journal
https://read.qxmd.com/read/32961304/collateral-damage-hidden-impact-of-the-covid-19-pandemic-on-the-out-of-hospital-cardiac-arrest-system-of-care
#1
J Ball, Z Nehme, S Bernard, D Stub, M Stephenson, K Smith
AIM: Out-of-hospital cardiac arrest (OHCA) during COVID-19 has been reported by countries with high case numbers and overwhelmed healthcare services. Imposed restrictions and treatment precautions may have also influenced OHCA processes-of-care. We investigated the impact of the COVID-19 pandemic period on incidence, characteristics, and survival from OHCA in Victoria, Australia. METHODS: Using data from the Victorian Ambulance Cardiac Arrest Registry, we compared 380 adult OHCA patients who received resuscitation between 16th March 2020 and 12th May 2020, with 1218 cases occurring during the same dates in 2017-2019...
September 19, 2020: Resuscitation
https://read.qxmd.com/read/32956724/first-responder-cardiac-health-amid-the-covid-19-pandemic
#2
LETTER
Prashant Rao, Eli Friedman, Eugene H Chung, Benjamin D Levine, S Marshal Isaacs
No abstract text is available yet for this article.
September 18, 2020: Resuscitation
https://read.qxmd.com/read/32949675/-sorry-what-did-you-say-communicating-defibrillator-retrieval-and-use-in-ohca-emergency-calls
#3
Nirukshi Perera, Stephen Ball, Tanya Birnie, Alani Morgan, Marine Riou, Austin Whiteside, Gavin D Perkins, Janet Bray, Daniel M Fatovich, Peter Cameron, Deon Brink, Paul Bailey, Judith Finn
BACKGROUND: The defibrillator prompt, which directs callers to retrieve a defibrillator during out-of-hospital-cardiac arrest, is crucial to the emergency call because it can save lives. We evaluated communicative effectiveness of the prompt instated by the Medical Priority Dispatch System ™ version 13, namely: if there is a defibrillator (AED) available, send someone to get it now, and tell me when you have it. METHODS: Using Conversation Analysis and descriptive statistics, we examined linguistic features of the defibrillator sequences (call-taker prompt and caller response) in 208 emergency calls where non-traumatic out of hospital cardiac arrest was confirmed by the emergency medical services, and they attempted resuscitation, in the first six months of 2019...
September 16, 2020: Resuscitation
https://read.qxmd.com/read/32949674/removal-of-foreign-body-airway-obstruction-a-systematic-review-of-interventions
#4
REVIEW
Keith Couper, Aysha Abu Hassan, Vrinda Ohri, Emma Patterson, Ho Tsun Tang, Robert Bingham, Theresa Olasveengen, Gavin D Perkins
OBJECTIVE: To summarise in a systematic review the effectiveness of interventions to treat foreign body airway obstructions (FBAO). METHODS: We searched MEDLINE, EMBASE, and the Cochrane library from inception on 30th September 2019 for studies that described the effectiveness of interventions to treat FBAO in adults and children. We included randomised controlled trials, observational studies and case series (≥5 cases) that described evidence of benefit. For evidence of harm/complications, we included case reports...
September 16, 2020: Resuscitation
https://read.qxmd.com/read/32946986/covid-19-and-out-of-hospital-cardiac-arrest-a-systematic-review-and-meta-analysis
#5
LETTER
Sandeep Singh, Hee Kong Fong, Brisandi Ruiz Mercedes, Ayna Serwat, Faizan Ahmad Malik, Rupak Desai
No abstract text is available yet for this article.
September 15, 2020: Resuscitation
https://read.qxmd.com/read/32946985/vitamin-c-levels-amongst-initial-survivors-of-out-of-hospital-cardiac-arrest
#6
Ryan Gardner, Xiaowen Liu, Yanbo Wang, Andrew Cole, Stanley Heydrick, Michael W Donnino, Ari Moskowitz
INTRODUCTION: Vitamin C deficiency has been described in patients with sepsis. The post-cardiac arrest syndrome shares similarities to sepsis, however vitamin C levels in post-arrest patients have been incompletely characterized. We assessed vitamin C levels in a post-arrest population. METHODS: This was a retrospective observational study at a tertiary care center. A convenience sample of post-arrest, sepsis, and healthy control patients was selected from prior studies...
September 15, 2020: Resuscitation
https://read.qxmd.com/read/32946984/a-paramilitary-retrieval-team-for-accidental-hypothermia-insights-gained-from-a-simple-classification-with-advanced-treatment-over-16-years-in-denmark
#7
Benedict Kjaergaard, Allan Vestergaard Danielsen, Carsten Simonsen, Sebastian Wiberg
AIM: To present the results from 16 years of nationwide cooperation between the Danish Airforce Search and Rescue Service and a Tertiary Heart Centre for the classification and treatment of accidental hypothermia. METHODS: A mobile extracorporeal membrane oxygenation (ECMO) retrieval team was developed and could be contacted for nationwide advice and if indicated retrieval and/or treatment of patients by means of ambulance and/or helicopter. Accidental hypothermia was classified as mild, moderate, and severe, corresponding to awake, unconscious, and lifeless...
September 15, 2020: Resuscitation
https://read.qxmd.com/read/32946983/blood-biomarkers-of-brain-injury-after-cardiac-arrest-a-dynamic-field
#8
EDITORIAL
Marion Moseby-Knappe, Tobias Cronberg
No abstract text is available yet for this article.
September 15, 2020: Resuscitation
https://read.qxmd.com/read/32931850/the-cut-off-value-of-a-qualitative-brain-diffusion-weighted-image-dwi-scoring-system-to-predict-poor-neurologic-outcome-in-out-of-hospital-cardiac-arrest-ohca-patients-after-target-temperature-management
#9
Changjoo An, Yeonho You, Jung Soo Park, Jin Hong Min, Wonjoon Jeong, Hong Joon Ahn, Changshin Kang, Insool Yoo, Yongchul Cho, Seung Ryu, Jinwoong Lee, Seung Whan Kim, Sung Uk Cho, Se Kwang Oh, In Ho Lee
AIM: We presented the cut-off value of a diffusion-weighted image (DWI) scoring system to predict poor neurologic outcome using DWI taken 72-96 h after out-of-hospital cardiac arrest (OHCA) patients underwent target temperature management (TTM). METHODS: This was a prospective single-centre observational study, conducted from March 2018 to April 2020 in OHCA patients after TTM. Neurological status was assessed 6 months after return of spontaneous circulation (ROSC) using the Glasgow-Pittsburgh cerebral performance categories (CPC) scale...
September 12, 2020: Resuscitation
https://read.qxmd.com/read/32926969/spaced-learning-versus-massed-learning-in-resuscitation-a-systematic-review
#10
REVIEW
J Yeung, T Djarv, M J Hsieh, T Sawyer, A Lockey, J Finn, R Greif
AIM: Skill decay is a recognised problem in resuscitation training. Spaced learning has been proposed as an intervention to optimise resuscitation skill performance compared to traditional massed learning. A systematic review was performed to answer 'In learners taking resuscitation courses, does spaced learning compared to massed learning improve educational outcomes and clinical outcomes?' METHODS: This systematic review followed the PRISMA guidelines. We searched bibliographic databases (Embase, MEDLINE and the Cochrane Library (CENTRAL)) from inception to 2 December 2019...
September 11, 2020: Resuscitation
https://read.qxmd.com/read/32920117/basic-life-support-teams-stress-and-decision-making-in-case-of-out-of-hospital-cardiac-arrest-during-covid-19-pandemic
#11
LETTER
Marie Pery, Sabine Lemoine, Daniel Jost, Clement Derkenne, Benoît Frattini, Bertrand Prunet
No abstract text is available yet for this article.
September 10, 2020: Resuscitation
https://read.qxmd.com/read/32920116/indirect-effects-of-covid-19-on-ohca-in-a-low-prevalence-region
#12
LETTER
Jonathan Elmer, Masashi Okubo, Francis X Guyette, Christian Martin-Gill
No abstract text is available yet for this article.
September 10, 2020: Resuscitation
https://read.qxmd.com/read/32920115/the-new-york-city-pandemic-resuscitation-equitable-allocation-principles
#13
LETTER
Karin Verlaine Rhodes, Eric K Wei, Richard James Salway, Shaw Natsui, David Silvestri, Christine K Cassel
No abstract text is available yet for this article.
September 10, 2020: Resuscitation
https://read.qxmd.com/read/32920114/epidemiology-of-intensive-care-unit-cardiac-arrest-characteristics-comorbidities-and-post-cardiac-arrest-organ-failure-a-prospective-observational-study
#14
Kevin Roedl, Dominik Jarczak, Rasmus Blohm, Sarah Winterland, Jakob Müller, Valentin Fuhrmann, Dirk Westermann, Gerold Söffker, Stefan Kluge
BACKGROUND: Critically ill patients in intensive care units can frequently suffer from cardiac arrest (ICU-CA), the incidence of ICU-CA is associated with high mortality. Most studies on ICU-CA focused on risk factors and intra-arrest determinants. However, there is a lack of data on organ failure after ICU-CA and its clinical implications for outcome. This study aimed to investigate ICU-CA incidence, outcome and the occurrence of organ failure after ICU-CA. METHODS: We conducted a prospective observational study over a 1-year at 12 intensive care units of a tertiary care university hospital...
September 10, 2020: Resuscitation
https://read.qxmd.com/read/32920113/clinical-outcomes-from-out-of-hospital-cardiac-arrest-in-low-resource-settings-a-scoping-review
#15
REVIEW
S Schnaubelt, K G Monsieurs, F Semeraro, J Schlieber, A Cheng, B L Bigham, R Garg, J C Finn, R Greif
AIM OF THE SCOPING REVIEW: Scientific recommendations on resuscitation are typically formulated from the perspective of an ideal resource environment, with little consideration of applicability in lower-income countries. We aimed to determine clinical outcomes from out-of-hospital cardiac arrest (OHCA) in low-resource countries, to identify shortcomings related to resuscitation in these areas and possible solutions, and to suggest future research priorities. DATA SOURCES: This scoping review was part of the continuous evidence evaluation process of the International Liaison Committee on Resuscitation (ILCOR), and was performed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews...
September 10, 2020: Resuscitation
https://read.qxmd.com/read/32920112/the-first-golden-minute-is-it-relevant
#16
LETTER
Tonia Branche, Marta Perez, Ola D Saugstad
No abstract text is available yet for this article.
September 10, 2020: Resuscitation
https://read.qxmd.com/read/32918986/continuous-amplitude-integrated-electroencephalography-for-prognostication-of-cardiac-arrest-patients-undergoing-extracorporeal-cardiopulmonary-resuscitation-with-targeted-temperature-management
#17
Hitoshi Kobata, Adam Tucker, Gemmalynn Sarapuddin, Takayoshi Negoro, Makiko Kawakami
BACKGROUND: Extracorporeal cardiopulmonary resuscitation (ECPR) has been increasingly used for adult cardiac arrest (CA) patients refractory to conventional CPR. However, data on early prognosticators of neurological outcome are lacking. METHODS: CA patients undergoing ECPR were prospectively monitored via amplitude-integrated EEG (aEEG). Targeted temperature management (TTM) was induced using an extracorporeal membrane oxygenation system. aEEG background patterns were classified into continuous normal voltage (CNV), discontinuous normal voltage (DNV), low voltage (LV), flat trace (FT), burst suppression (BS), and status epilepticus (SE)...
September 9, 2020: Resuscitation
https://read.qxmd.com/read/32918985/predicting-intensive-care-unit-admission-and-death-for-covid-19-patients-in-the-emergency-department-using-early-warning-scores
#18
Marcello Covino, Claudio Sandroni, Michele Santoro, Luca Sabia, Benedetta Simeoni, Maria Grazia Bocci, Veronica Ojetti, Marcello Candelli, Massimo Antonelli, Antonio Gasbarrini, Francesco Franceschi
AIMS: To identify the most accurate early warning score (EWS) for predicting an adverse outcome in COVID-19 patients admitted to the emergency department (ED). METHODS: In adult consecutive patients admitted (March 1-April 15, 2020) to the ED of a major referral centre for COVID-19, we retrospectively calculated NEWS, NEWS2, NEWS-C, MEWS, qSOFA, and REMS from physiological variables measured on arrival. Sensitivity, specificity, positive (PPV) and negative predictive value (NPV), and the area under the receiver operating characteristic (AUROC) curve of each EWS for predicting admission to the intensive care unit (ICU) and death at 48 h and 7 days were calculated...
September 9, 2020: Resuscitation
https://read.qxmd.com/read/32918984/trajectories-of-vital-signs-in-patients-with-covid-19
#19
Marco A F Pimentel, Oliver C Redfern, Robert Hatch, J Duncan Young, Lionel Tarassenko, Peter J Watkinson
BACKGROUND: The global health pandemic of coronavirus disease 2019 (COVID-19) is placing a huge strain on UK hospitals. Early studies suggest that patients can deteriorate quickly after admission to hospital. The aim of this study was to model changes in vital signs for patients hospitalised with COVID-19. METHODS: This was a retrospective observational study of adult patients with COVID-19 admitted to one acute hospital trust in the UK (CV) and a cohort of patients admitted to the same hospital between 2013-2017 with viral pneumonia (VI)...
September 9, 2020: Resuscitation
https://read.qxmd.com/read/32918983/survival-after-dispatcher-assisted-cardiopulmonary-resuscitation-in-out-of-hospital-cardiac-arrest
#20
Gabriel Riva, Martin Jonsson, Mattias Ringh, Andreas Claesson, Therese Djärv, Sune Forsberg, Per Nordberg, Sten Rubertsson, Araz Rawshani, Anette Nord, Jacob Hollenberg
AIM: Strategies to increase provision of bystander CPR include mass education of laypersons. Additionally, programs directed at emergency dispatchers to provide CPR instructions during emergency calls to untrained bystanders have emerged. The aim of this study was to evaluate the association between dispatcher-assisted CPR (DA- CPR) and 30-day survival compared with no CPR or spontaneously initiated CPR by lay bystanders prior to emergency medical services in out of hospital cardiac arrest (OHCA)...
September 9, 2020: Resuscitation
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