Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

181. Differences in Vital Signs Between Elderly and Nonelderly Patients Prior to Ward Cardiac Arrest Full Text available with Trip Pro

were also compared. Elderly patients had a higher cardiac arrest rate (2.2 vs 1.0 per 1,000 ward admissions; p<0.001) and in-hospital mortality (2.9% vs 0.7%; p<0.001) than nonelderly patients. Within 4 hours of cardiac arrest, elderly patients had significantly lower mean heart rate (88 vs 99 beats/min; p<0.001), diastolic blood pressure (60 vs 66 mm Hg; p=0.007), shock index (0.82 vs 0.93; p<0.001), and Modified Early Warning Score (2.6 vs 3.3; p<0.001) and higher pulse pressure index (0.45 vs (...) Differences in Vital Signs Between Elderly and Nonelderly Patients Prior to Ward Cardiac Arrest Vital signs and composite scores, such as the Modified Early Warning Score, are used to identify high-risk ward patients and trigger rapid response teams. Although age-related vital sign changes are known to occur, little is known about the differences in vital signs between elderly and nonelderly patients prior to ward cardiac arrest. We aimed to compare the accuracy of vital signs for detecting

2015 EvidenceUpdates

182. Thermogard XP for therapeutic hypothermia after cardiac arrest

with the system range in price from £318.27 to £637.94. The single-use start-up kit is £235.87. A number of consumables, accessories and options are also available. The UK supplier, Delta Surgical, may provide Thermogard XP control units free of charge to the NHS, based on commitment to purchase disposable components. No published evidence on the resource consequences of Thermogard XP was identified. Introduction Introduction Cardiac arrest is caused by a loss of heart function. The heart stops pumping blood (...) around the body, leading to loss of consciousness and death unless emergency resuscitation is given and the heart can be restarted to achieve the return of spontaneous circulation (ROSC). Post-cardiac arrest syndrome can occur after ROSC and involves multiple systems. It reflects a state of whole-body ischaemia (restricted blood supply) and subsequent reperfusion. Its severity depends on the duration and cause of cardiac arrest, often reflecting the underlying condition, pre-existing co-morbidities

2015 National Institute for Health and Clinical Excellence - Advice

183. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised control trial. Full Text available with Trip Pro

Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised control trial. 28979419 2017 10 05 1751-1437 16 3 2015 Aug Journal of the Intensive Care Society J Intensive Care Soc Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised control trial. 241-243 10.1177/1751143715591402 eng Journal Article Review 2015 06 30 England J Intensive Care Soc 101538668 1751-1437

2015 Journal of the Intensive Care Society Controlled trial quality: uncertain

184. American Heart Association Response to the 2015 Institute of Medicine Report on Strategies to Improve Cardiac Arrest Survival Full Text available with Trip Pro

Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital” 2013 X X X X “Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers” 2013 X AHA indicates American Heart Association; CQI, continuous quality improvement; EMS, emergency medical services; and IOM, Institute of Medicine. Table 4. Ongoing AHA Initiatives Related to the 2015 IOM Cardiac Arrest Recommendations IOM Recommendations Ongoing AHA Initiative 1. National (...) closely aligned with the requirements for resuscitation centers for adult nonpregnant cardiac arrest. ACC/AHA indicates American College of Cardiology/American Heart Association; ACLS, advanced cardiac life support; AED, automated external defibrillator; CPR, cardiopulmonary resuscitation; EMS, emergency medical services; EP, electrophysiology; ICD, implantable cardioverter-defibrillator; OHCA, out-of-hospital cardiac arrest; PPCI, primary percutaneous coronary intervention; and STEMI, ST-segment

2015 American Heart Association

185. Epinephrine in Out­?of­?Hospital Cardiac Arrest

Epinephrine in Out­?of­?Hospital Cardiac Arrest Emergency Medicine > Journal Club > Archive > January 2015 Toggle navigation January 2015 Epinephrine in Out-­of­‐Hospital Cardiac Arrest 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 fire department has already arrived and CPR is in progress. They tell you that the patient was watching TV (...) 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 use at all. You head to the computer and start searching... PICO Question Population: Adult

2015 Washington University Emergency Medicine Journal Club

186. Do Mechanical Devices Improve Return of Spontaneous Circulation Over Manual Chest Compressions in Out-of-Hospital Cardiac Arrest?

, et al. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3:63-81. 3. Berg RA, Hemphill R, Abella BS, et al. Part 5: adult basic life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:S685-705. 4. Brooks SC, Bigham BL, Morrison LJ. Mechanical versus manual chest compressions for cardiac arrest. Cochrane Database Syst Rev (...) Do Mechanical Devices Improve Return of Spontaneous Circulation Over Manual Chest Compressions in Out-of-Hospital Cardiac Arrest? Systematic Review Snapshot TAKE-HOME MESSAGE Data are inadequate to determine whether recent devices (either load-distributing band or piston-driven) confer bene?t or harm, though early trial data suggest they do not. Do Mechanical Devices Improve Return of Spontaneous Circulation Over Manual Chest Compressions in Out-of-Hospital Cardiac Arrest? EBEM Commentators

2015 Annals of Emergency Medicine Systematic Review Snapshots

187. Development of a prompt model for predicting neurological outcomes in patients with return of spontaneous circulation from out‐of‐hospital cardiac arrest Full Text available with Trip Pro

Development of a prompt model for predicting neurological outcomes in patients with return of spontaneous circulation from out‐of‐hospital cardiac arrest Early prediction of the neurological outcomes of patients with out-of-hospital cardiac arrest is important to select the optimal clinical management. We hypothesized that clinical data recorded at the site of cardiopulmonary resuscitation would be clinically useful.This retrospective cohort study included patients with return (...) , specificity, and accuracy were 80%, 92%, and 90%, respectively, for the validation dataset (total, n = 201; favourable outcome, n = 25).The 6-month neurological outcomes can be predicted in patients resuscitated from out-of-hospital cardiac arrest using clinical parameters that can be easily recorded at the site of cardiopulmonary resuscitation.

2014 Acute medicine & surgery

188. Propofol administration to the fetal-maternal unit preserved cardiac function in late-preterm lambs subjected to severe prenatal asphyxia and cardiac arrest Full Text available with Trip Pro

Propofol administration to the fetal-maternal unit preserved cardiac function in late-preterm lambs subjected to severe prenatal asphyxia and cardiac arrest 27484022 2016 08 27 2016 08 26 2194-7791 1 Suppl 1 2014 Sep 11 Molecular and cellular pediatrics Mol Cell Pediatr Abstracts of the 50th Workshop for Pediatric Research. A1-A29 eng Journal Article Germany Mol Cell Pediatr 101660689 2194-7791 2016 8 4 6 0 2014 9 11 0 0 2014 9 11 0 1 ppublish 27484022 PMC4715210

2014 Molecular and cellular pediatrics

189. Normothermia versus Therapeutic Hypothermia for Adult Patients after Cardiac Arrest

Normothermia versus Therapeutic Hypothermia for Adult Patients after Cardiac Arrest TITLE: Normothermia versus Therapeutic Hypothermia for Adult Patients after Cardiac Arrest: Clinical Evidence DATE: 26 August 2014 RESEARCH QUESTION What is the clinical evidence for neurological benefits or harms of maintaining normothermia versus induction of therapeutic hypothermia in adult patients following cardiac arrest? KEY FINDINGS Six systematic reviews and one randomized controlled trial were (...) identified regarding the comparative neurological benefits and harms of maintaining normothermia versus induction of therapeutic hypothermia in adult patients following cardiac arrest. METHODS A limited literature search was conducted on key resources including PubMed, The Cochrane Library (2014, Issue 8), University of York Centre for Reviews and Dissemination (CRD) databases, Canadian and major international health technology agencies, as well as a focused Internet search. Methodological filters were

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

190. Long-Term Outcomes Following Pediatric Out-of-Hospital Cardiac Arrest

Long-Term Outcomes Following Pediatric Out-of-Hospital Cardiac Arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2014 PedsCCM Evidence-Based Journal Club

191. Serum biomarkers of brain injury to classify outcome after pediatric cardiac arrest

Serum biomarkers of brain injury to classify outcome after pediatric cardiac arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2014 PedsCCM Evidence-Based Journal Club

192. Early Postresuscitation Hypotension Is Associated With Increased Mortality Following Pediatric Cardiac Arrest

Early Postresuscitation Hypotension Is Associated With Increased Mortality Following Pediatric Cardiac Arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2014 PedsCCM Evidence-Based Journal Club

193. Time to administration of epinephrine and outcome after in-hospital cardiac arrest with non-shockable rhythms: retrospective analysis of large in-hospital data registry. Full Text available with Trip Pro

cardiac arrests (Get With The Guidelines-Resuscitation).We utilized the Get With The Guidelines-Resuscitation database (formerly National Registry of Cardiopulmonary Resuscitation, NRCPR). The database is sponsored by the American Heart Association (AHA) and contains prospective data from 570 American hospitals collected from 1 January 2000 to 19 November 2009.119,978 adults from 570 hospitals who had a cardiac arrest in hospital with asystole (55%) or pulseless electrical activity (45 (...) Time to administration of epinephrine and outcome after in-hospital cardiac arrest with non-shockable rhythms: retrospective analysis of large in-hospital data registry. To determine if earlier administration of epinephrine (adrenaline) in patients with non-shockable cardiac arrest rhythms is associated with increased return of spontaneous circulation, survival, and neurologically intact survival.Post hoc analysis of prospectively collected data in a large multicenter registry of in-hospital

2014 BMJ

194. Vasopressin, steroids, and epinephrine and neurologically favorable survival after in-hospital cardiac arrest: a randomized clinical trial

Vasopressin, steroids, and epinephrine and neurologically favorable survival after in-hospital cardiac arrest: a randomized clinical trial PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2014 PedsCCM Evidence-Based Journal Club

195. Thrombolytic drugs for cardiac arrest: a review of the clinical effectiveness

: a review of the clinical effectiveness. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2013 Authors' conclusions Higher quality controlled trials indicate that the use of thrombolytic drugs does not improve survival to hospital discharge and 30-day mortality, and increases the risk of bleeding for patients experiencing a cardiac arrest. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Heart Arrest (...) Thrombolytic drugs for cardiac arrest: a review of the clinical effectiveness Thrombolytic drugs for cardiac arrest: a review of the clinical effectiveness Thrombolytic drugs for cardiac arrest: a review of the clinical effectiveness CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Thrombolytic drugs for cardiac arrest

2014 Health Technology Assessment (HTA) Database.

196. Randomized clinical trial progress to inform care for out-of-hospital cardiac arrest. Full Text available with Trip Pro

Randomized clinical trial progress to inform care for out-of-hospital cardiac arrest. 24240668 2014 01 13 2018 12 02 1538-3598 311 1 2014 Jan 01 JAMA JAMA Randomized clinical trial progress to inform care for out-of-hospital cardiac arrest. 31-2 10.1001/jama.2013.282174 Granger Christopher B CB Duke Clinical Research Institute, Durham, North Carolina. Becker Lance B LB Center for Resuscitation Science, University of Pennsylvania Health System, Philadelphia. eng Editorial Comment United States (...) JAMA 7501160 0098-7484 AIM IM JAMA. 2014 Jan 1;311(1):45-52 24240712 Female Humans Hypothermia, Induced Male Out-of-Hospital Cardiac Arrest physiopathology therapy 2013 11 19 6 0 2013 11 19 6 0 2014 1 15 6 0 ppublish 24240668 1778672 10.1001/jama.2013.282174

2014 JAMA Controlled trial quality: uncertain

197. The RhinoChill intranasal cooling system for reducing temperature after cardiac arrest

to incur costs to the NHS. No studies have yet demonstrated improved survival rates or improved neurological outcomes from using the RhinoChill system after cardiac arrest. Introduction Introduction Cardiac arrest leads to loss of consciousness and death unless emergency resuscitation is given and the heart can be restarted. The abnormal cardiac rhythms most commonly associated with cardiac arrest are asystole, pulseless electrical activity, ventricular fibrillation and pulseless ventricular (...) and Ovid MEDLINE 1946 ed Citations and Ovid MEDLINE 1946 to to Present. Search date: 22/10/13 Present. Search date: 22/10/13 1 exp Heart Arrest/ 33667 2 exp Cardiopulmonary Resuscitation/ 11375 3 ((heart* or cardiac* or cardiopulmonary* or cardio-pulmonar* or circulat*) adj5 arrest*).ti,ab. 29159 4 ((heart* or cardiac* or cardiopulmonary* or cardio-pulmonar* or circulat*) adj5 (resuscita* or life support*)).ti,ab. 13961 5 (sudden cardiac death* or SCD or SCA).ti,ab. 18686 6 or/1-5 71829 7 exp

2014 National Institute for Health and Clinical Excellence - Advice

198. Hyperkalaemia Cardiac Arrest Algorithm

Hyperkalaemia Cardiac Arrest Algorithm Publication Date: 1.03.14 Review Date: 1.03.16 Seek expert help! Shift K + into cells Remove K + from body Monitor K + and Glucose Prevention First 15 min 15 min onwards Na + : ______ K + : ____.__ Urea: ____.__ Creat: ______ Time: ___:___ Glucose (25 g) 50 ml 50% Glucose OR 125 ml 20% Glucose, WITH Soluble Insulin – 10 units Sodium Bicarbonate 50 ml 8.4% (50 mmol) No evidence for potassium lowering, but effect of hyperkalaemia exacerbated by metabolic (...) : peritoneal dialysis; CVVH: continuous veno-venous haemofiltration. Post-Arrest Blood Monitoring: Glucose K + Baseline ___.__ ___.__ 15 min ___.__ ___.__ 30 min ___.__ ___.__ 60 min ___.__ ___.__ 90 min ___.__ ___.__ 120 min ___.__ ___.__ 180 min ___.__ ___.__ 240 min ___.__ ___.__ 360 min ___.__ ___.__ Date: ___/___/____ Time: ____:____ Treatment of Hyperkalaemic Cardiac Arrest NAME ADDRESS: D.O.B.: CHI: Follow ALS Algorithm Hyperkalaemia (K + = 6.5 mmol/L) Identify and treat reversible causes Treat

2014 Renal Association

199. Cohort study: Another step towards the acceptance of chest compression only CPR for primary cardiac arrest

Cohort study: Another step towards the acceptance of chest compression only CPR for primary cardiac arrest Another step towards the acceptance of chest compression only CPR for primary cardiac arrest | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts (...) OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Another step towards the acceptance of chest compression only CPR for primary cardiac arrest Article Text Primary healthcare Cohort study Another step towards the acceptance of chest compression only

2014 Evidence-Based Nursing

200. Effect of prehospital induction of mild hypothermia on survival and neurological status among adults with cardiac arrest: a randomized clinical trial. Full Text available with Trip Pro

Effect of prehospital induction of mild hypothermia on survival and neurological status among adults with cardiac arrest: a randomized clinical trial. Hospital cooling improves outcome after cardiac arrest, but prehospital cooling immediately after return of spontaneous circulation may result in better outcomes.To determine whether prehospital cooling improves outcomes after resuscitation from cardiac arrest in patients with ventricular fibrillation (VF) and without VF.A randomized clinical (...) trial that assigned adults with prehospital cardiac arrest to standard care with or without prehospital cooling, accomplished by infusing up to 2 L of 4°C normal saline as soon as possible following return of spontaneous circulation. Adults in King County, Washington, with prehospital cardiac arrest and resuscitated by paramedics were eligible and 1359 patients (583 with VF and 776 without VF) were randomized between December 15, 2007, and December 7, 2012. Patient follow-up was completed by May 1

2014 JAMA Controlled trial quality: predicted high