Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

321. Do public access defibrillation (PAD) programmes lead to an increase of patients surviving to discharge from hospital following out of hospital cardiac arrest: a literature review

to discharge from hospital following out of hospital cardiac arrest: a literature review. International Journal of Nursing Studies 2006; 43(8): 1057-1062 PubMedID DOI Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Confidence Intervals; Cross-Over Studies; Defibrillators /utilization; Electric Countershock /instrumentation /utilization; Emergency Medical Services /statistics & First Aid /instrumentation /statistics & Health Services Accessibility /statistics & Heart Arrest (...) Do public access defibrillation (PAD) programmes lead to an increase of patients surviving to discharge from hospital following out of hospital cardiac arrest: a literature review Do public access defibrillation (PAD) programmes lead to an increase of patients surviving to discharge from hospital following out of hospital cardiac arrest: a literature review Do public access defibrillation (PAD) programmes lead to an increase of patients surviving to discharge from hospital following out

2006 DARE.

322. Aminophylline in bradyasystolic cardiac arrest: a randomised placebo-controlled trial. (Abstract)

Aminophylline in bradyasystolic cardiac arrest: a randomised placebo-controlled trial. Endogenous adenosine might cause or perpetuate bradyasystole. Our aim was to determine whether aminophylline, an adenosine antagonist, increases the rate of return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest.In a double-blind trial, we randomly assigned 971 patients older than 16 years with asystole or pulseless electrical activity at fewer than 60 beats per minute, and who were (...) unresponsive to initial treatment with epinephrine and atropine, to receive intravenous aminophylline (250 mg, and an additional 250 mg if necessary) (n=486) or placebo (n=485). The patients were enrolled between January, 2001 and September, 2003, from 1886 people who had had cardiac arrests. Standard resuscitation measures were used for at least 10 mins after the study drug was administered. Analysis was by intention-to-treat. This trial is registered with the ClinicalTrials.gov registry with the number

2006 Lancet Controlled trial quality: predicted high

323. Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. Full Text available with Trip Pro

Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. High-quality cardiopulmonary resuscitation (CPR) may improve both cardiac and brain resuscitation following cardiac arrest. Compared with manual chest compression, an automated load-distributing band (LDB) chest compression device produces greater blood flow to vital organs and may improve resuscitation outcomes.To compare resuscitation (...) outcomes following out-of-hospital cardiac arrest when an automated LDB-CPR device was added to standard emergency medical services (EMS) care with manual CPR.Multicenter, randomized trial of patients experiencing out-of-hospital cardiac arrest in the United States and Canada. The a priori primary population was patients with cardiac arrest that was presumed to be of cardiac origin and that had occurred prior to the arrival of EMS personnel. Initial study enrollment varied by site, ranging from late

2006 JAMA Controlled trial quality: uncertain

324. Traumatic cardiac arrest

Traumatic cardiac arrest INTRODUCTION Traumatic cardiac arrest is a very different condition from the more usual cardiac arrest which is often related to ischaemic heart disease. Management of traumatic cardiac arrest must be directed toward identifying and treating the underlying cause of the arrest or resuscitation is unlikely to be successful. Traumatic cardiac arrest 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 guideline

2006 Joint Royal Colleges Ambulance Liaison Committee

325. Systematic review of randomized controlled trials of therapeutic hypothermia as a neuroprotectant in post cardiac arrest patients

and to measure treatment-limiting adverse events such as sepsis and haemorrhage. Bibliographic details Cheung K W, Green R S, Magee K D. Systematic review of randomized controlled trials of therapeutic hypothermia as a neuroprotectant in post cardiac arrest patients. Canadian Journal of Emergency Medicine 2006; 8(5): 329-337 PubMedID Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Adult; Brain Injuries /prevention & Chi-Square Distribution; Heart Arrest /complications /mortality (...) Systematic review of randomized controlled trials of therapeutic hypothermia as a neuroprotectant in post cardiac arrest patients Systematic review of randomized controlled trials of therapeutic hypothermia as a neuroprotectant in post cardiac arrest patients Systematic review of randomized controlled trials of therapeutic hypothermia as a neuroprotectant in post cardiac arrest patients Cheung K W, Green R S, Magee K D CRD summary The authors concluded that the induction of mild hypothermia

2006 DARE.

326. Somatosensory evoked potentials for prognosis of coma following cardiac arrest

Somatosensory evoked potentials for prognosis of coma following cardiac arrest Somatosensory evoked potentials for prognosis of coma following cardiac arrest Somatosensory evoked potentials for prognosis of coma following cardiac arrest HAYES, Inc. Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc.. Somatosensory evoked potentials for prognosis of coma (...) following cardiac arrest. Lansdale: HAYES, Inc.. Directory Publication. 2006 Authors' objectives Somatosensory evoked potentials (SEPs) measure response across peripheral nerves and in the somatosensory cortex to percutaneous stimulation of the upper and lower limbs. SEP testing has been investigated as a way to determine the prognosis for patients who are comatose following cardiac arrest. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Coma

2006 Health Technology Assessment (HTA) Database.

327. Prospective assessment of integrating the existing emergency medical system with automated external defibrillators fully operated by volunteers and laypersons for out-of-hospital cardiac arrest: the Brescia Early Defibrillation Study (BEDS) Full Text available with Trip Pro

and laypersons for out-of-hospital cardiac arrest: the Brescia Early Defibrillation Study (BEDS) European Heart Journal 2006; 27(5): 553-561 PubMedID DOI Other publications of related interest Nichol G, Valenzuela T, Roe D, et al. Cost-effectiveness of defibrillation by targeted responders in public settings. Circulation 2003;108:697-703. The Public Access Defibrillation Trial Investigators. Public-access defibrillation and survival after out-of-hospital cardiac arrest. N Engl J Med 2004;351:637-46. Caffrey (...) Prospective assessment of integrating the existing emergency medical system with automated external defibrillators fully operated by volunteers and laypersons for out-of-hospital cardiac arrest: the Brescia Early Defibrillation Study (BEDS) Prospective assessment of integrating the existing emergency medical system with automated external defibrillators fully operated by volunteers and laypersons for out-of-hospital cardiac arrest: the Brescia Early Defibrillation Study (BEDS) Prospective

2006 NHS Economic Evaluation Database.

328. Therapeutic Hypothermia after Resuscitation from Cardiac Arrest</a>

of the evidence may have changed. Summary and Conclusions Technology and target group Sudden cardiac arrest is not uncommon as a complication of coronary heart disease (ischemic heart disease). Most cases of cardiac arrest occur out-of-hospital. In Sweden, approximately 10 000 people per year experience cardiac arrest. Treatment outcomes among this patient group have not improved substantially in the past 20 years. Only 4% of those affected are discharged alive from the hospital following cardiopulmonary (...) be patients with coronary heart disease. Criteria have not been established for selecting patients for therapeutic hypothermia, so the size of the potential target group for this treatment method cannot be estimated. Primary question This assessment is based on a systematic literature review. The question is whether treatment that lowers the body temperature by 3 to 5 degrees after resuscitation from cardiac arrest can increase the chance for survival or reduce the risk for permanent functional impairment

2006 Swedish Council on Technology Assessement

329. Review: active compression-decompression CPR has no benefit over standard resuscitation for cardiac arrest Full Text available with Trip Pro

Review: active compression-decompression CPR has no benefit over standard resuscitation for cardiac arrest Review: active compression-decompression CPR has no benefit over standard resuscitation for 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 Review: active compression-decompression CPR has no benefit over standard resuscitation for cardiac arrest Article Text Treatment Review: active compression-decompression CPR has

2005 Evidence-Based Nursing

330. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. Full Text available with Trip Pro

Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. Cardiopulmonary resuscitation (CPR) guidelines recommend target values for compressions, ventilations, and CPR-free intervals allowed for rhythm analysis and defibrillation. There is little information on adherence to these guidelines during advanced cardiac life support in the field.To measure the quality of out-of-hospital CPR performed by ambulance personnel, as measured by adherence to CPR guidelines.Case series (...) of 176 adult patients with out-of-hospital cardiac arrest treated by paramedics and nurse anesthetists in Stockholm, Sweden, London, England, and Akershus, Norway, between March 2002 and October 2003. The defibrillators recorded chest compressions via a sternal pad fitted with an accelerometer and ventilations by changes in thoracic impedance between the defibrillator pads, in addition to standard event and electrocardiographic recordings.Adherence to international guidelines for CPR.Chest

2005 JAMA

331. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. Full Text available with Trip Pro

Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. The survival benefit of well-performed cardiopulmonary resuscitation (CPR) is well-documented, but little objective data exist regarding actual CPR quality during cardiac arrest. Recent studies have challenged the notion that CPR is uniformly performed according to established international guidelines.To measure multiple parameters of in-hospital CPR quality and to determine compliance with published American Heart (...) Association and international guidelines.A prospective observational study of 67 patients who experienced in-hospital cardiac arrest at the University of Chicago Hospitals, Chicago, Ill, between December 11, 2002, and April 5, 2004. Using a monitor/defibrillator with novel additional sensing capabilities, the parameters of CPR quality including chest compression rate, compression depth, ventilation rate, and the fraction of arrest time without chest compressions (no-flow fraction) were recorded.Adherence

2005 JAMA

332. Coolgard 3000 Catheter Thermal Regulation system: endovascular hypothermia induction for treatment of comatose survivors of ventricular fibrillation cardiac arrest

Coolgard 3000 Catheter Thermal Regulation system: endovascular hypothermia induction for treatment of comatose survivors of ventricular fibrillation cardiac arrest Horizon Scanning - Horizon scanning prioritising summary - Coolgard™ 3000 Catheter Thermal Regulation System: endovascular hypothermia induction for treatment of comatose survivors of ventricular fibrillation cardiac arrest. September 2005. Horizon Scanning HealthPACT > > Search Search Horizon scanning prioritising summary - Coolgard (...) ™ 3000 Catheter Thermal Regulation System: endovascular hypothermia induction for treatment of comatose survivors of ventricular fibrillation cardiac arrest. September 2005. Australia and New Zealand Horizon Scanning Network - Technologies Assessed This report is based on information available at the time of research and cannot be expected to cover any developments arising from subsequent improvements to health technologies. This report is based on a limited literature search

2005 Australia and New Zealand Horizon Scanning Network

333. Vasopressin for cardiac arrest: a systematic review and meta-analysis

Vasopressin for cardiac arrest: a systematic review and meta-analysis 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.

2005 DARE.

334. Survival outcomes after extracorporeal cardiopulmonary resuscitation instituted during active chest compressions following refractory in-hospital pediatric cardiac arrest

Survival outcomes after extracorporeal cardiopulmonary resuscitation instituted during active chest compressions following refractory in-hospital pediatric cardiac arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2005 PedsCCM Evidence-Based Journal Club

335. Therapeutic hypothermia after out of hospital cardiac arrest

is still in coma. You wonder if his chances of survival or of a good neurological outcome would be improved by therapeutic hypothermia? Search Strategy Medline 1966-05/04 using the Ovid interface, The Cochrane Library, Issue 2, 2004 and Bandolier to 05/04. Medline: [exp Hypothermia, Induced/ OR hypothermia, therapeutic.mp.] AND [exp Heart Arrest/ OR cardiac arrest.mp.] LIMIT to human AND English language. Cochrane Library: 'hypothermia' Search Outcome Altogether 176 papers were found in Medline, only (...) Therapeutic hypothermia after out of hospital cardiac arrest BestBets: Therapeutic hypothermia after out-of-hospital cardiac arrest Therapeutic hypothermia after out-of-hospital cardiac arrest Report By: Bernard A Foëx - Consultant in Emergency Medicine and Critical Care Search checked by John Butler - Consultant in Emergency Medicine and Critical Care Institution: Department of Emergency Medicine, Manchester Royal Infirmary Date Submitted: 27th August 2003 Date Completed: 1st September 2004

2004 BestBETS

336. Advanced cardiac life support in out-of-hospital cardiac arrest. (Abstract)

Advanced cardiac life support in out-of-hospital cardiac arrest. The Ontario Prehospital Advanced Life Support (OPALS) Study tested the incremental effect on the rate of survival after out-of-hospital cardiac arrest of adding a program of advanced life support to a program of rapid defibrillation.This multicenter, controlled clinical trial was conducted in 17 cities before and after advanced-life-support programs were instituted and enrolled 5638 patients who had had cardiac arrest outside (...) of survival with the use of advanced life support in any subgroup.The addition of advanced-life-support interventions did not improve the rate of survival after out-of-hospital cardiac arrest in a previously optimized emergency-medical-services system of rapid defibrillation. In order to save lives, health care planners should make cardiopulmonary resuscitation by citizens and rapid-defibrillation responses a priority for the resources of emergency-medical-services systems.Copyright 2004 Massachusetts

2004 NEJM

337. Cardiopulmonary bypass and the survival of patients in cardiac arrest

sinus rhythm with an output. Your ICU collegues informs you 4 days later that this patient has had severe anoxic brain damage and is unlikely to be discharged from hospital. You feel that failure has been snatched from the jaws of success and wonder whether some other intervention such as cardiopulmonary bypass support might have improved his chances of a functional survival. Search Strategy Medline 1966-03/04 using the OVID interface. [exp Heart Arrest/ OR exp life support care/ OR cardiac (...) oedema. Clinical Bottom Line Around 15-25% of selected patients who suffer witnessed cardiac arrest and who are not responsive to ACLS resuscitation may be successfully resuscitated with the assistance of cardiopulmonary bypass. References Kurusz M, Zwischenberger JB. Percutaneous cardiopulmonary bypass for cardiac emergencies. Perfusion 2002;17:269-277. Nagao K, Hayashi N, Kanmatsuse K, et al. Cardiopulmonary Cerebral Resuscitation Using Emergency Cardiopulmonary Bypass, Coronary Reperfusion Therapy

2004 BestBETS

338. Public-access defibrillation and survival after out-of-hospital cardiac arrest. Full Text available with Trip Pro

Public-access defibrillation and survival after out-of-hospital cardiac arrest. The rate of survival after out-of-hospital cardiac arrest is low. It is not known whether this rate will increase if laypersons are trained to attempt defibrillation with the use of automated external defibrillators (AEDs).We conducted a prospective, community-based, multicenter clinical trial in which we randomly assigned community units (e.g., shopping malls and apartment complexes) to a structured and monitored (...) emergency-response system involving lay volunteers trained in cardiopulmonary resuscitation (CPR) alone or in CPR and the use of AEDs. The primary outcome was survival to hospital discharge.More than 19,000 volunteer responders from 993 community units in 24 North American regions participated. The two study groups had similar unit and volunteer characteristics. Patients with treated out-of-hospital cardiac arrest in the two groups were similar in age (mean, 69.8 years), proportion of men (67 percent

2004 NEJM Controlled trial quality: uncertain

339. A comparison of high-dose and standard-dose epinephrine in children with cardiac arrest. (Abstract)

A comparison of high-dose and standard-dose epinephrine in children with cardiac arrest. When efforts to resuscitate a child after cardiac arrest are unsuccessful despite the administration of an initial dose of epinephrine, it is unclear whether the next dose of epinephrine (i.e., the rescue dose) should be the same (standard) dose or a higher dose.We performed a prospective, randomized, double-blind trial to compare high-dose epinephrine (0.1 mg per kilogram of body weight) with standard-dose (...) epinephrine (0.01 mg per kilogram) as rescue therapy for in-hospital cardiac arrest in children after failure of an initial, standard dose of epinephrine. The trial included 68 children, and Utstein-style reporting guidelines were used. The primary outcome measure was survival 24 hours after the arrest.The rate of survival at 24 hours was lower in the group assigned to a high dose of epinephrine as rescue therapy than in the group assigned to a standard dose: 1 of the 34 patients in the high-dose group

2004 NEJM Controlled trial quality: predicted high

340. Estimating cost-effectiveness of mass cardiopulmonary resuscitation training strategies to improve survival from cardiac arrest in private locations

-dwelling adults? Academic Emergency Medicine 2000;7:762-8. Richardson ME, Lie KG. Cardiopulmonary resuscitation training for family members of patients on cardiac rehabilitation programmes in Scotland. Resuscitation 1999;40:11-9. Indexing Status Subject indexing assigned by NLM MeSH Aged; Cardiopulmonary Resuscitation /education; Cost-Benefit Analysis; Health Education /economics; Heart Arrest /epidemiology /therapy; Humans; Michigan /epidemiology; Middle Aged; Models, Econometric AccessionNumber (...) Estimating cost-effectiveness of mass cardiopulmonary resuscitation training strategies to improve survival from cardiac arrest in private locations Estimating cost-effectiveness of mass cardiopulmonary resuscitation training strategies to improve survival from cardiac arrest in private locations Estimating cost-effectiveness of mass cardiopulmonary resuscitation training strategies to improve survival from cardiac arrest in private locations Swor R, Compton S Record Status This is a critical

2004 NHS Economic Evaluation Database.