Mini Review
Volume 5 Issue 7 - 2021
Managing Cardiac Arrest in the New Norm: The Resuscitation Must Go On
Fatimah Lateef1-5*
1Senior Consultant, Department of Emergency Medicine, Singapore General Hospital, Singapore
2Professor, Duke NUS Graduate Medical School, Singapore
3Professor, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
4Professor, Lee Kong Chian Medical School, Nanyang Technological University, Singapore
5Director, SingHealth Duke NUS Institute of Medical Simulation (SIMS), Singapore
*Corresponding Author: Fatimah Lateef, Senior Consultant, Department of Emergency Medicine, Singapore General Hospital, Singapore.
Received: June 16, 2021; Published: June 22, 2021




Abstract

Cardiac arrest (CA) calls for timely decision making and management at the frontline. It is one of the “bread and butter” cases emergency physicians have to face in the course of their work everyday. Since the COVID 19 pandemic, the management of CA patients has been one of the most significantly affected condition in view that:

  1. There are multiple steps involved in the resuscitative process which are aerosol-generating or potentially aerosol-generating.
  2. The (COVID 19 or infectious) status of these CA patients are unknown or uncertain and
  3. There are a multitude of complex, multi-faceted and emotional aspects involved in the resuscitation.

This short paper shares the personal observations and practices in the management of CA patients who are sent to the Emergency Department at Singapore General Hospital.

Keywords: Cardiac Arrest; COVID 19; Aerosol Generating Procedures

References

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  19. Cho JW., et al. “Preparation of PPE and implementation of new CPR strategies for patients with out of hospital cardiac arrest in the COVID 19 era”. Resuscitation Plus 3 (2020): 100015.
  20. Lateef F. “The basics on aerosols and aerosol generating procedures”. SF Journal of Medicine and Research 2 (2020): 1009.
  21. Judean SD and Minster VJ. “Nosocomial transmission of emerging viruses via aerosol generating medical procedures”. Virus 11 (2019): 940.
  22. Lateef F., et al. “The evolving demand for negative pressure isolation facilities during COVID 19: use of the negative pressure isolation tent”. Biomedical Research and Clinical Review2 (2020): 011.
  23. Lateef F., et al. “Covid 19: The impetus to migrate face to face ACLS to Hybrid ACLS”. Archives of Emergency Medicine and Intensive Care20 (2020): 16-24.
  24. Lateef F. “Face to face with COVID 19: maintaining motivation, psychological safety and wellness”. Journal of Emergency, Trauma and Shock 13 (2020): 116-123.
  25. Lateef F., et al. “Infection control measures, in situ simulation and failure mode effect analysis to fine tune change management during COVID 19”. Journal of Emergencies, Trauma and Shock 13 (2002): 239-245.
  26. Stewart JA. “ILCOR’s revised COVID 19 defibrillation recommendations requires a new approach to training”. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 28 (2020): 109.
  27. Rosenbaum L. “The untold toll: the pandemic’s effect on patients without Covid 19”. The New England Journal of Medicine 382 (2020): 2368-2371.
Citation: Fatimah Lateef. “Managing Cardiac Arrest in the New Norm: The Resuscitation Must Go On”. EC Emergency Medicine and Critical Care 5.7 (2021): 32-37.

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