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Short and long-term prognostication in cardiac arrest

CPR Neurons are exceptionally vulnerable to hypoxia and anoxia ( Casas et al ). In cardiac arrest without chest compressions (i.e. if cerebral perfusion ceases), irreversible…

Assessment of the pupillary reflex in cardiac arrest

…is highly sensitive to brainstem integrity and cerebral perfusion. During cardiac arrest, circulation to the brain is severely compromised or absent, leading to rapid brainstem…

Care after return of spontaneous circulation (ROSC)

…transferred to such centers. Post cardiac arrest syndrome (PCAS) Post cardiac arrest syndrome (PCAS) emerges after ROSC or initiation of ECMO. The syndrome was first…

The physiology of cardiopulmonary resuscitation (CPR)

…coronary and cerebral perfusion, and ventilation of the lungs during cardiopulmonary resuscitation (CPR) differ substantially from normal circumstances. The purpose of CPR is to create…

Hyponatraemia: quick reference for work-up and correction

…main clinical rule Two questions determine the initial management: 1. Does the patient have severe neurological symptoms that may be due to the hyponatraemia? 2…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…manifestations of systemic atherosclerosis. The principal clinical concern is cerebral embolism or haemodynamic compromise leading to transient ischaemic attack (TIA) or stroke. The risk associated…

Hypertensive crisis: drugs and doses

…20 to 25 per cent during the first hour. 2. Thereafter, if the patient is stable, lower the blood pressure towards about 160/100 to…

Hypertensive crisis: quick reference for acute blood pressure lowering

…from a previously low level can cause organ damage at lower values, for example in pregnancy, acute glomerular disease or scleroderma renal crisis [1,2]…

Intensive care parameters

…magnesium before and daily during the build up, give thiamine before nutrition is started , and increase the energy intake slowly over the first few days…

🟠 Inotropes and Vasopressors

…Dobutamine Cardiogenic shock Bradycardia (second line therapy) Stress testing (due to induced increase in myocardial O 2 consumption) Regular : 2.0–20 μg/kg…

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