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Simone Savastano, Vincenzo Vanni, Roman Burkart, Maurizio Raimondi, Fabrizio Canevari, Simone Molinari, Enrico Baldi, Aurora I Danza, Maria Luce Caputo, Romano Mauri, Francois Regoli, Giulio Conte, Claudio Benvenuti, Angelo Auricchio
PURPOSE: Early and good quality cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) are key factors to improve the outcome in patients with cardiac arrest. However, AED peri- and post-shock ECG analysis pauses may prolong hands-off time and reduce CPR effectiveness. METHODS: This study consisted of 2 independent parts. In the first part, the time performance of 12 different commercially available AEDs were tested in a manikin based scenario; in the second one, the AEDs recordings following the clinical use (same manufacturers as in the benchmark testing) in 2 different regions (Pavia, Italy, and Ticino, Switzerland) were retrieved and analyzed to evaluate the analysis time and post-shock time...
October 22, 2016: Resuscitation
Demetris Yannopoulos, Jason A Bartos, Stephen A George, George Sideris, Sebastian Voicu, Brett Oestreich, Timothy Matsuura, Kadambari Shekar, Jennifer Rees, Tom P Aufderheide
INTRODUCTION: Sodium nitroprusside (SNP) enhanced CPR (SNPeCPR) demonstrates increased vital organ blood flow and survival in multiple porcine models. We developed a new, coronary occlusion/ischemia model of prolonged resuscitation, mimicking the majority of out-of-hospital cardiac arrests presenting with shockable rhythms. HYPOTHESIS: SNPeCPR will increase short term (4-hour) survival compared to standard 2015 Advanced Cardiac Life Support (ACLS) guidelines in an ischemic refractory ventricular fibrillation (VF), prolonged CPR model...
October 19, 2016: Resuscitation
Eun Joo Cho, Sang Do Shin, Seungmin Jeong, Young Ho Kwak, Gil Joon Suh
BACKGROUND: It is unclear whether the atmosphere temperature is associated with outcomes after out-of-hospital cardiac arrest (OHCA). METHODS: This is a nationwide observational study using the national OHCA registry merged with a geographical and weather database. Adult patients with a cardiac etiology that occurred from 2006-2013 were included, excluding patients with unknown outcome or unknown weather information. The main exposure was the hourly measured temperature matched to the OHCA event time...
October 19, 2016: Resuscitation
Magnolia Cardona-Morrell, Amanda Chapman, Robin M Turner, Ebony Lewis, Blanca Gallego-Luxan, Michael Parr, Ken Hillman
AIM: To investigate associations between clinical parameters - beyond the evident physiological deterioration and limitations of medical treatment - with in-hospital death for patients receiving Rapid Response System (RRS) attendances. METHODS: Retrospective case-control analysis of clinical parameters for 328 patients aged 60 years and above at their last RRS call during admission to a single teaching hospital in the 2012-2013 calendar years. Generalised estimating equation modelling was used to compare the deceased with a randomly selected sample of those who had RRS calls and survived admission (controls), matched by age group, sex, and hospital ward...
October 18, 2016: Resuscitation
Camilla Hardeland, Kjetil Sunde, Helge Ramsdal, Susan R Hebbert, Linda Soilammi, Fredrik Westmark, Fredrik Nordum, Andreas E Hansen, Jon E Steen-Hansen, Theresa M Olasveengen
AIM: Explore, understand and address issues that impact upon timely and adequate allocation of prehospital medical assistance and resources to out-of-hospital cardiac arrest (OHCA) patients. METHODS: Mixed-methods: design obtaining data for one year in three emergency medical communication centres (EMCC); Oslo-Akershus (OA), Vestfold-Telemark (VT) and Østfold (Ø). Data collection included quantitative data from analysis of dispatch logs, ambulance records and audio files...
October 18, 2016: Resuscitation
Henrik Vase, Steffen Christensen, Aage Christiansen, Christian Juhl Therkelsen, Evald Høj Christiansen, Hans Eiskjær, Steen Hvidtfeldt Poulsen
INTRODUCTION: Mechanical circulatory support may be considered as a therapeutic option in selected patients with refractory cardiac arrest (rCA). Animal studies suggest a potential role for the Impella(®) left ventricular assist device in this setting, but so far no human data have been published. METHODS: Eight patients with rCA were treated with the Impella CP(®) device at our institution from November 2014 to October 2015. The Impella CP(®) was used at the discretion of the treating physicians in patients with rCA and pulseless electrical activity with presumed primary left ventricular failure...
October 14, 2016: Resuscitation
Eduard Bleijenberg, Rudolph W Koster, Hendrik de Vries, Stefanie G Beesems
PURPOSE: The Guidelines place emphasis on high-quality cardiopulmonary resuscitation (CPR). This study aims to measure the impact of post-resuscitation feedback on the quality of CPR as performed by ambulance personnel. MATERIALS AND METHODS: Two ambulances are dispatched for suspected cardiac arrest. The crew (driver and paramedic) of the first arriving ambulance is responsible for the quality of CPR. The crew of the second ambulance establishes an intravenous access and supports the first crew...
October 14, 2016: Resuscitation
Jan-Thorsten Gräsner, Rolf Lefering, Rudolph W Koster, Siobhán Masterson, Bernd W Böttiger, Johan Herlitz, Jan Wnent, Ingvild B M Tjelmeland, Fernando Rosell Ortiz, Holger Maurer, Michael Baubin, Pierre Mols, Irzal Hadžibegovíc, Marios Ioannides, Roman Škulec, Mads Wissenberg, Ari Salo, Hervé Hubert, Nikolaos I Nikolaou, Gerda Lóczi, Hildigunnur Svavarsdóttir, Federico Semeraro, Peter J Wright, Carlo Clarens, Ruud Pijls, Grzegorz Cebula, Vitor Gouveia Correia, Diana Cimpoesu, Violetta Raffay, Stefan Trenkler, Andrej Markota, Anneli Strömsöe, Roman Burkart, Gavin D Perkins, Leo L Bossaert
No abstract text is available yet for this article.
October 14, 2016: Resuscitation
G Bryan Young
No abstract text is available yet for this article.
October 14, 2016: Resuscitation
Je Hyeok Oh, Jun Young Hong, Chan Woong Kim, Dong Hoon Lee
No abstract text is available yet for this article.
October 14, 2016: Resuscitation
S Savastano, V Vanni
No abstract text is available yet for this article.
October 13, 2016: Resuscitation
Andrew Owen, Elizabeth McGeorge
No abstract text is available yet for this article.
October 13, 2016: Resuscitation
Guillaume Geri, Guillaume Savary, Stéphane Legriel, Florence Dumas, Sybille Merceron, Olivier Varenne, Bernard Livarek, Olivier Richard, Jean-Paul Mira, Jean-Pierre Bedos, Jean-Philippe Empana, Alain Cariou, David Grimaldi
BACKGROUND: Obesity prevalence has dramatically increased over recent years and is associated with cardiovascular diseases, but data are lacking on its prognostic impact in out-of-hospital cardiac arrest (OHCA) patients. METHODS: Data of all consecutive OHCA patients admitted in two cardiac arrest centers from Paris and suburbs between 2005 and 2012 were prospectively collected. Patients treated by therapeutic hypothermia (TH) were included in the analysis. Logistic and Cox regression analyses were used to quantify the association between Body Mass Index (BMI) at hospital admission and day-30 and 1-year mortality respectively...
October 12, 2016: Resuscitation
Kathleen Meert, Russell Telford, Richard Holubkov, Beth S Slomine, James R Christensen, J Michael Dean, Frank W Moler
OBJECTIVE: To explore the safety and efficacy of targeted temperature management amongst infants with out-of-hospital cardiac arrest due to an apparent life threatening event (ALTE) recruited to the Therapeutic Hypothermia after Paediatric Cardiac Arrest Out-of-Hospital trial. METHODS: Fifty-four infants (48h to <1year of age) with ALTE who received chest compressions for ≥2min, were comatose, and required mechanical ventilation after return of circulation were included...
October 11, 2016: Resuscitation
E M Wachelder, V R M P Moulaert, C van Heugten, T Gorgels, D T Wade, J A Verbunt
BACKGROUND: Survivors of a cardiac arrest often have cognitive and emotional problems. As a cardiac arrest is also an obvious life-threatening event, other psychological sequelae associated with surviving such as spirituality may also affect quality of life. OBJECTIVES: To determine the relationship between spirituality, coping and quality of life in cardiac patients both with and without a cardiac arrest. METHODS: In this retrospective cohort study, participants received a questionnaire by post...
October 11, 2016: Resuscitation
Dana Zive, Mohamud Daya
No abstract text is available yet for this article.
October 5, 2016: Resuscitation
Thomas D Rea
No abstract text is available yet for this article.
October 5, 2016: Resuscitation
Giovanni Babini, Luigi Grassi, Giuseppe Ristagno
No abstract text is available yet for this article.
October 4, 2016: Resuscitation
Benjamin W Chrisinger, Anne V Grossestreuer, Meredith C Laguna, Heather M Griffis, Charles C Branas, Douglas J Wiebe, Raina M Merchant
AIM: Approximately 424,000 out-of-hospital cardiac arrests (OHCA) occur in the US annually. As automated external defibrillators (AED) are an important part of the community response to OHCA, we investigated how well the spatial demand (likelihood of OHCA) was met by the spatial supply (AEDs) in a dense urban environment. METHODS: Using geographic information system (GIS) software, we applied kernel density and optimized hot spot procedures with two differently-sized radii to model OHCA incidence rates from existing studies, providing an estimate of OHCA likelihood at a given location...
October 1, 2016: Resuscitation
Jason Coult, Lawrence Sherman, Heemun Kwok, Jennifer Blackwood, Peter J Kudenchuk, Thomas D Rea
AIM: Quantitative waveform measures of the ventricular fibrillation (VF) electrocardiogram (ECG) predict defibrillation outcome. Calculation requires an ECG epoch without chest compression artifact. However, pauses in CPR can adversely affect survival. Thus the potential use of waveform measures is limited by the need to pause CPR. We sought to characterize the relationship between the length of the CPR-free epoch and the ability to predict outcome. METHODS: We conducted a retrospective investigation using the CPR-free ECG prior to first shock among out-of-hospital VF cardiac arrest patients in a large metropolitan region (n=442)...
October 1, 2016: Resuscitation
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