Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

181. A good outcome after absence of bilateral N20 SSEPs post-cardiac arrest Full Text available with Trip Pro

A good outcome after absence of bilateral N20 SSEPs post-cardiac arrest A 51-year-old man suffered a cardiac arrest after an attempted hanging. Post-arrest assessment revealed the bilateral absence of negative 20 somatosensory evoked potentials (N20 SSEPs) which is suggestive of a poor neurological outcome. Current evidence recommends its use in prognostication. Our patient made a good recovery which brings into question the value of negative 20 somatosensory evoked potentials

2015 Journal of the Intensive Care Society

182. Management of cardiac arrest survivors in UK intensive care units: a survey of practice Full Text available with Trip Pro

Management of cardiac arrest survivors in UK intensive care units: a survey of practice Cardiac arrest is a common presentation to intensive care units. There is evidence that management protocols between hospitals differ and that this variation is mirrored in patient outcomes between institutions, with standardised treatment protocols improving outcomes within individual units. It has been postulated that regionalisation of services may improve outcomes as has been shown in trauma, burns (...) and stroke patients, however a national protocol has not been a focus for research. The objective of our study was to ascertain current management strategies for comatose post cardiac arrest survivors in intensive care in the United Kingdom.A telephone survey was carried out to establish the management of comatose post cardiac arrest survivors in UK intensive care units. All 235 UK intensive care units were contacted and 208 responses (89%) were received.A treatment protocol is used in 172 units (82.7

2015 Journal of the Intensive Care Society

183. The use of therapeutic magnesium for neuroprotection during global cerebral ischemia associated with cardiac arrest and cardiac bypass surgery in adults: a systematic review protocol. Full Text available with Trip Pro

Adult Brain Ischemia drug therapy etiology Cerebral Infarction complications Heart Arrest complications drug therapy Humans Magnesium therapeutic use Neuroprotection drug effects Systematic Reviews as Topic Magnesium cardiac arrest neuroprotection 2014 04 11 2015 02 17 2015 02 15 2015 10 9 6 0 2015 10 9 6 0 2016 4 23 6 0 epublish 26447069 10.11124/jbisrir-2015-1675 (...) The use of therapeutic magnesium for neuroprotection during global cerebral ischemia associated with cardiac arrest and cardiac bypass surgery in adults: a systematic review protocol. 26447069 2016 04 22 2018 12 02 2202-4433 13 4 2015 May 15 JBI database of systematic reviews and implementation reports JBI Database System Rev Implement Rep The use of therapeutic magnesium for neuroprotection during global cerebral ischemia associated with cardiac arrest and cardiac bypass surgery in adults

2015 JBI database of systematic reviews and implementation reports

184. Alignment of Do-Not-Resuscitate Status With Patients' Likelihood of Favorable Neurological Survival After In-Hospital Cardiac Arrest. Full Text available with Trip Pro

Alignment of Do-Not-Resuscitate Status With Patients' Likelihood of Favorable Neurological Survival After In-Hospital Cardiac Arrest. After patients survive an in-hospital cardiac arrest, discussions should occur about prognosis and preferences for future resuscitative efforts.To assess whether patients' decisions for do-not-resuscitate (DNR) orders after a successful resuscitation from in-hospital cardiac arrest are aligned with their expected prognosis.Within Get With The Guidelines (...) -Resuscitation, we identified 26,327 patients with return of spontaneous circulation (ROSC) after in-hospital cardiac arrest between April 2006 and September 2012 at 406 US hospitals. Using a previously validated prognostic tool, each patient's likelihood of favorable neurological survival (ie, without severe neurological disability) was calculated. The proportion of patients with DNR orders within each prognosis score decile and the association between DNR status and actual favorable neurological survival

2015 JAMA

185. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes

Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

186. Association of presence and timing of invasive airway placement with outcomes after pediatric in-hospital cardiac arrest

Association of presence and timing of invasive airway placement with outcomes after pediatric in-hospital cardiac arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

187. Association of Bystander Interventions With Neurologically Intact Survival Among Patients With Bystander-Witnessed Out-of-Hospital Cardiac Arrest in Japan. Full Text available with Trip Pro

Association of Bystander Interventions With Neurologically Intact Survival Among Patients With Bystander-Witnessed Out-of-Hospital Cardiac Arrest in Japan. Neurologically intact survival after out-of-hospital cardiac arrest (OHCA) has been increasing in Japan. However, associations between increased prehospital care, including bystander interventions and increases in survival, have not been well estimated.To estimate the associations between bystander interventions and changes in neurologically (...) intact survival among patients with OHCA in Japan.Retrospective descriptive study using data from Japan's nationwide OHCA registry, which started in January 2005. The registry includes all patients with OHCA transported to the hospital by emergency medical services (EMS) and recorded patients' characteristics, prehospital interventions, and outcomes. Participants were 167,912 patients with bystander-witnessed OHCA of presumed cardiac origin in the registry between January 2005 and December 2012

2015 JAMA

188. Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013. Full Text available with Trip Pro

Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013. Out-of-hospital cardiac arrest is associated with low survival, but early cardiopulmonary resuscitation (CPR) and defibrillation can improve outcomes if more widely adopted.To examine temporal changes in bystander and first-responder resuscitation efforts before arrival of the emergency medical services (EMS) following statewide initiatives to improve (...) bystander and first-responder efforts in North Carolina from 2010-2013 and to examine the association between bystander and first-responder resuscitation efforts and survival and neurological outcome.We studied 4961 patients with out-of-hospital cardiac arrest for whom resuscitation was attempted and who were identified through the Cardiac Arrest Registry to Enhance Survival (2010-2013). First responders were dispatched police officers, firefighters, rescue squad, or life-saving crew trained to perform

2015 JAMA

189. Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest

Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

190. Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest in Children

Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest in Children PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

191. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. (Abstract)

) in the control group (absolute difference for intervention vs. control, 14 percentage points; 95% confidence interval, 6 to 21; P<0.001).A mobile-phone positioning system to dispatch lay volunteers who were trained in CPR was associated with significantly increased rates of bystander-initiated CPR among persons with out-of-hospital cardiac arrest. (Funded by the Swedish Heart-Lung Foundation and Stockholm County; ClinicalTrials.gov number, NCT01789554.). (...) Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. Cardiopulmonary resuscitation (CPR) performed by bystanders is associated with increased survival rates among persons with out-of-hospital cardiac arrest. We investigated whether rates of bystander-initiated CPR could be increased with the use of a mobile-phone positioning system that could instantly locate mobile-phone users and dispatch lay volunteers who were trained in CPR to a patient nearby with out-of-hospital

2015 NEJM Controlled trial quality: predicted high

192. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Full Text available with Trip Pro

Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Three million people in Sweden are trained in cardiopulmonary resuscitation (CPR). Whether this training increases the frequency of bystander CPR or the survival rate among persons who have out-of-hospital cardiac arrests has been questioned.We analyzed a total of 30,381 out-of-hospital cardiac arrests witnessed in Sweden from January 1, 1990, through December 31, 2011, to determine whether CPR was performed before (...) the arrival of emergency medical services (EMS) and whether early CPR was correlated with survival.CPR was performed before the arrival of EMS in 15,512 cases (51.1%) and was not performed before the arrival of EMS in 14,869 cases (48.9%). The 30-day survival rate was 10.5% when CPR was performed before EMS arrival versus 4.0% when CPR was not performed before EMS arrival (P<0.001). When adjustment was made for a propensity score (which included the variables of age, sex, location of cardiac arrest, cause

2015 NEJM

193. Cardiac Arrest Emergency Response in Hospitals

Cardiac Arrest Emergency Response in Hospitals Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along with other (...) not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Cardiac Arrest Emergency Response in Hospitals: Clinical Effectiveness

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

194. Survival After Out-of-Hospital Cardiac Arrest in Relation to Age and Early Identification of Patients With Minimal Chance of Long-Term Survival Full Text available with Trip Pro

Survival After Out-of-Hospital Cardiac Arrest in Relation to Age and Early Identification of Patients With Minimal Chance of Long-Term Survival Survival after out-of-hospital cardiac arrest has increased during the last decade in Denmark. We aimed to study the impact of age on changes in survival and whether it was possible to identify patients with minimal chance of 30-day survival.Using data from the nationwide Danish Cardiac Arrest Registry (2001─2011), we identified 21 480 patients ≥18 (...) years old with a presumed cardiac-caused out-of-hospital cardiac arrest for which resuscitation was attempted. Patients were divided into 3 preselected age-groups: working-age patients 18 to 65 years of age (33.7%), early senior patients 66 to 80 years of age (41.5%), and late senior patients >80 years of age (24.8%). Characteristics in working-age patients, early senior patients, and late senior patients were as follows: witnessed arrest in 53.8%, 51.1%, and 52.1%; bystander cardiopulmonary

2015 EvidenceUpdates

195. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. Full Text available with Trip Pro

Therapeutic hypothermia after out-of-hospital cardiac arrest in children. Therapeutic hypothermia is recommended for comatose adults after witnessed out-of-hospital cardiac arrest, but data about this intervention in children are limited.We conducted this trial of two targeted temperature interventions at 38 children's hospitals involving children who remained unconscious after out-of-hospital cardiac arrest. Within 6 hours after the return of circulation, comatose patients who were older than (...) 2 days and younger than 18 years of age were randomly assigned to therapeutic hypothermia (target temperature, 33.0°C) or therapeutic normothermia (target temperature, 36.8°C). The primary efficacy outcome, survival at 12 months after cardiac arrest with a Vineland Adaptive Behavior Scales, second edition (VABS-II), score of 70 or higher (on a scale from 20 to 160, with higher scores indicating better function), was evaluated among patients with a VABS-II score of at least 70 before cardiac

2015 NEJM Controlled trial quality: predicted high

196. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Full Text available with Trip Pro

Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Mechanical chest compression devices have the potential to help maintain high-quality cardiopulmonary resuscitation (CPR), but despite their increasing use, little evidence exists for their effectiveness. We aimed to study whether the introduction of LUCAS-2 mechanical CPR into front-line emergency response vehicles would improve survival from out (...) -of-hospital cardiac arrest.The pre-hospital randomised assessment of a mechanical compression device in cardiac arrest (PARAMEDIC) trial was a pragmatic, cluster-randomised open-label trial including adults with non-traumatic, out-of-hospital cardiac arrest from four UK Ambulance Services (West Midlands, North East England, Wales, South Central). 91 urban and semi-urban ambulance stations were selected for participation. Clusters were ambulance service vehicles, which were randomly assigned (1:2) to LUCAS

2015 Lancet Controlled trial quality: predicted high

197. Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study. Full Text available with Trip Pro

Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study. To evaluate the outcome of drowned children with cardiac arrest and hypothermia, and to determine distinct criteria for termination of cardiopulmonary resuscitation in drowned children with hypothermia and absence of spontaneous circulation.Nationwide retrospective cohort study.Emergency departments and paediatric intensive care units of the eight (...) university medical centres in the Netherlands.Children aged up to 16 with cardiac arrest and hypothermia after drowning, who presented at emergency departments and/or were admitted to intensive care.Survival and neurological outcome one year after the drowning incident. Poor outcome was defined as death or survival in a vegetative state or with severe neurological disability (paediatric cerebral performance category (PCPC) ≥ 4).From 1993 to 2012, 160 children presented with cardiac arrest and hypothermia

2015 BMJ

198. Differences in Vital Signs Between Elderly and Nonelderly Patients Prior to Ward Cardiac Arrest Full Text available with Trip Pro

were also compared. Elderly patients had a higher cardiac arrest rate (2.2 vs 1.0 per 1,000 ward admissions; p<0.001) and in-hospital mortality (2.9% vs 0.7%; p<0.001) than nonelderly patients. Within 4 hours of cardiac arrest, elderly patients had significantly lower mean heart rate (88 vs 99 beats/min; p<0.001), diastolic blood pressure (60 vs 66 mm Hg; p=0.007), shock index (0.82 vs 0.93; p<0.001), and Modified Early Warning Score (2.6 vs 3.3; p<0.001) and higher pulse pressure index (0.45 vs (...) Differences in Vital Signs Between Elderly and Nonelderly Patients Prior to Ward Cardiac Arrest Vital signs and composite scores, such as the Modified Early Warning Score, are used to identify high-risk ward patients and trigger rapid response teams. Although age-related vital sign changes are known to occur, little is known about the differences in vital signs between elderly and nonelderly patients prior to ward cardiac arrest. We aimed to compare the accuracy of vital signs for detecting

2015 EvidenceUpdates

199. Thermogard XP for therapeutic hypothermia after cardiac arrest

with the system range in price from £318.27 to £637.94. The single-use start-up kit is £235.87. A number of consumables, accessories and options are also available. The UK supplier, Delta Surgical, may provide Thermogard XP control units free of charge to the NHS, based on commitment to purchase disposable components. No published evidence on the resource consequences of Thermogard XP was identified. Introduction Introduction Cardiac arrest is caused by a loss of heart function. The heart stops pumping blood (...) around the body, leading to loss of consciousness and death unless emergency resuscitation is given and the heart can be restarted to achieve the return of spontaneous circulation (ROSC). Post-cardiac arrest syndrome can occur after ROSC and involves multiple systems. It reflects a state of whole-body ischaemia (restricted blood supply) and subsequent reperfusion. Its severity depends on the duration and cause of cardiac arrest, often reflecting the underlying condition, pre-existing co-morbidities

2015 National Institute for Health and Clinical Excellence - Advice

200. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised control trial. Full Text available with Trip Pro

Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised control trial. 28979419 2017 10 05 1751-1437 16 3 2015 Aug Journal of the Intensive Care Society J Intensive Care Soc Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised control trial. 241-243 10.1177/1751143715591402 eng Journal Article Review 2015 06 30 England J Intensive Care Soc 101538668 1751-1437

2015 Journal of the Intensive Care Society Controlled trial quality: uncertain