Best Practices in Managing Cardiac Arrest in the Emergency Department During the COVID-19 Pandemic

Abstract

Infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to cardiac complications including an increasing incidence of cardiac arrest. The resuscitation of these patients requires a conscious effort to minimize the spread of the virus. We present a best-practice model based in 4 guiding principles: Reduce the risk of exposure to the entire health care team Decrease the number of aerosol generating procedures (AGPs) Utilize a small resuscitation team to limit potential exposure Consider early termination of resuscitative efforts

Transmission of Infections during Cardiopulmonary Resuscitation

“…Despite the fear of infection transmission during CPR, data show a suboptimal compliance with basic infection control measures among HCWs, including the use of PPE, due to the lack of knowledge and familiarization with self-protective behaviors during resuscitation ( 114 ). Continuing educational programs for HCWs on how to minimize the risk of exposure to infections during CPR, by decreasing the number of aerosol-generating procedures, using a small team, and considering early termination of resuscitative efforts, as well as how to use PPE properly, will definitely reduce concerns about infection transmission and unnecessary delays in commencing the resuscitation ( 115 ).…”