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Paul R Banerjee, Latha Ganti, Paul E Pepe, Amninder Singh, Abhishek Roka, Raf A Vittone
AIM: To evaluate the frequency of neurologically-intact survival (SURV) following pediatric out-of-hospital cardiac arrest (POHCA) when comparing traditional early evacuation strategies to those emphasizing resuscitation efforts being performed on-scene. METHODS: Before 2014, emergency medical services (EMS) crews in a county-wide EMS agency provided limited treatment for POHCA on-scene and rapidly transported patients to appropriate hospitals. After 2014, training strongly enhanced EMS provider comfort levels with on-scene resuscitation efforts including methods to expedite protocols on-site and control positive-pressure ventilation...
November 6, 2018: Resuscitation
Jasmeet Soar, Michael W Donnino, Ian Maconochie, Richard Aickin, Dianne L Atkins, Lars W Andersen, Katherine M Berg, Robert Bingham, Bernd W Böttiger, Clifton W Callaway, Keith Couper, Thomaz Bittencourt Couto, Allan R de Caen, Charles D Deakin, Ian R Drennan, Anne-Marie Guerguerian, Eric J Lavonas, Peter A Meaney, Vinay M Nadkarni, Robert W Neumar, Kee-Chong Ng, Tonia C Nicholson, Gabrielle A Nuthall, Shinichiro Ohshimo, Brian J O'Neil, Gene Yong-Kwang Ong, Edison F Paiva, Michael J Parr, Amelia G Reis, Joshua C Reynolds, Giuseppe Ristagno, Claudio Sandroni, Stephen M Schexnayder, Barnaby R Scholefield, Naoki Shimizu, Janice A Tijssen, Patrick Van de Voorde, Tzong-Luen Wang, Michelle Welsford, Mary Fran Hazinski, Jerry P Nolan, Peter T Morley
The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the second annual summary of International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations that includes the most recent cardiopulmonary resuscitation science reviewed by the International Liaison Committee on Resuscitation. This summary addresses the role of antiarrhythmic drugs in adults and children and includes the Advanced Life Support Task Force and Pediatric Task Force consensus statements, which summarize the most recent published evidence and an assessment of the quality of the evidence based on Grading of Recommendations, Assessment, Development, and Evaluation criteria...
November 5, 2018: Resuscitation
Michael M Beyea, Bourke W Tillmann, A Dave Nagpal
No abstract text is available yet for this article.
November 2, 2018: Resuscitation
Xiaoming Zhang, Wenwu Zhang, Conghua Wang, Wuyuan Tao, Qingli Dou, Yunzhi Yang
BACKGROUND: For children with out-of-hospital cardiac arrest, previous observational studies regarding chest-compression-only CPR (CC-CPR) versus conventional CPR yielded inconsistent results. We aimed to summarize the current evidence and compare the outcomes after CC-CPR with those after conventional CPR by bystanders in children with out-of-hospital cardiac arrest. METHODS: Observational studies that compared CC-CPR to conventional CPR for children with out-of-hospital cardiac arrest were identified through systematic searches of three databases (PubMed, EMBASE, and the Cochrane Library)...
November 1, 2018: Resuscitation
Robert Anderson, Alexandre Sebaldt, Yiqun Lin, Adam Cheng
AIM: Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one year. METHODS: Participants were randomized to 1-month, 3-month, 6-month, and 12-month CPR training intervals over the course of a 12-month study period. Practice sessions included repeated two-minute CPR practice sessions with visual feedback and verbal coaching until Excellent CPR was achieved, to a maximum of three attempts...
October 31, 2018: Resuscitation
Cyril Isenschmid, Tanja Luescher, Roshaani Rasiah, Jeanice Kalt, Theresa Tondorf, Martina Gamp, Christoph Becker, Kai Tisljar, Raoul Sutter, Philipp Schuetz, Seraina Hochstrasser, Kerstin Metzger, Stephan Marsch, Sabina Hunziker
AIM: Several scores are available to predict mortality and neurological outcome in cardiac arrest patients admitted to the intensive care unit (ICU). The aim of the study was to externally validate the prognostic value of four previously published risk scores. METHODS: For this observational, single-center study, we prospectively included 349 consecutive adult cardiac arrest patients upon ICU admission. We calculated two cardiac arrest specific risk scores (OHCA and CAHP) and two general severity of illness scores (APACHE II and SAPS II)...
October 31, 2018: Resuscitation
Christophe Henri Valdemar Duez, Birger Johnsen, Mads Qvist Ebbesen, Marie Bu Kvaløy, Anders Morten Grejs, Anni Nørgaard Jeppesen, Eldar Søreide, Jørgen Feldbæk Nielsen, Hans Kirkegaard
OBJECTIVE: To test if prognostic performance is affected by prolonged targeted temperature management (TTM) in comatose out-of-hospital cardiac arrest patients using two recently proposed EEG pattern classification models. METHODS: In this sub-study of the "Target Temperature Management for 48 vs. 24 hours and Neurologic Outcome after Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial", EEGs of 20-30 minutes duration were collected 24 h and 48 h after reaching the target temperature of 33 ± 1 °C...
October 31, 2018: Resuscitation
Maria Elena Cavicchiolo, Francesco Cavallin, Alex Staffler, Damiano Pizzol, Eduardo Matediana, Olivier Manzungu Wingi, Liviana Da Dalt, Giovanni Putoto, Daniele Trevisanuto
INTRODUCTION: Data on non-technical skills (i.e. task management, team working, situation awareness and decision-making) of healthcare providers during real-life newborn resuscitation in low-resource settings are lacking. We aimed to assess non-technical skills of trained midwives during real-life newborn resuscitation in a low-resource setting before and after participation in a modified NRP course, and after a low-dose/high-frequency training. METHODS: One-hundred and fifty video-recorded resuscitations (50 before and 50 after participation in a modified NRP course, and 50 after a low-dose/high-frequency training) collected at the Beira Central Hospital (Mozambique) were independently viewed and rated by two neonatologists with expertise in high fidelity simulation...
October 31, 2018: Resuscitation
Purav Mody, Siobhan P Brown, Peter J Kudenchuk, Paul S Chan, Rohan Khera, Colby Ayers, Ambarish Pandey, Karl Kern, James A de Lemos, Mark S Link, Ahamed H Idris
AIM: To examine outcomes associated with intraosseous access route attempt for delivery of medications during out-of-hospital cardiac arrest (OHCA) resuscitation. METHODS: Using data from the Continuous Chest Compression trial, we examined rates of survival to hospital discharge, sustained return of spontaneous circulation (ROSC), and survival with favorable neurological function among patients with intraosseous and intravenous access attempts after adjusting for age, sex, initial rhythm, bystander cardiopulmonary resuscitation, public location, witnessed status, EMS response and trial randomization cluster...
October 31, 2018: Resuscitation
Rubén Navarro-Patón, Miguel Freire-Tellado, Noel Fernández-González, Silvia Basanta Camiño, Javier Mateos Lorenzo, Joaquín Lago Ballesteros
BACKGROUND: Current resuscitation guidelines endorse placing the unconscious and normally breathing victims in the recovery position (RP), but this technique might hinder breathing evaluation. AIM: To compare breathing evaluation and cardiac arrest detection: placing the victim in RP and checking breathing regularly, placing the victim in RP while re-evaluating breathing every minute, and placing the victim on his back, maintaining an open airway with the head-tilt-chin-lift technique and continuously checking breathing...
October 30, 2018: Resuscitation
Mattias Bohm, Gisela Lilja, Hafrún Finnbogadóttir, Tobias Cronberg, Johan Undén, Hans Friberg, Jesper Kjærgaard, Niklas Nielsen, Matt P Wise, Eva Åkerman
AIM: To describe the detailed health-related quality of life (HRQoL) in survivors from the TTM-trial and to investigate potential differences related to sex and age. METHODS: This is a cross-sectional study originating from a large prospective international, multicentre trial, including 442 respondents who answered the Short Form-36 item Questionnaire Health Survey version 2® (SF-36v2® ) at a structured follow-up 6 months after out-of-hospital cardiac arrest (OHCA)...
October 29, 2018: Resuscitation
Hiroshi Okamoto, Tadahiro Goto, Zoie S Y Wong, Yusuke Hagiwara, Hiroko Watase, Kohei Hasegawa
AIM: To compare the tracheal intubation performance between video laryngoscopy (VL) and direct laryngoscopy (DL) in patients with cardiac arrest in the ED. METHODS: This is an analysis of the data from a prospective, multicentre study of 15 EDs in Japan. We included consecutive adult patients with cardiac arrest who underwent intubation with VL or DL from 2012 through 2016. The primary outcome was first-attempt success. The secondary outcomes were glottic visualisation assessed with Cormack grade (1 vs...
October 29, 2018: Resuscitation
Theo Walther Jensen, Thea Palsgaard Møller, Søren Viereck, Jens Roland, Thomas Egesborg Pedersen, Annette Kjær Ersbøll, Jens Flensted Lassen, Fredrik Folke, Doris Østergaard, Freddy K Lippert
INTRODUCTION: Survival from Out-of-Hospital Cardiac Arrest is highly associated with bystander cardiopulmonary resuscitation. The quality of bystander CPR is influenced by citizens attending Basic Life Support (BLS) courses and the quality of these courses. The purpose of the study was to investigate content, quality and compliance with the European Resuscitation Council (ERC) guidelines in national Danish BLS courses and the skill retention. METHOD: Books from 16 different course providers were analyzed for compliance with guidelines using the principle of mutually exclusive and collectively exhaustive questioning...
October 29, 2018: Resuscitation
John C Kucewicz, David D Salcido, Adeyinka A Adedipe, Kenneth Truong, Graham Nichol, Pierre D Mourad
INTRODUCTION: Hemodynamic-guided cardiopulmonary resuscitation (HGCPR) achieves better outcomes than standard resuscitation. Currently, HGCPR requires an invasive procedure, infeasible during resuscitation. Non-invasive measures of blood flow could provide useful hemodynamic guidance to rescuers. OBJECTIVE: We describe initial efforts to develop a device that detects, analyzes, and measures the velocity of carotid artery blood flow (CABF) towards the brain at pre-arrest baseline ('baseline') and during cardiopulmonary resuscitation, here tested in a swine model of cardiac arrest (CA)...
October 23, 2018: Resuscitation
Raghuram Chava, Menekhem Zviman, Fabrizio R Assis, Madhavan Srinivas Raghavan, Henry Halperin, Farhan Maqbool, Romergryko Geocadin, Alfredo Quinones-Hinojosa, Aravindan Kolandaivelu, Benjamin A Rosen, Harikrishna Tandri
PURPOSE: Early initiation of hypothermia is recommended in the setting of cardiac arrest. Current hypothermia methods are invasive and expensive and not applicable in ambulatory settings. We investigated the evaporative cooling effect of high flow transnasal dry air on core esophageal temperature in human volunteers. METHODS & RESULTS: A total of 32 subjects (mean age 53.2 ± 9.3 yrs., mean weight 90 ± 17 Kg) presenting for elective electrophysiological procedures were enrolled for the study...
October 22, 2018: Resuscitation
Mattias Bergström, Simon Schmidbauer, Johan Herlitz, Araz Rawshani, Hans Friberg
OBJECTIVE: To describe the prevalence, baseline characteristics and factors associated with survival in out-of-hospital cardiac arrest (OHCA) with initial non-shockable rhythm sub-grouped into pulseless electrical activity (PEA) and asystole as presenting rhythm. METHODS: The Swedish Registry of Cardiopulmonary Resuscitation is a prospectively recorded nationwide registry of modified Utstein parameters, including all patients with attempted resuscitation after OHCA...
October 21, 2018: Resuscitation
Gabriella Smith, Samuel Beger, Tyler Vadeboncoeur, Vatsal Chikani, Frank Walter, Bentley Bobrow
AIM: Opioid overdose mortality has increased in North America; however, recent regional trends in the proportion of treated overdose-related out-of-hospital cardiac arrests (OD-OHCA) compared to out-of-hospital cardiac arrests of presumed cardiac etiology (C-OHCA) are largely unknown. Our aim is to assess trends in the prevalence and outcomes of OD-OHCA compared to C-OHCA in Arizona. METHODS: Statewide, observational study utilizing an Utstein-style database with EMS-first care reports linked with hospital records, and vital statistics data from 2010-2015...
October 20, 2018: Resuscitation
A R Corfield, D Silcock, L Clerihew, P Kelly, E Stewart, H Staines, K D Rooney
INTRODUCTION: Physiological deterioration often precedes clinical deterioration as patients develop critical illness. Use of a specific Paediatric Early Warning Score (PEWS), based on basic physiological measurements, may help identify children prior to their clinical deterioration. NHS Scotland has adopted a single national PEWS - PEWS (Scotland). We aim to look at the utility of PEWS (Scotland) in unselected paediatric ambulance patients. METHODS: We performed a retrospective cohort of all ambulance patients aged under 16 years conveyed to hospital in Scotland between 2011 and 2015...
October 16, 2018: Resuscitation
Christopher M Smith, Joyce Yeung
No abstract text is available yet for this article.
October 15, 2018: Resuscitation
Justyna Swol, Jan Belohlávek, Daniel Brodie, Joseph Bellezzo, Scott D Weingart, Zachary Shinar, Andreas Schober, Matthew Bachetta, Jonathan W Haft, Shingo Ichiba, Tetsuya Sakamoto, Giles J Peek, Roberto Lorusso, Steven A Conrad
BACKGROUND: Extracorporeal life support (ECLS) describes the use of blood perfusion devices to provide advanced cardiac or respiratory support. Advances in percutaneous vascular cannula insertion, centrifugal pump technologies, and the miniaturization of extracorporeal devices have simplified ECLS. The intention of this discussion is to review the role of ECLS as a potential rescue method for emergency department (ED) clinicians in critical clinical scenarios and to focus on the prerequisites for managing an ECLS program in an ED setting...
October 15, 2018: Resuscitation
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