» Articles » PMID: 33276842

Best Practices in Managing Cardiac Arrest in the Emergency Department During the COVID-19 Pandemic

Overview
Journal Mayo Clin Proc
Specialty General Medicine
Date 2020 Dec 5
PMID 33276842
Authors
Affiliations
Soon will be listed here.
Abstract

Infection by severe acute respiratory syndrome coronavirus 2 has led to cardiac complications including an increasing incidence of cardiac arrest. The resuscitation of these patients requires a conscious effort to minimize the spread of the virus. We present a best-practice model based in four guiding principles: (1) reduce the risk of exposure to the entire health care team; (2) decrease the number of aerosol generating procedures; (3) use a small resuscitation team to limit potential exposure; and (4) consider early termination of resuscitative efforts.

References
1.
Mustafa A, Alexander P, Joshi D, Tabachnick D, Cross C, Pappas P . Extracorporeal Membrane Oxygenation for Patients With COVID-19 in Severe Respiratory Failure. JAMA Surg. 2020; 155(10):990-992. PMC: 7420824. DOI: 10.1001/jamasurg.2020.3950. View

2.
Guo T, Fan Y, Chen M, Wu X, Zhang L, He T . Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. 2020; 5(7):811-818. PMC: 7101506. DOI: 10.1001/jamacardio.2020.1017. View

3.
Spinato G, Fabbris C, Polesel J, Cazzador D, Borsetto D, Hopkins C . Alterations in Smell or Taste in Mildly Symptomatic Outpatients With SARS-CoV-2 Infection. JAMA. 2020; 323(20):2089-2090. PMC: 7177631. DOI: 10.1001/jama.2020.6771. View

4.
Eisenberg M, Mengert T . Cardiac resuscitation. N Engl J Med. 2001; 344(17):1304-13. DOI: 10.1056/NEJM200104263441707. View

5.
Kilner J . A moral allocation of scarce lifesaving medical resources. J Relig Ethics. 1981; 9(2):245-85. View