CPCR - Chapter on Cardiac arrest management

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https://docs.google.com/document/d/1dxcaffQbd4Yn89wneWK46WSEeK8NtNQumhqwvZvQhvI/edit

Cardiopulmonary resuscitation -
An update
Author :
Venugopalan Poovathum Parambil, DA,DNB,MNAMS, MEM[GWU]
Regional Faculty , American Heart Association [AHA]
Director , Emergency Medicine , Aster DM Healthcare ,India.
9847054747
What is cardiac arrest ?
Cardiac arrest is a sudden stop in effective blood flow due to the failure of the heart to contract effectively.Symptoms include loss of consciousness and abnormal or absent breathing.Some people may have chest pain, shortness of breath, or nausea before this occurs. If not treated within minutes, death usually occurs.
All cases of sudden collapses are cardiac arrest unless otherwise proved
What is cardiopulmonary Resuscitation?
Cardiopulmonary resuscitation (CPR) consists of the use of chest compressions and artificial ventilation to maintain circulatory flow and oxygenation during cardiac arrest . Although survival rates and neurologic outcomes are poor for patients with cardiac arrest, early appropriate resuscitation—involving early defibrillation—and appropriate implementation of post–cardiac arrest care lead to improved survival and neurologic outcomes. Practically it is cardiopulmonary cerebral resuscitation.
When will you start CPR ?
CPR should be performed immediately on any person who has become unconscious and is found to be pulseless.
Absence of major pulse like carotid or femoral confirms cardiac arrest.

Assessment of cardiac electrical activity via rapid “rhythm strip” recording can provide a more detailed analysis of the type of cardiac arrest, as well as indicate additional treatment options.

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