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Latest & greatest articles for cardiac arrest
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on cardiac arrest or other clinical topics then use Trip today.
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is to be introduced, the expert panel believes that the professional medical community must design a more robust quality assurance concerning the death criteria and update the current cDCD procedure. This will include specific neurological tests to evaluate brain function and documentation of ceased breathing when confirming death. Some in the expert panel also believe that further measurement methods in addition to invasive measurement of blood pressure and heart rate should be used to ensure that cardiacarrest (...) evaluations or assessment of organizational consequences. History The first organ transplantation in Norway from a deceased donor took place in 1964. Loss of global circulation after lasting cardiac and respiratory arrest in comatose patients was then the common criterion of death by donation. Eventually, it became appropriate to donate organs from patients who were on a mechanical ventilator and where the heart was still beating, but who were still declared "brain dead". It therefore became important
The evolving role of novel treatment techniques in the management of patients with refractory VF/pVT out-of-hospital cardiacarrest The purpose of this review is to provide a brief overview of new life-saving interventions and novel techniques that have been proposed as viable treatment options for patients presenting with refractory ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT) out-of-hospital cardiacarrest (OHCA).We conducted a comprehensive literature search of PubMed
2019 American Heart Association Focused Update on Systems of Care: Dispatcher-Assisted Cardiopulmonary Resuscitation and CardiacArrest Centers: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiov Survival after out-of-hospital cardiacarrest requires an integrated system of care (chain of survival) between the community elements responding to an event and the healthcare professionals who continue to care for and transport the patient (...) for appropriate interventions. As a result of the dynamic nature of the prehospital setting, coordination and communication can be challenging, and identification of methods to optimize care is essential. This 2019 focused update to the American Heart Association systems of care guidelines summarizes the most recent published evidence for and recommendations on the use of dispatcher-assisted cardiopulmonary resuscitation and cardiacarrest centers. This article includes the revised recommendations
interventions such as medications, advanced airways, extracorporeal cardiopulmonary resuscitation, and post-cardiacarrest care, including targeted temperature management, cardiorespiratory support, and percutaneous coronary intervention. Since 2015, an increased number of studies have been published evaluating some of these interventions, requiring a reassessment of their use and impact on survival from cardiacarrest. This 2019 focused update to the American Heart Association advanced cardiovascular life (...) 2019 American Heart Association Focused Update on Advanced Cardiovascular Life Support: Use of Advanced Airways, Vasopressors, and Extracorporeal Cardiopulmonary Resuscitation During CardiacArrest: An Update to the American Heart Association Guidelines f The fundamentals of cardiac resuscitation include the immediate provision of high-quality cardiopulmonary resuscitation combined with rapid defibrillation (as appropriate). These mainstays of therapy set the groundwork for other possible
Optimal timing of coronary intervention in patients resuscitated from cardiacarrest without ST-segment elevation myocardial infarction (NSTEMI): A systematic review and meta-analysis Performing immediate coronary angiography (CAG) in patients with a cardiacarrest and a non-ST-elevation myocardial infarction (NSTEMI) remains a highly debated topic. We performed a meta-analysis aiming to evaluate the influence of immediate, delayed, and no CAG in patients with cardiacarrest and NSTEMI.A (...) comprehensive literature review of Pubmed/MEDLINE, Cochrane Library, and Embase was performed for all studies that compared immediate CAG to delayed or no CAG in the setting of cardiacarrest and NSTEMI. The primary outcome was long-term mortality and secondary outcomes included short-term mortality and a Cerebral Performance Category (CPC) score of 1-2 at the longest follow-up period. A random-effects model was used to report odds ratios (ORs) with Bayesian 95% credible intervals (CrIs), and ORs with 95
Targeted Temperature Management for CardiacArrest with Nonshockable Rhythm. Moderate therapeutic hypothermia is currently recommended to improve neurologic outcomes in adults with persistent coma after resuscitated out-of-hospital cardiacarrest. However, the effectiveness of moderate therapeutic hypothermia in patients with nonshockable rhythms (asystole or pulseless electrical activity) is debated.We performed an open-label, randomized, controlled trial comparing moderate therapeutic (...) hypothermia (33°C during the first 24 hours) with targeted normothermia (37°C) in patients with coma who had been admitted to the intensive care unit (ICU) after resuscitation from cardiacarrest with nonshockable rhythm. The primary outcome was survival with a favorable neurologic outcome, assessed on day 90 after randomization with the use of the Cerebral Performance Category (CPC) scale (which ranges from 1 to 5, with higher scores indicating greater disability). We defined a favorable neurologic
How Effective Are Epinephrine and Vasopressin for Improving Survival Among Patients in CardiacArrest? How Effective Are Epinephrine and Vasopressin for Improving Survival Among Patients in CardiacArrest? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page To read this article in full, please review your options for gaining access at the bottom of the page. Article in Press How Effective Are Epinephrine and Vasopressin (...) for Improving Survival Among Patients in CardiacArrest? x Michael Gottlieb , MD (EBEM Commentator) , x Vishal P. Jani , DO (EBEM Commentator) , x Yanina A. Purim-Shem-Tov , MD, MS (EBEM Commentator) Department of Emergency Medicine, Rush University Medical Center, Chicago, IL DOI: Publication History Published online: May 09, 2019 To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. Epinephrine is associated with improved overall survival rates
Sodium Bicarbonate Administration in CardiacArrest Sodium Bicarbonate Administration in CardiacArrest | 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’re working a busy shift in TCC one Sunday afternoon when you get a page that EMS is bringing in a patient in cardiacarrest. The patient is a 57-year-old male (...) a laryngeal airway device with a good waveform on capnography. You defibrillate the patient, which results in PEA. he has now been in cardiacarrest for twenty minutes, and you begin to wonder what other management options you have. you consider whether you should give sodium bicarbonate or calcium chloride given his prolonged cardiacarrest, but your attending tells you that neither treatment is beneficial (though , and you keep giving that). After a total of thirty minutes of downtime, the patient
Community first responders for out-of-hospital cardiacarrest in adults and children. Mobilization of community first responders (CFRs) to the scene of an out-of-hospital cardiacarrest (OHCA) event has been proposed as a means of shortening the interval from occurrence of cardiacarrest to performance of cardiopulmonary resuscitation (CPR) and defibrillation, thereby increasing patient survival.To assess the effect of mobilizing community first responders (CFRs) to out-of-hospital cardiac (...) arrest events in adults and children older than four weeks of age, in terms of survival and neurological function.We searched the following databases for relevant trials in January 2019: CENTRAL, MEDLINE (Ovid SP), Embase (Ovid SP), and Web of Science. We also searched the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP) and ClinicalTrials.gov, and we scanned the abstracts of conference proceedings of the American Heart Association and the European Resuscitation
Time to delivery of an automated external defibrillator (AED) using a drone to improve out-of-hospital cardiacarrest (OHCA) mortality "Time to delivery of an automated external defibrillator (AED) using a " by Vivian Nguyen > > > > > Title Author Date of Graduation Summer 8-10-2019 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract Background: According to the American Heart Association (AHA), 2018 incidence of out-of-hospital cardiac (...) that control for many confounding factors in order to properly assess the efficacy of drone-delivered AEDs to OHCA mortality rate specifically. Keywords: Drones, AED(s), defibrillator(s) Recommended Citation Nguyen, Vivian, "Time to delivery of an automated external defibrillator (AED) using a drone to improve out-of-hospital cardiacarrest (OHCA) mortality" (2019). School of Physician Assistant Studies . 658. https://commons.pacificu.edu/pa/658 DOWNLOADS Since June 24, 2019 Share COinS Browse Search Enter
The effects of adrenaline in out of hospital cardiacarrest with shockable and non-shockable rhythms: Findings from the PACA and PARAMEDIC-2 randomised controlled trials Previous research suggests there may be differences in the effects of adrenaline related to the initial cardiacarrest rhythm. The aim of this study was to assess the effect of adrenaline compared with placebo according to whether the initial cardiacarrest rhythm was shockable or non-shockable.Return of spontaneous circulation (...) (ROSC), survival and neurological outcomes according to the initial arrest rhythm were compared amongst patients enrolled in the PARAMEDIC-2 randomised, placebo controlled trial. The results of the PARAMEDIC-2 and PACA out of hospital cardiacarrest trials were combined and meta-analysed.The initial rhythm was known for 3929 (98.2%) in the placebo arm and 3919 (97.6%) in the adrenaline arm. The effect on the rate of ROSC of adrenaline relative to placebo was greater in patients with non-shockable
Prospective validation of the Good Outcome Following Attempted Resuscitation (GO-FAR) score for in-hospital cardiacarrest prognosis We aimed to prospectively validate the Good Outcome Following Attempted Resuscitation (GO-FAR) score, which predicts the likelihood of survival to discharge neurologically intact or with minimal deficits (conscious, alert, and able to work) after in-hospital cardiacarrest (IHCA).Inpatients experiencing an index episode of IHCA between 2010 and 2016 in hospitals
Defibrillation energy dose during pediatric cardiacarrest: Systematic review of human and animal model studies To determine the initial defibrillation energy dose that is associated with sustained return of spontaneous circulation (ROSC) during paediatric cardiacarrest with ventricular fibrillation or pulseless ventricular tachycardia.A systematic review was performed using four databases (PROSPERO: CRD42016036734). Human studies and animal model studies of pediatric cardiacarrest involving