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Resuscitation

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https://www.readbyqxmd.com/read/27923692/a-hemodynamic-directed-approach-to-pediatric-cardiopulmonary-resuscitation-hd-cpr-improves-survival
#1
Ryan W Morgan, Todd J Kilbaugh, Wesley Shoap, George Bratinov, Yuxi Lin, Ting-Chang Hsieh, Vinay M Nadkarni, Robert A Berg, Robert M Sutton
AIM: Most pediatric in-hospital cardiac arrests (IHCAs) occur in ICUs where invasive hemodynamic monitoring is frequently available. Titrating cardiopulmonary resuscitation (CPR) to the hemodynamic response of the individual improves survival in preclinical models of adult cardiac arrest. The objective of this study was to determine if titrating CPR to systolic blood pressure (SBP) and coronary perfusion pressure (CoPP) in a pediatric porcine model of asphyxia-associated ventricular fibrillation (VF) IHCA would improve survival as compared to traditional CPR...
December 3, 2016: Resuscitation
https://www.readbyqxmd.com/read/27923115/a-comparison-of-the-universal-tor-guideline-to-the-absence-of-prehospital-rosc-and-duration-of-resuscitation-in-predicting-futility-from-out-of-hospital-cardiac-arrest
#2
Ian R Drennan, Erin Case, P Richard Verbeek, Joshua C Reynolds, Zachary D Goldberger, Jamie Jasti, Mark Charleston, Heather Herren, Ahamed H Idris, Paul R Leslie, Michael A Austin, Yan Xiong, Robert H Schmicker, Laurie J Morrison
INTRODUCTION: The Universal Termination of Resuscitation (TOR) Guideline accurately identifies potential out-of-hospital cardiac arrest (OHCA) survivors. However, implementation is inconsistent with some Emergency Medical Service (EMS) agencies using absence of return of spontaneous circulation (ROSC) as sole criterion for termination. OBJECTIVE: To compare the performance of the Universal TOR Guideline with the single criterion of no prehospital ROSC. Second, to determine factors associated with survival for patients transported without a ROSC...
December 3, 2016: Resuscitation
https://www.readbyqxmd.com/read/27923114/effect-of-bystander-cpr-initiation-prior-to-the-emergency-call-on-rosc-and-30day-survival-an-evaluation-of-548-emergency-calls
#3
Søren Viereck, Thea Palsgaard Møller, Annette Kjær Ersbøll, Fredrik Folke, Freddy Lippert
BACKGROUND: This study aimed at evaluating if time for initiation of bystander cardiopulmonary resuscitation (CPR) - prior to the emergency call (CPRprior) versus during the emergency call following dispatcher-assisted CPR (CPRduring) - was associated with return of spontaneous circulation (ROSC) and 30-day survival. The secondary aim was to identify predictors of CPRprior. METHODS: This observational study evaluated out-of-hospital cardiac arrests (OHCA) occurring in the Capital Region of Denmark from 01...
December 3, 2016: Resuscitation
https://www.readbyqxmd.com/read/27923113/characteristics-and-outcomes-of-young-adults-who-suffered-an-out-of-hospital-cardiac-arrest-ohca
#4
Michael Yih-Chong Chia, Qing Shu Lu, Nik Hisamuddin Rahman, Nausheen Edwin Doctor, Tatsuya Nishiuchi, Benjamin Sieu-Hon Leong, Lai Peng Tham, E-Shaun Goh, Ling Tiah, Apichaya Monsomboon, Marcus Eng Hock Ong
BACKGROUND: There is paucity of data examining the incidence and outcomes of young OHCA adults. The aim of this study is to determine the outcomes and characteristics of young adults who suffered an OHCA and identify factors that are associated with favourable neurologic outcomes. METHODS: All EMS-attended OHCA adults between the ages of 16 and 35 years in the Pan-Asian Resuscitation Outcomes Study (PAROS) registry were analysed. The primary outcome was favourable neurologic outcome (Cerebral Performance Category 1 or 2) at hospital discharge or at 30th day post OHCA if not discharged...
December 3, 2016: Resuscitation
https://www.readbyqxmd.com/read/27914233/multiple-casualty-incident-in-the-mountain-experience-from-the-valfrejus-avalanche
#5
LETTER
Marc Blancher, Yann Bauvent, Stéphane Barré, Ben Wuyts, Yann Fillet, Julien Brun, François Albasini, Pierre Bouzat
No abstract text is available yet for this article.
November 30, 2016: Resuscitation
https://www.readbyqxmd.com/read/27914232/resuscitation-attempts-and-duration-in-traumatic-out-of-hospital-cardiac-arrest
#6
Ben Beck, Janet E Bray, Peter Cameron, Lahn Straney, Emily Andrew, Stephen Bernard, Karen Smith
BACKGROUND: This study aimed to understand factors associated with paramedics' decision to attempt resuscitation in traumatic out-of-hospital cardiac arrest (OHCA) and to characterise resuscitation attempts ≤10min in patients who die at the scene. METHODS: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was used to identify all cases of traumatic OHCA between July 2008 and June 2014. We excluded cases <16 years of age or with a mechanism of hanging or drowning...
November 30, 2016: Resuscitation
https://www.readbyqxmd.com/read/27914231/-kids-save-lives-campaign-in-italy-a-picture-from-a-nationwide-survey-on-the-web
#7
LETTER
Federico Semeraro, Andrea Scapigliati, Samantha De Marco, Adriana Boccuzzi, Marco De Luca, Brigida Panzarino, Walter Cataldi, Silvia Scelsi, Giuseppe Ristagno
No abstract text is available yet for this article.
November 30, 2016: Resuscitation
https://www.readbyqxmd.com/read/27914230/telephone-dispatcher-assisted-cardiopulmonary-resuscitation-in-italy-a-picture-from-a-nationwide-survey
#8
LETTER
Samantha Di Marco, Mariella Petacco, Federico Semeraro, Andrea Scapigliati, Adriana Boccuzzi, Marco De Luca, Brigida Panzarino, Walter Cataldi, Silvia Scelsi, Giuseppe Ristagno
No abstract text is available yet for this article.
November 30, 2016: Resuscitation
https://www.readbyqxmd.com/read/27914229/reply-to-letter-comparing-direct-and-video-laryngoscopy-for-urgent-intubation-during-chest-compression
#9
LETTER
Jong Won Kim, Sang O Park, Kyeong Ryong Lee, Dae Young Hong, Kwang Je Baek, Young Hwan Lee, Jeong Hun Lee, Pil Cho Choi
No abstract text is available yet for this article.
November 30, 2016: Resuscitation
https://www.readbyqxmd.com/read/27899017/public-access-defibrillation-and-outcomes-after-pediatric-out-of-hospital-cardiac-arrest
#10
Tatsuma Fukuda, Naoko Ohashi-Fukuda, Hiroaki Kobayashi, Masataka Gunshin, Toshiki Sera, Yutaka Kondo, Naoki Yahagi
BACKGROUND: Use of automated external defibrillators (AEDs) has been recommended for pediatric out-of-hospital cardiac arrest (OHCA). However, there are no conclusive studies that elucidated the effectiveness of public-access defibrillation (PAD) in children. METHODS: This was a nationwide, population-based, propensity score-matched study of pediatric OHCA in Japan from 2011 to 2012, based on data from the All-Japan Utstein Registry. We included pediatric OHCA patients (aged 1-17 years) who received bystander cardiopulmonary resuscitation...
November 27, 2016: Resuscitation
https://www.readbyqxmd.com/read/27894909/characteristics-of-bystander-cardiopulmonary-resuscitation-for-paediatric-out-of-hospital-cardiac-arrests-a-national-observational-study-from-2012-to-2014
#11
Ikwan Chang, Young Ho Kwak, Sang Do Shin, Young Sun Ro, Do Kyun Kim
OBJECTIVES: This study evaluated the associations between the provision of bystander cardiopulmonary resuscitation (BCPR) and both the relationship of bystanders with paediatric out-of-hospital cardiac arrest (OHCA) victims and the community educational level. METHODS: This observational study was conducted using the Korean national OHCA registry of paediatric OHCAs (<19years old) between 2012 and 2014. The main factor was the relationship between the bystander and the OHCA victim...
November 25, 2016: Resuscitation
https://www.readbyqxmd.com/read/27893969/hospital-characteristics-and-favourable-neurological-outcome-among-patients-with-out-of-hospital-cardiac-arrest-in-osaka-japan
#12
Tasuku Matsuyama, Kosuke Kiyohara, Tetsuhisa Kitamura, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Takashi Kawamura, Bon Ohta, Taku Iwami
OBJECTIVE: To assess the association between favourable neurological outcome and hospital characteristics such as hospital volume and number of critical care centres (CCMCs) after out-of-hospital cardiac arrest (OHCA). METHODS: This retrospective, population-based observational study conducted in Osaka Prefecture, Japan included adult patients with OHCA, aged ≥18 years who were transported to acute care hospitals between January 2005 and December 2012. We divided acute care hospitals into CCMCs or non-CCMCs, the latter of which were divided into the following three groups according to the annual average number of transported OHCA cases: low-volume (≤10 cases), middle-volume (11-39 cases), and high-volume (≥40 cases) groups...
November 25, 2016: Resuscitation
https://www.readbyqxmd.com/read/27890777/psychological-wellbeing-in-survivors-of-cardiac-arrest-and-its-relationship-to-neurocognitive-function
#13
Siân E Davies, Megan Rhys, Sarah E Voss, Rosemary Greenwood, Matthew Thomas, Jonathan R Benger
OBJECTIVE: To characterise psychological wellbeing in survivors of out-of-hospital cardiac arrest (OHCA), and examine its relationship to cognitive function. PATIENTS: Forty-one highly functioning cardiac arrest survivors were drawn from the follow-up cohort of a randomised controlled trial of initial airway management in OHCA (ISRCTN:18528625). DESIGN: Psychological wellbeing was assessed with a self-report questionnaire (the Depression Anxiety and Stress Scale; DASS) and cognitive function was examined using the Delayed Matching to Samples (DMS) test from the Cambridge Neuropsychological Test Automated Battery (CANTAB)...
November 24, 2016: Resuscitation
https://www.readbyqxmd.com/read/27888672/incidence-of-coronary-intervention-in-cardiac-arrest-survivors-with-non-shockable-initial-rhythms-and-no-evidence-of-st-elevation-mi-stemi
#14
Matthew Wilson, Anne V Grossestreuer, David F Gaieski, Benjamin S Abella, William Frohna, Munish Goyal
OBJECTIVE: With the demonstrated benefit of an early-invasive strategy for STEMI and VF/VT arrest patients, there is interest in assessing the potential benefit of early angiography for non-shockable (PEA/Asystole) arrest patients. We hypothesized that in cardiac arrest patients who obtain return of spontaneous circulation (ROSC) after a non-shockable initial rhythm and do not have STEMI the incidence of coronary intervention would be clinically insignificant (<5%). METHODS: Retrospective multicenter US clinical registry study of post-cardiac arrest patients at 18 hospitals between 1/00 and 5/14...
November 23, 2016: Resuscitation
https://www.readbyqxmd.com/read/27887957/moving-toward-mechanical-control-of-cardiac-arrest
#15
EDITORIAL
Zachary Shinar
No abstract text is available yet for this article.
November 22, 2016: Resuscitation
https://www.readbyqxmd.com/read/27886947/utilization-of-electroencephalogram-post-cardiac-arrest-in-the-united-states-a-nationwide-retrospective-cohort-analysis
#16
Barret Rush, Mohammad Ashkanani, Kali Romano, Paul Hertz
OBJECTIVE: The use of electroencephalogram (EEG) has been demonstrated to have diagnostic and prognostic value in cardiac arrest patients. The use of this modality across the United States in this population is unknown. METHODS: The Nationwide Inpatient Sample (NIS) is a federal database capturing 20% of all US hospital admissions. A cohort of patients who suffered both in and out of hospital cardiac arrests from the 2006 to 2012 NIS datasets was created. RESULTS: The records of 55,208,382 hospitalizations were analyzed, of which 207,703 patients suffered a cardiac arrest...
November 22, 2016: Resuscitation
https://www.readbyqxmd.com/read/27865776/post-cardiac-arrest-shock-treated-with-veno-arterial-extracorporeal-membrane-oxygenation-an-observational-study-and-propensity-score-analysis
#17
Wulfran Bougouin, Nadia Aissaoui, Alain Combes, Nicolas Deye, Lionel Lamhaut, Daniel Jost, Carole Maupain, Frankie Beganton, Adrien Bouglé, Nicole Karam, Florence Dumas, Eloi Marijon, Xavier Jouven, Alain Cariou
PURPOSE: Cardiogenic shock due to post-resuscitation myocardial dysfunction is a major cause of mortality among patients hospitalized after cardiac arrest (CA). Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has been proposed in the most severe cases but the level of evidence is very low. We assessed characteristics, outcome and prognostic factors of patients treated with VA-ECMO for post-CA shock. METHODS: Using a large regional registry, we focused on all CA admitted in ICU...
November 17, 2016: Resuscitation
https://www.readbyqxmd.com/read/27865775/epidemiology-and-outcomes-from-out-of-hospital-cardiac-arrests-in-england
#18
Claire Hawkes, Scott Booth, Chen Ji, Samantha J Brace-McDonnell, Andrew Whittington, James Mapstone, Matthew W Cooke, Charles D Deakin, Chris P Gale, Rachael Fothergill, Jerry P Nolan, Nigel Rees, Jasmeet Soar, A Niroshan Siriwardena, Terry P Brown, Gavin D Perkins
INTRODUCTION: This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. METHODS: Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations...
November 17, 2016: Resuscitation
https://www.readbyqxmd.com/read/27865747/impact-of-neighbourhood-socio-economic-status-on-bystander-cardiopulmonary-resuscitation-in-paris
#19
Benjamin Dahan, Patricia Jabre, Nicole Karam, Renaud Misslin, Muriel Tafflet, Wulfran Bougouin, Daniel Jost, Frankie Beganton, Eloi Marijon, Xavier Jouven
BACKGROUND: No European data currently describe the relation between neighbourhood socio-economic status (SES) and rates of out-of-hospital cardiac arrest (OHCA) bystander cardiopulmonary resuscitation (CPR). This study aims to analyse this effect with a robust deprivation index. METHODS: Data about all OHCA in Paris were collected prospectively between 2000 and 2010. A geographical neighbourhood unit was assigned to each case. Median household income, and rates of blue-collar workers, unemployment, and adults without high school diplomas were selected as SES characteristics and used to classify neighbourhoods as low SES or higher SES...
November 16, 2016: Resuscitation
https://www.readbyqxmd.com/read/27865746/serious-complication-of-applying-a-laryngeal-mask-after-a-foreign-body-aspiration-in-an-infant
#20
LETTER
Frank Eifinger, Pauline Czaja, Sibylle Banaschak, Antoniu-Oreste Gostian
No abstract text is available yet for this article.
November 16, 2016: Resuscitation
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