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Resuscitation

journal
https://www.readbyqxmd.com/read/28087288/outcome-of-adult-patients-attended-by-rapid-response-teams-a-systematic-review-of-the-literature
#1
REVIEW
Joonas Tirkkonen, Tero Tamminen, Markus Skrifvars
BACKGROUND: An abundance of studies have investigated the impact of rapid response teams (RRTs) on in-hospital cardiac arrest rates. However, existing RRT data appear highly variable in terms of both study quality and reported uses of limitations of care, patient survival and patient long-term outcome. METHODS: A systematic electronic literature search (January, 1990-March, 2016) of the PubMed and Cochrane databases was performed. Bibliographies of articles included in the full-text review were searched for additional studies...
January 10, 2017: Resuscitation
https://www.readbyqxmd.com/read/28087287/clinical-documentation-of-in-hospital-cardiac-arrest-in-a-large-national-health-system
#2
LETTER
Devraj Sukul, Lee A Kamphuis, Theodore J Iwashyna, Steven M Bradley, Paul S Chan, Shashank S Sinha, Brahmajee K Nallamothu
No abstract text is available yet for this article.
January 10, 2017: Resuscitation
https://www.readbyqxmd.com/read/28087286/incidence-and-survival-outcome-according-to-heart-rhythm-during-resuscitation-attempt-in-out-of-hospital-cardiac-arrest-patients-with-presumed-cardiac-etiology
#3
Shahzleen Rajan, Fredrik Folke, Steen Møller Hansen, Carolina Malta Hansen, Kristian Kragholm, Thomas A Gerds, Freddy K Lippert, Lena Karlsson, Sidsel Møller, Lars Køber, Gunnar H Gislason, Christian Torp-Pedersen, Mads Wissenberg
BACKGROUND: Knowledge about heart rhythm conversion from non-shockable to shockable rhythm during resuscitation attempt after out-of-hospital cardiac arrest (OHCA) and following chance of survival is limited and inconsistent. METHODS: We studied 13,860 patients with presumed cardiac-caused OHCA not witnessed by the emergency medical services from the Danish Cardiac Arrest Register (2005-2012). Patients were stratified according to rhythm: shockable, converted shockable (based on receipt of subsequent defibrillation) and sustained non-shockable rhythm...
January 10, 2017: Resuscitation
https://www.readbyqxmd.com/read/28069483/epinephrine-use-in-older-patients-with-anaphylaxis-clinical-outcomes-and-cardiovascular-complications
#4
Takahisa Kawano, Frank Xavier Scheuermeyer, Robert Stenstrom, Brian H Rowe, Eric Grafstein, Brian Grunau
BACKGROUND: There is little data describing the differences in epinephrine (epi) administration and cardiac complications among older and younger patients with anaphylaxis. METHODS: This retrospective cohort study was conducted at two urban emergency departments (ED) over a 5 year-period, and included adults who met a pre-specified criteria for anaphylaxis. Patients≥50years of age were defined as "older". Univariate logistic regression was performed to compare the difference in frequency of epi administration between the "older" and "younger" groups...
January 6, 2017: Resuscitation
https://www.readbyqxmd.com/read/28057527/use-of-early-head-ct-following-out-of-hospital-cardiopulmonary-arrest
#5
Alexandra S Reynolds, Elizabeth Matthews, Jessica Magid-Bernstein, Ashley Rodriguez, Soojin Park, Jan Claassen, Sachin Agarwal
AIM: Neurological emergencies can lead to cardiac arrest, and post-arrest patients can develop life-threatening neurological abnormalities. This study aims to estimate and characterize the use of early head CT (HCT), and its potential impact on post-resuscitation management. METHODS: This retrospective study analyzed 213 adults who suffered an out-of-hospital cardiac arrest (OHCA) and survived for at least 24h. Demographics were collected and arrest-related variables were documented...
January 3, 2017: Resuscitation
https://www.readbyqxmd.com/read/28043856/reply-to-letter-mean-airway-pressure-and-outcome-of-ohca
#6
LETTER
Athanasios Chalkias, Fotios Pavlopoulos, Anastasios Koutsovasilis, Ernesto d'Aloja, Theodoros Xanthos
No abstract text is available yet for this article.
December 31, 2016: Resuscitation
https://www.readbyqxmd.com/read/28039064/duration-of-resuscitation-efforts-for-in-hospital-cardiac-arrest-by-predicted-outcomes-insights-from-get-with-the-guidelines-resuscitation
#7
Steven M Bradley, Wenhui Liu, Paul S Chan, Saket Girotra, Zachary D Goldberger, Javier A Valle, Sarah M Perman, Brahmajee K Nallamothu
BACKGROUND: The duration of resuscitation efforts has implications for patient survival of in-hospital cardiac arrest (IHCA). It is unknown if patients with better predicted survival of IHCA receive longer attempts at resuscitation. METHODS: In a multicenter observational cohort of 40,563 adult non-survivors of resuscitation efforts for IHCA between 2000 and 2012, we determined the pre-arrest predicted probability of survival to discharge with good neurologic status, categorized into very low (<1%), low (1-3%), average (>3%-15%), and above average (>15%)...
December 27, 2016: Resuscitation
https://www.readbyqxmd.com/read/28012882/out-of-hospital-cardiac-arrest-without-return-of-spontaneous-circulation-in-the-field-who-are-the-survivors
#8
Yan Xiong, Hong Zhan, Yuanzheng Lu, Kaipan Guan, Ngozi Okoro, Denise Mitchell, Megan Dwyer, Auna Leatham, Gilberto Salazar, Xiaoxing Liao, Ahamed Idris
BACKGROUND: Return of spontaneous circulation (ROSC) in the field is a vital determinant contributing to survival from out-of-hospital cardiac arrest (OHCA). However, nearly one third of survivors at the Dallas-Fort Worth (DFW) Resuscitation Outcomes Consortium (ROC) site did not obtain ROSC in the field. METHODS: A retrospective, observational analysis was performed on all adult patients with non-traumatic OHCA treated on scene and transported to hospital, who did not gain ROSC in the field at DFW ROC site between 2006 through 2011...
December 21, 2016: Resuscitation
https://www.readbyqxmd.com/read/28011292/utilization-of-palliative-care-services-for-cardiac-arrest-patients-undergoing-therapeutic-hypothermia-a-retrospective-analysis
#9
Emily K Zern, Michael N Young, Taylor Triana, Meng Xu, Benjamin Holmes, Nyal Borges, John A McPherson, Mohana B Karlekar
BACKGROUND: Palliative care (PC) services are integral to the care of patients with advanced medical illnesses. Given the significant morbidity and mortality associated with cardiac arrest, we sought to measure the use and impact of PC in the care of patients treated with therapeutic hypothermia (TH). METHODS: We conducted a retrospective study of 317 consecutive patients undergoing TH after cardiac arrest. We compared intensive care unit (ICU) characteristics and clinical outcomes of subjects who received PC consultation (n=125) to those who did not (n=192)...
December 21, 2016: Resuscitation
https://www.readbyqxmd.com/read/28011291/mean-airway-pressure-and-outcome-of-ohca
#10
LETTER
Sion Jo, Jae Baek Lee, Youngho Jin, Taeoh Jeong, Jaechol Yoon
No abstract text is available yet for this article.
December 21, 2016: Resuscitation
https://www.readbyqxmd.com/read/28011290/the-effect-of-a-specialized-content-knowledge-workshop-on-teaching-and-learning-basic-life-support-in-elementary-school-a-cluster-randomized-controlled-trial
#11
Peter Iserbyt, Lieselot Theys, Phillip Ward, Nathalie Charlier
BACKGROUND: Research investigating the effect of specialised content knowledge (SCK) on teaching and learning Basic Life Support (BLS) is lacking. PURPOSE: To investigate the effect of a specialised content knowledge workshop on teaching behaviour, lesson context and student learning of BLS. Specialised content knowledge comprises knowledge of content progressions, skill analysis, and how to correct common errors. METHODS: A cluster randomized controlled trial...
December 20, 2016: Resuscitation
https://www.readbyqxmd.com/read/28007641/the-association-between-anemia-and-neurological-outcome-in-hypoxic-ischemic-brain-injury-after-cardiac-arrest
#12
Andrew Wormsbecker, Mypinder S Sekhon, Donald E Griesdale, Katie Wiskar, Barret Rush
AIM: To examine the relationship between daily mean hemoglobin concentration and neurological outcome in hypoxic ischemic brain injury (HIBI) following cardiac arrest. METHODS: We conducted a single center retrospective observational study using a database of HIBI patients between March 2009 and December 2014. We included all adults admitted to the intensive care unit following an in-hospital or out-of-hospital cardiac arrest. The primary outcome was neurological outcome measured by the Cerebral Performance Category (CPC) at hospital discharge...
December 19, 2016: Resuscitation
https://www.readbyqxmd.com/read/28007507/need-of-intraosseous-access-in-advanced-life-support-in-the-in-hospital-setting-evaluation-of-difficult-vascular-access-in-cardiac-arrest
#13
LETTER
Stephan A V Leutscher, Bastiaan M Gerritse, Nardo J van der Meer, Frits J Schuitemaker, Thierry V Scohy
No abstract text is available yet for this article.
December 19, 2016: Resuscitation
https://www.readbyqxmd.com/read/28007506/implementing-the-standardised-cardiac-arrest-call-telephone-number-for-all-european-hospitals-2222
#14
LETTER
Stefan Trenkler, Jana Simonova, Monika Grochova
No abstract text is available yet for this article.
December 19, 2016: Resuscitation
https://www.readbyqxmd.com/read/28007505/where-do-we-go-with-pocus
#15
EDITORIAL
Tom Quinn, Susanna Price
No abstract text is available yet for this article.
December 19, 2016: Resuscitation
https://www.readbyqxmd.com/read/28007504/prognostic-factors-for-extracorporeal-cardiopulmonary-resuscitation-recipients-following-out-of-hospital-refractory-cardiac-arrest-a-systematic-review-and-meta-analysis
#16
REVIEW
Guillaume Debaty, Valentin Babaz, Michel Durand, Lucie Gaide-Chevronnay, Emmanuel Fournel, Marc Blancher, Hélène Bouvaist, Olivier Chavanon, Maxime Maignan, Pierre Bouzat, Pierre Albaladejo, José Labarère
PURPOSE: Association estimates between baseline characteristics and outcomes are imprecise and inconsistent among extracorporeal cardiopulmonary resuscitation (ECPR) recipients following refractory out-of-hospital cardiac arrest (OHCA). This systematic review and meta-analysis aimed to investigate the prognostic significance of pre-specified characteristics for OHCA treated with ECPR. METHODS: The Medline electronic database was searched via PubMed for articles published from January 2000 to September 2016...
December 19, 2016: Resuscitation
https://www.readbyqxmd.com/read/28007503/low-spontaneous-variability-in-cerebral-blood-flow-velocity-in-non-survivors-after-cardiac-arrest
#17
J M D van den Brule, E J Vinke, L M van Loon, J G van der Hoeven, C W E Hoedemaekers
OBJECTIVE: To investigate spontaneous variability in the time and frequency domain in mean flow velocity (MFV) and mean arterial pressure (MAP) in comatose patients after cardiac arrest, and determine possible differences between survivors and non-survivors. METHODS: A prospective observational study was performed at the ICU of a tertiary care university hospital in the Netherlands. We studied 11 comatose patients and 10 controls. MFV in the middle cerebral artery was measured with simultaneously recording of MAP...
December 19, 2016: Resuscitation
https://www.readbyqxmd.com/read/27993632/ecmo-cardio-pulmonary-resuscitation-ecpr-trends-in-survival-from-an-international-multicentre-cohort-study-over-12-years
#18
Alexander Sacha C Richardson, Matthieu Schmidt, Michael Bailey, Vincent A Pellegrino, Peter T Rycus, David V Pilcher
BACKGROUND: Use of Extracorporeal Membrane Oxygenation during cardiopulmonary resuscitation (ECPR) is increasingly being deployed as an adjunct to conventional CPR. It is unknown if this has been associated with improved outcomes. AIMS: To describe trends in survival and patient demographics for ECPR patients in the international Extracorporeal Life Support Organisation (ELSO) database over the past 12 years and identify factors associated with changes in survival...
December 16, 2016: Resuscitation
https://www.readbyqxmd.com/read/27993631/infectious-complications-after-out-of-hospital-cardiac-arrest-a-comparison-between-two-target-temperatures
#19
Josef Dankiewicz, Niklas Nielsen, Adam Linder, Michael Kuiper, Matthew P Wise, Tobias Cronberg, David Erlinge, Yvan Gasche, Matthew B Harmon, Christian Hassager, Janneke Horn, Jesper Kjaergaard, Tommaso Pellis, Pascal Stammet, Johan Undén, Michael Wanscher, Jørn Wetterslev, Anders Åneman, Susann Ullén, Nicole P Juffermans, Hans Friberg
BACKGROUND: It has been suggested that target temperature management (TTM) increases the probability of infectious complications after cardiac arrest. We aimed to compare the incidence of pneumonia, severe sepsis and septic shock after out-of-hospital cardiac arrest (OHCA) in patients with two target temperatures and to describe changes in biomarkers and possible mortality associated with these infectious complications. METHODS: Post-Hoc analysis of the TTM-trial which randomized patients resuscitated from OHCA to a target temperature of 33 °C or 36 °C...
December 16, 2016: Resuscitation
https://www.readbyqxmd.com/read/27987398/relationship-between-timing-of-cooling-and-outcomes-in-adult-comatose-cardiac-arrest-patients-treated-with-targeted-temperature-management
#20
Byung Kook Lee, Kyung Woon Jeung, Yong Hun Jung, Dong Hun Lee, Sung Min Lee, Yong Soo Cho, Tag Heo, Jong Geun Yun, Yong Il Min
AIM OF THE STUDY: Studies examining associations between time to target temperature and outcomes in cardiac arrest patients who underwent targeted temperature management (TTM) have shown inconsistent results. We examined these associations separately for time from restoration of spontaneous circulation to TTM initiation (pre-induction time) and time from TTM initiation to target temperature (induction time). Furthermore, we examined whether critical time thresholds exist if there is an association...
December 14, 2016: Resuscitation
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