Out of hospital cardiac arrest - Guideline for the management of patients in critical care following

Publication: 05/12/2019  --
Last review: 01/01/1900  
Next review: 05/12/2022  
Clinical Guideline
CURRENT 
ID: 6224 
Approved By: Trust Clinical Guidelines Group 
Copyright© Leeds Teaching Hospitals NHS Trust 2019  

 

This Clinical Guideline is intended for use by healthcare professionals within Leeds unless otherwise stated.
For healthcare professionals in other trusts, please ensure that you consult relevant local and national guidance.

Guideline for the management of patients in critical care following out of hospital cardiac arrest

Background

Post cardiac arrest syndrome includes brain injury, myocardial injury and ischaemia/reperfusion injury response added to the sequelae of the precipitating cause of the arrest. Most early deaths are from cardiovascular causes with most of the later deaths due to brain injury. Optimisation of critical care treatment in the period immediately following cardiac arrest may improve survival and long term outcome in this patient group. Out of hospital cardiac arrest is a common presentation within Leeds Teaching Hospitals, especially at Leeds General Infirmary due to its role providing the Primary PCI service, and these patients frequently require input from critical care.

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Data Capture

This pro forma allows for the capture of immediately relevant information relating to the cardiac arrest and immediate cardiology management and should be filed in the ICU medical notes.

The information for this can be obtained from the Yorkshire Ambulance Service Patient Care Record/Electronic Patient Record or Emergency Department medical notes. Cardiology information may be obtained from the Cardiology Catheter Lab procedure booklet.

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Immediate Management Goals

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ICU Management Goals

Provenance

Record: 6224
Objective:

Aims

Standardise the critical care management of patients following out of hospital cardiac arrest

Objectives

To provide evidence-based recommendations for the specifics of managing patients following out of hospital cardiac arrest

Clinical condition:

Cardiac arrest

Target patient group: Patients in critical care
Target professional group(s): Secondary Care Doctors
Pharmacists
Registered Nurses Working in Critical Care
Adapted from:

Evidence base

Nolan JP, Soar J et al. European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015 Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015.  Resuscitation 2015; 95: 202–222
Eastwood GM, Schneider AG et al. Targeted therapeutic mild hypercapnia after cardiac arrest: A phase II multi-centre randomised controlled trial (the CCC trial). Resuscitation 2016; 104: 83-90

Approved By

Trust Clinical Guidelines Group

Document history

LHP version 1.0

Related information

Not supplied

Equity and Diversity

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