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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
#1
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/27797869/long-term-prognosis-after-out-of-hospital-resuscitation-of-cardiac-arrest-in-trauma-patients-prehospital-trauma-associated-cardiac-arrest
#2
François-Xavier Duchateau, Sophie Hamada, Mathieu Raux, Matthieu Gay, Jean Mantz, Catherine Paugam Burtz, Tobias Gauss
BACKGROUND: Although prehospital cardiac arrest (CA) remains associated with poor long-term outcome, recent studies show an improvement in the survival rate after prehospital trauma associated CA (TCA). However, data on the long-term neurological outcome of TCA, particularly from physician-staffed Emergency Medical Service (EMS), are scarce, and results reported have been inconsistent. The objective of this pilot study was to evaluate the long-term outcome of patients admitted to several trauma centres after a TCA...
October 26, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27727043/are-chinese-students-willing-to-learn-and-perform-bystander-cardiopulmonary-resuscitation
#3
Qiao Huang, Cuihuan Hu, Jing Mao
BACKGROUND: Immediate cardiopulmonary resuscitation (CPR) can improve survival rate from cardiac arrest and students are potentially important bystander CPR providers. OBJECTIVE: Our aim was to investigate the willingness among Chinese students to learn and perform bystander CPR. METHODS: Questionnaires were distributed to 1407 students. The survey investigated the willingness to learn and perform bystander CPR and the barriers to performing CPR on family members and strangers, assuming that students had mastered CPR...
December 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27512333/assessment-of-cardiopulmonary-resuscitation-practices-in-emergency-departments-for-out-of-hospital-cardiac-arrest-victims-in-lebanon
#4
Samar Noureddine, Tamar Avedissian, Hussain Isma'eel, Mazen J El Sayed
BACKGROUND: The survival rate of out-of-hospital cardiac arrest (OHCA) victims in Lebanon is low. A national policy on resuscitation practice is lacking. This survey explored the practices of emergency physicians related to the resuscitation of OHCA victims in Lebanon. METHODS: A sample of 705 physicians working in emergency departments (EDs) was recruited and surveyed using the LimeSurvey software (Carsten Schmitz, Germany). Seventy-five participants responded, yielding 10...
July 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27491645/barriers-and-facilitators-to-community-cpr-education-in-san-jos%C3%A3-costa-rica
#5
Kristin M Schmid, Nee-Kofi Mould-Millman, Andrew Hammes, Miranda Kroehl, Raquel Quiros García, Manrique Umaña McDermott, Steven R Lowenstein
BACKGROUND: Bystander cardiopulmonary resuscitation (CPR) improves survival after prehospital cardiac arrest. While community CPR training programs have been implemented across the US, little is known about their acceptability in non-US Latino populations. OBJECTIVES: The purpose of this study was to identify barriers to enrolling in CPR training classes and performing CPR in San José, Costa Rica. METHODS: After consulting 10 San José residents, a survey was created, pilot-tested, and distributed to a convenience sample of community members in public gathering places in San José...
October 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27350627/are-they-trained-prevalence-motivations-and-barriers-to-cpr-training-among-cohabitants-of-patients-with-a-coronary-disease
#6
Guillaume Cariou, Thierry Pelaccia
Out-of-hospital cardiac arrest occurs most often at home and often in the presence of family members of the patient who witness the event. Cardiopulmonary resuscitation (CPR) training of the next of kin of at-risk patients is thus potentially beneficial. The aim of our study was to document the prevalence of appropriate training among cardiac patients' cohabitants, as well as the motivations or obstacles to seeking training. 153 cohabitants of 127 patients who were hospitalized 1 year prior for confirmed coronary disease in a cardiology department (Paris, France) were interviewed using a structured questionnaire between October 2013 and March 2014...
June 27, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27260481/inflammasome-and-toll-like-receptor-signaling-in-human-monocytes-after-successful-cardiopulmonary-resuscitation
#7
Alexander Asmussen, Katrin Fink, Hans-Jörg Busch, Thomas Helbing, Natascha Bourgeois, Christoph Bode, Sebastian Grundmann
BACKGROUND: Whole body ischemia-reperfusion injury (IRI) after cardiopulmonary resuscitation (CPR) induces a generalized inflammatory response which contributes to the development of post-cardiac arrest syndrome (PCAS). Recently, pattern recognition receptors (PRRs), such as toll-like receptors (TLRs) and inflammasomes, have been shown to mediate the inflammatory response in IRI. In this study we investigated monocyte PRR signaling and function in PCAS. METHODS: Blood samples were drawn in the first 12 hours, and at 24 and 48 hours following return of spontaneous circulation in 51 survivors after cardiac arrest...
2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27253993/family-presence-during-resuscitation-a-qualitative-analysis-from-a-national-multicenter-randomized-clinical-trial
#8
Carla De Stefano, Domitille Normand, Patricia Jabre, Elie Azoulay, Nancy Kentish-Barnes, Frederic Lapostolle, Thierry Baubet, Paul-Georges Reuter, Nicolas Javaud, Stephen W Borron, Eric Vicaut, Frederic Adnet
BACKGROUND: The themes of qualitative assessments that characterize the experience of family members offered the choice of observing cardiopulmonary resuscitation (CPR) of a loved one have not been formally identified. METHODS AND FINDINGS: In the context of a multicenter randomized clinical trial offering family members the choice of observing CPR of a patient with sudden cardiac arrest, a qualitative analysis, with a sequential explanatory design, was conducted...
2016: PloS One
https://www.readbyqxmd.com/read/27240866/effect-of-rescue-breathing-by-lay-rescuers-for-out-of-hospital-cardiac-arrest-caused-by-respiratory-disease-a-nationwide-population-based-propensity-score-matched-study
#9
Tatsuma Fukuda, Naoko Ohashi-Fukuda, Yutaka Kondo, Toshiki Sera, Naoki Yahagi
The importance of respiratory care in cardiopulmonary resuscitation may vary depending on the cause of cardiac arrest. No previous study has investigated the effects of rescue breathing performed by a lay rescuer on the outcomes of patients with out-of-hospital cardiac arrest (OHCA) caused by intrinsic respiratory diseases. The aim of this study was to investigate whether rescue breathing performed by a lay rescuer is associated with outcomes after respiratory disease-related OHCA. In a nationwide, population-based, propensity score-matched study in Japan, among adult patients with OHCA caused by respiratory disease who received bystander cardiopulmonary resuscitation from January 1, 2005 to December 31, 2010, we compared patients with rescue breathing to those without rescue breathing...
May 30, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27225648/reactions-and-coping-strategies-in-lay-rescuers-who-have-provided-cpr-to-out-of-hospital-cardiac-arrest-victims-a-qualitative-study
#10
Wenche Torunn Mathiesen, Conrad Arnfinn Bjørshol, Geir Sverre Braut, Eldar Søreide
OBJECTIVE: Cardiopulmonary resuscitation (CPR) provided by community citizens is of paramount importance for out-of-hospital cardiac arrest (OHCA) victims' survival. Fortunately, CPR rates by community citizens seem to be rising. However, the experience of providing CPR is rarely investigated. The aim of this study was to explore reactions and coping strategies in lay rescuers who have provided CPR to OHCA victims. METHODS, PARTICIPANTS: This is a qualitative study of 20 lay rescuers who have provided CPR to 18 OHCA victims...
2016: BMJ Open
https://www.readbyqxmd.com/read/27208554/a-systematic-review-of-basic-life-support-training-targeted-to-family-members-of-high-risk-cardiac-patients
#11
REVIEW
Susie Cartledge, Janet E Bray, Marion Leary, Dion Stub, Judith Finn
AIM: Targeting basic life support (BLS) training to bystanders who are most likely to witness an out of hospital cardiac arrest (OHCA) is an important public health intervention. We performed a systematic review examining the evidence of the effectiveness of providing BLS training to family members of high-risk cardiac patients. METHODS: A search of Ovid MEDLINE, CINAL, EMBASE, Informit, Cochrane Library, Web of Science, Scopus, ERIC and ProQuest Dissertations and Theses Global was conducted...
August 2016: Resuscitation
https://www.readbyqxmd.com/read/27122894/catecholaminergic-polymorphic-ventricular-tachycardia-a-rare-cause-of-cardiac-arrest-following-blunt-chest-trauma
#12
Isa Ozyilmaz, Sinem Ozyilmaz, Yakup Ergul, Celal Akdeniz, Volkan Tuzcu
UNLABELLED: Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an electrophysiological disorder of a physically normal heart that occurs in children when the body is subjected to intense emotional or physical stress that causes adrenergic discharge. This troubling disease can be sporadic (spontaneous) or familial (genetic/inherited). Unfortunately, its associated ventricular tachycardia may cause sudden death, so early diagnosis of CPVT is very important. Treatment modalities include medical treatment, implantation of a cardioverter defibrillator, or surgical sympatectomy; but the implantable cardioverter defibrillator (ICD) should be the first choice in patients with a history of cardiac arrest...
July 2015: Acta Cardiologica Sinica
https://www.readbyqxmd.com/read/27112149/early-withdrawal-decision-making-in-patients-with-coma-after-cardiac-arrest-a-qualitative-study-of-intensive-care-clinicians
#13
Charlene J Ong, Amar Dhand, Michael N Diringer
INTRODUCTION: Neurologists are often asked to define prognosis in comatose patients. However, comatose patients following cardiac arrest are usually cared for by cardiologists or intensivists, and it is their approach that will influence decisions regarding withdrawal of life-sustaining interventions (WLSI). We observed that factors leading to these decisions vary across specialties and considered whether they could result in self-fulfilling prophecies and early WLSI. We conducted a hypothesis-generating qualitative study to identify factors used by non-neurologists to define prognosis in these patients and construct an explanatory model for how early WLSI might occur...
October 2016: Neurocritical Care
https://www.readbyqxmd.com/read/27067836/are-two-or-four-hands-needed-for-elderly-female-bystanders-to-achieve-the-required-chest-compression-depth-during-dispatcher-assisted-cpr-a-randomized-controlled-trial
#14
Asta Krikscionaitiene, Zilvinas Dambrauskas, Tracey Barron, Egle Vaitkaitiene, Dinas Vaitkaitis
BACKGROUND: Rescuers are often unable to achieve the recommended 5-6 cm CC depth. The physical limitations of elderly bystanders may affect the quality of CC; thus, we investigated new strategies to improve CC performance. METHODS: We performed a randomized controlled trial in December 2013. Sixty-eight lay rescuers aged 50-75 were randomized to intervention or control pairs (males and females separately). Each pair performed 8 min of DA-CPR on a manikin connected to a PC...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/26904317/pseudohypoaldosteronism-in-a-neonate-presenting-as-life-threatening-hyperkalemia
#15
Najya A Attia, Yousef I Marzouk
Context. Pseudohypoaldosteronism type 1 (PHA1) is a life-threatening disease that causes severe hyperkalemia and cardiac arrest if not treated appropriately or if diagnosis is missed. Objective. To report a case of a newborn with vomiting and lethargy, ultimately diagnosed with pseudohypoaldosteronism. Patient. This case presented to the ED at an age of 14 days in hypovolemic shock. There was a family history of sudden infant death, her sister who was diagnosed with CAH and passed away at 3 months of age despite regular hormone replacement...
2016: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/26869137/development-of-a-decision-aid-for-cardiopulmonary-resuscitation-involving-intensive-care-unit-patients-and-health-professionals-participation-using-user-centered-design-and-a-wiki-platform-for-rapid-prototyping-a-research-protocol
#16
Ariane Plaisance, Holly O Witteman, Daren Keith Heyland, Mark H Ebell, Audrey Dupuis, Carole-Anne Lavoie-Bérard, France Légaré, Patrick Michel Archambault
BACKGROUND: Cardiopulmonary resuscitation (CPR) is an intervention used in cases of cardiac arrest to revive patients whose heart has stopped. Because cardiac arrest can have potentially devastating outcomes such as severe neurological deficits even if CPR is performed, patients must be involved in determining in advance if they want CPR in the case of an unexpected arrest. Shared decision making (SDM) facilitates discussions about goals of care regarding CPR in intensive care units (ICUs)...
2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/26760123/cohort-study-on-the-factors-associated-with-survival-post-cardiac-arrest
#17
Cássia Regina Vancini-Campanharo, Rodrigo Luiz Vancini, Claudio Andre Barbosa de Lira, Marília dos Santos Andrade, Aécio Flávio Teixeira de Góis, Álvaro Nagib Atallah
CONTEXT AND OBJECTIVE: Cardiac arrest is a common occurrence, and even with efficient emergency treatment, it is associated with a poor prognosis. Identification of predictors of survival after cardiopulmonary resuscitation may provide important information for the healthcare team and family. The aim of this study was to identify factors associated with the survival of patients treated for cardiac arrest, after a one-year follow-up period. DESIGN AND SETTING: Prospective cohort study conducted in the emergency department of a Brazilian university hospital...
November 2015: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/26678238/strategies-for-the-prevention-of-sudden-cardiac-death-in-children-and-adolescents
#18
Stuart Berger, Emanuele Maccalli
Sudden cardiac arrest (SCA) or sudden cardiac death (SCD) in children and adolescents is a devastating event. Although the true incidence is unclear, the etiologies are not. Strategies for prevention include both primary as well as secondary prevention strategies, and these strategies are not mutually exclusive. From a primary prevention standpoint, many of the episodes of SCA or SCD may occur without any antecedent warning signs and in the absence of an important family history. There are a subset of children and adolescents who may have antecedent warning signs and symptoms such as syncope with exercise, chest pain, and palpitations...
December 2015: Pediatric Annals
https://www.readbyqxmd.com/read/26613835/inviting-family-to-be-present-during-cardiopulmonary-resuscitation-impact-of-education
#19
Trudy Dwyer, Deborah Friel
UNLABELLED: Encouraging and permitting family members to stay together during cardiopulmonary resuscitation benefits the patient, family and staff. Health care professionals (HCP) attitudes and experiences are documented as barriers to initiating family presence during cardiopulmonary resuscitation (FPDR). The aim of this pilot study was to explore the influence of education on changing HCPs attitudes and intent to provide families with the option to be present at the next cardiac arrest...
January 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/26423258/-drowning-versus-cardiac-ischemia-cardiac-arrest-of-an-11-year-old-boy-at-a-swimming-lake
#20
A Födinger, C Wöss, S Semsroth, K H Stadlbauer, V Wenzel
This report describes a case of sudden cardiac arrest and subsequent attempted cardiopulmonary resuscitation of an 11-year-old child on the shores of a swimming lake. Reports of eyewitnesses excluded the obviously suspected diagnosis of a drowning accident. The result of the autopsy was sudden cardiac death due to a congenital coronary anomaly (abnormal left coronary artery, ALCA). Favored by vigorous physical activity, this anomaly can lead to malignant arrhythmias because the ectopic coronary artery with its intramural course through the aortic wall is compressed during every systole...
November 2015: Der Anaesthesist
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