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Previous Volume 361:605-611 August 6, 2009 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 55-year-old man collapses while jogging through the park. A bystander finds him unconscious and without a pulse and initiates cardiopulmonary resuscitation (CPR) while an ambulance is summoned. On arrival in the emergency room, the patient is in ventricular fibrillation; the partial pressure of oxygen in arterial blood is 200 mm Hg, the pH is 7.25, and the bicarbonate level is 18 . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Predictors of Outcome

Measures of Prognosis

            Clinical Signs

            Electrophysiological Signs

Biochemical Signs

Neuroimaging and Other Imaging

Ethical Considerations

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Departments of Clinical Neurological Sciences and Medicine, University of Western Ontario, London, ON, Canada.

An audio version of this article is available at NEJM.org.

Address reprint requests to Dr. Young at Rm. B10-106, University Hospital, 339 Windermere Rd., London, ON N6A 5A5, Canada, or at bryan.young@lhsc.on.ca.

Related Letters:

Neurologic Prognosis after Cardiac Arrest
Nesseler N., Leurent G., Seguin P., Grundmann S., Busch H.-J., Young G. B.
Extract | Full Text | PDF  
N Engl J Med 2009; 361:1999-2000, Nov 12, 2009. Correspondence

This article has been cited by other articles:

• Nesseler, N., Leurent, G., Seguin, P., Grundmann, S., Busch, H.-J., Young, G. B. (2009). Neurologic prognosis after cardiac arrest.. NEJM 361: 1999-1999 [Full Text]