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Resuscitation

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https://www.readbyqxmd.com/read/28720400/viewing-an-ultra-brief-chest-compression-only-video-improves-some-measures-of-bystander-cpr-performance-and-responsiveness-at-a-mass-gathering-event
#1
Daniel L Beskind, Uwe Stolz, Rebecca Thiede, Riley Hoyer, Whitney Robertson, Jeffrey Brown, Melissa Ludgate, Timothy Tiutan, Romy Shane, Deven McMorrow, Michael Pleasants, Karl B Kern, Ashish R Panchal
BACKGROUND: CPR training at mass gathering events is an important part of health initiatives to improve cardiac arrest survival. However, it is unclear whether training lay bystanders using an ultra-brief video at a mass gathering event improves CPR quality and responsiveness. OBJECTIVE: To determine if showing a chest-compression only (CCO) Ultra-Brief Video (UBV) at a mass gathering event is effective in teaching lay bystanders CCO-CPR. METHODS: Prospective control trial in adults (age >18) who attended either a women's University of Arizona or a men's Phoenix Suns basketball game...
July 15, 2017: Resuscitation
https://www.readbyqxmd.com/read/28716539/association-of-bystander-interventions-and-hospital-length-of-stay-and-admission-to-intensive-care-unit-in-out-of-hospital-cardiac-arrest-survivors
#2
Signe Riddersholm, Kristian Kragholm, Rikke Nørmark Mortensen, Marianne Pape, Carolina Malta Hansen, Freddy K Lippert, Christian Torp-Pedersen, Christian F Christiansen, Bodil Steen Rasmussen
BACKGROUND: The impact of bystander interventions on post-arrest hospital course is sparsely studied. We examined the association between bystander interventions and length of hospital stay and admission to intensive care unit (ICU) in one-day survivors after OHCA. METHODS: This cohort study linked data of 4,641 one-day OHCA survivors from 2001-2014 to data on hospital length of stay and ICU admission. We examined associations between bystander efforts and outcomes using regression, adjusted for age, sex, comorbidities, calendar year and witnessed status...
July 14, 2017: Resuscitation
https://www.readbyqxmd.com/read/28713044/reply-letter-to-economic-evaluations-of-clinician-training-make-your-research-meaningful-to-decision-makers
#3
LETTER
Ulf Theilen, Laura Fraser, Patricia Jones, Paul Leonard, Dave Simpson
No abstract text is available yet for this article.
July 13, 2017: Resuscitation
https://www.readbyqxmd.com/read/28713043/auditory-discrimination-improvement-predicts-awakening-of-postanoxic-comatose-patients-treated-with-targeted-temperature-management-at-36%C3%A2-c
#4
Christian Pfeiffer, Nathalie Ata Nguepno Nguissi, Magali Chytiris, Phanie Bidlingmeyer, Matthias Haenggi, Rebekka Kurmann, Frédéric Zubler, Mauro Oddo, Andrea O Rossetti, Marzia De Lucia
BACKGROUND: Outcome prognostication in postanoxic comatose patients is more accurate in predicting poor than good recovery. Using electroencephalography recordings in patients treated with targeted temperature management at 33°C (TTM 33), we have previously shown that improvement in auditory discrimination over the first days of coma predicted awakening. Given the increased application of a 36°C temperature target (TTM 36), here we aimed at validating the predictive value of auditory discrimination in the TTM 36 setting...
July 13, 2017: Resuscitation
https://www.readbyqxmd.com/read/28713042/implementation-of-the-universal-bls-termination-of-resuscitation-rule-in-a-rural-ems-system
#5
Matthew R Jordan, Michael F O'Keefe, David Weiss, C Wes Cubberley, Charles D MacLean, Daniel L Wolfson
BACKGROUND: Emergency Medical Services (EMS) are often the first medical providers to begin resuscitation of out-of-hospital cardiac arrest (OHCA) victims. The universal Basic Life Support Termination of Resuscitation (BLS-TOR) rule is a validated clinical prediction tool used to identify patients in which continued resuscitation efforts are futile. OBJECTIVE: The primary aim is to compare the rate of transport of OHCA cases before and after the implementation of a BLS-TOR protocol and to determine the compliance rate of EMS personnel with the new protocol in a largely volunteer, rural system...
July 13, 2017: Resuscitation
https://www.readbyqxmd.com/read/28709953/association-of-hemodynamic-variables-with-in-hospital-mortality-and-favorable-neurological-outcomes-in-post-cardiac-arrest-care-with-targeted-temperature-management
#6
Chien-Hua Huang, Min-Shan Tsai, Hooi Nee Ong, Weiting Chen, Chih-Hung Wang, Wei-Tien Chang, Tzung-Dau Wang, Shyr-Chyr Chen, Matthew Huei-Ming Ma, Wen-Jone Chen
PURPOSE: Although hemodynamic instability is expected during the post-cardiac arrest period, the implications of hemodynamic parameters for outcomes remain unclear. Each phase of targeted temperature management (TTM) affects hemodynamic responses differently. This study aims to investigate the association of hemodynamic parameters with outcomes in patients receiving TTM after cardiac arrest. METHODS: The study prospectively enrolled patients who were treated with TTM (33°C for 24h) after cardiac arrest...
July 11, 2017: Resuscitation
https://www.readbyqxmd.com/read/28705732/feasibility-of-whole-body-hypothermia-for-neonates-without-congenital-heart-defects-surviving-in-hospital-cardiac-arrest-unrelated-to-perinatal-asphyxia
#7
LETTER
Valentina Dell'Orto, Marco Piastra, Orazio Genovese, Guillaume Escourrou, Giorgio Conti, Daniele De Luca
No abstract text is available yet for this article.
July 10, 2017: Resuscitation
https://www.readbyqxmd.com/read/28698007/solving-fatigue-related-problems-with-cardiac-arrest-survivors-living-in-the-community
#8
Young Joo Kim, Joan C Rogers, Ketki D Raina, Clifton W Callaway, Jon C Rittenberger, Mary Lou Leibold, Margo B Holm
AIM: The aim was to describe fatigue-related problems reported by post-cardiac arrest adults with chronic fatigue and energy conservation strategies generated using an Energy Conservation plus Problem Solving Therapy intervention. METHODS: Following an introduction to the intervention process outlined in a Participant Workbook, participants engaged in the telephone intervention by identifying one to two fatigue-related problems. They then brainstormed with the interventionist to identify potential strategies to reduce fatigue, tested them, and either modified the strategies or moved to the next problem over three to five sessions...
July 8, 2017: Resuscitation
https://www.readbyqxmd.com/read/28690081/towards-a-more-continuous-evidence-evaluation-a-collaborative-approach-to-review-the-resuscitation-science
#9
EDITORIAL
Peter Thomas Morley
No abstract text is available yet for this article.
July 6, 2017: Resuscitation
https://www.readbyqxmd.com/read/28690080/prolonged-ttm-enhanced-hypocoagulation-and-bleeding
#10
EDITORIAL
Ulf Schött, Thomas Kander
No abstract text is available yet for this article.
July 6, 2017: Resuscitation
https://www.readbyqxmd.com/read/28689048/the-impact-of-hypothermia-on-serum-potassium-concentration-a-systematic-review
#11
REVIEW
Sarah Buse, Marc Blancher, Damien Viglino, Mathieu Pasquier, Maxime Maignan, Pierre Bouzat, Thorsten Annecke, Guillaume Debaty
BACKGROUND: Blood potassium is the main prognostic biomarker used for triage in hypothermic cardiac arrest. The aim of this review was to assess the impact of hypothermia on blood potassium levels and compare the underlying pathophysiological theories. METHODS: The Medline electronic database was searched via PubMed for articles published from January 1970 to December 2016. The search strategy included studies related to hypothermia and potassium levels. The relevant literature on clinical studies and experimental studies was reviewed by the authors...
July 5, 2017: Resuscitation
https://www.readbyqxmd.com/read/28689047/major-regional-differences-in-automated-external-defibrillator-placement-and-basic-life-support-training-in-france-further-needs-for-coordinated-implementation
#12
Nicole Karam, Kumar Narayanan, Wulfran Bougouin, Nordine Benameur, Frankie Beganton, Daniel Jost, Lionel Lamhaut, Marie-Cécile Perier, Alain Cariou, David S Celermajer, Eloi Marijon, Xavier Jouven
BACKGROUND: Public Access Defibrillation (PAD) programs have emerged since mid-1990s with the aim of improving survival from Out-of-Hospital Cardiac Arrest (OHCA). The extent to which their implementation in the community differs among different areas has not been evaluated. METHODS: We carried out a 5-year prospective national evaluation of PAD programs in 51 French districts (29.3 million inhabitants), through the cumulative density of Automated External Defibrillator (AEDs) and the proportion of persons educated in Basic Life Support (BLS)...
July 5, 2017: Resuscitation
https://www.readbyqxmd.com/read/28689046/post-admission-outcomes-of-participants-in-the-paramedic-trial-a-cluster-randomised-trial-of-mechanical-or-manual-chest-compressions
#13
Chen Ji, R Lall, T Quinn, C Kaye, K Haywood, J Horton, V Gordon, C D Deakin, H Pocock, A Carson, M Smyth, N Rees, Kyee Han, S Byers, S Brace-McDonnell, S Gates, G D Perkins
BACKGROUND: The PARAMEDIC cluster randomised trial evaluated the LUCAS mechanical chest compression device, and did not find evidence that use of mechanical chest compression led to an improvement in survival at 30 days. This paper reports patient outcomes from admission to hospital to 12 months after randomisation. METHODS: Information about hospital length of stay and intensive care management were obtained through linkage with Hospital Episode Statistics and the Intensive Care National Audit and Research Centre...
July 5, 2017: Resuscitation
https://www.readbyqxmd.com/read/28687281/head-computed-tomography-for-prognostication-of-poor-outcome-in-comatose-patients-after-cardiac-arrest-and-targeted-temperature-management
#14
Marion Moseby-Knappe, Tommaso Pellis, Irina Dragancea, Hans Friberg, Niklas Nielsen, Janneke Horn, Michael Kuiper, Andrea Roncarati, Roger Siemund, Johan Undén, Tobias Cronberg
INTRODUCTION: A multimodal approach to prognostication of outcome after cardiac arrest (CA) is recommended. Evidence for combinations of methods is low. In this post-hoc analysis we described findings on head computed tomography (CT) after CA. We also examined whether generalised oedema on CT alone or together with the biomarker Neuron-specific enolase (NSE) could predict poor outcome. METHODS: Patients participating in the Target Temperature Management after out-of-hospital-cardiac-arrest-trial underwent CT based on clinical indications...
July 4, 2017: Resuscitation
https://www.readbyqxmd.com/read/28676267/neurologic-consultation-and-use-of-therapeutic-hypothermia-for-cardiac-arrest
#15
Elan L Guterman, Anthony S Kim, S Andrew Josephson
OBJECTIVE: To determine whether neurologic consultation influences the use of therapeutic hypothermia. METHODS: We identified adult patients treated for cardiac arrest from October 2009 through September 2015 at 149 academic medical centers and their affiliate hospitals using discharge diagnosis codes in Vizient database. Neurology consultation was defined as a neurologist participating in patient care at any point during the hospitalization. Use of therapeutic hypothermia was identified using procedure codes...
July 1, 2017: Resuscitation
https://www.readbyqxmd.com/read/28669861/neurocognitive-and-behavioral-outcomes-in-a-nearly-drowned-child-with-cardiac-arrest-and-hypothermia-resuscitated-after-43minutes-of-no-flow-time-a-case-study
#16
LETTER
Susanna Galbiati, Valentina Pastore, Federica Locatelli, Monica Recla, Sara Galbiati, Gianluigi Mansi, Filippo Arrigoni, Anna Mara Scandroglio, Luigi Beretta, Sandra Strazzer
No abstract text is available yet for this article.
June 29, 2017: Resuscitation
https://www.readbyqxmd.com/read/28668701/cardiopulmonary-resuscitation-by-trained-responders-versus-lay-persons-and-outcomes-of-out-of-hospital-cardiac-arrest-a-community-observational-study
#17
Yoo Mi Park, Sang Do Shin, Yu Jin Lee, Kyoung Jun Song, Young Sun Ro, Ki Ok Ahn
OBJECTIVES: The study aims to compare bystander processes of care (cardiopulmonary resuscitation (CPR) and defibrillation) and outcomes for witnessed presumed cardiac etiology in OHCA patients in whom initial resuscitation was provided by dedicated trained responder (TR) versus lay person (LP) bystanders. METHODS: Data on witnessed and presumed cardiac OHCA in adults (15 years or older) from 2011 to 2015 in a metropolitan city with 10 million persons were collected, excluding cases in which the information on TRs, bystander CPR, defibrillation, and clinical outcomes was unknown...
June 28, 2017: Resuscitation
https://www.readbyqxmd.com/read/28668700/comparison-of-brain-computed-tomography-and-diffusion-weighted-magnetic-resonance-imaging-to-predict-early-neurologic-outcome-before-target-temperature-management-comatose-cardiac-arrest-survivors
#18
Chi Heon Jeon, Jung Soo Park, Ji Han Lee, Hoon Kim, Sang Chul Kim, Kyung Hye Park, Kyung Sik Yi, Sun Moon Kim, Chun Song Youn, Young-Min Kim, Byung Kook Lee
AIM: We previously reported that diffusion-weighted magnetic resonance imaging (DW-MRI) could be used to predict neurologic outcomes before targeted temperature management (TTM) after return of spontaneous circulation (ROSC) from cardiac arrest (CA). We compared the efficacy of brain computed tomography (CT) and DW-MRI to predict neurologic outcome before TTM in comatose cardiac arrest survivors. METHODS: We performed a retrospective study of CA patients treated with TTM...
June 28, 2017: Resuscitation
https://www.readbyqxmd.com/read/28655625/impact-of-city-police-layperson-education-and-equipment-with-automatic-external-defibrillators-on-patient-outcome-after-out-of-hospital-cardiac-arrest
#19
Philipp Stein, Gabriela H Spahn, Stefan Müller, Andreas Zollinger, Werner Baulig, Martin Brüesch, Burkhardt Seifert, Donat R Spahn
INTRODUCTION: Out of hospital cardiac arrest (OHCA) occurs frequently and the outcome is often dismal. Early defibrillation saves lives and brain function in OHCA. The Zurich city police (STAPO) forces were instructed and equipped to provide basic life support (BLS) and to use an AED in 2009. METHODS: Retrospective observational study comparing period 1 (P1) 2004-2009 before equipping and training of the STAPO and period 2 (P2) 2010-2015 after the implementation...
June 24, 2017: Resuscitation
https://www.readbyqxmd.com/read/28655624/validity-of-the-iqcode-ca-an-informant-questionnaire-on-cognitive-decline-modified-for-a-cardiac-arrest-population
#20
Erik Blennow Nordström, Gisela Lilja, Kristofer Årestedt, Hans Friberg, Niklas Nielsen, Susanna Vestberg, Tobias Cronberg
AIM: To examine the psychometric properties of a modified version of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE), for a cardiac arrest population (IQCODE-CA). METHODS: The IQCODE-CA, a 26-item observer-reported questionnaire, was completed by informants, defined as relatives or close friends, of 268 out-of-hospital cardiac arrest (OHCA) survivors who participated in the Target Temperature Management trial in a scheduled follow-up 180±14days after OHCA...
June 24, 2017: Resuscitation
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