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Latest & greatest articles for cardiac arrest
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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
, ten systematic reviews (seven with meta-analysis), five randomized controlled trials, and 13 non-randomized studies were identified regarding the clinical benefits, harms, or cost-effectiveness of mechanical CPR devices for patients with cardiacarrest in pre-hospital and hospital settings. Tags cardiopulmonary resuscitation, emergency medical services, heartarrest, myocardial infarction, heart attack, medical devices, AutoPulse, LUCAS, CPR, Chest Compression, Chest Compressions, Prehospital (...) 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
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
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
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
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
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
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?
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
are consistent with non-cardiogenic shock: there’s nothing to suggest a massive PE or obstructive shock, the heart is filling and pumping effectively which rules out cardiogenic shock, and we can’t find a source of bleeding to account for hemorrhagic shock. In the context of a cancer patient with a poor immune response, they are likely septic and/or dehydrated. We can deal with this! Case 2 – CardiacArrest EMS rolls into your resuscitation room with a 48-year-old female who is receiving CPR. Over (...) therapy and should help guide other investigations. Differentiating cardiogenic shock (a poorly contracting, enlarged heart, widespread lung B lines, and an engorged IVC) in an elderly hypotensive breathless patient, from sepsis (a vigorously contracting, normally sized or small heart, focal or no B lines, and an empty IVC) will change the initial resuscitation plan dramatically. Differentiating cardiac tamponade from tension pneumothorax in apparent obstructive shock or cardiacarrest will lead
Cardiacarrest caused by rapidly increasing ascites in a patient with TAFRO syndrome: a case report Thrombocytopenia, anasarca, fever, renal insufficiency, and organomegaly (TAFRO) syndrome is a newly defined systemic inflammatory disorder with gradual progression of symptoms. A 59-year-old man with fever and ascites of unknown cause developed sudden-onset shock and respiratory failure in the general ward. Cardiacarrest immediately followed. Although he was resuscitated, frequent (...) immunosuppressive agents.The newly defined TAFRO syndrome may be life-threatening. Patients should be monitored for progression to shock and cardiacarrest, especially those with rapidly increasing ascites.
Targeted Temperature Management After Pediatric CardiacArrest Due To Drowning: Outcomes and Complications PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?
Cardiacarrest caused by sibutramine obtained over the Internet: a case of a young woman without preâ€existing cardiovascular disease successfully resuscitated using extracorporeal membrane oxygenation Sibutramine is a weight loss agent that was withdrawn from the market in the USA and European Union because it increases adverse events in patients with cardiovascular diseases. However, non-prescription weight loss pills containing sibutramine can be still easily purchased over the Internet.A (...) 21-year-old woman without history of cardiovascular diseases developed cardiacarrest. She was a user of a weight loss pills, containing sibutramine and hypokalemia-inducing agents, imported from Thailand over the Internet.She was successfully resuscitated without any neurological deficits by using extracorporeal membrane oxygenation for refractory ventricular fibrillation.This case indicates that sibutramine can cause cardiacarrest even in subjects without pre-existing cardiovascular disease
Differences in coagulofibrinolytic changes between postâ€cardiacarrest syndrome of cardiac causes and hypoxic insults: a pilot study 29123894 2018 11 13 2052-8817 4 3 2017 07 Acute medicine & surgery Acute Med Surg Differences in coagulofibrinolytic changes between post-cardiacarrest syndrome of cardiac causes and hypoxic insults: a pilot study. 371-372 10.1002/ams2.270 Wada Takeshi T Division of Acute and Critical Care Medicine Department of Anesthesiology and Critical Care Medicine
Continuous chest compression versus interrupted chest compression for cardiopulmonary resuscitation of non-asphyxial out-of-hospital cardiacarrest. Out-of-hospital cardiacarrest (OHCA) is a major cause of death worldwide. Cardiacarrest can be subdivided into asphyxial and non asphyxial etiologies. An asphyxia arrest is caused by lack of oxygen in the blood and occurs in drowning and choking victims and in other circumstances. A non asphyxial arrest is usually a loss of functioning cardiac (...) electrical activity. Cardiopulmonary resuscitation (CPR) is a well-established treatment for cardiacarrest. Conventional CPR includes both chest compressions and 'rescue breathing' such as mouth-to-mouth breathing. Rescue breathing is delivered between chest compressions using a fixed ratio, such as two breaths to 30 compressions or can be delivered asynchronously without interrupting chest compression. Studies show that applying continuous chest compressions is critical for survival and interrupting