Pediatric Postresuscitation Management

Overview

4.7 out of 5 (21 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Jan 2021

Last Review Date

5 Jun 2023

Expiration Date

31 Dec 2023

Estimated Time To Finish

60 Minutes


 
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Activity Description

Mortality rates after pediatric cardiac arrest remain high after initial resuscitation and a return of spontaneous circulation. Several factors must be addressed to optimize survival and to prevent subsequent deterioration and/or organ dysfunction and neurologic sequelae. Priorities post-resuscitation include ongoing assessment of the resuscitation and stabilization process, determining and managing the etiology of the arrest, maintain and or minimize brain injury with targeted temperature management and consideration of vasoactive drugs, and preventing decompensation while managing the patient in the emergency department setting, and/or while transporting to a high level of care (pediatric intensive care unit). After a return of spontaneous circulation further stabilization and diagnostic assessments are required. A post-arrest reevaluation includes assessing the adequacy of pulses, perfusion, blood pressure, and adequacy of oxygenation and ventilation. Post-arrest monitoring includes continuous cardiac monitoring, end-tidal carbon dioxide (CO2) measurements, possible brain monitoring, and trending of lab work. Post-arrest patients may be hypotensive, and early and continuous epinephrine infusions are preferred for several reasons. Constant cardiac monitoring is needed to evaluate for the recurrence of precipitating arrhythmias. Ongoing physiology that may lead to arrest must also be addressed, for example hypoxia, acidosis, hypo/hyperkalemia. This activity reviews the evaluation and treatment of post-resuscitation patients and discusses the role of the interprofessional team in managing these patients.

Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the features of post cardiac arrest syndrome (PCAS).
  • Describe the critical considerations in post-resuscitation management.
  • Review what continuous evaluation and monitoring is required post resuscitation.
  • Outline the evaluation and treatment of pediatric post-resuscitation patients and summarize the role of the inter-professional team in managing these patients.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

shannon p. on 12/1/2021

Kayla S. on 3/23/2022

Amy T. on 4/11/2022

Ricardo H. on 6/15/2022

Kelly C. on 7/26/2022

Chelsea H. on 10/17/2022

Marissa A. on 11/4/2022

paul s. on 1/16/2023

Mark S. on 3/7/2023

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Adithya nikhileshwar B. on 10/11/2023

Bernard S. on 11/1/2023

Akshaya K. on 11/16/2023

Ken B. on 12/29/2023

JENNIFER H. on 1/27/2024

c k. on 3/10/2024

Malani K. on 4/16/2024

Kathryn H. on 4/16/2024

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