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Latest & greatest articles for cardiac arrest
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are consistent with non-cardiogenic shock: there’s nothing to suggest a massive PE or obstructive shock, the heart is filling and pumping effectively which rules out cardiogenic shock, and we can’t find a source of bleeding to account for hemorrhagic shock. In the context of a cancer patient with a poor immune response, they are likely septic and/or dehydrated. We can deal with this! Case 2 – CardiacArrest EMS rolls into your resuscitation room with a 48-year-old female who is receiving CPR. Over (...) therapy and should help guide other investigations. Differentiating cardiogenic shock (a poorly contracting, enlarged heart, widespread lung B lines, and an engorged IVC) in an elderly hypotensive breathless patient, from sepsis (a vigorously contracting, normally sized or small heart, focal or no B lines, and an empty IVC) will change the initial resuscitation plan dramatically. Differentiating cardiac tamponade from tension pneumothorax in apparent obstructive shock or cardiacarrest will lead
Cardiacarrest caused by rapidly increasing ascites in a patient with TAFRO syndrome: a case report Thrombocytopenia, anasarca, fever, renal insufficiency, and organomegaly (TAFRO) syndrome is a newly defined systemic inflammatory disorder with gradual progression of symptoms. A 59-year-old man with fever and ascites of unknown cause developed sudden-onset shock and respiratory failure in the general ward. Cardiacarrest immediately followed. Although he was resuscitated, frequent (...) immunosuppressive agents.The newly defined TAFRO syndrome may be life-threatening. Patients should be monitored for progression to shock and cardiacarrest, especially those with rapidly increasing ascites.
Targeted Temperature Management After Pediatric CardiacArrest Due To Drowning: Outcomes and Complications PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?
Cardiacarrest caused by sibutramine obtained over the Internet: a case of a young woman without preâ€existing cardiovascular disease successfully resuscitated using extracorporeal membrane oxygenation Sibutramine is a weight loss agent that was withdrawn from the market in the USA and European Union because it increases adverse events in patients with cardiovascular diseases. However, non-prescription weight loss pills containing sibutramine can be still easily purchased over the Internet.A (...) 21-year-old woman without history of cardiovascular diseases developed cardiacarrest. She was a user of a weight loss pills, containing sibutramine and hypokalemia-inducing agents, imported from Thailand over the Internet.She was successfully resuscitated without any neurological deficits by using extracorporeal membrane oxygenation for refractory ventricular fibrillation.This case indicates that sibutramine can cause cardiacarrest even in subjects without pre-existing cardiovascular disease
Differences in coagulofibrinolytic changes between postâ€cardiacarrest syndrome of cardiac causes and hypoxic insults: a pilot study 29123894 2018 11 13 2052-8817 4 3 2017 07 Acute medicine & surgery Acute Med Surg Differences in coagulofibrinolytic changes between post-cardiacarrest syndrome of cardiac causes and hypoxic insults: a pilot study. 371-372 10.1002/ams2.270 Wada Takeshi T Division of Acute and Critical Care Medicine Department of Anesthesiology and Critical Care Medicine
Bystander Defibrillation for Out-of-Hospital CardiacArrest in Public vs Residential Locations Bystander-delivered defibrillation (hereinafter referred to as bystander defibrillation) of patients with out-of-hospital cardiacarrests (OHCAs) remains limited despite the widespread dissemination of automated external defibrillators (AEDs).To examine calendar changes in bystander defibrillation and subsequent survival according to a public or a residential location of the cardiacarrest after (...) nationwide initiatives in Denmark to facilitate bystander-mediated resuscitative efforts, including bystander defibrillation.This nationwide study identified 18 688 patients in Denmark with first-time OHCA from June 1, 2001, to December 31, 2012, using the Danish CardiacArrest Registry. Patients had a presumed cardiac cause of arrest that was not witnessed by emergency medical services personnel. Data were analyzed from April 1, 2015, to December 10, 2016.Nationwide initiatives to facilitate bystander
Part Question In [adults with out-of-hospital cardiacarrest] does [pre-hospital epinephrine] affect [long-term morbidity or mortality]? Clinical Scenario A 74-year-old male presents to the emergency department with out-of-hospital cardiacarrest. Paramedics administered epinephrine prior to arrival to the hospital. The patient is unresponsive but has a faint pulse. You wonder about the long-term benefits of epinephrine which is still recommended by the American Heart Association. Search Strategy (...) % CI 2.36 to 3.54) Based on many observational studies Overall ROSC Survival to discharge RR 0.93 (95% CI 0.5 to 1.74) RR 0.69 (95% CI 0.48 to 1) Comment(s) Epinephrine is a fundamental part of advanced cardiac life support. It is said to increase coronary and cerebral perfusion. This alpha-adrenergic-mediated process is thought to contribute to ROSC in arrested patients. However, despite epinephrine's integral part in standard resuscitation protocols, there remains little evidence that epinephrine
Effectiveness of the precordial thump in restoring heart rhythm following out-of-hospital cardiacarrest BestBets: Effectiveness of the precordial thump in restoring heart rhythm following out-of-hospital cardiacarrest Effectiveness of the precordial thump in restoring heart rhythm following out-of-hospital cardiacarrest Report By: James Smith MD - Senior EM Resident Search checked by Bryan Judge MD - Residency Director Institution: Grand Rapids Medical Education Partners Date Submitted: 12th (...) August 2014 Date Completed: 25th May 2016 Last Modified: 10th February 2017 Status: Green (complete) Three Part Question In [adults with cardiacarrest from ventricular fibrillation or pulseless ventricular tachycardia] is the [precordial thump better than BLS alone] at [restoring spontaneous circulation]? Clinical Scenario A 72 year old male presents to the emergency department with pulseless ventricular tachycardia. You wonder if a precordial thump is effective in restoring the heart to a sinus
Association Between Tracheal Intubation During Adult In-Hospital CardiacArrest and Survival. Tracheal intubation is common during adult in-hospital cardiacarrest, but little is known about the association between tracheal intubation and survival in this setting.To determine whether tracheal intubation during adult in-hospital cardiacarrest is associated with survival to hospital discharge.Observational cohort study of adult patients who had an in-hospital cardiacarrest from January 2000 (...) through December 2014 included in the Get With The Guidelines-Resuscitation registry, a US-based multicenter registry of in-hospital cardiacarrest. Patients who had an invasive airway in place at the time of cardiacarrest were excluded. Patients intubated at any given minute (from 0-15 minutes) were matched with patients at risk of being intubated within the same minute (ie, still receiving resuscitation) based on a time-dependent propensity score calculated from multiple patient, event
). The incidences of blood-product use, infection, and serious adverse events, as well as 28-day mortality, did not differ significantly between groups.Among comatose children who survived in-hospital cardiacarrest, therapeutic hypothermia, as compared with therapeutic normothermia, did not confer a significant benefit in survival with a favorable functional outcome at 1 year. (Funded by the National Heart, Lung, and Blood Institute; THAPCA-IH ClinicalTrials.gov number, NCT00880087 .). (...) Therapeutic Hypothermia after In-Hospital CardiacArrest in Children. Targeted temperature management is recommended for comatose adults and children after out-of-hospital cardiacarrest; however, data on temperature management after in-hospital cardiacarrest are limited.In a trial conducted at 37 children's hospitals, we compared two temperature interventions in children who had had in-hospital cardiacarrest. Within 6 hours after the return of circulation, comatose children older than 48