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Pathophysiology and Pharmacotherapy of Cardiovascular Disease pp 1135–1147Cite as

Cardiac Arrest and Cardiopulmonary Resuscitation: Recent Advances in Management Approach for Cardiopulmonary Resuscitation

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Abstract

Outcomes from cardiac arrest are overwhelmingly poor regardless of location or type of arrest. However, we know that all cardiac arrest is not the same: Cardiac arrest with an initial shockable rhythm has better survival than that with an initial non-shockable rhythm; in-hospital cardiac arrest has better survival than out-of-hospital cardiac arrest; traumatic cardiac arrest has poorest survival overall. While the overall survival statistics are concerning, it should be noted that incremental improvements have been realized through the application of research-driven interventions. For the clinician, this means the availability of research-based algorithms and treatment guidelines that can easily be applied at the bedside. These interventions can be simple or complex and include such recommendations as early high-quality cardiopulmonary resuscitation (CPR), early activation of the emergency medical services (EMS) system, therapeutic hypothermia, early cardiac catheterization, seizure control, and coordinated regional efforts to improve care. In fact, the coordinated development and implementation of resuscitation guidelines have been associated with marked improvements in survival to hospital discharge following cardiac arrest [1].

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Author information

Authors and Affiliations

  1. Emergency Department, William S. Middleton Memorial Veterans Hospital, University of Wisconsin, Madison, WI, USA

    Allan R. Mottram MD

  2. Department of Emergency Medicine, University of Wisconsin, Madison, WI, USA

    Karen Serrano MD

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  1. Allan R. Mottram MD
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  2. Karen Serrano MD
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Correspondence to Allan R. Mottram MD .

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Editors and Affiliations

  1. Center for Drug Evaluation and Research Division of Cardiovascular and Renal Products, US Food and Drug Administration, Silver Spring, Maryland, USA

    Gowraganahalli Jagadeesh

  2. Pharmacology Unit, AIMST University, Bedong, Malaysia

    Pitchai Balakumar

  3. Center for Drug Evaluation and Research Division of Cardiovascular and Renal Products, US Food and Drug Administration, Silver Spring, Maryland, USA

    Khin Maung-U

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Mottram, A.R., Serrano, K. (2015). Cardiac Arrest and Cardiopulmonary Resuscitation: Recent Advances in Management Approach for Cardiopulmonary Resuscitation. In: Jagadeesh, G., Balakumar, P., Maung-U, K. (eds) Pathophysiology and Pharmacotherapy of Cardiovascular Disease. Adis, Cham. https://doi.org/10.1007/978-3-319-15961-4_53

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  • DOI: https://doi.org/10.1007/978-3-319-15961-4_53

  • Publisher Name: Adis, Cham

  • Print ISBN: 978-3-319-15960-7

  • Online ISBN: 978-3-319-15961-4

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