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Cardiopulmonary resuscitation for the twenty-first century 

Cardiopulmonary resuscitation for the twenty-first century
Chapter:
Cardiopulmonary resuscitation for the twenty-first century
Author(s):

Robert Galloway

DOI:
10.1093/med/9780199654093.003.0002
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date: 16 February 2020

The chapter provides a realistic and relevant overview of the challenges facing the emergency physician dealing with cardiac arrest. It highlights the changing emphases now placed both in the pre-hospital and immediate resuscitation room settings and outlines the most recent key changes to the ALS algorithm.

It examines the evidence base for three clinical questions discussing the need for high-quality chest compressions and the mechanical methods in which these can be delivered. It discusses the role of therapeutic hypothermia in all cases of cardiac arrest and finally the strategies for maximizing care after the return of spontaneous circulation as well as discussing the leadership skills required and certain practical techniques such as bedside echocardiography.

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