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Shock Index

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41. The impact of body mass index on the wearable cardioverter defibrillator shock efficacy and patient wear time. (PubMed)

The impact of body mass index on the wearable cardioverter defibrillator shock efficacy and patient wear time. The impact of body mass index (BMI) on the shock efficacy and patient adherence among patients using a wearable cardioverter defibrillator (WCD) is unknown.Patients prescribed the WCD between January 1, 2008 and June 1, 2013, who experienced at least one episode of sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) and who received appropriate WCD therapy, were (...) identified within a registry maintained by the manufacturer for regulatory, reimbursement, and administrative purposes. The registry contained patients' Body Mass Index (BMI) which was categorized as normal (18.0shock rhythm which was no longer VT or VF

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2017 American Heart Journal

42. Can we safely decrease intensive care unit admissions for children with high grade isolated solid organ injuries? Using the shock index, pediatric age-adjusted and hematocrit to modify APSA admission guidelines. (PubMed)

Can we safely decrease intensive care unit admissions for children with high grade isolated solid organ injuries? Using the shock index, pediatric age-adjusted and hematocrit to modify APSA admission guidelines. In 2000, the American Pediatric Surgical Association (APSA) disseminated consensus practice guidelines for the management of blunt liver and splenic injury which included intensive care unit (ICU) admission for children with grade IV injuries. We sought to determine if we could better (...) predict which children with isolated solid organ injuries (SOI) underwent an ICU-level intervention, thus necessitating ICU admission.Children with isolated liver, spleen, or kidney injuries admitted to the ICU from November 2003 to August 2015 were identified in our trauma registry, and data were extracted from the medical record. ICU-level interventions were defined as transfusion, vasopressor use, intubation, and operative/procedural intervention. Shock index and pediatric age-adjusted (SIPA

2017 Journal of Pediatric Surgery

43. Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients

Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2017 Clinical Trials

44. The Association Between Shock Index and Severity of Postpartum Blood Loss

The Association Between Shock Index and Severity of Postpartum Blood Loss The Association Between Shock Index and Severity of Postpartum Blood Loss - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . The Association Between Shock Index and Severity of Postpartum Blood Loss The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03135158 Recruitment Status : Completed First Posted : May 1, 2017 Last Update Posted : April 30, 2018 Sponsor: Gynuity Health Projects Collaborator: Fundacion Clinica Valle del Lili

2017 Clinical Trials

45. The Shock Pulse Index and Its Application in the Fault Diagnosis of Rolling Element Bearings (PubMed)

The Shock Pulse Index and Its Application in the Fault Diagnosis of Rolling Element Bearings The properties of the time domain parameters of vibration signals have been extensively studied for the fault diagnosis of rolling element bearings (REBs). Parameters like kurtosis and Envelope Harmonic-to-Noise Ratio are the most widely applied in this field and some important progress has been made. However, since only one-sided information is contained in these parameters, problems still exist (...) in practice when the signals collected are of complicated structure and/or contaminated by strong background noises. A new parameter, named Shock Pulse Index (SPI), is proposed in this paper. It integrates the mutual advantages of both the parameters mentioned above and can help effectively identify fault-related impulse components under conditions of interference of strong background noises, unrelated harmonic components and random impulses. The SPI optimizes the parameters of Maximum Correlated Kurtosis

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2017 Sensors (Basel, Switzerland)

46. Derivation and Validation of Shock Index as a parameter for Predicting Long-term Prognosis in Patients with Acute Coronary Syndrome (PubMed)

Derivation and Validation of Shock Index as a parameter for Predicting Long-term Prognosis in Patients with Acute Coronary Syndrome The objective of this study was to examine whether shock index (SI), defined by ratio of heart rate and systolic blood pressure, can predict long-term prognosis of acute coronary syndrome (ACS) in patients undergoing percutaneous coronary intervention (PCI) and to compare prognostic accuracy of SI with the Global Registry of Acute Coronary Events (GRACE) risk score

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2017 Scientific reports

47. Determination of Normal Ranges of Shock Index and Other Haemodynamic Variables in the Immediate Postpartum Period: A Cohort Study. (PubMed)

Determination of Normal Ranges of Shock Index and Other Haemodynamic Variables in the Immediate Postpartum Period: A Cohort Study. To determine the normal ranges of vital signs, including blood pressure (BP), mean arterial pressure (MAP), heart rate (HR) and shock index (SI) (HR/systolic BP), in the immediate postpartum period to inform the development of robust obstetric early warning scores.We conducted a secondary analysis of a prospective observational cohort study evaluating vital signs (...) with a 0.03 decrease in SI (p = 0.035) and epidural use with a 0.05 increase (p = 0.003). No other demographic or obstetric factors were associated with a change in shock index in this cohort.This is the first study to determine normal ranges of maternal BP, MAP, HR and SI within one hour of birth, a time of considerable haemodynamic adjustment, with minimal effect of demographic and obstetric factors demonstrated. The lower 90% reference point for systolic BP and upper 90% reference point for HR

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2016 PLoS ONE Controlled trial quality: uncertain

48. Right Ventricular Dysfunction in Acute Myocardial Infarction Complicated by Cardiogenic Shock: A Hemodynamic Analysis of the Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock (SHOCK) Trial and Registry. (PubMed)

outcomes.We retrospectively analyzed patients with available hemodynamics enrolled in the Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock (SHOCK) trial (n = 139) and registry (n = 258) to identify RVD in AMI-CS. RVD was defined by an elevated central venous pressure (CVP), elevated CVP-pulmonary capillary wedge pressure (PCWP) ratio, decreased pulmonary artery pulsatility index, and decreased right ventricular stroke work index. A P value of <.01 was used to infer significance (...) . In the SHOCK trial and registry, respectively, 38% and 37% of patients had RVD, but RVD was not associated with 30-day or 6-month survival (hazard ratio [HR] 1.51, (99% CI 0.92-2.49; P = .10). RV failure with the use of inclusion criteria from the Recover Right Trial for RV Failure (RR-RVF) requiring percutaneous mechanical circulatory support included elevated CVP and CVP/PCWP and a low cardiac index despite ≥1 inotrope or vasopressor. In the SHOCK trial and registry, respectively, 45% (n = 63/139) and 38

2019 Journal of cardiac failure Controlled trial quality: uncertain

49. Does the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Improve Survival in Septic Adults?

Does the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Improve Survival in Septic Adults? Does the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Improve Survival in Septic Adults? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 73, Issue 4, Pages 363–365 Does the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Improve Survival in Septic Adults? x (...) all Collapse all Article Outline Take-Home Message No high- or moderate-level evidence shows that the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) hemodynamic interventions improve survival in sepsis. Methods Data Sources The authors searched PubMed, EMBASE, Scopus, Web of Science, and without language restrictions from inception to November 28, 2017. They also searched the references of analyzed studies and other review articles. Study Selection Investigators included randomized

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2019 Annals of Emergency Medicine Systematic Review Snapshots

50. Restricted fluid bolus versus current practice in children with septic shock: the FiSh feasibility study and pilot RCT

Restricted fluid bolus versus current practice in children with septic shock: the FiSh feasibility study and pilot RCT Restricted fluid bolus versus current practice in children with septic shock: the FiSh feasibility study and pilot RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find (...) the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Even though the FiSh feasibility study and pilot RCT were successfully conducted, progression criteria were not met and a large-scale trial is not feasible. {{author}} {{($index , , , , , , , , , , , , , & . David Inwald 1, * , Ruth R Canter 2 , Kerry Woolfall 3 , Caitlin B O’Hara 3 , Paul R Mouncey 2 , Zohra Zenasni 2 , Nicholas Hudson 2 , Steven Saunders 2 , Anjali Carter 4

2018 NIHR HTA programme

51. Early Norepinephrine Administration in Septic Shock

prior to completion of the fluid bolus in patients with septic shock. In addition to providing vasoconstrictive effects to improve the blood pressure, at least one observational study ( ) has also demonstrated improved cardiac output, global end-diastolic volume index, and cardiac function index among patients with sepsis treated with a norepinephrine drip. Prior to the release of the CENSER trial, there was limited data regarding the early administration of norepinephrine in septic shock. Two (...) Early Norepinephrine Administration in Septic Shock Early Norepinephrine Administration in Septic Shock | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Our Team Sections Education Alumni Research ECRC Journal Club Events Jermyn Lectures Open Search Vignette You are working an overnight shift in TCC one evening when you get the following page: “Triage patient to 3L.” No other information is provided, but when the patient finally

2019 Washington University Emergency Medicine Journal Club

52. What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy?

Shoulder and Elbow Surgeons Score; DASH= Disability of arm shoulder and hand questionnaire; ESWT= Extracoporeal shock wave therapy; NRS= numerical rating score; SAI= sub-acromial injection; SR=systematic review; PT= physiotherapy; US= Ultrasound; VAS= visual analogue scale; WORC= Western Ontario rotator cuff index). Getting Evidence into Clinical Practice: Barbotage for calcific cuff tendinopathy Musculoskeletal Research Facilitation Group (CAT Group) Date: 25.7.18 CAT Lead: Emma Salt Date CAT (...) What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy? Getting Evidence into Clinical Practice: Barbotage for calcific cuff tendinopathy Musculoskeletal Research Facilitation Group (CAT Group) Date: 25.7.18 CAT Lead: Emma Salt Date CAT completed: Email: emma.salt@nhs.net Date CAT to be reviewed: 2021 Specific Question: What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage

2019 Public Health England

53. Extracorporeal shock wave therapy for the healing and management of venous leg ulcers. (PubMed)

Extracorporeal shock wave therapy for the healing and management of venous leg ulcers. Leg ulcers are chronic wounds of the lower leg, caused by poor blood flow, that can take a long time to heal. The pooling of blood in the veins can damage the skin and surrounding tissues, causing an ulcer to form. Venous leg ulcers are associated with impaired quality of life, reduced mobility, pain, stress and loss of dignity. The standard treatment for venous leg ulcers is compression bandages or stockings (...) . Shock wave therapy may aid the healing of these wounds through the promotion of angiogenesis (the formation and development of blood vessels) and reduction of inflammation, though this process is poorly understood at present.To assess the effects of extracorporeal shock wave therapy on the healing and management of venous leg ulceration.In April 2018 we searched the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process

2018 Cochrane

54. Assessment of shock

Assessment of shock Assessment of shock - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of shock Last reviewed: February 2019 Last updated: June 2018 Summary Shock is best defined as a state of reduced end-organ oxygenation caused by an imbalance between tissue oxygen delivery and demand resulting in an oxygen debt. Oxygen delivery is determined by cardiac output, vascular integrity, and oxygen content (...) of the blood. Oxygen content is a composite of haemoglobin and arterial oxygen saturation, and the cardiac output is a product of stroke volume and heart rate. Stroke volume is affected by preload (filling), left ventricular contractility (pump function), and afterload as measured by the systemic vascular resistance. Differences in the preload, afterload, and contractility generally differentiate the aetiologies of shock. These are broadly classified into hypovolaemic, cardiogenic, obstructive

2018 BMJ Best Practice

55. CRACKCast E197 – Shock

. Rosen’s stresses that HR and BP values do not correlate well with cardiac index (=CO/BSA – body surface area) in shock due to a variety of factors, and can often underestimate the severity of hypoperfusion. Box 6.2 – Empirical Criteria for Diagnosis of Circulatory Shock Ill appearance/altered mental status Heart rate > 100/min Respiratory rate > 20/min or PaCO2 <32mmHg Urine output < 0.5mL/kg/h Arterial hypotension > 30 minutes (continuous) [7] What variables indicate tissue hypoperfusion? (Box 6.4 (...) CRACKCast E197 – Shock CRACKCast E197 - Shock - CanadiEM CRACKCast E197 – Shock In , by Dillan Radomske January 7, 2019 This updated episode of CRACKCast covers Rosen’s Chapter 006, Shock (9th Ed.). These topics are core knowledge that we use every day in the Emergency Department. Shownotes – Rosen’s in Perspective As you can probably guess, this introductory chapter is exceedingly important for practitioners of emergency medicine. Chapter 6 in Rosen’s 9th Edition contains core knowledge

2019 CandiEM

56. SCAI clinical expert consensus statement on the classification of cardiogenic shock

pulseless) state and respiratory failure requiring mechanical ventilation. 3.4 Hemodynamics 3.4.1 Hemodynamic diagnosis of CS Although all forms of shock are diagnosed by a relative reduction in systemic blood pressure with tissue hypoperfusion, labeling it cardiogenic implies that shock is due to a low cardiac output/index in the absence of hypovolemia. Although CS may be diagnosed clinically, it is often difficult to distinguish it from other forms of shock without invasive hemodynamic monitoring (...) SCAI clinical expert consensus statement on the classification of cardiogenic shock SCAI clinical expert consensus statement on the classification of cardiogenic shock - Baran - - Catheterization and Cardiovascular Interventions - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. VALVULAR AND STRUCTURAL

2019 Society for Cardiovascular Angiography and Interventions

57. What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy?

Shoulder and Elbow Surgeons Score; DASH= Disability of arm shoulder and hand questionnaire; ESWT= Extracoporeal shock wave therapy; NRS= numerical rating score; SAI= sub-acromial injection; SR=systematic review; PT= physiotherapy; US= Ultrasound; VAS= visual analogue scale; WORC= Western Ontario rotator cuff index). Getting Evidence into Clinical Practice: Barbotage for calcific cuff tendinopathy Musculoskeletal Research Facilitation Group (CAT Group) Date: 25.7.18 CAT Lead: Emma Salt Date CAT (...) What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy? Getting Evidence into Clinical Practice: Barbotage for calcific cuff tendinopathy Musculoskeletal Research Facilitation Group (CAT Group) Date: 25.7.18 CAT Lead: Emma Salt Date CAT completed: Email: emma.salt@nhs.net Date CAT to be reviewed: 2021 Specific Question: What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage

2018 Public Health England

58. Effectiveness and safety of procalcitonin evaluation for reducing mortality in adults with sepsis, severe sepsis or septic shock. (PubMed)

Effectiveness and safety of procalcitonin evaluation for reducing mortality in adults with sepsis, severe sepsis or septic shock. Serum procalcitonin (PCT) evaluation has been proposed for early diagnosis and accurate staging and to guide decisions regarding patients with sepsis, severe sepsis and septic shock, with possible reduction in mortality.To assess the effectiveness and safety of serum PCT evaluation for reducing mortality and duration of antimicrobial therapy in adults with sepsis (...) , severe sepsis or septic shock.We searched the Central Register of Controlled Trials (CENTRAL; 2015, Issue 7); MEDLINE (1950 to July 2015); Embase (Ovid SP, 1980 to July 2015); Latin American Caribbean Health Sciences Literature (LILACS via BIREME, 1982 to July 2015); and the Cumulative Index to Nursing and Allied Health Literature (CINAHL; EBSCO host, 1982 to July 2015), and trial registers (ISRCTN registry, ClinicalTrials.gov and CenterWatch, to July 2015). We reran the search in October 2016. We

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2017 Cochrane

59. Is Shock Index a Valid Predictor of Mortality in Emergency Department Patients With Hypertension, Diabetes, High Age, or Receipt of β- or Calcium Channel Blockers? (PubMed)

Is Shock Index a Valid Predictor of Mortality in Emergency Department Patients With Hypertension, Diabetes, High Age, or Receipt of β- or Calcium Channel Blockers? Shock index is a widely reported tool to identify patients at risk for circulatory collapse. We hypothesize that old age, diabetes, hypertension, and β- or calcium channel blockers weaken the association between shock index and mortality.This was a cohort study of all first-time emergency department (ED) visits between 1995 and 2011 (...) (n=111,019). We examined whether age 65 years or older, diabetes, hypertension, and use of β- or calcium channel blockers modified the association between shock index and 30-day mortality.The 30-day mortality was 3.0%. For all patients, with shock index less than 0.7 as reference, a shock index of 0.7 to 1 had an adjusted odds ratio (OR) of 2.9 (95% confidence interval [CI] 2.7 to 3.2) for 30-day mortality, whereas shock index greater than or equal to 1 had an OR of 10.5 (95% CI 9.3 to 11.7

2016 Annals of Emergency Medicine

60. Standing shock index: An alternative to orthostatic vital signs. (PubMed)

Standing shock index: An alternative to orthostatic vital signs. Objective The lack of a sensitive, practical bedside test for hypovolemia has rekindled interest in the shock index (heart rate divided by systolic blood pressure). Here, we compare the effect of blood donation on standing shock index values with its effect on values for the supine shock index and orthostatic change in shock indicies (OCSI).This is a re-analysis of data collected for an earlier report. Data were available from 292 (...) adults below age 65 and 44 adults ages 65 and over, donating 450mL of blood. We obtained supine and standing vital signs before and after donation and then calculated 95% confidence intervals for differences based on the t-distribution.Blood donation resulted in a mean increase in the standing shock index of 0.09 [95% CI, 0.08-0.11] in younger adults and 0.08 [95% CI, 0.05-0.11] in older adults. These changes were similar to those noted for OCSI (young, 95% CI, 0.08-0.10; old, 95% CI, 0.04-0.10

2016 American Journal of Emergency Medicine

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