Managing Cardiac Arrest Using Ultrasound.

Abstract

The emergency department (ED) is the main receiving area for all out-of-hospital cardiac arrests and the setting for approximately 10% of all in-hospital cardiac arrests. 1 Mitchell O.J.L. Edelson D.P. Abella B.S. Predicting cardiac arrest in the emergency department. J Am Coll Emerg Physicians Open. 2020; 1: 321-326 Crossref PubMed Google Scholar The rate of survival-to-discharge among out-of-hospital cardiac arrests is approximately 9%, though it may be up to 35% in those experiencing cardiac arrest while in the ED. 2 Yan S. Gan Y. Jiang N. et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Crit Care. 2020; 24: 61-62 Crossref PubMed Scopus (159) Google Scholar ,3 Kimblad H. Marklund J. Riva G. et al. Adult cardiac arrest in the emergency department – A Swedish cohort study. Resuscitation. 2022; 175: 105-112 Abstract Full Text Full Text PDF PubMed Scopus (0) Google Scholar Patients in cardiac arrest require rapid, targeted interventions and resuscitative efforts, and those who have lost pulses in the ED have a greater likelihood of reversible causes. 1 Mitchell O.J.L. Edelson D.P. Abella B.S. Predicting cardiac arrest in the emergency department. J Am Coll Emerg Physicians Open. 2020; 1: 321-326 Crossref PubMed Google Scholar However, the cause can be challenging to diagnose by the inherently limited history and physical examination.