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Latest & greatest articles for cardiac arrest
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Home use of automated external defibrillators for sudden cardiacarrest. The most common location of out-of-hospital sudden cardiacarrest is the home, a situation in which emergency medical services are challenged to provide timely care. Consequently, home use of an automated external defibrillator (AED) might offer an opportunity to improve survival for patients at risk.We randomly assigned 7001 patients with previous anterior-wall myocardial infarction who were not candidates (...) for an implantable cardioverter-defibrillator to receive one of two responses to sudden cardiacarrest occurring at home: either the control response (calling emergency medical services and performing cardiopulmonary resuscitation [CPR]) or the use of an AED, followed by calling emergency medical services and performing CPR. The primary outcome was death from any cause.The median age of the patients was 62 years; 17% were women. The median follow-up was 37.3 months. Overall, 450 patients died: 228 of 3506
CPR can increase the survival of subjects having a cardiacarrest. Coronary perfusion pressure (CPP) is a critical Autopulse ® automated compression device for CPR: August 2008 1 determinant of whether a return of spontaneous circulation (ROSC) will occur. It has been found that CPP of 15mmHg is a minimum required for ROSC to occur (Paradis et al 1990). The rate of compressions is also critical to the occurrence of ROSC, yet a study showed that even compressions applied in-hospital are often (...) data from New Zealand combined ICD codes I30-I52, other forms of heart disease into one category. Autopulse ® automated compression device for CPR: August 2008 2 DIFFUSION Some diffusion of the Autopulse ® device into Australia has occurred. Rural ambulance services in Victoria are using the device and sites in Gawler and Modbury, South Australia, are also trialling the device. COMPARATORS The gold standard for resuscitation of patients after cardiacarrest is manual CPR. Out-of-hospital cardiac
ResQPOD impedance threshhold device for cardiacarrest ResQPOD impedance threshhold device for cardiacarrest ResQPOD impedance threshhold device for cardiacarrest Purins A, Mundy L, Hiller JE 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 Purins A, Mundy L, Hiller JE. ResQPOD impedance threshhold device for cardiacarrest. Adelaide (...) : Adelaide Health Technology Assessment (AHTA). Prioritising Summary. Volume 21. 2008 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Cardiopulmonary Resuscitation; HeartArrests Language Published English Country of organisation Australia English summary An English language summary is available. Address for correspondence Adelaide Health Technology Assessment, University of Adelaide, Discipline of Public Health, School of Population Health and Clinical Practice, Mail Drop
Is the combination of vasopressin and epinephrine superior to repeated doses of epinephrine alone in the treatment of cardiacarrest? A systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Thrombolysis during resuscitation for out-of-hospital cardiacarrest. Approximately 70% of persons who have an out-of-hospital cardiacarrest have underlying acute myocardial infarction or pulmonary embolism. Therefore, thrombolysis during cardiopulmonary resuscitation may improve survival.In a double-blind, multicenter trial, we randomly assigned adult patients with witnessed out-of-hospital cardiacarrest to receive tenecteplase or placebo during cardiopulmonary resuscitation. Adjunctive (...) (55.0% vs. 54.6%, P=0.96), 24-hour survival (30.6% vs. 33.3%, P=0.39), survival to hospital discharge (15.1% vs. 17.5%, P=0.33), or neurologic outcome (P=0.69). There were more intracranial hemorrhages in the tenecteplase group.When tenecteplase was used without adjunctive antithrombotic therapy during advanced life support for out-of-hospital cardiacarrest, we did not detect an improvement in outcome, in comparison with placebo. (ClinicalTrials.gov number, NCT00157261.)2008 Massachusetts Medical
Risk Factors for Aborted CardiacArrest and Sudden Cardiac Death in Children With the Congenital Long-QT Syndrome The congenital long-QT syndrome (LQTS) is an important cause of sudden cardiac death in children without structural heart disease. However, specific risk factors for life-threatening cardiac events in children with this genetic disorder have not been identified.Cox proportional-hazards regression modeling was used to identify risk factors for aborted cardiacarrest or sudden cardiac (...) death in 3015 LQTS children from the International LQTS Registry who were followed up from 1 through 12 years of age. The cumulative probability of the combined end point was significantly higher in boys (5%) than in girls (1%; P<0.001). Risk factors for cardiacarrest or sudden cardiac death during childhood included corrected QT interval [QTc] duration > 500 ms (hazard ratio [HR]; 2.72; 95% confidence interval [CI], 1.50 to 4.92; P=0.001) and prior syncope (recent syncope [< 2 years]: HR, 6.16; 95
Six year audit of cardiacarrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. In-hospital cardiacarrest often represents failure of optimal clinical care. The use of medical emergency teams to prevent such events is controversial. In-hospital cardiacarrests have been reduced in several single centre historical control studies, but the only randomised prospective study showed no such benefit. In our hospital an important problem was failure to call (...) the medical emergency team or cardiacarrest team when, before in-hospital cardiacarrest, patients had fulfilled the criteria for calling the team.Single centre, prospective audit of cardiacarrests and data on use of the medical emergency team during 2000 to 2005.400 bed general outer suburban metropolitan teaching hospital.Three initiatives in the hospital to improve use of the medical emergency team: orientation programme for first year doctors, professional development course for medical registrars
Inter-Association Task Force recommendations on emergency preparedness and management of sudden cardiacarrest in high school and college athletic programs: a consensus statement. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded
2007: [exp xanthines/ methylxanthines.mp OR exp aminophylline/ aminophylline.mp OR exp theophylline/ theophylline.mp] AND [exp bradycardia/ bradycardia.mp OR exp heartarrest/ asystole.mp OR bradyasystole.mp OR cardiac adj arrest] The Cochrane Library Issue 2 2007: (aminophylline):ti,ab,kw AND (cardiacarrest):ti,ab,kw 4 articles (duplicated in table) Search Outcome 1154 papers were found from Medline, Embase and Cinahl databases, of which 4 were relevant and of a sufficient standard of evidence (...) Aminophylline in bradyasystolic cardiacarrest BestBets: Aminophylline in bradyasystolic cardiacarrest Aminophylline in bradyasystolic cardiacarrest Report By: Elizabeth Hayward 1, Laurie Showler 2, Jasmeet Soar 1 - F2 Trainee, SHO Palliative Care, Consultant Anaesthetics & ICU respectively Search checked by Laurie Showler - SHO Palliative Care Institution: Southmead Hospital, North Bristol NHS Trust 1, Dr Kershaw's Hospice, Royal Oldham Hospital 2 Date Submitted: 19th June 2007 Date
Assessing automated external defibrillators in preventing deaths from sudden cardiacarrest: an economic evaluation Assessing automated external defibrillators in preventing deaths from sudden cardiacarrest: an economic evaluation Assessing automated external defibrillators in preventing deaths from sudden cardiacarrest: an economic evaluation Sharieff W, Kaulback K Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each (...) and deliver shocks if needed. Type of intervention Other: Emergency care. Economic study type Cost-utility analysis. Study population The study population comprised a hypothetical cohort of new cardiacarrest patients in Ontario with a mean age of 69 (+/- 13) years. Setting The settings were hospitals, office buildings, apartment buildings and homes where two or more persons were trained in cardiopulmonary respiration. The economic analysis was carried out in Canada. Dates to which data relate
Cardiac - traumatic cardiacarrest INTRODUCTION Traumatic cardiacarrest is a very different condition from the more usual cardiacarrest which is often related to ischaemic heart disease. Management of traumatic cardiacarrest must be directed toward identifying and treating the underlying cause of the arrest or resuscitation is unlikely to be successful. Traumatic cardiacarrest may develop as a result of: 1. Hypoxia caused by manageable issues such as obstruction of the airway (e.g. facial (...) injury or decreased level of consciousness) or breathing problems (e.g. pneumo/haemothorax). 2. Hypoperfusion caused by compromise of the heart (e.g. stab wound causing cardiac tamponade) or hypovolaemia (either occult or revealed haemorrhage). MANAGEMENT: Ventricular ?brillation/ventricular tachycardia (VF/VT) may be present, although this is unlikely. However, if present it should be managed by defibrillation according to the standard shockable rhythm algorithm (refer to advanced life support
Risk of aborted cardiacarrest or sudden cardiac death during adolescence in the long-QT syndrome. Analysis of predictors of cardiac events in hereditary long-QT syndrome (LQTS) has primarily considered syncope as the predominant end point. Risk factors specific for aborted cardiacarrest and sudden cardiac death have not been investigated.To identify risk factors associated with aborted cardiacarrest and sudden cardiac death during adolescence in patients with clinically suspected LQTS.The (...) study involved 2772 participants from the International Long QT Syndrome Registry who were alive at age 10 years and were followed up during adolescence until age 20 years. The registry enrollment began in 1979 at 5 cardiology centers in the United States and Europe.Aborted cardiacarrest or LQTS-related sudden cardiac death; follow-up ended on February 15, 2005.There were 81 patients who experienced aborted cardiacarrest and 45 who had sudden cardiac death; 9 of the 81 patients who had an aborted
Validation of a rule for termination of resuscitation in out-of-hospital cardiacarrest. We prospectively evaluated a clinical prediction rule to be used by emergency medical technicians (EMTs) trained in the use of an automated external defibrillator for the termination of basic life support resuscitative efforts during out-of-hospital cardiacarrest. The rule recommends termination when there is no return of spontaneous circulation, no shocks are administered, and the arrest is not witnessed (...) by emergency medical-services personnel. Otherwise, the rule recommends transportation to the hospital, in accordance with routine practice.The study included 24 emergency medical systems in Ontario, Canada. All patients 18 years of age or older who had an arrest of presumed cardiac cause and who were treated by EMTs trained in the use of an automated external defibrillator were included. The patients were treated according to standard guidelines. Characteristics of diagnostic tests for the prediction rule
Victims of cardiacarrest occurring outside the hospital: a source of transplantable kidneys. The use of non-heart-beating donors could help shorten the list of patients who are waiting for a kidney transplant. Several reports describe acceptable results of transplantations from non-heart-beating donors who had in-hospital cardiacarrest, but few reports describe results of transplantations from non-heart-beating donors who had cardiacarrest that occurred outside of the hospital (Maastricht (...) type I and type II donors).To compare graft survival rates among patients receiving kidneys from heart-beating donors versus type I or type II non-heart-beating donors.Retrospective cohort study of transplantations performed from January 1989 to December 2004.Kidney transplant program of a teaching hospital in Madrid, Spain.320 patients who received a kidney transplant from non-heart-beating donors (273 type I donors and 47 type II donors) and 584 patients who received a kidney transplant from
Use of an automated, load-distributing band chest compression device for out-of-hospital cardiacarrest resuscitation. Only 1% to 8% of adults with out-of-hospital cardiacarrest survive to hospital discharge.To compare resuscitation outcomes before and after an urban emergency medical services (EMS) system switched from manual cardiopulmonary resuscitation (CPR) to load-distributing band (LDB) CPR.A phased, observational cohort evaluation with intention-to-treat analysis of 783 adults with out (...) -of-hospital, nontraumatic cardiacarrest. A total of 499 patients were included in the manual CPR phase (January 1, 2001, to March 31, 2003) and 284 patients in the LDB-CPR phase (December 20, 2003, to March 31, 2005); of these patients, the LDB device was applied in 210 patients.Urban EMS system change from manual CPR to LDB-CPR.Return of spontaneous circulation (ROSC), with secondary outcome measures of survival to hospital admission and hospital discharge, and neurological outcome at discharge.Patients
stratified for centre and location (residential or public) and allocated to a CPR plus AED response system (n = 496 units [77 residential, 419 public]) or a CPR only response system (n = 497 units [80 residential, 417 public]). Volunteer responders were trained according to American Heart Association guidelines with scheduled retraining. Outcomes: number of patients with definite out of hospital cardiacarrest surviving to hospital discharge. Secondary outcome was number of patients with definite (...) for in hospital and out of hospital cardiacarrest. The PAD Trial investigators studied the difference in outcome delivered by adding use of AEDs to training lay personnel in diverse community settings. Volunteers within these settings were trained according to American Heart Association guidelines for CPR and emergency cardiovascular care. The findings show that teaching CPR plus AED use will increase survival after cardiacarrest. As is relatively common in clinical trials, the study observed much higher
First documented rhythm and clinical outcome from in-hospital cardiacarrest among children and adults. Cardiacarrests in adults are often due to ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT), which are associated with better outcomes than asystole or pulseless electrical activity (PEA). Cardiacarrests in children are typically asystole or PEA.To test the hypothesis that children have relatively fewer in-hospital cardiacarrests associated with VF or pulseless VT (...) compared with adults and, therefore, worse survival outcomes.A prospective observational study from a multicenter registry (National Registry of Cardiopulmonary Resuscitation) of cardiacarrests in 253 US and Canadian hospitals between January 1, 2000, and March 30, 2004. A total of 36,902 adults (> or =18 years) and 880 children (<18 years) with pulseless cardiacarrests requiring chest compressions, defibrillation, or both were assessed. Cardiacarrests occurring in the delivery department, neonatal
emergency medical system with basic and advanced life support capabilities. Publicity about a recent trial of vasopressin as an alternative to epinephrine for patients with cardiacarrest leads several members of your training committee to ask when your system is shifting to that alternative. They point out that the American Heart Association guidelines for cardiac resuscitation that you use as the basis for your own advanced life support protocols already list vasopressin as an option. Your paramedic (...) vasopressin to epinephrine for adults in cardiacarrest. We searched MEDLINE from 1966 to July 2004 and EMBASE from 1980 to January 2004 with the OVID interface, using search terms “vasopressin,” “epinephrine,” “cardiacarrest,” and “heartarrest,” with no language restrictions. We limited our MEDLINE search, but not our other searches, to randomized trials or systematic reviews using epinephrine as the comparison intervention. We included randomized trials or systematic reviews of randomized trials