journal
https://read.qxmd.com/read/38492717/together-we-save-uniting-forces-in-manual-and-mechanical-cpr
#1
EDITORIAL
Roos Edgar, Judith L Bonnes
No abstract text is available yet for this article.
March 14, 2024: Resuscitation
https://read.qxmd.com/read/38492716/brain-computed-tomography-after-resuscitation-from-in-hospital-cardiac-arrest
#2
JOURNAL ARTICLE
Cecelia Ratay, Jonathan Elmer, Clifton W Callaway, Katharyn L Flickinger, Patrick J Coppler
BACKGROUND: Few data characterize the role of brain computed tomography (CT) after resuscitation from in-hospital cardiac arrest (IHCA). We hypothesized that identifying a neurological etiology of arrest or cerebral edema on brain CT are less common after IHCA than after resuscitation from out-of-hospital cardiac arrest (OHCA). METHODS: We included all patients comatose after resuscitation from IHCA or OHCA in this retrospective cohort analysis. We abstracted patient and arrest clinical characteristics, as well as pH and lactate, to estimate systemic illness severity...
March 14, 2024: Resuscitation
https://read.qxmd.com/read/38492715/not-just-surviving-towards-a-quality-standard-which-meets-the-care-and-rehabilitation-needs-of-cardiac-arrest-survivors-and-their-key-supporters
#3
EDITORIAL
M Bradfield, K L Haywood, M Mion, A Kayani, S Leckey
No abstract text is available yet for this article.
March 14, 2024: Resuscitation
https://read.qxmd.com/read/38493761/corrigendum-to-tyrphostin-reduces-the-organ-injury-in-haemorrhagic-shock-role-of-inducible-nitric-oxide-synthase-resuscitation-58-3-2003-349-361
#4
Michelle McDonald, Maha Abdelrahman, Salvatore Cuzzocrea, Christoph Thiemermann
No abstract text is available yet for this article.
March 11, 2024: Resuscitation
https://read.qxmd.com/read/38479652/sleep-apnea-the-risk-of-out-of-hospital-cardiac-arrest-and-potential-benefits-of-continuous-positive-airway-pressure-therapy-a-nationwide-study
#5
JOURNAL ARTICLE
Pelpika Qayoumi, Ruben Coronel, Fredrik Folke, Anojhaan Arulmurugananthavadivel, Saaima Parveen, Harman Yonis, Amani Meaidi, Morten Lamberts, Morten Schou, Christian Torp-Pedersen, Gunnar Hilmar Gislason, Talip E Eroglu
OBJECTIVE: Patients with sleep apnea (SA) are at increased cardiovascular risk. However, little is known about the risk of out-of-hospital cardiac arrest (OHCA) in patients with SA. Therefore, we studied the relation between SA patients who did and did not receive continuous positive airway pressure (CPAP) therapy with OHCA in the general population. METHODS: Using nationwide databases, we conducted a nested case-control study with OHCA-cases of presumed cardiac causes and age/sex/OHCA-date matched non-OHCA-controls from the general population...
March 11, 2024: Resuscitation
https://read.qxmd.com/read/38479651/defining-divining-and-defeating-recurrent-cardiac-arrest
#6
EDITORIAL
Nicholas J Johnson, Thomas D Rea
No abstract text is available yet for this article.
March 11, 2024: Resuscitation
https://read.qxmd.com/read/38467301/the-diagnostic-accuracy-of-a-shock-advisory-algorithm-in-automated-external-defibrillators-in-the-presence-of-real-world-artifacts
#7
JOURNAL ARTICLE
Mengqi Gao, Chenguang Liu, Stacy Gehman, Kevin Burgett, Edward Kompare, Barbara Fink, Dawn B Jorgenson
BACKGROUND: The current standards for shock advisory algorithms in AEDs require performance testing on artifact-free ECGs. However, AED analysis in the real world is more challenging due to potential artifacts from various sources (e.g., patient handling, and electromagnetic interference). This retrospective data analysis reports the real-world performance and behavior of a shock advisory algorithm used in three AED models with the presence of artifacts. METHODS: ECG rhythm analyses recorded during the use of three AED models (HS1, FRx and FR3) were reviewed...
March 9, 2024: Resuscitation
https://read.qxmd.com/read/38461889/foreign-body-airway-obstruction-resulting-in-out-of-hospital-cardiac-arrest-in-denmark-incidence-survival-and-interventions
#8
JOURNAL ARTICLE
Signe Amalie Wolthers, Mathias Geldermann Holgersen, Josefine Tangen Jensen, Mikkel Porsborg Andersen, Stig Nikolaj Fasmer Blomberg, Søren Mikkelsen, Helle Collatz Christensen, Theo Walther Jensen
BACKGROUND: Foreign body airway obstruction (FBAO) stands as an important contributor to accidental fatalities, yet prompt bystander interventions have been shown to improve survival. This study aimed to evaluate the incidence, interventions, and survival outcomes of patients with out-of-hospital cardiac arrest (OHCA) related to FBAO in comparison to patients with non-FBAO OHCA. METHODS: In this population-based cohort study, we included all OHCAs in Denmark from 2016 to 2022...
March 8, 2024: Resuscitation
https://read.qxmd.com/read/38461888/impact-of-a-covid-19-code-blue-protocol-on-resuscitation-care-and-cpr-quality-during-in-hospital-cardiac-arrest
#9
JOURNAL ARTICLE
Christian Vaillancourt, Manya Charette, Soha Khorsand, Erica Shligold, Chelsea Lanos, Jennifer Dale-Tam, Alexandre Tran, Loree Boyle, Sylvie Aucoin, Jerry Maniate, Hilary Meggison, Michael Hartwick, Glenn Posner
OBJECTIVE: We sought to evaluate the impact of a COVID-19 Code Blue policy on in-hospital cardiac arrest (IHCA) processes of care, cardiopulmonary resuscitation (CPR) quality metrics, and survival to hospital discharge. METHODS: We completed a health record review of consecutive IHCA for which resuscitation was attempted. We report Utstein outcomes and CPR quality metrics 33 months before (July,2017-March,2020) and after (April,2020-December,2022) the implementation of a COVID-19 Code Blue policy requiring all team members to don personal protective equipment including gown, gloves, mask, and eye protection for all IHCA...
March 8, 2024: Resuscitation
https://read.qxmd.com/read/38458416/characterising-trends-in-the-initiation-timing-and-completion-of-recommended-summary-plan-for-emergency-care-and-treatment-respect-plans-retrospective-analysis-of-routine-data-from-a-large-uk-hospital-trust
#10
JOURNAL ARTICLE
Evrim Anik, Adam Hurlow, Desiree Azizoddin, Robert West, Felix Muehlensiepen, Gemma Clarke, Sarah Mitchell, Matthew Allsop
AIM: To assess patient socio-demographic and disease characteristics associated with the initiation, timing, and completion of emergency care and treatment planning in a large UK-based hospital trust. METHODS: Secondary retrospective analysis of data across 33 months extracted from digitally stored Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) plans within the electronic health record system of an acute hospital trust in England, UK. RESULTS: Data analysed from ReSPECT plans (n=23,729), indicate an increase in the proportion of admissions having a plan created from 4...
March 6, 2024: Resuscitation
https://read.qxmd.com/read/38458415/trends-in-presumed-drug-overdose-out-of-hospital-cardiac-arrests-in-san-francisco-2015-2023
#11
JOURNAL ARTICLE
Ralph C Wang, Juan Carlos C Montoy, Robert M Rodriguez, James J Menegazzi, Jeremy Lacocque, David G Dillon
INTRODUCTION: Estimates of the prevalence of drug-related out of hospital cardiac arrest (OHCA) vary, ranging from 1.8 - 10.0% of medical OHCA. However, studies conducted prior to the recent wave of fentanyl deaths likely underestimate the current prevalence of drug-related OHCA. We evaluated recent trends in drug-related OHCA, hypothesizing that the proportion of presumed drug-related OHCA treated by emergency medical services (EMS) has increased since 2015. METHODS: We conducted a retrospective analysis of OHCA patients treated by EMS providers in San Francisco, California between 2015 - 2023...
March 6, 2024: Resuscitation
https://read.qxmd.com/read/38452995/development-and-validation-of-a-prehospital-termination-of-resuscitation-tor-rule-for-out-of-hospital-cardiac-arrest-ohca-cases-using-general-purpose-artificial-intelligence-ai
#12
JOURNAL ARTICLE
Kentaro Kajino, Mohamud R Daya, Atsunori Onoe, Fumiko Nakamura, Mari Nakajima, Kazuhito Sakuramoto, Yasuyuki Marcus Eng Hock Ong, Kuwagata
BACKGROUND: Prehospital identification of futile resuscitation efforts (defined as a predicted probability of survival lower than 1%) for out-of-hospital cardiac arrest (OHCA) may reduce unnecessary transport. Reliable prediction variables for OHCA 'termination of resuscitation' (TOR) rules are needed to guide treatment decisions. The Universal TOR rule uses only three variables (Absence of Prehospital ROSC, Event not witnessed by EMS and no shock delivered on the scene) has been externally validated and is used by many EMS systems...
March 5, 2024: Resuscitation
https://read.qxmd.com/read/38452994/emotional-distress-social-support-and-functional-dependence-predict-readiness-for-hospital-discharge-in-a-prospective-sample-of-cognitively-intact-cardiac-arrest-survivors
#13
JOURNAL ARTICLE
Alexander M Presciutti, Nomin Enkhtsetseg, Katharyn L Flickinger, Patrick J Coppler, Cecelia Ratay, Ankur A Doshi, Sarah M Perman, Ana-Maria Vranceanu, Jonathan Elmer
AIM: To inform screening, referral and treatment initiatives, we tested the hypothesis that emotional distress, social support, functional dependence, and cognitive impairment within 72 hours prior to discharge predict readiness for discharge in awake and alert cardiac arrest (CA) survivors. METHODS: This was a secondary analysis of prospective single-center cohort of CA survivors enrolled between 4/2021 and 9/2022. We quantified emotional distress using the Posttraumatic Stress Disorder Checklist-5 or PROMIS Emotional Distress - Anxiety and Depression Short Forms 4a; perceived social support using the ENRICHD Social Support Inventory; functional dependence using the modified Rankin Scale; and cognitive impairment using the Telephone Interview for Cognitive Status...
March 5, 2024: Resuscitation
https://read.qxmd.com/read/38452993/observer-reported-cognitive-decline-in-out-of-hospital-cardiac-arrest-survivors-and-its-association-with-long-term-survivor-and-relative-outcomes
#14
JOURNAL ARTICLE
Vicky L Joshi, Britt Borregaard, Tina Broby Mikkelsen, Lars H Tang, Erik Blennow Nordström, Sofie Moesgaard Bruvik, Anders Wieghorst, Ann-Dorthe Zwisler, Mette Kirstine Wagner
AIM: Long-term cognitive decline after out-of-hospital cardiac arrest (OHCA) is still poorly understood. This study describes long-term observer-reported cognitive decline among Danish OHCA survivors, including differences in years since the event, and investigates characteristics and self-reported outcomes associated with observer-reported cognitive decline. METHODS: Adults who survived an OHCA from 2016 to 2019, and their relatives, completed the national DANish Cardiac Arrest Survivorship survey...
March 5, 2024: Resuscitation
https://read.qxmd.com/read/38447909/association-of-coronary-angiography-with-st-elevation-and-no-st-elevation-in-patients-with-refractory-ventricular-fibrillation-a-substudy-of-the-double-sequential-external-defibrillation-for-refractory-ventricular-fibrillation-dose-vf-randomized-control-trial
#15
JOURNAL ARTICLE
Saswata Deb, Ian Drennan, Linda Turner, Sheldon Cheskes
BACKGROUND: Refractory ventricular fibrillation or pulseless ventricular tachycardia (rVF/pVT) during out-of-hospital cardiac arrest (OHCA) is associated with poor survival. Double sequential defibrillation (DSED) and vector change (VC) improved survival for rVF/pVT in the DOSE-VF RCT. However, the role of angiography and percutaneous coronary intervention (angiography/PCI) during the trial is unknown. OBJECTIVES: To determine the incidence of ST-elevation (STE) and no ST-elevation (NO-STE) on post-arrest ECG and the use of angiography/PCI in patients with rVF/pVT during the DOSE-VF RCT...
March 4, 2024: Resuscitation
https://read.qxmd.com/read/38447908/what-is-the-best-approach-to-assessing-generative-ai-in-medicine
#16
LETTER
Lingxuan Zhu, Weiming Mou, Jiarui Xie, Peng Luo, Rui Chen
No abstract text is available yet for this article.
March 4, 2024: Resuscitation
https://read.qxmd.com/read/38431074/airway-management-in-resuscitation-following-drowning-is-drowning-research-in-hot-water
#17
EDITORIAL
Paddy Morgan
No abstract text is available yet for this article.
February 29, 2024: Resuscitation
https://read.qxmd.com/read/38428722/thiamine-as-a-metabolic-resuscitator-after-in-hospital-cardiac-arrest
#18
JOURNAL ARTICLE
Katherine M Berg, Anne V Grossestreuer, Lakshman Balaji, Ari Moskowitz, Noa Berlin, Michael N Cocchi, Andrea C Morton, Franklin Li, Shivani Mehta, Natia Peradze, Jeremy Silverman, Xiaowen Liu, Michael W Donnino
INTRODUCTION: Elevated lactate is associated with mortality after cardiac arrest. Thiamine, a cofactor of pyruvate dehydrogenase, is necessary for aerobic metabolism. In a mouse model of cardiac arrest, thiamine improved pyruvate dehydrogenase activity, survival and neurologic outcome. AIM: To determine if thiamine would decrease lactate and increase oxygen consumption after in-hospital cardiac arrest. METHODS: Randomized, double-blind, placebo-controlled phase II trial...
February 28, 2024: Resuscitation
https://read.qxmd.com/read/38428721/a-novel-structured-debriefing-program-for-consensus-determinations-of-in-hospital-cardiac-arrest-predictability-and-preventability
#19
JOURNAL ARTICLE
Patrick G Lyons, Joe Reid, Sara Richardville, Dana P Edelson
AIM: Hospital rapid response systems aim to stop preventable cardiac arrests, but defining preventability is a challenge. We developed a multidisciplinary consensus-based process to determine in-hospital cardiac arrest (IHCA) preventability based on objective measures. METHODS: We developed an interdisciplinary ward IHCA debriefing program at an urban quaternary-care academic hospital. This group systematically reviewed all IHCAs weekly, reaching consensus determinations of the IHCA's cause and preventability across three mutually exclusive categories: 1) unpredictable (no evidence of physiologic instability < 1h prior to and within 24h of the arrest), 2) predictable but unpreventable (meeting physiologic instability criteria in the setting of either a poor baseline prognosis or a documented goals of care conversation) or 3) potentially preventable (remaining cases)...
February 28, 2024: Resuscitation
https://read.qxmd.com/read/38428720/thiamine-as-a-metabolic-resuscitator-after-out-of-hospital-cardiac-arrest
#20
JOURNAL ARTICLE
Michael W Donnino, Katherine M Berg, Jacob Vine, Lakshman Balaji, Noa Berlin, Michael N Cocchi, Ari Moskowitz, Maureen Chase, Franklin Li, Shivani Mehta, Jeremy Silverman, Stanley Heydrick, Xiaowen Liu, Anne V Grossestreuer
INTRODUCTION: Thiamine is a key cofactor for aerobic metabolism, previously shown to improve mortality and neurological outcomes in a mouse model of cardiac arrest. We hypothesized that thiamine would decrease lactate and improve outcomes in post-arrest patients. METHODS: Single center, randomized, blinded, placebo-controlled, Phase II trial of thiamine in adults within 4.5 hours of return of spontaneous circulation after out-of-hospital cardiac arrest (OHCA), with coma and lactate ≥3mmol/L...
February 28, 2024: Resuscitation
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