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Resuscitation
One-Hour Concurrent Session

Hot Topics in Modern Cardiac Arrest Management

Sunday, February 23, 2025
10:30am – 11:30am Eastern Time
Location: Valencia Ballroom/415A
CE: 1

Survival rates of in-hospital cardiac arrest (IHCA) remain poor, with high morbidity among survivors. Evidence guiding IHCA management is limited and driven by extrapolated guidance from out-of-hospital cardiac arrest (OHCA). This session will address differences between IHCA and OHCA, including patient population and causes of arrest. Speakers will discuss diagnostic and therapeutic options and the benefits and risks of intra-arrest transthoracic and transesophageal echocardiography toward diagnostic and management approaches during arrest. Calcium is a commonly administered yet nonrecommended therapeutic option. It may be beneficial in IHCA because hyperkalemia and hypotension are more common etiologies, but short- and long-term harm has been reported after use in OHCA. Extracorporeal membrane oxygenation CPR in OHCA as applied to IHCA will be explored, as will post-arrest management with a focus on temperature therapies, cooling, and elevated temperature after IHCA. Speakers will discuss neuroprognostication after arrest, including IHCA etiologies and timing of neurologic assessments.

Learning Objectives:

  • Develop a framework for deciding whether to administer calcium empirically during in-hospital cardiac arrest (IHCA) or list clinical scenarios where it may be beneficial
  • Outline the basics of extracorporeal CPR, including physiologic principles, blood flow, indications, contraindications, and evidence for its use in adult cardiac arrest
  • Describe recent evidence regarding targeted temperature management and current recommendations on patient selection, indications, and contraindications

Presentations:

  • 10:35am – 10:50am Eastern Time
    Calcium: A Drug of Abuse in Cardiac Arrest?

    Marilyn Bulloch, PharmD, BCPS, SPP – Auburn University Harrison School of Pharmacy

  • 10:50am – 11:05am Eastern Time
    ECPR in Cardiac Arrest Management: The Blood Goes Round and Round

    Mohsin Zaidi, MD – University of Cincinnati Department of Anesthesiology

  • 11:05am – 11:20am Eastern Time
    The Goldilocks of TTM and Potential Exceptions to the Rule

    Rafal Kopanczyk, DO (he/him/his) – The Ohio State University Wexner Medical Center