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Resuscitation

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https://www.readbyqxmd.com/read/30639791/rhythm-characteristics-and-patterns-of-change-during-cardiopulmonary-resuscitation-for-in-hospital-paediatric-cardiac-arrest
#1
Trond Nordseth, Dana E Niles, Trygve Eftestøl, Robert M Sutton, Unai Irusta, Benjamin S Abella, Robert A Berg, Vinay M Nadkarni, Eirik Skogvoll
During paediatric cardiopulmonary resuscitation (CPR), patients may transition between pulseless electrical activity (PEA), asystole, ventricular fibrillation/tachycardia (VF/VT), and return of spontaneous circulation (ROSC). The aim of this study was to quantify the dynamic characteristics of this process. METHODS: ECG recordings were collected in patients who received CPR at the Children's Hospital of Philadelphia (CHOP) between 2006 and 2013. Transitions between PEA (including bradycardia with poor perfusion), VF/VT, asystole, and ROSC were quantified by applying a multi-state statistical model with competing risks, and by smoothing the Nelson-Aalen estimator of cumulative hazard...
January 9, 2019: Resuscitation
https://www.readbyqxmd.com/read/30639790/association-of-health-insurance-with-post-resuscitation-care-and-neurological-outcomes-after-return-of-spontaneous-circulation-in-out-of-hospital-cardiac-arrest-patients-in-the-republic-of-korea
#2
Tae Han Kim, Young Sun Ro, Sang Do Shin, Kyoung Jun Song, Ki Jeong Hong, Jeong Ho Park, So Yeon Kong
BACKGROUND: We investigated the association of health insurance status with post-resuscitation care and neurological recovery in out-of-hospital cardiac arrest (OHCA) and whether the effects changed with age or gender. METHODS: Adult OHCAs with presumed cardiac etiology who had sustained ROSC from 2013 to 2016 were enrolled from the nationwide OHCA registry of Korea. Insurance status was categorized into 2 groups: National Health Insurance (NHI) and Medical Aid (MA)...
January 9, 2019: Resuscitation
https://www.readbyqxmd.com/read/30639789/the-effect-of-dispatcher-assisted-cardiopulmonary-resuscitation-on-early-defibrillation-and-return-of-spontaneous-circulation-with-survival
#3
Sun Young Lee, Ki Jeong Hong, Sang Do Shin, Young Sun Ro, Kyoung Jun Song, Jeong Ho Park, So Yeon Kong, Tae Han Kim, Seung Chul Lee
BACKGROUND: Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) programs are implemented to augment bystander CPR and improve outcomes of patients with out-of-hospital cardiac arrest (OHCA). To understand the pathway of how DA-CPR improves outcomes of OHCA, we aimed to evaluate the effect of DA-CPR on defibrillation and return of spontaneous circulation (ROSC) with survival to hospital discharge within 90 minutes. METHODS: We conducted a population-based observational study of all adults with OHCA with presumed cardiac aetiology treated by emergency medical services (EMS) between 2013 and 2016, using a national OHCA registry...
January 9, 2019: Resuscitation
https://www.readbyqxmd.com/read/30639788/north-american-validation-of-the-bokutoh-criteria-for-withholding-professional-resuscitation-in-non-traumatic-out-of-hospital-cardiac-arrest
#4
Brian Grunau, Frank Scheuermeyer, Takahisa Kawano, Jennie S Helmer, Bobby Gu, Scott Haig, Jim Christenson
BACKGROUND: Certain subgroups of patients with out-of-hospital cardiac arrest (OHCA) may not benefit from treatment. Early identification of this cohort in the prehospital (EMS) setting prior to any resuscitative efforts would prevent futile medical therapy and more appropriately allocate EMS and hospital resources. We sought to validate a clinical criteria from Bokutoh, Japan that identified a subgroup of OHCAs for whom withholding resuscitation may be appropriate. METHODS: We performed a secondary analysis of the "Trial of Continuous or Interrupted Chest Compressions during CPR", which enrolled EMS-treated adult non-traumatic OHCA...
January 9, 2019: Resuscitation
https://www.readbyqxmd.com/read/30639787/cardiopulmonary-resuscitation-performed-by-off-duty-medical-professionals-versus-laypersons-and-survival-from-out-of-hospital-cardiac-arrest-among-adult-patients
#5
Daisuke Kobayashi, Tetsuhisa Kitamura, Kosuke Kiyohara, Chika Nishiyama, Sumito Hayashida, Tasuku Matsuyama, Yusuke Katayama, Tomonari Shimamoto, Takeyuki Kiguchi, Satoe Okabayashi, Takashi Kawamura, Taku Iwami
BACKGROUND: Cardiopulmonary resuscitation (CPR) performed by bystanders is a key factor for out-of-hospital cardiac arrest (OHCA) survival. This study aimed to evaluate the relationship between CPR performed by off-duty medical professionals vs. laypersons and one-month survival with favorable neurological outcome after OHCA. METHODS: Using a population-based database of OHCA patients in Osaka City, Japan, from 2013 through 2015, we enrolled adult OHCA patients with resuscitation attempts performed by bystanders before the arrival of emergency-medical-service personnel...
January 9, 2019: Resuscitation
https://www.readbyqxmd.com/read/30629993/extensive-cardiopulmonary-resuscitation-of-preterm-neonates-at-birth-and-mortality-and-developmental-outcomes
#6
Nicole Fischer, Amuchou Soraisham, Prakesh S Shah, Anne Synnes, Yacov Rabi, Nalini Singhal, Joseph Y Ting, Dianne Creighton, Deborah Dewey, Marilyn Ballantyne, Abhay Lodha
OBJECTIVE: To compare mortality and neurodevelopmental outcomes of extremely low gestational age neonates who received delivery room extensive cardiopulmonary resuscitation (DR-CPR) to those who did not require DR-CPR. METHODS: Preterm neonates born at <29 weeks' gestational age between January 2010 and September 2011 and assessed at Canadian Neonatal Follow-Up Network centers were studied. Neonates who received DR-CPR were compared to those who did not require DR-CPR using univariate and multivariable analyses...
January 7, 2019: Resuscitation
https://www.readbyqxmd.com/read/30629992/a-comparison-of-non-invasive-versus-invasive-measures-of-intracranial-pressure-in-hypoxic-ischaemic-brain-injury-after-cardiac-arrest
#7
Danilo Cardim, Donald E Griesdale, Philip N Ainslie, Chiara Robba, Leanne Calviello, Marek Czosnyka, Peter Smielewski, Mypinder S Sekhon
AIM: Increased intracranial pressure (ICP) in hypoxic ischaemic brain injury (HIBI) can cause secondary ischaemic brain injury and culminate in brain death. Invasive ICP monitoring is limited by associated risks in HIBI patients. We sought to evaluate the agreement between invasive ICP measurements and non-invasive estimators of ICP (nICP) in HIBI patients. METHODS: Eligible consecutive adult (age > 18) cardiac arrest patients with HIBI were included as part of a single center prospective interventional study...
January 7, 2019: Resuscitation
https://www.readbyqxmd.com/read/30629991/potential-organ-donors-after-out-of-hospital-cardiac-arrest-during-a-ten-year-period-in-stockholm-sweden
#8
P Geijerstam, S Forsberg, A Claesson, T Djärv, M Jonsson, P Nordberg, A Tibell, F Rosell Ortiz, M Ringh
BACKGROUND: Donation after brain death (DBD) is current praxis in Sweden. Circulatory death is far more common. Donation from patients suffering Out-of-Hospital Cardiac Arrest (OHCA) may have the potential to increase the organ-donor pool. The aim of this study was to describe the potential donor pool and its characteristics if uncontrolled donation after circulatory death (uDCD) were to be implemented in the metropolitan area of Stockholm, Sweden. METHODS: A retrospective analysis was made using data from the Swedish Register for cardiopulmonary resuscitation (SRCR) between 2006 and 2015...
January 7, 2019: Resuscitation
https://www.readbyqxmd.com/read/30605711/preliminary-experience-with-point-of-care-eeg-in-post-cardiac-arrest-patients
#9
Jon C Rittenberger, Alexandra Weissman, Maria Baldwin, Kathryn Flickinger, Melissa J Repine, Francis X Guyette, Ankur A Doshi, Cameron Dezfulian, Clifton W Callaway, Jonathan Elmer
OBJECTIVE: Abnormal electroencephalography (EEG) patterns are common after resuscitation from cardiac arrest and have clinical and prognostic importance. Bedside continuous EEGs are not available in many institutions. We tested the feasibility of using a point-of-care system for EEG acquisition. METHODS: We prospectively enrolled a convenience sample of post-cardiac arrest patients between 9/2015-1/2017. Upon hospital arrival, a limited EEG montage was applied. We tested both continuous EEG (cEEG) and this point-of-care EEG (eEEG)...
December 31, 2018: Resuscitation
https://www.readbyqxmd.com/read/30605710/survival-and-quality-of-life-following-a-cardiac-arrest-capturing-what-really-matters-to-survivors
#10
EDITORIAL
Kirstie Haywood
No abstract text is available yet for this article.
December 31, 2018: Resuscitation
https://www.readbyqxmd.com/read/30599181/born-to-survive-a-critical-review-of-out-of-hospital-maternal-cardiac-arrests-and-pre-hospital-perimortem-caesarean-section
#11
EDITORIAL
S L Hillman, N C Cooper, D Siassakos
No abstract text is available yet for this article.
December 29, 2018: Resuscitation
https://www.readbyqxmd.com/read/30599180/a-feasibility-study-for-the-continuous-measurement-of-pupillary-response-using-the-pupillography-during-cpr-in-out-of-hospital-cardiac-arrest-patients
#12
Hui Jai Lee, Jonghwan Shin, Ki Jeong Hong, Jin Hee Jung, Se Jong Lee, Euigi Jung, Kyoung Min You, Tae Han Kim
PURPOSE: We investigated the change in pupil size and pupil light reflex (PLR) using a pupillography capable of continuous measurement both during CPR and immediately following the return-of-spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA) comatose patients in an emergency department. METHODS: Pupil size and PLR were continuously measured both during CPR and immediately following ROSC until intensive care unit (ICU) admission. The changes in pupil sizes during CPR were categorized into three groups (no change - N, decreased - D, and increased - I groups)...
December 29, 2018: Resuscitation
https://www.readbyqxmd.com/read/30597178/cardiopulmonary-resuscitation-survival-rates-depicted-in-emergency-department-associated-medical-television-shows
#13
LETTER
Kevin Monahan, Gregory Ducach, Robert P Olympia
No abstract text is available yet for this article.
December 28, 2018: Resuscitation
https://www.readbyqxmd.com/read/30597177/virtual-reality-cardiopulmonary-resuscitation-cpr-comparison-with-a-standard-cpr-training-mannequin
#14
LETTER
Federico Semeraro, Giuseppe Ristagno, Gabriele Giulini, Tania Gnudi, Samira Kayal, Alessandro Monesi, Riccardo Tucci, Andrea Scapigliati
No abstract text is available yet for this article.
December 28, 2018: Resuscitation
https://www.readbyqxmd.com/read/30597176/out-of-hospital-cardiac-arrest-following-trauma-what-does-a-helicopter-emergency-medicine-service-offer
#15
E Ter Avest, J Griggs, C Prentice, J Jeyanathan, R M Lyon
INTRODUCTION: Helicopter emergency medical services (HEMS) are often dispatched to patients in traumatic cardiac arrest (TCA) as they can provide treatments and advanced interventions in the pre-hospital environment that have the potential to contribute to an increased survival. This study, aimed to investigate the added value of HEMS in the treatment of TCA. METHODS: We performed a retrospective cohort study of all patients with a pre-hospital TCA who were attended by a non-urban HEMS (Kent, Surrey and Sussex Air Ambulance trust) between July 1st 2013 and May 1st 2018...
December 28, 2018: Resuscitation
https://www.readbyqxmd.com/read/30597133/virtual-reality-cardiopulmonary-resuscitation-cpr-comparison-with-a-standard-cpr-training-mannequin
#16
LETTER
Federico Semeraro, Giuseppe Ristagno, Gabriele Giulini, Tania Gnudi, Samira Kayal, Alessandro Monesi, Riccardo Tucci, Andrea Scapigliati
No abstract text is available yet for this article.
December 28, 2018: Resuscitation
https://www.readbyqxmd.com/read/30597132/out-of-hospital-cardiac-arrest-following-trauma-what-does-a-helicopter-emergency-medicine-service-offer
#17
E Ter Avest, J Griggs, C Prentice, J Jeyanathan, R M Lyon
INTRODUCTION: Helicopter emergency medical services (HEMS) are often dispatched to patients in traumatic cardiac arrest (TCA) as they can provide treatments and advanced interventions in the pre-hospital environment that have the potential to contribute to an increased survival. This study, aimed to investigate the added value of HEMS in the treatment of TCA. METHODS: We performed a retrospective cohort study of all patients with a pre-hospital TCA who were attended by a non-urban HEMS (Kent, Surrey and Sussex Air Ambulance trust) between July 1st 2013 and May 1st 2018...
December 28, 2018: Resuscitation
https://www.readbyqxmd.com/read/30597131/cardiopulmonary-resuscitation-survival-rates-depicted-in-emergency-department-associated-medical-television-shows
#18
LETTER
Kevin Monahan, Gregory Ducach, Robert P Olympia
No abstract text is available yet for this article.
December 28, 2018: Resuscitation
https://www.readbyqxmd.com/read/30594601/decision-making-during-resuscitation-of-a-drowned-child-with-cardiac-arrest
#19
LETTER
Hannes Lienhart, Gerard Cortina, Uwe Klingkowski
Outcome after pediatric cardiac arrest following drowning accidents is poor. In our letter, we report the exceptional case of a drowned child who survived prolonged submersion and resuscitation with a favourable neurological outcome. Factors presumably contributing to this result are discussed.
December 27, 2018: Resuscitation
https://www.readbyqxmd.com/read/30594600/pre-hospital-resuscitative-endovascular-balloon-occlusion-of-the-aorta-for-exsanguinating-pelvic-haemorrhage
#20
Robbie Lendrum, Zane Perkins, Manik Chana, Max Marsden, Ross Davenport, Gareth Grier, Samy Sadek, Gareth Davies
AIM: To report the initial experience and outcomes of Resuscitative Endovascular Balloon Occlusion of the aorta (REBOA) as an adjunct to pre-hospital resuscitation of patients with exsanguinating pelvic haemorrhage. METHODS: Descriptive case series of consecutive adult patients, treated with pre-hospital Zone III REBOA by a physician-led pre-hospital trauma service, between January 2014 and July 2018. RESULTS: REBOA was attempted in 19 trauma patients (13 successful, six failed attempts) and two non-trauma patients (both successful) with exsanguinating pelvic haemorrhage...
December 27, 2018: Resuscitation
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