Читать книгу Emergency Medical Services - Группа авторов - Страница 320

Cardiac arrest represents the ultimate scenario of cardiovascular collapse. Consequently, cardiopulmonary bypass or extracorporeal life support (ECLS) may represent one potential solution. In tightly defined populations, ECLS combined with early angiography and hypothermia therapy has yielded good neurologic outcomes in a significant proportion of patients [84–86]. In a study that used ECLS only after standard therapy failed, the rate of good neurologic outcome was small [87]. Optimal selection of patients for this therapy will require early mobilization of resources, given the association between prolonged arrest and poor neurologic outcomes [88]. ECLS can also be considered in certain toxicologic overdoses resulting in cardiac arrest, such as beta‐blocker, calcium channel blocker, or tricyclic antidepressant overdose [1].