Sudden cardiac arrest is one of the leading causes of death, yet emergency procedures have not proven to be as effective as the medical community would hope them to be. In this conference, Brian J. O'Neil examines current treatment procedures for cardiac arrest and how the use of hypothermia with these patients can help reduce mortality rates and neurological damage. In this talk, O'Neil examines cardiopulmonary resuscitation (CPR) in detail, presents the conclusions of several recent studies, and discusses clinical cases. He also looks at the predictors for CPR survival and explains what goes on in the brain during CPR.
Brian O'Neil
Brian O’Neil is associate chair for research in the Department of Emergency Medicine at Wayne State University School of Medicine. His research interests include cerebral and cardiac ischemia and reperfusion, acute cardiac emergencies, and neurological emergencies. He is also associate editor of Academic Emergency Medicine and has published articles in scientific journals. O’Neil has received several recognitions, including Grace Hospital Academician of the Year and the Lawrence R. Schwartz Faculty Devotion Award from William Beaumont Hospitals. He has a BS and a MD from Wayne State University.
Post-Cardiac Arrest Syndrome and Therapeutic Hypothermia Brian J. O'Neil
Academic Building, E-513 Universidad Francisco Marroquín Guatemala, October 24, 2009
A New Media - UFM production. Guatemala, December 2009. Camera: Jorge Samayoa; digital editing: Adrián Méndez; index and synopsis: Sergio Bustamante; content reviser: Jennifer Keller; publication: Mario Pivaral/Carlos Petz
This work is licensed under a Creative Commons 3.0 License Este trabajo ha sido registrado con una licencia Creative Commons 3.0
Slides
Content
Initial credits
Introduction
Sudden cardiac arrest
Disease process
Cardiac arrest data
Japanese data
Treatment procedures
Neuroprotection
Predictors of CPR survival
Initial rhythm
VF amplitude
Downtime
Pumping blood
Comorbid disease
Cardiac arrest causes
Heart functions
Starting the heart
Cardiopulmonary resuscitation (CPR) demonstration
Pressure in the chest
Recoil
Importance of the person who performs CPR
Active compression and decompression
Patient survival rates
Do not interrupt CPR!
Clinical ventilatory rates
CPR research
Animal survival data
Caveats
Effects of CPR
Pulseless electrical activity (PEA)
Finer points
Clinical case
Loss of pulse
Importance of the brain
Path of physiology in the brain
Calcium
Hypothermia after cardiac arrest
Peter Safar
Hibernation
Evidence for hypothermia procedure
The Beaumont Hospital experience
Baseline characteristics
Results
Mortality and neurological outcomes
RESCUE results
Positive outcomes
Impact of resuscitation centers
Advantages of faster cooling
Time and temperature
Other procedures
Brief hypertensive bout
Seizures
Hyperglycemia
High-dose insulin
Other procedures
No-reflow phenomenon
Cerebral oximetry
Demographics
Results
Oximetry trends
Predictors of poor outcome
Outcome of clinical case
One-year outcome
Intensive care unit (ICU) strategies
Conclusions
Question and answer period
How do you monitor the patient's temperature?
Is hypothermia a kind of preconditioning?
Can hypothermia be used with septic patients?
Final credits
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Universidad Francisco Marroquín
6 Calle final, zona 10
Edificio de la Escuela de Negocios
Oficina EN-103
Guatemala, Guatemala 01010
Teléfono (+502) 2338-7700 ext. 7876
Slides
