Pulseless electrical activity (PEA) occurs when organised or semi-organised electrical activity of the heart persists but the product of systemic vascular resistance and the increase in systemic arterial flow generated by the ejection of the left ventricular stroke volume is not sufficient to produce a clinically detectable pulse
Resuscitation Literature Summaries
Anaphylaxis is a severe, life-threatening, generalised or systemic hypersensitivity reaction. It is characterised by rapidly developing life-threatening airway (pharyngeal or laryngeal edema) and/or breathing (bronchospasm and tachypnea) and/or circulation (hypotension and tachycardia) problems usually associated with skin and mucosal changes
Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid (WHO 2002 definition) drowning can be due to — submersion (the airway goes below the level of the surface of the liquid) or — immersion (a liquid is splashed across a person’s face, e.g water-boarding)
The roles and priorities in a cardiac arrest situation is dependent on: the environment where arrest takes place; the nature of the cardiac arrest, ; and the skill mix of the people in the immediate environment
A team-based approach to the management of the post-ROSC patient focuses on initiation of therapeutic hypothermia, treatment of the underlying cause with transfer to the cath lab where appropriate, and management of the post-cardiac arrest syndrome.
Deresuscitation specifically refers to 'Late Goal Directed Fluid Removal (LGFR)', which involves "aggressive and active fluid removal by means of diuretics and renal replacement therapy with net ultrafiltration" (Malbrain et al, 2014)
Systolic Pressure Variation and Stroke Volume Variation between spontaneous breathing and mechanical ventilation
Vasoactive agents include the following: inotropes; vasopressors; inodilators and some that don't fit like dopamine...
PaO2/FiO2 ratio is the ratio of arterial oxygen partial pressure (PaO2 in mmHg) to fractional inspired oxygen (FiO2 expressed as a fraction, not a percentage)
Mechanical cardiopulmonary resuscitation (mCPR) devices are automated devices that provide chest compression during cardiac arrest, without the need for human-performed manual compression.
In drowning victims, it’s primarily respiratory in nature, and they absolutely need ventilations. But how many of the ads for CCPR are that nuanced?