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1.2 - Management of Cardiopulmonary Resuscitation – Advanced Life Support

from Section 1 - Resuscitation and Management of the Acutely Ill Patient

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Good leadership during cardiac arrests can significantly impact chances of successful outcomes.

  2. 2. Early cardiopulmonary resuscitation (CPR) and defibrillation are the core of good advanced life support (ALS) management.

  3. 3. Ventilation should be quickly optimised, with particular emphasis on avoiding overventilating patients.

  4. 4. Decisions to end CPR can be difficult but should be based on clinical judgement once reversible causes have been identified.

  5. 5. Data from all cardiac arrests are used for a national audit to ensure a widespread provision of a high-quality resus service.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 2 - 5
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Abella, BS, Alvarado, JP, Myklebust, H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 2005;293:305–10.CrossRefGoogle ScholarPubMed
Intensive Care National Audit & Research Centre (INARC) and Resuscitation Council UK. National Cardiac Arrest Audit (NCAA). www.icnarc.org/Our-Audit/Audits/Ncaa/AboutGoogle Scholar
Nolan, J, Soar, J, Eikeland, H. The chain of survival. Resuscitation 2006;71:270–1.CrossRefGoogle ScholarPubMed
Resuscitation Council UK. Advanced Life Support, 7th edn. London: Resuscitation Council UK; 2016.Google Scholar
Vissers, G, Soar, J, Monsieurs, KG. Ventilation rate in adults with a tracheal tube during cardiopulmonary resuscitation: a systematic review. Resuscitation 2017;119:512.CrossRefGoogle ScholarPubMed

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