Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

81. Variation in outcome of hospitalised patients with out-of-hospital cardiac arrest from acute coronary syndrome: a cohort study

Variation in outcome of hospitalised patients with out-of-hospital cardiac arrest from acute coronary syndrome: a cohort study Variation in outcome of hospitalised patients with out-of-hospital cardiac arrest from acute coronary syndrome: a cohort study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search (...) above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} There is variability in survival after out-of-hospital cardiac arrest and early reperfusion in STEMI appears beneficial, but no additional benefit was seen from transfer to larger hospitals with specialist services. {{author}} {{($index , , , , , , , , , & . Keith Couper 1, 2 , Peter K Kimani 1 , Chris P Gale 3, 4 , Tom Quinn 5 , Iain B Squire 6 , Andrea

2018 NIHR HTA programme

82. Drug therapy in cardiac arrest: a review of the literature.

Drug therapy in cardiac arrest: a review of the literature. The aim of this study was to review the literature on human studies of drug therapy in cardiac arrest during the last 25 years. In May 2015, a systematic literature search was performed in PubMed, Embase, the Cochrane Library, and CRD databases. Prospective interventional and observational studies evaluating a specified drug therapy in human cardiac arrest reporting a clinical endpoint [i.e. return of spontaneous circulation (ROSC (...) ) or survival] and published in English 1990 or later were included, whereas animal studies, case series and reports, studies of drug administration, drug pharmacology, non-specified drug therapies, preventive drug therapy, drug administration after ROSC, studies with primarily physiological endpoints, and studies of traumatic cardiac arrest were excluded. The literature search identified a total of 8936 articles. Eighty-eight articles met our inclusion criteria and were included in the review. We

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2018 European heart journal. Cardiovascular pharmacotherapy

83. Out-of-hospital cardiac arrest: prehospital management. (PubMed)

Out-of-hospital cardiac arrest: prehospital management. Sudden out-of-hospital cardiac arrest is the most time-critical medical emergency. In the second paper of this Series on out-of-hospital cardiac arrest, we considered important issues in the prehospital management of cardiac arrest. Successful resuscitation relies on a strong chain of survival with the community, dispatch centre, ambulance, and hospital working together. Early cardiopulmonary resuscitation and defibrillation has

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2018 Lancet

84. Out-of-hospital cardiac arrest: current concepts. (PubMed)

Out-of-hospital cardiac arrest: current concepts. Out-of-hospital cardiac arrest (OHCA) is a leading cause of global mortality. Regional variations in reporting frameworks and survival mean the exact burden of OHCA to public health is unknown. Nevertheless, overall prognosis and neurological outcome are relatively poor following OHCA and have remained almost static for the past three decades. In this Series paper, we explore the aetiology of OHCA. Coronary artery disease remains the predominant (...) cause, but there is a diverse range of other potential cardiac and non-cardiac causes to be aware of. Additionally, we describe how investigators and key stakeholders in resuscitation science have formulated specific Utstein data element domains in an attempt to standardise the definitions and outcomes reported in OHCA research so that management pathways can be improved. Finally, we identify the predictors of survival after OHCA and what primary and secondary prevention strategies can be instigated

2018 Lancet

85. Out-of-hospital cardiac arrest: in-hospital intervention strategies. (PubMed)

Out-of-hospital cardiac arrest: in-hospital intervention strategies. The prognosis after out-of-hospital cardiac arrest (OHCA) has improved in the past few decades because of advances in interventions used outside and in hospital. About half of patients who have OHCA with initial ventricular tachycardia or ventricular fibrillation and who are admitted to hospital in coma after return of spontaneous circulation will survive to discharge with a reasonable neurological status. In this Series paper (...) we discuss in-hospital management of patients with post-cardiac-arrest syndrome. In most patients, the most important in-hospital interventions other than routine intensive care are continuous active treatment (in non-comatose and comatose patients and including circulatory support in selected patients), cooling of core temperature to 32-36°C by targeted temperature management for at least 24 h, immediate coronary angiography with or without percutaneous coronary intervention, and delay of final

2018 Lancet

86. Validating the Electronic Cardiac Arrest Risk Triage (eCART) Score for Risk Stratification of Surgical Inpatients in the Postoperative Setting: Retrospective Cohort Study

Validating the Electronic Cardiac Arrest Risk Triage (eCART) Score for Risk Stratification of Surgical Inpatients in the Postoperative Setting: Retrospective Cohort Study Assess the accuracy of 3 early warning scores for predicting severe adverse events in postoperative inpatients.Postoperative clinical deterioration on inpatient hospital services is associated with increased morbidity, mortality, and cost. Early warning scores have been developed to detect inpatient clinical deterioration (...) and trigger rapid response activation, but knowledge regarding the application of early warning scores to postoperative inpatients is limited.This was a retrospective cohort study of adult patients hospitalized on the wards after surgical procedures at an urban academic medical center from November, 2008 to January, 2016. The accuracies of the Modified Early Warning Score (MEWS), National Early Warning Score (NEWS), and the electronic cardiac arrest risk triage (eCART) score were compared in predicting

2018 EvidenceUpdates

87. Comparative Safety of Sulfonylureas and the Risk of Sudden Cardiac Arrest and Ventricular Arrhythmia

Comparative Safety of Sulfonylureas and the Risk of Sudden Cardiac Arrest and Ventricular Arrhythmia To examine the association between individual antidiabetic sulfonylureas and outpatient-originating sudden cardiac arrest and ventricular arrhythmia (SCA/VA).We conducted a retrospective cohort study using 1999-2010 U.S. Medicaid claims from five large states. Exposures were determined by incident use of glyburide, glimepiride, or glipizide. Glipizide served as the reference exposure, as its

2018 EvidenceUpdates

88. The mechanism of blood flow during chest compressions for cardiac arrest is probably influenced by the patient's chest configuration (PubMed)

The mechanism of blood flow during chest compressions for cardiac arrest is probably influenced by the patient's chest configuration Mechanical assist devices are sometimes needed during resuscitation efforts of patients with prolonged cardiac arrest. Two such devices, the AutoPulse and the LUCAS, have different mechanisms of action. We propose that the effectiveness of mechanical assist devices is somewhat dependent on the configuration and compliance of the patient's chest wall.A previous (...) study of patients with out-of-hospital cardiac arrest in Arizona reported that survivors were younger and many were observed to have narrow anterior-posterior chest diameters. These observations suggest that the predominant mechanism of blood flow during cardiopulmonary resuscitation of individuals with primary cardiac arrest is influenced by the patient's anterior-posterior chest diameter and compliance. It is proposed that in older individuals with an increased anterior-posterior chest diameter

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2018 Acute medicine & surgery

89. Comparison of the Between the Flags calling criteria to the MEWS, NEWS and the electronic Cardiac Arrest Risk Triage (eCART) score for the identification of deteriorating ward patients

Comparison of the Between the Flags calling criteria to the MEWS, NEWS and the electronic Cardiac Arrest Risk Triage (eCART) score for the identification of deteriorating ward patients Traditionally, paper based observation charts have been used to identify deteriorating patients, with emerging recent electronic medical records allowing electronic algorithms to risk stratify and help direct the response to deterioration.We sought to compare the Between the Flags (BTF) calling criteria (...) to the Modified Early Warning Score (MEWS), National Early Warning Score (NEWS) and electronic Cardiac Arrest Risk Triage (eCART) score.Multicenter retrospective analysis of electronic health record data from all patients admitted to five US hospitals from November 2008-August 2013.Cardiac arrest, ICU transfer or death within 24h of a score RESULTS: Overall accuracy was highest for eCART, with an AUC of 0.801 (95% CI 0.799-0.802), followed by NEWS, MEWS and BTF respectively (0.718 [0.716-0.720]; 0.698 [0.696

2018 EvidenceUpdates

90. Cardiac arrest

Cardiac arrest Cardiac arrest - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Cardiac arrest Last reviewed: February 2019 Last updated: April 2018 Summary The most common shockable rhythms associated with cardiac arrest are pulseless ventricular tachycardia and ventricular fibrillation. The most common underlying causes are ischaemic heart disease and myocardial infarction. Presentation is usually sudden (...) and manifests as loss of consciousness but can be preceded by chest pain or dyspnoea. Treatment is through implementing the algorithms for basic and advanced cardiac life support, depending on the provider’s level of training. The overall survival from cardiac arrest, especially unwitnessed, is poor and, among early survivors, is fraught with complications of many organ systems due to ischaemic injury (i.e., multisystem organ failure). Definition Sudden cardiac arrest is a sudden state of circulatory

2018 BMJ Best Practice

91. Epinephrine in Out-of-Hospital Cardiac Arrest

Epinephrine in Out-of-Hospital Cardiac Arrest Epinephrine in Out-of-Hospital Cardiac Arrest | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Sections Education Fellowships Research Journal Club Events Open Search Vignette You are doing an EMS ride-along during your EMS elective and get a call for a 70- year old male in cardiac arrest. The paramedic hits the lights and sirens and you’re on scene in five minutes. The ?ire (...) continuing good, uninterrupted chest compressions. He gets two more rounds of epi en route and gets a pulse back. On arrival to the ED he has a pulse, is mildly hypotensive, but has no spontaneous breaths and his pupils are fixed and dilated. You know that giving epinephrine in cardiac arrest is the standard of care, but wonder what effect it really has: does it improve ROSC, and if so does it actually improve neurologic function down the road. You wonder if their is really any evidence to support its

2018 Washington University Emergency Medicine Journal Club

92. Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report (PubMed)

Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report Circulatory support using veno-arterial extracorporeal membrane oxygenation for aortic disease is conventionally contraindicated. In this case, a 66-year-old man experienced cardiopulmonary arrest caused by acute aortic dissection. When exercising in the gym, he experienced chest discomfort, so the staff immediately called an ambulance (...) prosthesis implantation was performed. The patient received intensive care and was discharged on day 49 of hospitalization. His cerebral performance category score was 4 at discharge.This case suggests that veno-arterial extracorporeal membrane oxygenation may be used for patients with aortic dissection presenting with cardiac arrest.

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2017 Acute medicine & surgery

93. Case Report: Toxin-Induced Cardiac Arrest in Game of Thrones

Case Report: Toxin-Induced Cardiac Arrest in Game of Thrones Case Report: Toxin-Induced Cardiac Arrest in Game of Thrones - CanadiEM Case Report: Toxin-Induced Cardiac Arrest in Game of Thrones In , by Will Wu December 12, 2017 King Joffrey I Baratheon was found in respiratory distress by his mother, Cersei Lannister, and Jaime Lannister during his wedding to Margaery Tyrell. As this was the wedding for the King of the Seven Kingdoms, numerous guests and bystanders were present. The patient (...) the specific management strategies of toxin-induced cardiac arrest and why we believe the resuscitative attempt (or lack thereof) for Joffrey demonstrated in this case was poor, even for a peasant, let alone the King of the Seven Kingdoms. He would have benefited from receiving proper supportive care with support from a Maester at King’s Landing and from emergency consultation with a Maester with expertise in posions. While the epidemiology of toxin-induced cardiac arrest (TICA) is understudied

2017 CandiEM

94. Prehospital cooling to improve successful targeted temperature management after cardiac arrest: A randomized controlled trial

Prehospital cooling to improve successful targeted temperature management after cardiac arrest: A randomized controlled trial Targeted temperature management (TTM) improves survival with good neurological outcome after out-of-hospital cardiac arrest (OHCA), but is delivered inconsistently and often with delay.To determine if prehospital cooling by paramedics leads to higher rates of 'successful TTM', defined as achieving a target temperature of 32-34°C within 6h of hospital arrival.Pragmatic (...) RCT comparing prehospital cooling (surface ice packs, cold saline infusion, wristband reminders) initiated 5min after return of spontaneous circulation (ROSC) versus usual resuscitation and transport. The primary outcome was rate of 'successful TTM'; secondary outcomes were rates of applying TTM in hospital, survival with good neurological outcome, pulmonary edema in emergency department, and re-arrest during transport.585 patients were randomized to receive prehospital cooling (n=279) or control

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2017 EvidenceUpdates

95. A user-friendly risk-score for predicting in-hospital cardiac arrest among patients admitted with suspected non ST-elevation acute coronary syndrome - The SAFER-score

A user-friendly risk-score for predicting in-hospital cardiac arrest among patients admitted with suspected non ST-elevation acute coronary syndrome - The SAFER-score To develop a simple risk-score model for predicting in-hospital cardiac arrest (CA) among patients hospitalized with suspected non-ST elevation acute coronary syndrome (NSTE-ACS).Using the Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies

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2017 EvidenceUpdates

96. Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial

Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2017 PedsCCM Evidence-Based Journal Club

97. Sudden Cardiac Arrest during Participation in Competitive Sports. (PubMed)

Sudden Cardiac Arrest during Participation in Competitive Sports. The incidence of sudden cardiac arrest during participation in sports activities remains unknown. Preparticipation screening programs aimed at preventing sudden cardiac arrest during sports activities are thought to be able to identify at-risk athletes; however, the efficacy of these programs remains controversial. We sought to identify all sudden cardiac arrests that occurred during participation in sports activities within (...) a specific region of Canada and to determine their causes.In this retrospective study, we used the Rescu Epistry cardiac arrest database (which contains records of every cardiac arrest attended by paramedics in the network region) to identify all out-of-hospital cardiac arrests that occurred from 2009 through 2014 in persons 12 to 45 years of age during participation in a sport. Cases were adjudicated as sudden cardiac arrest (i.e., having a cardiac cause) or as an event resulting from a noncardiac cause

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2017 NEJM

98. Association of Public Health Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations (PubMed)

Association of Public Health Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations Little is known about the influence of comprehensive public health initiatives according to out-of-hospital cardiac arrest (OHCA) location, particularly at home, where resuscitation efforts and outcomes have historically been poor.To describe temporal trends in bystander cardiopulmonary resuscitation (CPR) and first-responder defibrillation for OHCAs stratified by home vs (...) public location and their association with survival and neurological outcomes.This observational study reviewed 8269 patients with OHCAs (5602 [67.7%] at home and 2667 [32.3%] in public) for whom resuscitation was attempted using data from the Cardiac Arrest Registry to Enhance Survival (CARES) from January 1, 2010, through December 31, 2014. The setting was 16 counties in North Carolina.Patients were stratified by home vs public OHCA. Public health initiatives to improve bystander and first

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2017 JAMA cardiology

99. Hypothermia or normothermia to improve survival after in-hospital cardiac arrest?

Hypothermia or normothermia to improve survival after in-hospital cardiac arrest? Hypothermia or normothermia to improve survival after in-hospital cardiac arrest? - Evidencias en pediatría Searching, please wait Show menu Library Management You did not add any article to your library yet. | Search Evidence-Based decision making Evidence-Based decision making Show menu Library Management You did not add any article to your library yet. × User Password Log in × Reset password If you need (...) to reset your password please enter your email and click the Send button. You will receive an email to complete the process. Email Send × Library Management × September 2017. Volume 13. Number 3 Hypothermia or normothermia to improve survival after in-hospital cardiac arrest? Rating: 0 (0 Votes) Reviewers: , . | Newsletter Free Subscription Regularly recieve most recent articles by e-mail Subscribe × Newsletter subscription: Email Confirm email I accept the journal’s privacy policy. Subscribe

2017 Evidencias en Pediatría

100. Continuous versus intermittent neuromuscular blockade in patients during targeted temperature management after resuscitation from cardiac arrest-A randomized, double blinded, double dummy, clinical trial

Continuous versus intermittent neuromuscular blockade in patients during targeted temperature management after resuscitation from cardiac arrest-A randomized, double blinded, double dummy, clinical trial Current guidelines recommend targeted temperature management to improve neurological outcome after cardiac arrest. Evidence regarding an ideal sedative/analgesic regimen including skeletal muscle paralysis is limited.Patients were randomized to either a continuous administration of rocuronium (...) (continuous-NMB-group) or to a continuous administration of saline supplemented by rocuronium bolus administration if demanded (bolus-NMB-group). The primary outcome was the number of shivering episodes. Secondary outcomes included survival and neurological status one year after cardiac arrest, time to awakening, length of stay as well as required cumulative dose of rocuronium, midazolam and fentanyl.Sixty-three patients (32 continuous-NMB-group; 31 bolus-NMB-group) were enrolled. Differences in baseline

2017 EvidenceUpdates