POST CARDIAC ARREST SYNDROME (PCAS)

Task 2. Post Cardiac Arrest Syndrome (PCAS) is a pathological process involving multiple organs. The four key components of PCAS are: anoxic brain injury, myocardial dysfunction, ischaemia/reperfusion injury and persistent precipitating pathology. 1 Due to the development of PCAS the number of patients surviving to hospital discharge remains low despite an increase in the number of patients developing Return of Spontaneous Circulation (ROSC) post cardiac arrest. You have been asked by the manager for clinical practice, at the ambulance service you work for, to develop a report on the paramedic management of Post Cardiac Arrest Syndrome (PCAS) for the next in-service. The report must be an evidence-based analysis of published data from peerreviewed sources and include the following: Outline the epidemiology of cardiac arrest survival and mortality rates in Australia;• Describe the pathophysiology and clinical manifestations of PCAS;• Describe the evidence for the recommended paramedic management of patients• post ROSC and explain how particular interventions reduce the detrimental effects of PCAS;

 

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