Open Access
Neurologic prognostication after resuscitation from cardiac arrest
Author(s) -
Lupton Joshua R.,
Kurz Michael C.,
Daya Mohamud R.
Publication year - 2020
Publication title -
journal of the american college of emergency physicians open
Language(s) - English
Resource type - Journals
ISSN - 2688-1152
DOI - 10.1002/emp2.12109
Subject(s) - return of spontaneous circulation , medicine , resuscitation , emergency department , clinical death , cardiopulmonary resuscitation , intensive care medicine , emergency medicine , psychiatry
Abstract Out‐of‐hospital cardiac arrest remains a leading cause of mortality in the United States, and the majority of patients who die after achieving return of spontaneous circulation die from withdrawal of care due to a perceived poor neurologic prognosis. Unfortunately, withdrawal of care often occurs during the first day of admission and research suggests this early withdrawal of care may be premature and result in unnecessary deaths for patients who would have made a full neurologic recovery. In this review, we explore the evidence for neurologic prognostication in the emergency department for patients who achieve return of spontaneous circulation after an out‐of‐hospital cardiac arrest.