Cardiac Arrest Update: Striving to Improve Outcomes

Updated:May 2,2011

Editorial: Why the Wait: Deciphering in-Hospital Defibrillation Delays by Robert Neumar M.D., Ph.D., FACEP


Hospital Variation in Time To Defibrillation After In-Hospital Cardiac Arrest

 
  • Evaluation of time to defibrillation is a quality measure for in-hospital cardiac arrest (IHCA).
  • Delay in time to defibrillation is associated with decreased survival to discharge.
  • Survival to discharge was higher in facilities with defibrillation times within 2 minutes compared with those with delayed defibrillation.

Supporting Materials


Factors associated with Neurologically-Intact Survival forPatients with Acute Heart Failure and *In-Hospital Cardiac Arrest

 

  • Hospitalized heart failure (HF) patients have increased risk of cardiac arrest.
  • Factors are identified to enhance the resuscitation decision process.
  • Strategies to optimize neurologically intact survival (NIS) in acute heart failure may enhance resource utilization.

Supporting Materials

Rhythms and Outcomes of Adult *In-Hospital Cardiac Arrest

 

  • The four rhythms associated with pulseless cardiac arrest are ventricular fibrillation (VF), pulseless ventricular tachycardia (pulseless VT), pulseless electrical activity (PEA) and asystole.
  • The shockable rhythms, VF and pulseless VT, have been considered the ‘good’ cardiac arrest rhythms.
  •   Cardiac arrest survival outcomes are affected by when the shockable rhythm occurs during the cardiac arrest event.

Supporting Materials

 


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