Hypothermia to treat cardiac arrest? AAMC hosts Cardiac Arrest Outcomes seminar.
About 80 participants—physicians, nurses, pharmacists, respiratory therapists, and Baltimore area hospital representatives—attended the educational seminar, “Optimizing Cardiac Arrest Outcomes: Intra Arrest Actions and Post Arrest Care,” hosted by AAMC on Thursday, Nov. 3.
Dr. Benjamin Abella, Clinical Research Director of University of Pennsylvania Center for Resuscitation Science, presented “New Opportunities in Cardiac Arrest Care,” including the 2010 AHA guidelines. His take-home points: Cardiac Arrest is NOT hopeless; CPR quality has big impact; Minimize ventilations; Maximize chest compression rate and depth; Consider CPR feedback tool and code debriefing; Use hypothermia after a cardiac arrest.
Dr. David Gaieski, Assistant Professor, University of Pennsylvania, School of Medicine, discussed the etiology and exacerbation of three key phases following cardiac arrest, best addressed by early implementation of a care bundle: therapeutic hypothermia, early percutaneous coronary intervention, hemodynamic optimization, and seizure management to facilitate intact patient recovery with baseline neurologic functioning.
View photos from the event on SmugMug at annearundelmedicalcenter.smugmug.com/
AAMC initiated its Therapeutic Hypothermia (TH) protocol in June 2010 and to date, 12 cases have received this complex post-resuscitative therapy. Effective return of spontaneous circulation (ROSC) by paramedics/ ED/ CCU staff, rapid determination of patient eligibility, swiftly applied surface cooling, and intubation and application of Arctic Sun TH pads in the CCU are the key components to saving the patient’s life and brain post cardiac arrest. -Rande Dent, RN and Vivian Craft, RN