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Latest & greatest articles for cardiac arrest
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Association of Neighborhood Demographics With Out-of-Hospital CardiacArrest Treatment and Outcomes: Where You Live May Matter We examined whether resuscitation care and outcomes vary by the racial composition of the neighborhood where out-of-hospital cardiacarrests (OHCAs) occur.To evaluate the association between bystander treatments (cardiopulmonary resuscitation and automatic external defibrillation) and timing of emergency medical services personnel on OHCA outcomes according (...) nonsignificant association between racial composition in a neighborhood and survival.Those with OHCA in predominantly black neighborhoods had the lowest rates of bystander cardiopulmonary resuscitation and automatic external defibrillation use and significantly lower likelihood for survival compared with predominantly white neighborhoods. Improving bystander treatments in these neighborhoods may improve cardiacarrest survival.
Barriers and facilitators to public access defibrillation in out-of-hospital cardiacarrest: a systematic review. Public access defibrillation initiatives make automated external defibrillators available to the public. This facilitates earlier defibrillation of out-of-hospital cardiacarrest victims and could save many lives. It is currently only used for a minority of cases. The aim of this systematic review was to identify barriers and facilitators to public access defibrillation
Sudden cardiacarrest in hypertrophic cardiomyopathy with dynamic cavity obstruction: The case for a decatecholaminisation strategy Catecholamines are entrenched in the management of shock states. A paradigm shift has pervaded the critical care arena in recent years acknowledging their propensity to cause harm and fuel a 'death-spiral'. We present the case of a 21-year-old male following a witnessed out-of-hospital cardiacarrest who received high-quality cardiopulmonary resuscitation
Temporal Changes in the Racial Gap in Survival After In-Hospital CardiacArrest Previous studies have found marked differences in survival after in-hospital cardiacarrest by race. Whether racial differences in survival have narrowed as overall survival has improved remains unknown.To examine whether racial differences in survival after in-hospital cardiacarrest have narrowed over time and if such differences could be explained by acute resuscitation survival, postresuscitation survival (...) , and/or greater temporal improvement in survival at hospitals with higher proportions of black patients.In this cohort study from Get With the Guidelines-Resuscitation, performed from January 1, 2000, through December 31, 2014, a total of 112 139 patients with in-hospital cardiacarrest who were hospitalized in intensive care units or general inpatient units were studied. Data analysis was performed from April 7, 2015, to May 24, 2017.Race (black or white).The primary outcome was survival to discharge
Death and CardiacArrest in U.S. Triathlon Participants, 1985 to 2016: A Case Series. Reports of race-related triathlon fatalities have raised questions regarding athlete safety.To describe death and cardiacarrest among triathlon participants.Case series.United States.Participants in U.S. triathlon races from 1985 to 2016.Data on deaths and cardiacarrests were assembled from such sources as the U.S. National Registry of Sudden Death in Athletes (which uses news media, Internet searches (...) , LexisNexis archival databases, and news clipping services) and USA Triathlon (USAT) records. Incidence of death or cardiacarrest in USAT-sanctioned races from 2006 to 2016 was calculated.A total of 135 sudden deaths, resuscitated cardiacarrests, and trauma-related deaths were compiled; mean (±SE) age of victims was 46.7 ± 12.4 years, and 85% were male. Most sudden deaths and cardiacarrests occurred in the swim segment (n = 90); the others occurred during bicycling (n = 7), running (n = 15
Perimortem cesarean delivery and subsequent emergency hysterectomy: new strategy for maternal cardiacarrest Perimortem cesarean delivery (PMCD) is the only way to resuscitate pregnant women in cardiacarrest, and has been found to increase maternal resuscitation rate by increasing circulating plasma volume. However, many obstetricians have not experienced a case of PMCD, as situations requiring it are rare. We report our strategy for cases of maternal cardiacarrest, on the basis of a review
My Heart Goes Boom… ß-Blockers in CardiacArrest My Heart Goes Boom… ß-Blockers in CardiacArrest - CanadiEM My Heart Goes Boom… ß-Blockers in CardiacArrest In , by Sameer Sharif August 15, 2017 A 52-year-old male presents with chest pain. He arrests upon arrival to the Emergency Department and is found to be in ventricular fibrillation. You provide good CPR and defibrillate the patient, and treat him with doses of epinephrine and amiodarone in keeping with the ACLS algorithms. The patient (...) of Ventricular Fibrillation in CardiacArrest Ventricular fibrillation (VF) is the most common arrhythmia associated with out-of-hospital cardiacarrest. 1 Myocardial oxygen consumption increases more than 4-fold in ventricular fibrillation relative to rest. 2 Furthermore, during cardiacarrest and cardiopulmonary resuscitation (CPR), coronary blood flow may be reduced to levels as low as 20-40% of resting values. 3 Epinephrine has been a longstanding treatment for these patients, however, the literature has
Effectiveness of dispatcher training in increasing bystander chest compression for outâ€ofâ€hospital cardiacarrest patients in Japan The Japanese government has developed a standardized training program for emergency call dispatchers to improve their skills in providing oral guidance on chest compression to bystanders who have witnessed out-of-hospital cardiacarrests (OHCAs). This study evaluated the effects of such a training program for emergency call dispatchers in Japan.The analysis
Efficacy and Safety of Combination Therapy of Shenfu Injection and Postresuscitation Bundle in Patients With Return of Spontaneous Circulation After In-Hospital CardiacArrest: A Randomized, Assessor-Blinded, Controlled Trial Postresuscitation care bundle treatment after return of spontaneous circulation in patients experiencing in-hospital cardiacarrest can improve patients' survival and quality of life. The aim of the study was to evaluate the efficacy and safety of combined therapy (...) of Shenfu injection and postresuscitation care bundle in these patients.Prospective, randomized, controlled clinical study.Fifty hospitals in China.Adult patients had experienced in-hospital cardiacarrest between 2012 and 2015.Based on the standardized postresuscitation care bundle treatment, patients were randomized to a Shenfu injection group (Shenfu injection + postresuscitation care bundle) or control group (postresuscitation care bundle) for 14 days or until hospital discharge. In the Shenfu
Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital CardiacArrest: A Randomized Clinical Trial. International resuscitation guidelines recommend targeted temperature management (TTM) at 33°C to 36°C in unconscious patients with out-of-hospital cardiacarrest for at least 24 hours, but the optimal duration of TTM is uncertain.To determine whether TTM at 33°C for 48 hours results in better neurologic outcomes compared with currently recommended (...) , standard, 24-hour TTM.This was an international, investigator-initiated, blinded-outcome-assessor, parallel, pragmatic, multicenter, randomized clinical superiority trial in 10 intensive care units (ICUs) at 10 university hospitals in 6 European countries. Three hundred fifty-five adult, unconscious patients with out-of-hospital cardiacarrest were enrolled from February 16, 2013, to June 1, 2016, with final follow-up on December 27, 2016.Patients were randomized to TTM (33 ± 1°C) for 48 hours (n = 176
Time to Delivery of an Automated External Defibrillator Using a Drone for Simulated Out-of-Hospital CardiacArrests vs Emergency Medical Services 28609525 2017 07 06 2018 11 13 1538-3598 317 22 2017 06 13 JAMA JAMA Time to Delivery of an Automated External Defibrillator Using a Drone for Simulated Out-of-Hospital CardiacArrests vs Emergency Medical Services. 2332-2334 10.1001/jama.2017.3957 Claesson Andreas A Center for Resuscitation Science, Karolinska Institutet, Stockholm, Sweden. Bäckman (...) , Karolinska Institutet, Stockholm, Sweden. eng Comparative Study Journal Article Research Support, Non-U.S. Gov't United States JAMA 7501160 0098-7484 AIM IM Med Klin Intensivmed Notfmed. 2018 Mar;113(2):141-142 29051969 Aircraft statistics & numerical data Cardiopulmonary Resuscitation Defibrillators statistics & numerical data supply & distribution Electric Countershock instrumentation Emergency Medical Services statistics & numerical data Geographic Information Systems Humans Out-of-Hospital Cardiac
Mechanical Cardiopulmonary Resuscitation Devices for CardiacArrest: Clinical Effectiveness and Cost-Effectiveness Mechanical Cardiopulmonary Resuscitation Devices for CardiacArrest: Clinical Effectiveness and Cost-Effectiveness | CADTH.ca Find the information you need Mechanical Cardiopulmonary Resuscitation Devices for CardiacArrest: Clinical Effectiveness and Cost-Effectiveness Mechanical Cardiopulmonary Resuscitation Devices for CardiacArrest: Clinical Effectiveness and Cost (...) -Effectiveness Published on: May 23, 2017 Project Number: RB1096-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of mechanical cardiopulmonary resuscitation devices for cardiacarrest in pre-hospital and hospital settings? What is the cost-effectiveness of mechanical cardiopulmonary resuscitation devices for cardiacarrest in pre-hospital and hospital settings? Key Message Two health technology assessments
Bystander Efforts and 1-Year Outcomes in Out-of-Hospital CardiacArrest. The effect of bystander interventions on long-term functional outcomes among survivors of out-of-hospital cardiacarrest has not been extensively studied.We linked nationwide data on out-of-hospital cardiacarrests in Denmark to functional outcome data and reported the 1-year risks of anoxic brain damage or nursing home admission and of death from any cause among patients who survived to day 30 after an out-of-hospital (...) cardiacarrest. We analyzed risks according to whether bystander cardiopulmonary resuscitation (CPR) or defibrillation was performed and evaluated temporal changes in bystander interventions and outcomes.Among the 2855 patients who were 30-day survivors of an out-of-hospital cardiacarrest during the period from 2001 through 2012, a total of 10.5% had brain damage or were admitted to a nursing home and 9.7% died during the 1-year follow-up period. During the study period, among the 2084 patients who
Pediatric Out-of-Hospital CardiacArrest Characteristics and Their Association With Survival and Neurobehavioral Outcome PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?
In Patients With CardiacArrest, Does Amiodarone or Lidocaine Increase Meaningful Survival? TAKE-HOME MESSAGE Among out-of-hospital cardiacarrest patients with shock-refractory ventricular tachycardia or ventricular ?brillation, neither amiodarone nor lidocaine increases survival to hospital discharge or good neurologic outcome. In Patients With CardiacArrest, Does Amiodarone or Lidocaine Increase Meaningful Survival? EBEM Commentators Benton R. Hunter, MD Paul I. Musey, MD Department (...) SELECTION Articles eligible for primary analysis selection included randomized controlled trials of patients with out-of-hospital cardiacarrest who received amiodarone compared with either lidocaine or placebo. Survival to admission, survival to discharge, and favorable neurologic outcome (de?ned as a modi?ed Rankin Scale score3) were the endpoints of interest. A preplanned secondary analysis also included nonrandomized comparative studies and studies of patients with inhospital cardiacarrest. DATA
Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster randomised trial and economic evaluation Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster randomised trial and economic evaluation Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster (...) been made for the HTA database. Citation Gates S, Lall R, Quinn T, Deakin CD, Cooke MW, Horton J, Lamb SE, Slowther A, Woollard M, Carson A, Smyth M, Wilson K, Parcell G, Rosser A, Whitfield R, Williams A, Jones R, Pocock H, Brock N, Black JJ, Wright J, Han K, Shaw G, Blair L, Marti J, Hulme C, McCabe C, Nikolova S, Ferreira Z & Perkins GD. Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster randomised trial
External Validation of the Universal Termination of Resuscitation Rule for Out-of-Hospital CardiacArrest in British Columbia The Universal Termination of Resuscitation Rule (TOR Rule) was developed to identify out-of-hospital cardiacarrests eligible for field termination of resuscitation, avoiding futile transportation to the hospital. The validity of the rule in emergency medical services (EMS) systems that do not routinely transport out-of-hospital cardiacarrest patients to the hospital (...) is unknown. We seek to validate the TOR Rule in British Columbia.This study included consecutive, nontraumatic, adult, out-of-hospital cardiacarrests treated by EMS in British Columbia from April 2011 to September 2015. We excluded patients with active do-not-resuscitate orders and those with missing data. Following consensus guidelines, we examined the validity of the TOR Rule after 6 minutes of resuscitation (to approximate three 2-minute cycles of resuscitation). To ascertain rule performance
Can ambulance telephone triage using NHS Pathways accurately identify paediatric cardiacarrest? Most out-of-hospital paediatric cardiacarrests (CA) are not identified until a call is made to the emergency medical services. Accurate identification increases overall survival by enabling immediate ambulance dispatch and delivery of bystander CPR. European ambulance services use a variety of didactic telephone scripts to interrogate the caller and rapidly identify paediatric CA. The performance (...) of these scripts has not been reported. This study aims to evaluate the diagnostic accuracy of the NHS Pathways as a telephone triage tool to identify patients less than 16 years age in cardiac arrest.All emergency calls to South Central Ambulance Service (SCAS) over a 12-month period screened by 'NHS Pathways' v9.04 were identified. All actual or presumed paediatric CAs (<16 years age) identified by the emergency call taker were cross-referenced with the ambulance crew's Patient Report Form to identify all
Cardiacarrest in ICU 28979566 2018 11 13 1751-1437 18 2 2017 May Journal of the Intensive Care Society J Intensive Care Soc Cardiacarrest in ICU. 173 10.1177/1751143716674227 Cook James J Department of Anaesthetics, Glangwili General Hospital, Carmarthen, UK. Thomas Matt M Southmead Hospital, Bristol, UK. eng Journal Article 2017 04 25 England J Intensive Care Soc 101538668 1751-1437 2017 10 6 6 0 2017 10 6 6 0 2017 10 6 6 1 ppublish 28979566 10.1177/1751143716674227 10.1177_1751143716674227