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عمومی::
عصب شناسی، نورولوژی
This means that most CPR attempts will be unsuccessful in terms of neurologically intact survival to hospital discharge.
The chance of discharge from the hospital alive and neurologically intact may diminish as resuscitation time increases but must be considered in context with the other factors mentioned.
No rescuer should make a judgment about the present or future quality of life of a patient of cardiac arrest on the basis of current (ie, during the attempted resuscitation) or anticipated neurologic status.
Patients who are unconscious or unresponsive after cardiac arrest should be directed to an inpatient critical-care facility with a comprehensive care plan that includes acute cardiovascular interventions, use of targeted temperature management (TTM), standardized medical goal-directed therapies, and advanced neurological monitoring and care.
In patients not treated with TTM, the earliest time to prognosticate a poor neurologic outcome by using clinical examination is 72 hours after cardiac arrest.
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