Back to Search
Start Over
Cardiopulmonary resuscitation in special circumstances.
- Source :
-
Lancet (London, England) [Lancet] 2021 Oct 02; Vol. 398 (10307), pp. 1257-1268. Date of Electronic Publication: 2021 Aug 26. - Publication Year :
- 2021
-
Abstract
- Cardiopulmonary resuscitation prioritises treatment for cardiac arrests from a primary cardiac cause, which make up the majority of treated cardiac arrests. Early chest compressions and, when indicated, a defibrillation shock from a bystander give the best chance of survival with a good neurological status. Cardiac arrest can also be caused by special circumstances, such as asphyxia, trauma, pulmonary embolism, accidental hypothermia, anaphylaxis, or COVID-19, and during pregnancy or perioperatively. Cardiac arrests in these circumstances represent an increasing proportion of all treated cardiac arrests, often have a preventable cause, and require additional interventions to correct a reversible cause during resuscitation. The evidence for treating these conditions is mostly of low or very low certainty and further studies are needed. Irrespective of the cause, treatments for cardiac arrest are time sensitive and most effective when given early-every minute counts.<br />Competing Interests: Declaration of interests JS is an editor of the journal Resuscitation and receives payment from the publisher Elsevier, outside the submitted work. LBB reports grants from Philips, US National Institutes of Health, ZOLL Medical, Nihon Kohden, PCORI, BrainCool, and United Therapeutics, outside the submitted work. LBB has patents for a cooling technology, and a patent for a reperfusion methodology issued. SE reports personal fees from Springer Verlag, non-financial support from Zoll, personal fees from Medtronic (Oridion), grants and other from Diasorin, outside the submitted work. All other authors declare no competing interests.<br /> (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Subjects :
- Anaphylaxis complications
Asphyxia complications
COVID-19 complications
COVID-19 therapy
Electric Countershock
Female
Heart Arrest etiology
Humans
Hypothermia complications
Intraoperative Complications therapy
Out-of-Hospital Cardiac Arrest etiology
Out-of-Hospital Cardiac Arrest therapy
Personal Protective Equipment
Postoperative Complications therapy
Practice Guidelines as Topic
Pregnancy
Pulmonary Embolism complications
Return of Spontaneous Circulation
SARS-CoV-2
Wounds and Injuries complications
Anaphylaxis therapy
Asphyxia therapy
Cardiopulmonary Resuscitation methods
Heart Arrest therapy
Hypothermia therapy
Pregnancy Complications, Cardiovascular therapy
Pulmonary Embolism therapy
Wounds and Injuries therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1474-547X
- Volume :
- 398
- Issue :
- 10307
- Database :
- MEDLINE
- Journal :
- Lancet (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 34454688
- Full Text :
- https://doi.org/10.1016/S0140-6736(21)01257-5