(9azzzzzzzzzzzzzzj of 11)
Instead of sitting around waiting for information to be pushed at us, we must offset some of this by seeking information and pulling understandings into our awareness.For my own edification, I've checked on a few questions I would ask a doctor or nurse if I was interviewing them about cardiac arrest and treatment.
Whenever the heart stops, the lungs will fail, and the other way around. These two vital organs are the target of cardiopulmonary resuscitation (CPR) because their failures are linked. The other three vital organs are brain, liver and kidneys. We can think of these five in a pyramid of five with the brain at the top, the lungs and heart at the two other corners and the liver and kidneys in the middle on either side. When one vital organ malfunctions, is injured or fails, the other four vital organs will experience malfunction, damage and failure in short order in a cascading domino avalanche effect. Thus not only must heart, lung, brain balance be restored, but also liver and kidney function. These are primary, other organs might also be affected.
Targeted Temperature Management (TTM) is often used as part of the post-cardiac arrest treatment protocol. This is likely what is meant when we are told Damar Hamlin is “under sedation.” Many of us have likely asked why is he sedated, what does that mean?TTM often has the effect of delaying liver enzyme balance and contributing to acute liver failure. A recent study found that acute liver failure (ALF) occurred in 56% of post-cardiac arrest patients admitted to intensive care unit at a median time of 3 days following arrest. Thus in the case of Damar Hamlin, we will likely hear nothing different before Day 4 and they will likely keep him in the hospital for at least seven full days to monitor his ecosystem. https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep4.1416
According to https://www.ncbi.nlm.nih.gov/books/NBK321505/ , five steps must be taken to ensure the best outcome after cardiac arrest.1. immediate recognition of cardiac arrest and activation of the emergency response system
2. early cardiopulmonary resuscitation (CPR)
3. rapid defibrillation
4. effective advanced cardiac life support (ACLS)
5. integrated post-resuscitative care.
https://www.google.com/search?q=what+happens+to+kidney+and+liver+during+cardiac+arrest&oq=what+happens+to+kidney+and+liver+during+cardiac+arrest&aqs=chrome..69i57.17500j0j9&sourceid=chrome&ie=UTF-8