journal
https://read.qxmd.com/read/34273470/impact-of-intraosseous-versus-intravenous-resuscitation-during-in-hospital-cardiac-arrest-a-retrospective-study
#1
Kevin T Schwalbach, Sylvia S Yong, R Chad Wade, Joseph Barney
AIM: To compare outcomes between Intraosseous (IO) and peripheral intravenous (PIV) injection during in-hospital cardiac arrest (IHCA) and examine its utility in individuals with obesity. METHODS: We performed a retrospective cohort analysis of adult, atraumatic IHCA at a single tertiary care center. Subjects were classified as either IO or PIV resuscitation. The primary outcome of interest was survival to hospital discharge. The secondary outcomes of interest were survival with favourable neurologic status, rates-of-ROSC (ROR) and time-to-ROSC (TTR)...
July 14, 2021: Resuscitation
https://read.qxmd.com/read/34271132/socioeconomically-equitable-public-defibrillator-placement-using-mathematical-optimization
#2
K H Benjamin Leung, Steven C Brooks, Gareth R Clegg, Timothy C Y Chan
BACKGROUND: Mathematical optimization can be used to place automated external defibrillators (AEDs) in locations that maximize coverage of out-of-hospital cardiac arrests (OHCAs). We sought to determine whether optimization can improve alignment between AED locations and OHCA counts across levels of socioeconomic deprivation. METHODS: All suspected OHCAs and registered AEDs in Scotland between Jan. 2011 - Sept. 2017 were included and mapped to a corresponding socioeconomic deprivation level using the Scottish Index of Multiple Deprivation (SIMD)...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271131/repolarization-and-ventricular-arrhythmia-during-targeted-temperature-management-post-cardiac-arrest
#3
Jakob Hartvig Thomsen, Christian Hassager, David Erlinge, Niklas Nielsen, Matias Greve Lindholm, John Bro-Jeppesen, Johannes Grand, Steen Pehrson, Claus Graff, Lars V Køber, Jesper Kjaergaard
BACKGROUND: Targeted temperature management (TTM) following out-of-hospital cardiac arrest (OHCA) prolongs the QT-interval but our knowledge of different temperatures and risk of arrhythmia is incomplete. OBJECTIVE: To assess whether the QTc, QT-peak (QTp) and T-peak to T-end interval (TpTe) may be useful markers of ventricular arrhythmia in contemporary post cardiac arrest treatment. METHODS: An ECG-substudy of the TTM-trial (TTM at 33°C vs...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271130/prognostication-in-postanoxic-coma-not-too-early-not-too-late
#4
LETTER
Janneke Horn, Jeannette Hofmeijer
No abstract text is available yet for this article.
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271129/discrimination-between-the-presence-and-absence-of-spontaneous-circulation-using-smartphone-seismocardiography-a-preliminary-investigation
#5
Hyoung Youn Lee, Yong Hun Jung, Kyung Woon Jeung, Dong Hun Lee, Byung Kook Lee, Geuk Young Jang, Tong In Oh, Najmiddin Mamadjonov, Tag Heo
BACKGROUND: Seismocardiography measures the vibrations produced by the beating heart using an accelerometer sensor placed on the chest. We evaluated the ability of smartphone seismocardiography to distinguish between the presence and absence of spontaneous circulation. METHODS: Seismocardiography signals were obtained using a smartphone placed on the sternum in a convenience sample of 60 adult patients (30 comatose patients with spontaneous circulation and 30 deceased patients)...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271128/fewer-tracheal-intubation-attempts-are-associated-with-improved-neurologically-intact-survival-following-out-of-hospital-cardiac-arrest
#6
David L Murphy, Natalie E Bulger, Brenna M Harrington, Jillian A Skerchak, Catherine R Counts, Andrew J Latimer, Betty Y Yang, Charles Maynard, Thomas D Rea, Michael R Sayre
BACKGROUND: International guidelines emphasize advanced airway management during out-of-hospital cardiac arrest (OHCA). We hypothesized that increasing endotracheal intubation attempts during OHCA were associated with a lower likelihood of favorable neurologic survival at discharge. METHODS: This retrospective, observational cohort evaluated the relationship between number of intubation attempts and favorable neurologic survival among non-traumatic OHCA patients receiving cardiopulmonary resuscitation (CPR) from January 1, 2015 - June 30, 2019 in a large urban emergency medical services (EMS) system...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271127/long-term-survival-and-health-related-quality-of-life-after-in-hospital-cardiac-arrest
#7
M Marc Schluep, S E Sanne Hoeks, M J Michiel Blans, B Bas van den Bogaard, A W M M Ankie Koopman-van Gemert, C Cees Kuijs, C J Chris Hukshorn, B J M Nardo van der Meer, A H M Marco Knook, T Trudy van Melsen, R René Peters, P J Patrick Perik, K S Koen Simons, G Gerben Spijkers, J W Wytze Vermeijden, E J Evert-Jan Wils, R J Robert Jan Stolker, H Rik Endeman
INTRODUCTION: In-hospital cardiac arrest (IHCA) is an adverse event associated with high mortality. Because of the impact of IHCA more data is needed on incidence, outcomes and associated factors that are present prior to cardiac arrest. The aim was to assess one-year survival, patient-centred outcomes after IHCA and their associated pre-arrest factors. METHODS: A multicentre prospective cohort study in 25 hospitals between January 1st 2017 - May 31st 2018. Patients ≥18 years receiving cardiopulmonary resuscitation (CPR) for IHCA were included...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271126/does-measuring-what-is-expired-reduce-the-risk-of-expiring
#8
EDITORIAL
Joe Fawke, Alexandra Scrivens
No abstract text is available yet for this article.
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271125/premenopausal-aged-females-have-no-neurological-outcome-advantage-after-out-of-hospital-cardiac-arrest-a-multilevel-analysis-of-north-american-populations
#9
Emad M Awad, Karin H Humphries, Brian E Grunau, Jim M Christenson
AIM: We investigated the impact of premenopausal age on neurological function at hospital discharge in patients with out-of-hospital cardiac arrest (OHCA). We hypothesized that premenopausal-aged females (18-47 years of age) with OHCA would have a higher probability of survival with favourable neurological function at hospital discharge compared with males of the same age group, older males, and older females (>53 years of age). METHODS: Retrospective analyses of data from the Resuscitation Outcomes Consortium multi-center randomized controlled trial (June 2011 to May 2015)...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271124/reply-to-prognostication-in-postanoxic-coma-not-too-early-not-too-late
#10
LETTER
Jerry P Nolan, Tobias Cronberg, Jasmeet Soar, Claudio Sandroni
No abstract text is available yet for this article.
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271123/out-of-hospital-cardiac-arrest-outcomes-in-emergency-departments
#11
Kalin Kempster, Stuart Howell, Stephen Bernard, Karen Smith, Peter Cameron, Judith Finn, Dion Stub, Peter Morley, Janet Bray
BACKGROUND: The emergency department (ED) plays an important role in out-hospital-cardiac arrest (OHCA) management. However, ED outcomes are not widely reported. This study aimed to 1) describe OHCA ED outcomes and reasons for ED deaths, and 2) whether these differed between hospitals. METHODS: Data were obtained from the Victorian Ambulance Cardiac Arrest Registry and 12 hospitals for adult, non-traumatic OHCA cases transported to ED between 2014 and 2016. Multivariable logistic regression was used to examine the association of level of cardiac arrest centre on ED survival in a subset of cases (non-paramedic witnessed OHCA who were unconscious on ED arrival with ROSC)...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34271122/an-exploratory-assessment-of-serum-biomarkers-of-post-cardiac-arrest-syndrome-in-children
#12
Kate F Kernan, Rachel P Berger, Robert S B Clark, R Scott Watson, Derek C Angus, Ashok Panigrahy, Clifton W Callaway, Michael J Bell, Patrick M Kochanek, Ericka L Fink, Dennis W Simon
AIM: We hypothesized that serum biomarkers of inflammation including chemokine, cytokine, pituitary hormones, and growth factors following cardiac arrest in children would independently associate with 6-month neurologic outcome. METHODS: In this prospective observational single center study of children with in-hospital and out-of-hospital cardiac arrest surviving to intensive care unit admission, serum was obtained twice per 24h period between 0h and 96h and once at approximately 196h post-cardiac arrest...
July 13, 2021: Resuscitation
https://read.qxmd.com/read/34265402/eeg-registration-after-cardiac-arrest-on-the-way-to-plug-and-play
#13
EDITORIAL
Janneke Horn, Myrthe van Merkerk
No abstract text is available yet for this article.
July 12, 2021: Resuscitation
https://read.qxmd.com/read/34256092/-shockingly-good-long-term-outcomes-after-pediatric-ohca-paired-with-high-quality-cpr-can-maximize-pediatric-survival-outcomes
#14
EDITORIAL
Kevin Seaman, Jennifer Anders
No abstract text is available yet for this article.
July 10, 2021: Resuscitation
https://read.qxmd.com/read/34245838/association-between-previous-health-condition-and-outcome-after-cardiac-arrest
#15
Florence Dumas, Audrey Paoli, Marine Paul, Guillaume Savary, Paul Jaubert, Richard Chocron, Olivier Varenne, Jean-Paul Mira, Julien Charpentier, Wulfran Bougouin, Alain Cariou
INTRODUCTION: Overall survival of patients with out-of-hospital cardiac arrest (OHCA) remains low, even in those with return of spontaneous circulation (ROSC). In addition to usual prognostic characteristics, patients' medical history may also influence their outcome. This study aimed to investigate the role of pre-arrest comorbidities on hospital survival, neurological outcome and mode of death in OHCA patients with successful ROSC. METHODS: From Jan 2012 to Sep 2017, all consecutive non-traumatic OHCA adults, admitted with a stable ROSC were included...
July 7, 2021: Resuscitation
https://read.qxmd.com/read/34242736/the-who-where-and-when-of-reboa-for-refractory-out-of-hospital-cardiac-arrest
#16
EDITORIAL
Sharaf Khan, Cindy H Hsu
No abstract text is available yet for this article.
July 6, 2021: Resuscitation
https://read.qxmd.com/read/34242735/the-second-year-of-a-second-chance-long-term-psychosocial-outcomes-of-cardiac-arrest-survivors-and-their-family
#17
Rosalind Case, Dion Stub, Emilia Mazzagatti, Holly Pryor, Marco Mion, Jocasta Ball, Susie Cartledge, Thomas R Keeble, Janet E Bray, Karen Smith
AIM: Cardiac arrest (CA) survival has diverse psychosocial outcomes for both survivors and their close family, with little known regarding long-term adjustment and recovery experiences. We explored the psychological adjustment and experiential perspectives of survivors and families in the second year after out-of-hospital cardiac arrest (OHCA). METHODS: A prospective, mixed-methods study of adult OHCA survivors in Victoria, Australia was conducted. Eighteen survivors and 12 family members completed semi-structured interviews 14-19 months post-arrest...
July 6, 2021: Resuscitation
https://read.qxmd.com/read/34242734/assessment-of-chest-compression-interruptions-during-advanced-cardiac-life-support
#18
Philippe Dewolf, Lina Wauters, Geraldine Clarebout, Senne Van Den Bempt, Thomas Uten, Didier Desruelles, Sandra Verelst
AIM: To identify potentially avoidable factors responsible for chest compression interruptions and to evaluate the influence of chest compression fraction on achieving return of spontaneous circulation and survival to hospital discharge. METHODS: In this prospective observational study, each resuscitation managed by mobile medical teams from August 1st, 2016, to August 1st, 2018 was video recorded using a body-mounted GoPro camera. The duration of all chest compression interruptions was recorded and chest compression fraction was calculated...
July 6, 2021: Resuscitation
https://read.qxmd.com/read/34237358/bystander-cpr-occurrences-in-out-of-hospital-cardiac-arrest-between-sexes
#19
Amy Souers, Christian Zuver, Alexa Rodriguez, Christine Van Dillen, Christopher Hunter, Linda Papa
BACKGROUND: Bystander CPR (B-CPR) is known to be a critical action in treating out-of-hospital cardiac arrest (OHCA). Immediate CPR may double a patient's chance of survival. Only 40% of OHCA patients receive B-CPR (Cardiac Arrest Registry to Enhance Survival1 ). Civilians may be more comfortable performing CPR on male than female victims based on stereotyped training and the culture of cardiac disease treatment. OBJECTIVE: We hypothesize that of OHCA patients receiving B-CPR, there is a gender disparity favoring males...
July 5, 2021: Resuscitation
https://read.qxmd.com/read/34237357/prehospital-tibial-intraosseous-drug-administration-is-associated-with-reduced-survival-following-out-of-hospital-cardiac-arrest-a-study-for-the-cares-surveillance-group
#20
Mohamed Serhan Hamam, Howard A Klausner, John France, Amy Tang, Robert A Swor, James H Paxton, Brian J O'Neil, Christine Brent, Robert W Neumar, Robert B Dunne, Swetha Reddi, Joseph B Miller
BACKGROUND: Recent reports have questioned the efficacy of intraosseous (IO) drug administration for out-of-hospital cardiac arrest (OHCA) resuscitation. Our aim was to determine whether prehospital administration of resuscitative medications via the IO route was associated with lower rates of return of spontaneous circulation (ROSC) and survival to hospital discharge than peripheral intravenous (IV) infusion in the setting of OHCA. METHODS: We obtained data on all OHCA patients receiving prehospital IV or IO drug administration from the three most populous counties in Michigan over three years...
July 5, 2021: Resuscitation
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