Management of cardiac arrest patients to maximize neurologic outcome.
OBJECTIVE
Each year, hundreds of thousands of people will be resuscitated after a cardiac arrest. A significant portion of these patients will lapse into a disease state which is the product of modern emergency and critical care medicine: the postcardiac arrest syndrome. The ability to return a patient to his or her prior state of health after cardiac arrest, once completely beyond the capacities of clinicians, is now one of the most important areas of medical science. Much of this ability depends on preserving the nervous system from a complicated sequence of secondary injuries, which ensue from global ischemia.


RESULTS
The International Liaison Committee On Resuscitation has recently given new direction to the care of patients after cardiac arrest by addressing the variety of medical problems encountered after resuscitation as a single postcardiac arrest syndrome. This paradigm centers on supportive care to optimize neurological outcomes and especially focuses on therapeutic hypothermia.


CONCLUSIONS
This study reviews the latest advances in treating patients after cardiac arrest in the emergency department and critical care unit environments.
Püttgen
Hans Adrian
HA
Neurosciences Critical Care Division, Johns Hopkins Hospital and Department of Emergency Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. hputtge1@jhmi.edu
Pantle
Hardin
H
Geocadin
Romergryko G
RG
D001930:Brain Injuries / Q000209:etiology / Q000517:prevention & control*; D016887:Cardiopulmonary Resuscitation; D004636:Emergency Service, Hospital; D006323:Heart Arrest / Q000150:complications / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D007362:Intensive Care Units; D018696:Neuroprotective Agents / Q000627:therapeutic use; D011379:Prognosis; D016896:Treatment Outcome
D018696:Neuroprotective Agents