00:00    |    
Initial credits
00:20    |    
Introduction
01:36    |    
Sudden cardiac arrest
02:39    |    
Disease process
04:05    |    
Cardiac arrest data
07:08    |    
Japanese data
08:30    |    
Treatment procedures
10:24.5    |    
Neuroprotection
10:48    |    
Predictors of CPR survival
Initial rhythm
VF amplitude
Downtime
Pumping blood
Comorbid disease
Cardiac arrest causes
17:39    |    
Heart functions
Starting the heart
20:45    |    
Cardiopulmonary resuscitation (CPR) demonstration
Pressure in the chest
Recoil
24:23    |    
Importance of the person who performs CPR
25:22    |    
Active compression and decompression
26:42    |    
Patient survival rates
27:26    |    
Do not interrupt CPR!
30:26    |    
Clinical ventilatory rates
CPR research
31:54.5    |    
Animal survival data
33:41    |    
Caveats
Effects of CPR
Pulseless electrical activity (PEA)
36:22    |    
Finer points
36:59    |    
Clinical case
Loss of pulse
39:13    |    
Importance of the brain
39:26    |    
Path of physiology in the brain
Calcium
42:47    |    
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
01:25:03    |    
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?
01:31:11    |    
Final credits



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Post-Cardiac Arrest Syndrome and Therapeutic Hypothermia

24 de octubre de 2009   | Vistas: 57 |  

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 is associate chair for research in the Department of Emergency Medicine at Wayne State University School of Medicine.…

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