What Happens AFTER We “Bring Someone Back” After CPR?
After someone's pulse comes back after cardiac arrest - the resuscitation period isn't over. I explain how we continue to stabilize the patient. We also consider something called "hypothermia" protocol also called targeted temperature management. I explain how we make the decision to pursue hypothermia as well as who is a good candidate and who is not a candidate. I also explain what anoxic brain injury is and the process of neuroprognostication.
#cardiacarrest #hypothermiaprotocol #anoxicbraininjury #cpr #intensivist #ICU #resuscitation
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TIME STAMPS
00:00 Intro
00:22 Immediately after getting pulse
01:37 Next Steps
03:19 Assessing Neuro Function
04:33 Targeted Temperature Management (TTM) / hypothermia
08:26 Neuroprognostication
10:12 Goals of Care
SOURCES:
2002 Hypothermia/TTM study: www.nejm.org/doi/full/10.1056...
2013 Study investigating 33C vs 36C:
www.nejm.org/doi/full/10.1056...
IMAGE SOURCES:
Cardiac Cath commons.wikimedia.org/wiki/Fi...
ANOXIC BRAIN INJURY upload.wikimedia.org/wikipedi...
Cooling blanket - sinaiem.org/staying-cool-an-o...
Zoll catheter - www.zoll.com/products/tempera...
SUGGESTION BOX: forms.gle/zsopoMcY6Bt3D6yb9
Leave your Q&A questions here! forms.gle/jnQ88N3BobqDjhiM8
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DISCLAIMER:
I am A doctor but I am not YOUR doctor. This video is intended for educational purposes and is not a substitution for medical care and consulting with your own physician.
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Пікірлер: 8
Did you know we considered hypothermia for our post-cardiac arrest patients? Let me know what you want to hear about next!
This video helped educate me about what happens after someone went into Cardiac arrest and helped me make the decision to pull my mom off life support after the brain ct looked like the one in this video.
Commenting for the algorithm- it worked, your demi video was recommended to me. Keep going, you're doing great to educate people on these topics.
@TheIntenseMD
3 жыл бұрын
Thanks so much! I really appreciate your support!
Well I feel a little smarter knowing about this. A buddy of mine is most likely considered a category 2 due to his own medical condition.
@TheIntenseMD
3 жыл бұрын
I’m happy you enjoyed the video! Thanks for watching! :)
What does it mean if the patient doesn't wake up
@TheIntenseMD
2 жыл бұрын
Typically the patient is given at least 72 hours off of sedation before the neurologist will give a prognosis. If the testing does not show any other reason for the patient to be in a coma, then the most likely situation is "anoxic brain injury". This means the patient's brain did not get enough oxygen while their heart was stopped and the brain cells died. Unfortunately this is irreversible brain damage. I hope this answers your question.