The National Registry of CardioPulmonary Resuscitation (NRCPR)
Cardiac Arrest Updates: Pediatrics, Emergency Department and Hyperglycemia
Editorial: Cardiac Arrest in the Emergency Department, by Michael R. Sayre, M.D.
Cardiac Arrest in the Emergency Department
- Comparative data for cardiac arrest in the emergency department (ED) versus other inpatient areas is limited.
- Cardiac arrest patients in the emergency department have better survival compared to patients arresting in other hospital locations.
- This is a call to action for improved resuscitation efforts in hospitalized patients.
Vasopressin for In-hospital Pediatric Cardiac Arrest
- There is infrequent use of vasopressin with pediatric cardiac arrest/
- When vasopressin is used, it is usually given in combination with epinephrine.
- Lower return of spontaneous circulation (ROSC) is associated with vasopressin use.
Derangements in Blood Glucose Following Initial Resuscitation from In-hospital Cardiac Arrest
- Cardiac arrest impacts glucose homeostasis.
- Studies have shown worse outcomes and mortality are associated with both hyperglycemia and the lowest blood glucose concentration post cardiac arrest.
- Understanding blood glucose regulation post cardiac arrest can shape clinical guideline development to improve patient outcomes.