Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

61. Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

, emergency department; EMS, emergency medical services; ICD, implantable cardioverter-defibrillator; OHCA, out-of-hospital cardiac arrest; PALS, pediatric advanced life support; PPCI, primary percutaneous coronary intervention; and STEMI, ST-segment–elevation myocardial infarction. Adapted from Mission: Lifeline Program. Copyright © 2017, American Heart Association, Inc. A PCI center is an ideal candidate to become a level I resuscitation center because it can provide comprehensive cardiovascular care (...) Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January

2018 American Heart Association

62. Out-of-hospital cardiac arrest: current concepts. (Abstract)

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

63. Out-of-hospital cardiac arrest: prehospital management. Full Text available with Trip Pro

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 (...) the greatest impact on survival. If the community response does not restart the heart, resuscitation is continued by emergency medical services' staff. However, the best approaches for airway management and the effectiveness of currently used drug treatments are uncertain. Prognostic factors and rules for termination of resuscitation could guide the duration of a resuscitation attempt and decision to transport to hospital. If return of spontaneous circulation is achieved, the focus of treatment shifts

2018 Lancet

64. Out-of-hospital cardiac arrest: in-hospital intervention strategies. (Abstract)

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 (...) 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

2018 Lancet

65. The mechanism of blood flow during chest compressions for cardiac arrest is probably influenced by the patient's chest configuration Full Text available with Trip Pro

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

2018 Acute medicine & surgery

66. Comparative Safety of Sulfonylureas and the Risk of Sudden Cardiac Arrest and Ventricular Arrhythmia Full Text available with Trip Pro

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

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

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

2018 EvidenceUpdates

68. 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

69. 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 (...) investigations ECG FBC serum electrolytes ABG cardiac biomarkers toxicology screen CXR echocardiogram coronary angiography cardiac magnetic resonance imaging signal-averaged electrocardiogram (SAECG) electrophysiological study Treatment algorithm INITIAL ACUTE ONGOING Contributors Authors Professor and Department Head of Emergency Medicine Cumming School of Medicine University of Calgary Alberta Health Services Calgary Canada Disclosures EL served as a consultant to the American Heart Association providing

2018 BMJ Best Practice

70. 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 Full Text available with Trip Pro

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

71. Cardiac arrest - out of hospital care

of cardiac systolic function. [ ] Causes What causes it? The main underlying causes of cardiac arrest include: Ischaemic heart disease (62.2%). Cardiovascular disease (12.1%). Cardiomyopathy/dysrhythmias (9.3%). Cardiac arrest is the result of four specific cardiac rhythm disturbances: Ventricular fibrillation (VF). Pulseless ventricular tachycardia (VT). Torsades de pointes is a sub-group of polymorphic VT in people with an underlying prolonged QT interval. Pulseless electrical activity. Asystole. VF (...) and VT are the most common causes of cardiac arrest, and are a result of ischaemic heart disease and acute myocardial ischaemia. Potential causes or aggravating factors during cardiac arrest include: Hypoxia. Hypovolaemia. Hyperkalaemia, hypokalaemia, hypocalcaemia, acidaemia, and other metabolic disorders. Hypothermia. Tension pneumothorax. Tamponade. Toxic substances. Thromboembolism. [ ; ] Prevalence How common is it? The UK ambulance service responds to around 60,000 cases of suspected cardiac

2018 NICE Clinical Knowledge Summaries

72. Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report Full Text available with Trip Pro

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 (...) . While in the ambulance, he experienced cardiopulmonary arrest. His initial electrocardiogram showed ventricular fibrillation. At the emergency department, we immediately performed extracorporeal cardiopulmonary resuscitation. We suspected acute coronary syndrome, so coronary angiography was carried out. Enlargement of ascending aorta was noted. Whole-body enhanced computed tomography was subsequently performed, leading to a final diagnosis of acute aortic dissection.Emergency ascending aorta

2017 Acute medicine & surgery

73. Case Report: Toxin-Induced Cardiac Arrest in Game of Thrones Full Text available with Trip Pro

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

74. Prehospital cooling to improve successful targeted temperature management after cardiac arrest: A randomized controlled trial Full Text available with Trip Pro

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

2017 EvidenceUpdates

75. 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 Full Text available with Trip Pro

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 (...) of in-hospital CA for NSTE-ACS and non-ACS was lower in the SWEDEHEART-derivation cohort than in MINAP (1.3% and 0.5% vs. 2.3% and 2.3%). A seven point, five variable risk score (age ≥60 years (1 point), ST-T abnormalities (2 points), Killip Class >1 (1 point), heart rate <50 or ≥100bpm (1 point), and systolic blood pressure <100mmHg (2 points) was developed. Model discrimination was good in the derivation cohort (c-statistic 0.72) and temporal validation cohort (c-statistic 0.74), and calibration

2017 EvidenceUpdates

76. 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

77. Sudden Cardiac Arrest during Participation in Competitive Sports. Full Text available with Trip Pro

, the incidence of sudden cardiac arrest during participation in competitive sports was 0.76 cases per 100,000 athlete-years. The occurrence of sudden cardiac arrest due to structural heart disease was uncommon during participation in competitive sports. (Funded by the National Heart, Lung, and Blood Institute and others.). (...) 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

2017 NEJM

78. Association of Public Health Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations Full Text available with Trip Pro

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

2017 JAMA cardiology

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

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

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

in neurobehavioural functioning at 1 year. Conclusion: in comatose children that survived in-hospital cardiac arrest, therapeutic hypothermia did not confer a significant benefit with respect to survival with a good functional outcome at 1 year compared with therapeutic normothermia. Conflicts of interest: several authors disclosed having receiving funds during the study. Funding sources: grants from the National Heart, Lung and Blood Institute and other institutions Critical Commentary Justification: based (...) 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

2017 Evidencias en Pediatría