Abstract:
Background. Cardiac arrest is a time-sensitive, life-threatening emergency with high
mortality, where survival depends largely on the prompt and effective application of ACLS
protocols. This paper presents two cases of successful resuscitation in elderly patients
admitted in critical condition to the ED of the IEM.
Objective(s). To assess the effectiveness of ACLS protocols in patients experiencing cardiac arrest and to evaluate the role of multidisciplinary intervention in post-resuscitation
recovery.
Materials and methods. This descriptive study analyzes two clinical cases recorded at the
Institute of Emergency Medicine ED in 2024. Management included the ABCDE approach,
infraglottic intubation, mechanical ventilation, external defibrillation, administration of
adrenaline and amiodarone, and continuous monitoring, in line with international ACLS
guidelines.
Results. Both patients presented with ventricular fibrillation and severe hemodynamic
instability at admission. Advanced interventions, including intubation, assisted ventilation,
defibrillation for ventricular fibrillation, and drug therapy according to Advanced Cardiac
Life Support protocols, led to restoration of sinus rhythm and initial stabilization. The postresuscitation course was complex and required prolonged intensive care. Secondary
diagnoses included hypothermia, post-hypoxic encephalopathy, aspiration pneumonia, and
severe metabolic imbalances. A multidisciplinary approach contributed to gradual clinical
improvement.
Conclusion(s). The presented cases underscore the effectiveness of standardized ACLS
protocols in the management of cardiac arrest. Timely and appropriate intervention,
combined with a multidisciplinary approach, plays a critical role in reducing postresuscitation mortality and morbidity.
