Latest & greatest articles for cardiac arrest

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Top results for cardiac arrest

161. Continuous or Interrupted Chest Compressions for Cardiac Arrest. (Abstract)

Continuous or Interrupted Chest Compressions for Cardiac Arrest. 26552007 2015 12 23 2018 12 02 1533-4406 373 23 2015 Dec 03 The New England journal of medicine N. Engl. J. Med. Continuous or Interrupted Chest Compressions for Cardiac Arrest. 2278-9 10.1056/NEJMe1513415 Koster Rudolph W RW From the Department of Cardiology, Academic Medical Center, Amsterdam. eng Editorial Comment 2015 11 09 United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2015 Dec 3;373(23):2203-14 26550795 (...) Cardiopulmonary Resuscitation methods Emergency Medical Services Female Humans Male Out-of-Hospital Cardiac Arrest therapy Positive-Pressure Respiration 2015 11 10 6 0 2015 11 10 6 0 2015 12 24 6 0 ppublish 26552007 10.1056/NEJMe1513415

2015 NEJM

162. The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest Full Text available with Trip Pro

The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest Survival after out-of-hospital cardiac arrest (OHCA) remains disappointingly low. Among patients admitted alive, early prognostication remains challenging. This study aims to establish a stratification score for patients admitted in intensive care unit (ICU) after OHCA, according to their neurological outcome.The CAHP (Cardiac Arrest Hospital Prognosis) score was developed (...) from the Sudden Death Expertise Center registry (Paris, France). The primary outcome was poor neurological outcome defined as Cerebral Performance Category 3, 4, or 5 at hospital discharge. Independent prognostic factors were identified using logistic regression analysis and thresholds defined to stratify low-, moderate-, and high-risk groups. The CAHP score was validated in both a prospective and an external data set (Parisian Cardiac Arrest Registry). The developmental data set included 819

2015 EvidenceUpdates

163. [Pre-hospital ECMO for refractory cardiac arrest]

[Pre-hospital ECMO for refractory cardiac arrest] ECMO pour la prise en charge pré-hospitalière de l'arrêt cardiaque [Pre-hospital ECMO for refractory cardiac arrest] ECMO pour la prise en charge pré-hospitalière de l'arrêt cardiaque [Pre-hospital ECMO for refractory cardiac arrest] Comite d´Evaluation et de Diffusion des Innovations Technologiques (CEDIT) 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 Comite d´Evaluation et de Diffusion des Innovations Technologiques (CEDIT). ECMO pour la prise en charge pré-hospitalière de l'arrêt cardiaque. [Pre-hospital ECMO for refractory cardiac arrest] Paris, France: Comite d´Evaluation et de Diffusion des Innovations Technologiques (CEDIT). 2015 Authors' objectives The CEDIT (hospital based HTA agency) of AP-HP (Paris University Hospital) assessed the impact and value of extracorporeal

2015 Health Technology Assessment (HTA) Database.

164. Outcomes following out-of-hospital cardiac arrest: What is the potential for donation after circulatory death? Full Text available with Trip Pro

Outcomes following out-of-hospital cardiac arrest: What is the potential for donation after circulatory death? We conducted a prospective observational study on 100 consecutive patients admitted to intensive care units at Leeds General Infirmary following out-of-hospital cardiac arrest. In the non-survivors, we reviewed their potential for organ donation via donation after circulatory death. Out of the 100 patients, 53 did not survive to hospital discharge. Out of these non-survivors, 13 died (...) very suddenly within the intensive care unit and 3 other patients subsequently died in a general ward following discharge from the intensive care unit. One patient became brainstem dead, with out-of-hospital cardiac arrest secondary to a subarachnoid haemorrhage, rather than a primary cardiac cause. This patient went on to donate via the brain death mode. The remaining 36 patients had treatment withdrawn in the intensive care unit. Of these, 29 were referred to the transplant team for potential

2015 Journal of the Intensive Care Society

165. A good outcome after absence of bilateral N20 SSEPs post-cardiac arrest Full Text available with Trip Pro

A good outcome after absence of bilateral N20 SSEPs post-cardiac arrest A 51-year-old man suffered a cardiac arrest after an attempted hanging. Post-arrest assessment revealed the bilateral absence of negative 20 somatosensory evoked potentials (N20 SSEPs) which is suggestive of a poor neurological outcome. Current evidence recommends its use in prognostication. Our patient made a good recovery which brings into question the value of negative 20 somatosensory evoked potentials

2015 Journal of the Intensive Care Society

166. Management of cardiac arrest survivors in UK intensive care units: a survey of practice Full Text available with Trip Pro

Management of cardiac arrest survivors in UK intensive care units: a survey of practice Cardiac arrest is a common presentation to intensive care units. There is evidence that management protocols between hospitals differ and that this variation is mirrored in patient outcomes between institutions, with standardised treatment protocols improving outcomes within individual units. It has been postulated that regionalisation of services may improve outcomes as has been shown in trauma, burns (...) and stroke patients, however a national protocol has not been a focus for research. The objective of our study was to ascertain current management strategies for comatose post cardiac arrest survivors in intensive care in the United Kingdom.A telephone survey was carried out to establish the management of comatose post cardiac arrest survivors in UK intensive care units. All 235 UK intensive care units were contacted and 208 responses (89%) were received.A treatment protocol is used in 172 units (82.7

2015 Journal of the Intensive Care Society

167. Alignment of Do-Not-Resuscitate Status With Patients' Likelihood of Favorable Neurological Survival After In-Hospital Cardiac Arrest. Full Text available with Trip Pro

Alignment of Do-Not-Resuscitate Status With Patients' Likelihood of Favorable Neurological Survival After In-Hospital Cardiac Arrest. After patients survive an in-hospital cardiac arrest, discussions should occur about prognosis and preferences for future resuscitative efforts.To assess whether patients' decisions for do-not-resuscitate (DNR) orders after a successful resuscitation from in-hospital cardiac arrest are aligned with their expected prognosis.Within Get With The Guidelines (...) -Resuscitation, we identified 26,327 patients with return of spontaneous circulation (ROSC) after in-hospital cardiac arrest between April 2006 and September 2012 at 406 US hospitals. Using a previously validated prognostic tool, each patient's likelihood of favorable neurological survival (ie, without severe neurological disability) was calculated. The proportion of patients with DNR orders within each prognosis score decile and the association between DNR status and actual favorable neurological survival

2015 JAMA

168. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes

Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

169. Association of presence and timing of invasive airway placement with outcomes after pediatric in-hospital cardiac arrest

Association of presence and timing of invasive airway placement with outcomes after pediatric in-hospital cardiac arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

170. Association of Bystander Interventions With Neurologically Intact Survival Among Patients With Bystander-Witnessed Out-of-Hospital Cardiac Arrest in Japan. Full Text available with Trip Pro

Association of Bystander Interventions With Neurologically Intact Survival Among Patients With Bystander-Witnessed Out-of-Hospital Cardiac Arrest in Japan. Neurologically intact survival after out-of-hospital cardiac arrest (OHCA) has been increasing in Japan. However, associations between increased prehospital care, including bystander interventions and increases in survival, have not been well estimated.To estimate the associations between bystander interventions and changes in neurologically (...) intact survival among patients with OHCA in Japan.Retrospective descriptive study using data from Japan's nationwide OHCA registry, which started in January 2005. The registry includes all patients with OHCA transported to the hospital by emergency medical services (EMS) and recorded patients' characteristics, prehospital interventions, and outcomes. Participants were 167,912 patients with bystander-witnessed OHCA of presumed cardiac origin in the registry between January 2005 and December 2012

2015 JAMA

171. Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013. Full Text available with Trip Pro

Association of Bystander and First-Responder Intervention With Survival After Out-of-Hospital Cardiac Arrest in North Carolina, 2010-2013. Out-of-hospital cardiac arrest is associated with low survival, but early cardiopulmonary resuscitation (CPR) and defibrillation can improve outcomes if more widely adopted.To examine temporal changes in bystander and first-responder resuscitation efforts before arrival of the emergency medical services (EMS) following statewide initiatives to improve (...) bystander and first-responder efforts in North Carolina from 2010-2013 and to examine the association between bystander and first-responder resuscitation efforts and survival and neurological outcome.We studied 4961 patients with out-of-hospital cardiac arrest for whom resuscitation was attempted and who were identified through the Cardiac Arrest Registry to Enhance Survival (2010-2013). First responders were dispatched police officers, firefighters, rescue squad, or life-saving crew trained to perform

2015 JAMA

172. Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest

Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

173. Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest in Children

Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest in Children PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2015 PedsCCM Evidence-Based Journal Club

174. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. (Abstract)

) in the control group (absolute difference for intervention vs. control, 14 percentage points; 95% confidence interval, 6 to 21; P<0.001).A mobile-phone positioning system to dispatch lay volunteers who were trained in CPR was associated with significantly increased rates of bystander-initiated CPR among persons with out-of-hospital cardiac arrest. (Funded by the Swedish Heart-Lung Foundation and Stockholm County; ClinicalTrials.gov number, NCT01789554.). (...) Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. Cardiopulmonary resuscitation (CPR) performed by bystanders is associated with increased survival rates among persons with out-of-hospital cardiac arrest. We investigated whether rates of bystander-initiated CPR could be increased with the use of a mobile-phone positioning system that could instantly locate mobile-phone users and dispatch lay volunteers who were trained in CPR to a patient nearby with out-of-hospital

2015 NEJM Controlled trial quality: predicted high

175. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Full Text available with Trip Pro

Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Three million people in Sweden are trained in cardiopulmonary resuscitation (CPR). Whether this training increases the frequency of bystander CPR or the survival rate among persons who have out-of-hospital cardiac arrests has been questioned.We analyzed a total of 30,381 out-of-hospital cardiac arrests witnessed in Sweden from January 1, 1990, through December 31, 2011, to determine whether CPR was performed before (...) the arrival of emergency medical services (EMS) and whether early CPR was correlated with survival.CPR was performed before the arrival of EMS in 15,512 cases (51.1%) and was not performed before the arrival of EMS in 14,869 cases (48.9%). The 30-day survival rate was 10.5% when CPR was performed before EMS arrival versus 4.0% when CPR was not performed before EMS arrival (P<0.001). When adjustment was made for a propensity score (which included the variables of age, sex, location of cardiac arrest, cause

2015 NEJM

176. Cardiac Arrest Emergency Response in Hospitals

Cardiac Arrest Emergency Response in Hospitals Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along with other (...) not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Cardiac Arrest Emergency Response in Hospitals: Clinical Effectiveness

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

177. Survival After Out-of-Hospital Cardiac Arrest in Relation to Age and Early Identification of Patients With Minimal Chance of Long-Term Survival Full Text available with Trip Pro

Survival After Out-of-Hospital Cardiac Arrest in Relation to Age and Early Identification of Patients With Minimal Chance of Long-Term Survival Survival after out-of-hospital cardiac arrest has increased during the last decade in Denmark. We aimed to study the impact of age on changes in survival and whether it was possible to identify patients with minimal chance of 30-day survival.Using data from the nationwide Danish Cardiac Arrest Registry (2001─2011), we identified 21 480 patients ≥18 (...) years old with a presumed cardiac-caused out-of-hospital cardiac arrest for which resuscitation was attempted. Patients were divided into 3 preselected age-groups: working-age patients 18 to 65 years of age (33.7%), early senior patients 66 to 80 years of age (41.5%), and late senior patients >80 years of age (24.8%). Characteristics in working-age patients, early senior patients, and late senior patients were as follows: witnessed arrest in 53.8%, 51.1%, and 52.1%; bystander cardiopulmonary

2015 EvidenceUpdates

178. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. Full Text available with Trip Pro

Therapeutic hypothermia after out-of-hospital cardiac arrest in children. Therapeutic hypothermia is recommended for comatose adults after witnessed out-of-hospital cardiac arrest, but data about this intervention in children are limited.We conducted this trial of two targeted temperature interventions at 38 children's hospitals involving children who remained unconscious after out-of-hospital cardiac arrest. Within 6 hours after the return of circulation, comatose patients who were older than (...) 2 days and younger than 18 years of age were randomly assigned to therapeutic hypothermia (target temperature, 33.0°C) or therapeutic normothermia (target temperature, 36.8°C). The primary efficacy outcome, survival at 12 months after cardiac arrest with a Vineland Adaptive Behavior Scales, second edition (VABS-II), score of 70 or higher (on a scale from 20 to 160, with higher scores indicating better function), was evaluated among patients with a VABS-II score of at least 70 before cardiac

2015 NEJM Controlled trial quality: predicted high

179. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Full Text available with Trip Pro

Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Mechanical chest compression devices have the potential to help maintain high-quality cardiopulmonary resuscitation (CPR), but despite their increasing use, little evidence exists for their effectiveness. We aimed to study whether the introduction of LUCAS-2 mechanical CPR into front-line emergency response vehicles would improve survival from out (...) -of-hospital cardiac arrest.The pre-hospital randomised assessment of a mechanical compression device in cardiac arrest (PARAMEDIC) trial was a pragmatic, cluster-randomised open-label trial including adults with non-traumatic, out-of-hospital cardiac arrest from four UK Ambulance Services (West Midlands, North East England, Wales, South Central). 91 urban and semi-urban ambulance stations were selected for participation. Clusters were ambulance service vehicles, which were randomly assigned (1:2) to LUCAS

2015 Lancet Controlled trial quality: predicted high

180. Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study. Full Text available with Trip Pro

Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study. To evaluate the outcome of drowned children with cardiac arrest and hypothermia, and to determine distinct criteria for termination of cardiopulmonary resuscitation in drowned children with hypothermia and absence of spontaneous circulation.Nationwide retrospective cohort study.Emergency departments and paediatric intensive care units of the eight (...) university medical centres in the Netherlands.Children aged up to 16 with cardiac arrest and hypothermia after drowning, who presented at emergency departments and/or were admitted to intensive care.Survival and neurological outcome one year after the drowning incident. Poor outcome was defined as death or survival in a vegetative state or with severe neurological disability (paediatric cerebral performance category (PCPC) ≥ 4).From 1993 to 2012, 160 children presented with cardiac arrest and hypothermia

2015 BMJ