Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

141. Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013.

Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013. IMPORTANCE: Out-of-hospital cardiac arrest is associated with low survival, but early cardiopulmonary resuscitation (CPR) and defibrillation can improve outcomes if more widely adopted. OBJECTIVE: 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. DESIGN, SETTINGS, AND PARTICIPANTS: 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

JAMA2015 Full Text: Link to full Text with Trip Pro

142. 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?

PedsCCM Evidence-Based Journal Club2015

143. 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?

PedsCCM Evidence-Based Journal Club2015

144. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest.

Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. BACKGROUND: 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. METHODS: 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 (...) , location of cardiac arrest, cause of cardiac arrest, initial cardiac rhythm, EMS response time, time from collapse to call for EMS, and year of event), CPR before the arrival of EMS was associated with an increased 30-day survival rate (odds ratio, 2.15; 95% confidence interval, 1.88 to 2.45). When the time to defibrillation in patients who were found to be in ventricular fibrillation was included in the propensity score, the results were similar. The positive correlation between early CPR and survival

NEJM2015

145. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest.

Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. 26061836 2015 06 11 2015 06 19 2015 12 01 1533-4406 372 24 2015 Jun 11 The New England journal of medicine N. Engl. J. Med. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. 2316-25 10.1056/NEJMoa1406038 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 cardiac arrest. We conducted a blinded, randomized, controlled trial in Stockholm from April 2012 through December 2013. A mobile-phone positioning system that was activated when ambulance, fire, and police services were dispatched was used to locate trained volunteers who

NEJM2015

146. 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

Canadian Agency for Drugs and Technologies in Health - Rapid Review2015

147. 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 in Relation to Age and Early Identification of Patients With Minimal Chance of Long-Term Survival 25747933 2015 05 05 2015 07 23 2015 05 05 1524-4539 131 18 2015 May 05 Circulation Circulation Survival After Out-of-Hospital Cardiac Arrest in Relation to Age and Early Identification of Patients With Minimal Chance of Long-Term Survival. 1536-45 10.1161/CIRCULATIONAHA.114.013122 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

EvidenceUpdates2015 Full Text: Link to full Text with Trip Pro

148. Therapeutic hypothermia after out-of-hospital cardiac arrest in children.

Therapeutic hypothermia after out-of-hospital cardiac arrest in children. 25913022 2015 05 14 2015 05 21 2016 12 15 1533-4406 372 20 2015 May 14 The New England journal of medicine N. Engl. J. Med. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. 1898-908 10.1056/NEJMoa1411480 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

NEJM2015 Full Text: Link to full Text with Trip Pro

149. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial.

Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. 25467566 2015 03 18 2015 04 07 2016 01 19 1474-547X 385 9972 2015 Mar 14 Lancet (London, England) Lancet Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. 947-55 10.1016/S0140-6736(14)61886-9 S0140-6736(14)61886-9 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

Lancet2015

150. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial.

Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. BACKGROUND: 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. METHODS: 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

Lancet2015

151. Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study.

Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study. OBJECTIVES: 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. DESIGN: Nationwide retrospective cohort study. SETTING: Emergency departments and paediatric (...) intensive care units of the eight university medical centres in the Netherlands. PARTICIPANTS: Children aged up to 16 with cardiac arrest and hypothermia after drowning, who presented at emergency departments and/or were admitted to intensive care. MAIN OUTCOME MEASURE: 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

BMJ2015 Full Text: Link to full Text with Trip Pro

152. Differences in Vital Signs Between Elderly and Nonelderly Patients Prior to Ward Cardiac Arrest

Differences in Vital Signs Between Elderly and Nonelderly Patients Prior to Ward Cardiac Arrest 25559439 2015 03 15 2015 05 18 2016 10 19 1530-0293 43 4 2015 Apr Critical care medicine Crit. Care Med. Differences in vital signs between elderly and nonelderly patients prior to ward cardiac arrest. 816-22 10.1097/CCM.0000000000000818 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 cardiac arrest between elderly and nonelderly patients. Observational cohort study. Five hospitals in the United States. A total of 269,956 patient admissions to the wards with documented age, including 422 index ward cardiac arrests. None. Patient characteristics

EvidenceUpdates2015 Full Text: Link to full Text with Trip Pro

153. Do Mechanical Devices Improve Return of Spontaneous Circulation Over Manual Chest Compressions in Out-of-Hospital Cardiac Arrest?

Do Mechanical Devices Improve Return of Spontaneous Circulation Over Manual Chest Compressions in 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 Snapshots2015

154. Thermogard XP for therapeutic hypothermia after cardiac arrest

Thermogard XP for therapeutic hypothermia after cardiac arrest Thermogard XP for ther Thermogard XP for therapeutic h apeutic hypothermia ypothermia after cardiac arrest after cardiac arrest Medtech innovation briefing Published: 9 September 2015 nice.org.uk/guidance/mib37 pathways Summary Summary The Thermogard XP temperature management system controls a patient's body temperature through central venous heat exchange. It can be used to induce and maintain therapeutic hypothermia in critically (...) ill patients after cardiac arrest. One retrospective cohort study based on registry data found that Thermogard XP cooled the body more rapidly than surface-cooling devices with automatic temperature feedback systems. However, in this study, there was no statistically significant difference in neurological outcomes or in-hospital mortality. The per-patient consumable cost of Thermogard XP is between £500 and £900 depending on the type of catheter needed. © NICE 2018. All rights reserved. Subject

National Institute for Health and Clinical Excellence - Advice2015

155. Epinephrine in Out­?of­?Hospital Cardiac Arrest

Epinephrine in Out­?of­?Hospital Cardiac Arrest Emergency Medicine > Journal Club > Archive > January 2015 Toggle navigation January 2015 Epinephrine in Out-­of­‐Hospital Cardiac Arrest Vignette You are doing an EMS ride­‐along during your EMS elective and get a call for a 70­-year old male in cardiac arrest. The paramedic hits the lights and sirens and you're on scene in five minutes. The fire department has already arrived and CPR is in progress. They tell you that the patient was watching TV (...) with his wife when he collapsed about 15 minutes prior to their arrival. He did not receive any bystander CPR and was pulseless and apneic on their arrival. You and the EMS team take over CPR and bag the patient while hooking up the monitor. He is found to be in asystole and the paramedic grabs an amp of epinephrine. You place a supraglottic airway, he gets the epinephrine, and you load him up while continuing good, uninterrupted chest compressions. He gets two more rounds of epi en route and gets

Washington University Emergency Medicine Journal Club2015

156. Mechanical Compressions Versus Manual Compressions in Cardiac Arrest

Mechanical Compressions Versus Manual Compressions in Cardiac Arrest "Mechanical Compressions Versus Manual Compressions in Cardiac Arrest" by Larissa Fritts < > > > > > Title Author Date of Award Fall 8-15-2015 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies First Advisor Elizabeth Crawford Second Advisor Anjanette Sommers Rights . Abstract Background: More than 350 000 people suffer an out of hospital cardiac arrest every year. Even when medical (...) medical literature including MEDLINE-Ovid, MEDLINE-PubMed, Web of Science, and CINAHL was performed using keywords: “mechanical compressions/LUCAS”, “manual compressions/CPR”, and “prehospital/emergency medical services/out of hospital cardiac arrest.” Studies were screened with eligibility criteria and resulting studies were then assessed for quality with GRADE. Results: Two studies were included in this systematic review, meeting all inclusion criteria. Rubertsson et al is a RCT that looked at 4471

Pacific University EBM Capstone Project2015

157. American Heart Association Response to the 2015 Institute of Medicine Report on Strategies to Improve Cardiac Arrest Survival

American Heart Association Response to the 2015 Institute of Medicine Report on Strategies to Improve Cardiac Arrest Survival American Heart Association Response to the 2015 Institute of Medicine Report on Strategies to Improve Cardiac Arrest Survival | Circulation Search for this keyword Search Search for this keyword Search Header Publisher Menu AHA Special Report American Heart Association Response to the 2015 Institute of Medicine Report on Strategies to Improve Cardiac Arrest Survival (...) Jump to Abstract The American Heart Association (AHA) commends the recently released Institute of Medicine (IOM) report, Strategies to Improve Cardiac Arrest Survival: A Time to Act (2015). The AHA recognizes the unique opportunity created by the report to meaningfully advance the objectives of improving outcomes for sudden cardiac arrest. For decades, the AHA has focused on the goal of reducing morbidity and mortality from cardiovascular disease though robust support of basic, translational

American Heart Association2015 Full Text: Link to full Text with Trip Pro

158. Development of a prompt model for predicting neurological outcomes in patients with return of spontaneous circulation from out‐of‐hospital cardiac arrest

Development of a prompt model for predicting neurological outcomes in patients with return of spontaneous circulation from out‐of‐hospital cardiac arrest 29123717 2018 11 13 2052-8817 2 3 2015 07 Acute medicine & surgery Acute Med Surg Development of a prompt model for predicting neurological outcomes in patients with return of spontaneous circulation from out-of-hospital cardiac arrest. 176-182 10.1002/ams2.96 Early prediction of the neurological outcomes of patients with out-of-hospital (...) cardiac arrest is important to select the optimal clinical management. We hypothesized that clinical data recorded at the site of cardiopulmonary resuscitation would be clinically useful. This retrospective cohort study included patients with return of spontaneous circulation after cardiopulmonary resuscitation who were admitted to our university hospital between January 2000 and November 2013 or two affiliated hospitals between January 2006 and November 2013. Clinical parameters recorded on arrival included

Acute medicine & surgery2014 Full Text: Link to full Text with Trip Pro

159. Propofol administration to the fetal-maternal unit preserved cardiac function in late-preterm lambs subjected to severe prenatal asphyxia and cardiac arrest

Propofol administration to the fetal-maternal unit preserved cardiac function in late-preterm lambs subjected to severe prenatal asphyxia and cardiac arrest 27484022 2016 08 27 2016 08 26 2194-7791 1 Suppl 1 2014 Sep 11 Molecular and cellular pediatrics Mol Cell Pediatr Abstracts of the 50th Workshop for Pediatric Research. A1-A29 eng Journal Article Germany Mol Cell Pediatr 101660689 2194-7791 2016 8 4 6 0 2014 9 11 0 0 2014 9 11 0 1 ppublish 27484022 PMC4715210

Molecular and cellular pediatrics2014 Full Text: Link to full Text with Trip Pro

160. Normothermia versus Therapeutic Hypothermia for Adult Patients after Cardiac Arrest

Normothermia versus Therapeutic Hypothermia for Adult Patients after Cardiac Arrest TITLE: Normothermia versus Therapeutic Hypothermia for Adult Patients after Cardiac Arrest: Clinical Evidence DATE: 26 August 2014 RESEARCH QUESTION What is the clinical evidence for neurological benefits or harms of maintaining normothermia versus induction of therapeutic hypothermia in adult patients following cardiac arrest? KEY FINDINGS Six systematic reviews and one randomized controlled trial were (...) identified regarding the comparative neurological benefits and harms of maintaining normothermia versus induction of therapeutic hypothermia in adult patients following cardiac arrest. METHODS A limited literature search was conducted on key resources including PubMed, The Cochrane Library (2014, Issue 8), University of York Centre for Reviews and Dissemination (CRD) databases, Canadian and major international health technology agencies, as well as a focused Internet search. Methodological filters were

Canadian Agency for Drugs and Technologies in Health - Rapid Review2014