TY  - CHAP
M1  - Book, Section
TI  - Chapter 5. Advanced Cardiac Life Support
A1  - Hughes, Darrel W.
A1  - Attridge, Rebecca L.
A2  - Attridge, Rebecca L.
A2  - Miller, Monica L.
A2  - Moote, Rebecca
A2  - Ryan, Laurajo
PY  - 2013
T2  - Internal Medicine: A Guide to Clinical Therapeutics
AB  - 4  rhythms  produce  pulseless  cardiac  arrest:  ventricular  fibrillation  (VF),  pulseless  ventricular  tachycardia  (VT),  pulseless  electrical  activity  (PEA),  &  asystoleKey  elements  to  survival  (chain  of  survival)  in  patient  with  cardiac  arrest  (JAMA  1984;251:1723)  Early  access;  early  cardiopulmonary  resuscitation  (CPR):  compressions,  airway,  breathing  (CAB)  (Circulation  2010;  122:S250);  early  defibrillation  (10%  ↓  in  successful  intervention  for  every  1min  delay);  early  advanced  cardiac  life  support  (ACLS)Other  elements  associated  with  survival  Location  of  cardiac  arrest:  in-hospital  >  community  (3–4-fold  delay  in  initiation  of  pharmacotherapy  for  community  cardiac  arrest);  witnessed  >  unwitnessedInitial  cardiac  rhythmPreexisting  medical  conditionsAdult  cardiopulmonary  arrest  usually  results  from  an  arrhythmia  secondary  to  thrombosis  or  pulmonary  embolismGoals  of  ACLS:  sustained  return  of  spontaneous  circulation  (ROSC),  limiting  end-organ  damage,  survival  to  hospital  dischargeRole  of  drug  therapy:  enhance  chance  of  ROSC,  facilitate  defibrillationPrompt  delivery  of  CPR  followed  by  defibrillation  ↑  survival  in  patients  with  pulseless  VT/VF  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesspharmacy.mhmedical.com/content.aspx?aid=57285942
ER  -