Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

181. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest.

Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. IMPORTANCE: Out-of-hospital cardiac arrest is a major health problem associated with poor outcomes. Early recognition and intervention are critical for patient survival. Bystander cardiopulmonary resuscitation (CPR) is one factor among many associated with improved survival. OBJECTIVE: To examine temporal changes in bystander (...) resuscitation attempts and survival during a 10-year period in which several national initiatives were taken to increase rates of bystander resuscitation and improve advanced care. DESIGN, SETTING, AND PARTICIPANTS: Patients with out-of-hospital cardiac arrest for which resuscitation was attempted were identified between 2001 and 2010 in the nationwide Danish Cardiac Arrest Registry. Of 29,111 patients with cardiac arrest, we excluded those with presumed noncardiac cause of arrest (n = 7390) and those

JAMA2013

182. Safety profile and outcome of mild therapeutic hypothermia in patients following cardiac arrest: systematic review and meta-analysis

Safety profile and outcome of mild therapeutic hypothermia in patients following cardiac arrest: systematic review and meta-analysis Safety profile and outcome of mild therapeutic hypothermia in patients following cardiac arrest: systematic review and meta-analysis Safety profile and outcome of mild therapeutic hypothermia in patients following cardiac arrest: systematic review and meta-analysis Xiao G, Guo Q, Shu M, Xie X, Deng J, Zhu Y, Wan C CRD summary The authors concluded that mild (...) therapeutic hypothermia was generally safe, for comatose patients, following a cardiac arrest, and it could improve their short- and long-term survival. Given the heterogeneity across studies, for mortality, and the small numbers of studies reporting adverse events, the authors' suggestion to interpret the findings cautiously should be heeded; the findings may not be reliable. Authors' objectives To assess the safety and efficacy of mild therapeutic hypothermia, for patients following a cardiac arrest

DARE.2013

183. Waveform Analysis-Guided Treatment Versus a Standard Shock-First Protocol for the Treatment of Out-of-Hospital Cardiac Arrest Presenting in Ventricular Fibrillation: Results of an International Randomized, Controlled Trial

Waveform Analysis-Guided Treatment Versus a Standard Shock-First Protocol for the Treatment of Out-of-Hospital Cardiac Arrest Presenting in Ventricular Fibrillation: Results of an International Randomized, Controlled Trial 23979627 2013 08 27 2013 10 28 2014 07 18 1524-4539 128 9 2013 Aug 27 Circulation Circulation Waveform analysis-guided treatment versus a standard shock-first protocol for the treatment of out-of-hospital cardiac arrest presenting in ventricular fibrillation: results (...) , double-blind, randomized study, out-of-hospital cardiac arrest patients in 2 urban emergency medical services systems were treated with automated external defibrillators using either a VF waveform analysis algorithm or the standard shock-first protocol. The VF waveform analysis used a predefined threshold value below which return of spontaneous circulation (ROSC) was unlikely with immediate defibrillation, allowing selective treatment with a 2-minute interval of cardiopulmonary resuscitation before

EvidenceUpdates2013

184. Therapeutic hypothermia for cardiac arrest of asphyxial origin

Therapeutic hypothermia for cardiac arrest of asphyxial origin BestBets: Therapeutic hypothermia for cardiac arrest of asphyxial origin Therapeutic hypothermia for cardiac arrest of asphyxial origin Report By: Eric Mercier - Emergency medicine PGY-3 Search checked by Gareth Roberts - Central Manchester University Hospitals NHS Foundation Trust, UK Institution: Laval University, Quebec, Canada Date Submitted: 17th July 2012 Date Completed: 25th July 2013 Last Modified: 25th July 2013 Status (...) at the emergency department, she is haemodynamically stable, normothermic and unresponsive. You are aware of the evidence for therapeutic hypothermia following return of spontaneous circulation for a cardiac arrest associated with a shockable rhythm. Given the potential neuroprotective effect of therapeutic hypothermia, you wonder whether a superior neurological outcome can also be obtained in comatose patients following asphyxia. Search Strategy No Best BET was identified on this topic. Medline (1946 to May

BestBETS2013

185. Vasopressin, steroids, and epinephrine and neurologically favorable survival after in-hospital cardiac arrest: a randomized clinical trial.

Vasopressin, steroids, and epinephrine and neurologically favorable survival after in-hospital cardiac arrest: a randomized clinical trial. IMPORTANCE: Among patients with cardiac arrest, preliminary data have shown improved return of spontaneous circulation and survival to hospital discharge with the vasopressin-steroids-epinephrine (VSE) combination. OBJECTIVE: To determine whether combined vasopressin-epinephrine during cardiopulmonary resuscitation (CPR) and corticosteroid supplementation (...) during and after CPR improve survival to hospital discharge with a Cerebral Performance Category (CPC) score of 1 or 2 in vasopressor-requiring, in-hospital cardiac arrest. DESIGN, SETTING, AND PARTICIPANTS: Randomized, double-blind, placebo-controlled, parallel-group trial performed from September 1, 2008, to October 1, 2010, in 3 Greek tertiary care centers (2400 beds) with 268 consecutive patients with cardiac arrest requiring epinephrine according to resuscitation guidelines (from 364 patients

JAMA2013

186. Factors associated with mortality in pediatric in-hospital cardiac arrest: a prospective multicenter multinational observational study

Factors associated with mortality in pediatric in-hospital cardiac arrest: a prospective multicenter multinational observational study PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2013

187. Long-term outcomes in elderly survivors of cardiac arrest.

Long-term outcomes in elderly survivors of cardiac arrest. Long-term outcomes in elderly survivors of cardiac arrest. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Create File 1 selected item: 23782192 Format MeSH and Other Data E-mail (...) Subject Additional text E-mail Add to Clipboard Add to Collections Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2013 Jun 20;368(25):2438-9. doi: 10.1056/NEJMc1305198. Long-term outcomes in elderly survivors of cardiac arrest. , , . Comment on [N Engl J Med. 2013] [N Engl J Med. 2013] [N Engl J Med. 2013] PMID: 23782192 DOI: [Indexed for MEDLINE] Free full text Publication types MeSH terms Grant support Full Text Sources Medical

NEJM2013

188. Long-term outcomes in elderly survivors of cardiac arrest.

Long-term outcomes in elderly survivors of cardiac arrest. Long-term outcomes in elderly survivors of cardiac arrest. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Create File 1 selected item: 23782193 Format MeSH and Other Data E-mail (...) Subject Additional text E-mail Add to Clipboard Add to Collections Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2013 Jun 20;368(25):2437-8. doi: 10.1056/NEJMc1305198#SA1. Long-term outcomes in elderly survivors of cardiac arrest. , . Comment in [N Engl J Med. 2013] Comment on [N Engl J Med. 2013] PMID: 23782193 DOI: [Indexed for MEDLINE] Publication types MeSH terms Full Text Sources Medical PubMed Commons 0 comments How to cite

NEJM2013 Full Text: Link to full Text with Trip Pro

189. Long-term outcomes in elderly survivors of cardiac arrest.

Long-term outcomes in elderly survivors of cardiac arrest. Long-term outcomes in elderly survivors of cardiac arrest. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Create File 1 selected item: 23782194 Format MeSH and Other Data E-mail (...) Subject Additional text E-mail Add to Clipboard Add to Collections Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2013 Jun 20;368(25):2438. doi: 10.1056/NEJMc1305198#SA2. Long-term outcomes in elderly survivors of cardiac arrest. , . Comment in [N Engl J Med. 2013] Comment on [N Engl J Med. 2013] PMID: 23782194 DOI: [Indexed for MEDLINE] Publication types MeSH terms Full Text Sources Medical PubMed Commons 0 comments How to cite

NEJM2013 Full Text: Link to full Text with Trip Pro

190. Prehospital epinephrine use and survival among patients with out-of-hospital cardiac arrest

Prehospital epinephrine use and survival among patients with out-of-hospital cardiac arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2013

191. Multicenter cohort study of out-of-hospital pediatric cardiac arrest

Multicenter cohort study of out-of-hospital pediatric cardiac arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2013

192. The use of adrenaline and long-term survival in cardiopulmonary resuscitation following cardiac arrest

The use of adrenaline and long-term survival in cardiopulmonary resuscitation following cardiac arrest BestBets: The use of adrenaline and long-term survival in cardiopulmonary resuscitation following cardiac arrest The use of adrenaline and long-term survival in cardiopulmonary resuscitation following cardiac arrest Report By: Craig Miller - 4th Year Medical Student Search checked by Jerry Nolan - Consultant Anaesthetist Institution: University of Southampton, Southampton, UK Date Submitted (...) : 8th May 2012 Date Completed: 17th April 2013 Last Modified: 17th April 2013 Status: Green (complete) Three Part Question In [patients receiving cardiopulmonary resuscitation following cardiac arrest], is [the use of adrenaline beneficial] in [improving long-term survival]? Search Strategy Ovid MEDLINE(R) 1946 to December Week 4 2012 ({(CPR.mp. OR exp cardiopulmonary resuscitation/OR internal cardiac massage.mp. OR chest compressions.mp.) AND (adrenaline.mp. OR exp epinephrine/) AND (survival.mp

BestBETS2013

193. Long-term outcomes in elderly survivors of in-hospital cardiac arrest.

Long-term outcomes in elderly survivors of in-hospital cardiac arrest. BACKGROUND: Little is known about the long-term outcomes in elderly survivors of in-hospital cardiac arrest. We determined rates of long-term survival and readmission among survivors of in-hospital cardiac arrest and examined whether these outcomes differed according to demographic characteristics and neurologic status at discharge. METHODS: We linked data from a national registry of inpatient cardiac arrests with Medicare (...) files and identified 6972 adults, 65 years of age or older, who were discharged from the hospital after surviving an in-hospital cardiac arrest between 2000 and 2008. Predictors of 1-year survival and of readmission to the hospital were examined. RESULTS: One year after hospital discharge, 58.5% of the patients were alive, and 34.4% had not been readmitted to the hospital. The risk-adjusted rate of 1-year survival was lower among older patients than among younger patients (63.7%, 58.6%, and 49.7

NEJM2013 Full Text: Link to full Text with Trip Pro

195. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest.

Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. IMPORTANCE: It is unclear whether advanced airway management such as endotracheal intubation or use of supraglottic airway devices in the prehospital setting improves outcomes following out-of-hospital cardiac arrest (OHCA) compared with conventional bag-valve-mask ventilation. OBJECTIVE: To test the hypothesis that prehospital advanced airway management (...) , advanced airway management had an OR for favorable neurological outcome of 0.38 (95% CI, 0.37-0.40) after adjusting for age, sex, etiology of arrest, first documented rhythm, witnessed status, type of bystander cardiopulmonary resuscitation, use of public access automated external defibrillator, epinephrine administration, and time intervals. Similarly, the odds of neurologically favorable survival were significantly lower both for endotracheal intubation (adjusted OR, 0.41; 95% CI, 0.37-0.45

JAMA2013

196. Vasopressin, steroids, and epinephrine and neurologically favorable survival after in-hospital cardiac arrest: a randomized clinical trial.

Vasopressin, steroids, and epinephrine and neurologically favorable survival after in-hospital cardiac arrest: a randomized clinical trial. 23860985 2013 07 17 2013 07 22 2016 10 17 1538-3598 310 3 2013 Jul 17 JAMA JAMA Vasopressin, steroids, and epinephrine and neurologically favorable survival after in-hospital cardiac arrest: a randomized clinical trial. 270-9 10.1001/jama.2013.7832 Among patients with cardiac arrest, preliminary data have shown improved return of spontaneous circulation (...) and survival to hospital discharge with the vasopressin-steroids-epinephrine (VSE) combination. To determine whether combined vasopressin-epinephrine during cardiopulmonary resuscitation (CPR) and corticosteroid supplementation during and after CPR improve survival to hospital discharge with a Cerebral Performance Category (CPC) score of 1 or 2 in vasopressor-requiring, in-hospital cardiac arrest. Randomized, double-blind, placebo-controlled, parallel-group trial performed from September 1, 2008

JAMA2013

197. Targeted temperature management at 33°C versus 36°C after cardiac arrest.

Targeted temperature management at 33°C versus 36°C after cardiac arrest. 24237006 2013 12 05 2013 12 13 2016 01 19 1533-4406 369 23 2013 Dec 05 The New England journal of medicine N. Engl. J. Med. Targeted temperature management at 33°C versus 36°C after cardiac arrest. 2197-206 10.1056/NEJMoa1310519 Unconscious survivors of out-of-hospital cardiac arrest have a high risk of death or poor neurologic function. Therapeutic hypothermia is recommended by international guidelines (...) , but the supporting evidence is limited, and the target temperature associated with the best outcome is unknown. Our objective was to compare two target temperatures, both intended to prevent fever. In an international trial, we randomly assigned 950 unconscious adults after out-of-hospital cardiac arrest of presumed cardiac cause to targeted temperature management at either 33°C or 36°C. The primary outcome was all-cause mortality through the end of the trial. Secondary outcomes included a composite of poor

NEJM2013

198. Does Advanced Airway Management Improve Outcomes in Adult Out-of-Hospital Cardiac Arrest?

Does Advanced Airway Management Improve Outcomes in Adult Out-of-Hospital Cardiac Arrest? DEFINE_ME_WA This site requires Cookies to be enabled to function. Please ensure Cookies are turned on and then re-visit the desired page.

Annals of Emergency Medicine Systematic Review Snapshots2013

199. Does Active Chest Compression-Decompression Cardiopulmonary Resuscitation Decrease Mortality, Neurologic Impairment, or Cardiopulmonary Resuscitation-Related Complications After Cardiac Arrest?

Does Active Chest Compression-Decompression Cardiopulmonary Resuscitation Decrease Mortality, Neurologic Impairment, or Cardiopulmonary Resuscitation-Related Complications After Cardiac Arrest? DEFINE_ME_WA This site requires Cookies to be enabled to function. Please ensure Cookies are turned on and then re-visit the desired page.

Annals of Emergency Medicine Systematic Review Snapshots2013

200. Does Calcium Administration During Cardiopulmonary Resuscitation Improve Survival for Patients in Cardiac Arrest?

Does Calcium Administration During Cardiopulmonary Resuscitation Improve Survival for Patients in Cardiac Arrest? DEFINE_ME_WA This site requires Cookies to be enabled to function. Please ensure Cookies are turned on and then re-visit the desired page.

Annals of Emergency Medicine Systematic Review Snapshots2013