MEDEST April 23, 2014
Key points of sistematic analysis about ALS managent of Out of Hospital Cardiac Arrest (OHCA):
- No evidence that any of the commonly used vasoactive drugs are beneficial on neurological outcome
- Controversial evidences on antiarrhythmics drugs effectivness
- Only good quality CPR and electric therapy improves outcome
- Ultra Sonography for diagnosis of underliyng reversible causes and targeted therapies on individual patient’s response must be implemented
- EtCO2, Near-infrared spectometry, VF analysis, Extracorporeal Membrane Oxygenation must be part of future management
http://medest118.files.wordpress.com/2014/04/towards-cardiopulmonary-resuscitation-without-vasoactive-drugs.pdf