should be performed no sooner than 72 hours after return to normothermia, based on new recommendations.
- Cardiac arrest survivors should have multimodal rehabilitation assessment and treatment before discharge from the hospital, and receive comprehensive discharge planning.
- Structured assessment for anxiety, depression, posttraumatic stress, and fatigue is recommended for cardiac arrest survivors and their caregivers.
- Debriefings and referral for follow up for emotional support for lay rescuers, EMS providers, and hospital-based healthcare workers after a cardiac arrest event may be beneficial.
- The 2020 AHA guidelines emphasize the importance of support for rescuers who may experience anxiety or posttraumatic stress.
- Recovery from cardiac arrest extends beyond the initial hospitalization, requiring ongoing support for optimal physical, cognitive, and emotional well-being.
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Description
Test your knowledge of ACLS resuscitation and post-ROSC care with this quiz. Explore key concepts such as medication administration routes, post-ROSC care priorities, long-term recovery support, and updated algorithms. Challenge yourself with questions on managing cardiac arrest in pregnancy, debriefing, and the latest evidence-based recommendations for improved outcomes.
