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Latest & greatest articles for cardiac arrest
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on cardiac arrest or other clinical topics then use Trip today.
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Can ambulance telephone triage using NHS Pathways accurately identify paediatric cardiacarrest? Most out-of-hospital paediatric cardiacarrests (CA) are not identified until a call is made to the emergency medical services. Accurate identification increases overall survival by enabling immediate ambulance dispatch and delivery of bystander CPR. European ambulance services use a variety of didactic telephone scripts to interrogate the caller and rapidly identify paediatric CA. The performance (...) of these scripts has not been reported. This study aims to evaluate the diagnostic accuracy of the NHS Pathways as a telephone triage tool to identify patients less than 16 years age in cardiac arrest.All emergency calls to South Central Ambulance Service (SCAS) over a 12-month period screened by 'NHS Pathways' v9.04 were identified. All actual or presumed paediatric CAs (<16 years age) identified by the emergency call taker were cross-referenced with the ambulance crew's Patient Report Form to identify all
External Validation of the Universal Termination of Resuscitation Rule for Out-of-Hospital CardiacArrest in British Columbia The Universal Termination of Resuscitation Rule (TOR Rule) was developed to identify out-of-hospital cardiacarrests eligible for field termination of resuscitation, avoiding futile transportation to the hospital. The validity of the rule in emergency medical services (EMS) systems that do not routinely transport out-of-hospital cardiacarrest patients to the hospital (...) is unknown. We seek to validate the TOR Rule in British Columbia.This study included consecutive, nontraumatic, adult, out-of-hospital cardiacarrests treated by EMS in British Columbia from April 2011 to September 2015. We excluded patients with active do-not-resuscitate orders and those with missing data. Following consensus guidelines, we examined the validity of the TOR Rule after 6 minutes of resuscitation (to approximate three 2-minute cycles of resuscitation). To ascertain rule performance
Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster randomised trial and economic evaluation Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster randomised trial and economic evaluation Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster (...) been made for the HTA database. Citation Gates S, Lall R, Quinn T, Deakin CD, Cooke MW, Horton J, Lamb SE, Slowther A, Woollard M, Carson A, Smyth M, Wilson K, Parcell G, Rosser A, Whitfield R, Williams A, Jones R, Pocock H, Brock N, Black JJ, Wright J, Han K, Shaw G, Blair L, Marti J, Hulme C, McCabe C, Nikolova S, Ferreira Z & Perkins GD. Prehospital randomised assessment of a mechanical compression device in out-of-hospital cardiacarrest (PARAMEDIC): a pragmatic, cluster randomised trial
Pediatric Out-of-Hospital CardiacArrest Characteristics and Their Association With Survival and Neurobehavioral Outcome PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?
Cardiacarrest in ICU 28979566 2018 11 13 1751-1437 18 2 2017 May Journal of the Intensive Care Society J Intensive Care Soc Cardiacarrest in ICU. 173 10.1177/1751143716674227 Cook James J Department of Anaesthetics, Glangwili General Hospital, Carmarthen, UK. Thomas Matt M Southmead Hospital, Bristol, UK. eng Journal Article 2017 04 25 England J Intensive Care Soc 101538668 1751-1437 2017 10 6 6 0 2017 10 6 6 0 2017 10 6 6 1 ppublish 28979566 10.1177/1751143716674227 10.1177_1751143716674227
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