Cardiac Arrest and Neurologic Recovery: Insights from the Case of Mr. Damar Hamlin.
Romergryko G GeocadinSachin AgarwalAdeline L GossClifton W CallawayMegan B RichiePublished in: Annals of neurology (2023)
The association between brain injury after cardiac arrest and poor survival outcomes has led to longstanding pessimism. However, the publicly-witnessed cardiac arrest, resuscitation and acute management of Mr. Damar Hamlin and his favorable neurologic recovery provides some optimism. Mr. Hamlin's case highlights the neurologic advances of the last two decades and presents the opportunity to improve outcomes for all cardiac arrest patients in key areas: 1) Effectively implementing the American Heart Association 'Chain of Survival' to prevent initial brain injury and promote neuroprotection; 2) Revisiting the process of neurologic prognostication and re-defining the brain recovery during the early periods, and 3) Incorporating neurorehabilitation into existing cardiac rehabilitation models to support holistic recovery. This article is protected by copyright. All rights reserved.
Keyphrases
- cardiac arrest
- brain injury
- cardiopulmonary resuscitation
- subarachnoid hemorrhage
- cerebral ischemia
- contrast enhanced
- end stage renal disease
- magnetic resonance
- newly diagnosed
- ejection fraction
- heart failure
- liver failure
- prognostic factors
- magnetic resonance imaging
- white matter
- multiple sclerosis
- computed tomography
- patient reported outcomes
- metabolic syndrome
- quality improvement
- free survival
- weight loss
- aortic dissection