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Most patients who suffer total cardiac arrest outside hospitals die because their brains have been starved of oxygen.
Unless its rhythm is rapidly restored by a defibrillator, the patient's oxygen-starved brain will begin to die, the fate suffered by about 95percentt of those who suffer total cardiac arrest outside hospitals.
Previous reflectoric movements of limbs caused that the thoraco-abdominal pump persisted to function for about 2 minutes in spite of total cardiac arrest, and caused synchronous changes in BP [ 77].
If a clot is broken up in time, a heart attack may not lead to total cardiac arrest, so there may be no need for hypothermic treatment.
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In total, 5,258 cardiac arrest patients admitted to 82 ICUs in the Netherlands were included.
A total of 2,536 cardiac arrest patients were assessed; 1,948 of these patients were not cooled.
No patient survived with a total duration of cardiac arrest >15 minutes or time without CPR >6 minutes.
A total of 151 cardiac arrest events (44%%) occurred in the ICUs and 171 cardiac arrest events (50%%) occurred in the general wards.
Forty-three (4.6%) of the total sample developed cardiac arrest within 72 hours, while 86 (9.3%) died after admission (including those deaths within 72 hours).
Müllner et al. [ 38] demonstrated a significant correlation between total duration of cardiac arrest and admission levels of arterial lactate concentration and observed that a lactate level >16.3 mmol L-1 was systematically associated with impaired neurological recovery.
In the original 160 children, the total mortality rate after cardiac arrest with hypothermia was 73%66%to80% 80%; n=116).
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