Study examines neurological outcomes after cardiac arrest

[Nurse.com, November 21, 2011] Delay in initiation of therapeutic hypothermia and delay in return of spontaneous circulation (ROSC), evidenced by a palpable pulse or a measurable blood pressure, were both associated with poor neurological outcomes in post-cardiac arrest patients, according to a study.

Susan Sendelbach, RN, of the Minneapolis Heart Institute at Abbott Northwestern Hospital and a researcher with the Minneapolis Heart Institute Foundation, said previous studies “collapsed” several CPC scores together, specifically CPC 1 and CPC 2. She said CPC 1 indicates the patient is conscious, alert and able to work with only mild neurological and psychological deficit. CPC 2 indicates the patient has sufficient cerebral function for part-time work in a sheltered environment or for independent activities of daily life.