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CPR Performance

Shu-Jian Wei, Fang-Yun Luan, Da-Yu He, Feng Xu, Yu-Guo Chen
RATIONALE: Primary percutaneous coronary intervention (PPCI) is the most effective therapy for patients with an acute ST-segment elevation myocardial infarction (STEMI). However, up to half of STEMI patients suffer from coronary microvascular dysfunction, presenting as the slow flow or no-reflow phenomenon. PATIENTS CONCERNS: A 78-year-old man was admitted to the chest pain center with sudden chest pain and tightness for about an hour. DIAGNOSES: Electrocardiography demonstrated ST-segment elevation in leads II, III, aVF, and third-degree atrioventricular block...
February 2019: Medicine (Baltimore)
Urs Pietsch, Giacomo Strapazzon, Dimitri Ambühl, Volker Lischke, Simon Rauch, Jürgen Knapp
BACKGROUND: Human external cargo (HEC) extrication during helicopter rescue missions is commonly used in mountain emergency medical services. Furthermore, longline or winch operations offer the opportunity to deliver professional medical care onsite. As the safety and quality of emergency medical care depends on training and experience, we aimed to investigate characteristics of mountain rescue missions with HEC. METHODS: We retrospectively reviewed all rescue missions conducted by Air Zermatt (a commercial rescue service in the high-alpine region of Switzerland) from January 2010 to September 2016...
February 13, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Kuan-Yu Chen, Ying-Chih Ko, Ming-Ju Hsieh, Wen-Chu Chiang, Matthew Huei-Ming Ma
BACKGROUND: Performing high-quality bystander cardiopulmonary resuscitation (CPR) improves the clinical outcomes of victims with sudden cardiac arrest. Thus far, no systematic review has been performed to identify interventions associated with improved bystander CPR quality. METHODS: We searched Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL, Ovid PsycInfo, Thomson Reuters SCI-EXPANDED, and the Cochrane Central Register of Controlled Trials to retrieve studies published from 1 January 1966 to 5 October 2018 associated with interventions that could improve the quality of bystander CPR...
2019: PloS One
Nichole Bosson, Andrea Fang, Amy H Kaji, Marianne Gausche-Hill, William J French, David Shavelle, Joseph L Thomas, James T Niemann
BACKGROUND: This study evaluates differences in out-of-hospital cardiac arrest (OHCA) characteristics, interventions, and outcomes by race/ethnicity. METHODS: This is a retrospective analysis from a regionalized cardiac system. Outcomes for all adult patients treated for OHCA with return of spontaneous circulation (ROSC) were identified from 2011-2014. Stratifying by race/ethnicity with White as the reference group, patient characteristics, treatment, and outcomes were evaluated...
February 9, 2019: Resuscitation
Violeta González-Salvado, Cristian Abelairas-Gómez, Carlos Peña-Gil, Carmen Neiro-Rey, Roberto Barcala-Furelos, José Ramón González-Juanatey, Antonio Rodríguez-Núñez
The aim of this study was to examine the effectiveness of a novel cardiopulmonary resuscitation (CPR) training method embedded in a cardiac rehabilitation program at enhancing patients' CPR and defibrillation skills. One hundred and fourteen participants with coronary heart disease enrolled on an exercise-based cardiac rehabilitation program were included. Two groups were randomly allocated to different training programs: CPR-retraining based on hands-on rolling refreshers during the 2-month program (G-CPR, n = 53) versus standard one-time training (G-Stan, n = 61)...
February 11, 2019: Health Education Research
Melania M Bembea, Derek K Ng, Nicole Rizkalla, Peter Rycus, Javier J Lasa, Heidi Dalton, Alexis A Topjian, Ravi R Thiagarajan, Vinay M Nadkarni, Elizabeth A Hunt
OBJECTIVES: The aim of this study was to determine cardiac arrest- and extracorporeal membrane oxygenation-related risk factors associated with unfavorable outcomes after extracorporeal cardiopulmonary resuscitation. DESIGN: We performed an analysis of merged data from the Extracorporeal Life Support Organization and the American Heart Association Get With the Guidelines-Resuscitation registries. SETTING: A total of 32 hospitals reporting to both registries between 2000 and 2014...
February 8, 2019: Critical Care Medicine
Verónica Tíscar-González, Joan Blanco-Blanco, Montserrat Gea-Sánchez, Ascensión Rodriguez Molinuevo, Teresa Moreno-Casbas
Background: Nurses are often the first to activate the chain of survival when a cardiorespiratory arrest happens. That is why it is crucial that they keep their knowledge and skills up-to-date and their attitudes to resuscitation are very important. The main aim of this study was to analyse whether the level of theoretical and practical understanding affected the attitudes of nursing staff. Methods: A questionnaire was designed using the Delphi technique (three rounds)...
2019: PeerJ
Hamed Tavan, Ali Sahebi, Mohamad Golitaleb
No abstract text is available yet for this article.
July 2018: Journal of Tehran Heart Center
Hon-Wai Benjamin Cheng, Pui-Shan Karen Shek, Ching-Wah Man, Oi-Man Chan, Chun-Hung Chan, Kit-Man Lai, Suk-Ching Cheng, Koon-Sim Fung, W K Lui, Carman Lam, Yuen-Kwan Ng, Wan-To Wong, Cherry Wong
BACKGROUND: Noncancer patients with life-limiting diseases often receive more intensive level of care in their final days of life, with more cardiopulmonary resuscitation performed and less do-not-resuscitate (DNR) orders in place. Nevertheless, death is still often a taboo across Chinese culture, and ethnic disparities could negatively affect DNR directives completion rates. OBJECTIVES: We aim to explore whether Chinese noncancer patients are willing to sign their own DNR directives in a palliative specialist clinic, under a multidisciplinary team approach...
February 11, 2019: American Journal of Hospice & Palliative Care
Jun Young Hong, Je Hyeok Oh
Objective: This study was conducted to determine why rescuers could maintain adequate chest compression depth for longer periods during conventional cardiopulmonary resuscitation (CPR). Methods: Various CPR parameters, including average compression depth (ACD), average compression rate, average ventilation time (AVT), and rescuers' heart rates were recorded in real-time when 20 health care providers performed 10 minutes of conventional CPR during a simulation experiment...
February 12, 2019: Clinical and Experimental Emergency Medicine
Martine E Bol, Martje M Suverein, Roberto Lorusso, Thijs S R Delnoij, George J Brandon Bravo Bruinsma, Luuk Otterspoor, Marijn Kuijpers, Ka Yan Lam, Alexander P J Vlaar, Carlos V Elzo Kraemer, Joris J van der Heijden, Erik Scholten, Antoine H G Driessen, José M Montero Cabezas, Saskia Z H Rittersma, Bram G Heijnen, Fabio S Taccone, Brigitte Essers, Tammo Delhaas, Patrick W Weerwind, Paul M H J Roekaerts, Jos G Maessen, Marcel C G van de Poll
Return of spontaneous circulation occurs in less than 10% of patients with cardiac arrest undergoing cardiopulmonary resuscitation (CPR) for more than 15 minutes. Studies suggest that extracorporeal life support during cardiopulmonary resuscitation (ECPR) improves survival rate in these patients. These studies, however, are hampered by their non-randomized, observational design and are mostly single-center. A multicenter, randomized controlled trial is urgently warranted to evaluate the effectiveness of ECPR...
December 14, 2018: American Heart Journal
Byung Hee Kang, Donghwan Choi, Yo Huh, Junsik Kwon, Kyoungwon Jung, John Cook-Jong Lee, Jonghwan Moon
BACKGROUND: Resuscitative thoracotomy (RT) can be a lifesaving treatment, but it has not yet been performed in Korea. In this study, we review our experience of RT after a regional trauma center was constructed. METHODS: This is a retrospective study of RT conducted at a single Korean trauma center from May 2014 to March 2018. The primary outcome was survival, and the secondary outcome was return of spontaneous circulation (ROSC). The clinical characteristics of the patients were compared between the ROSC and non-ROSC groups...
February 8, 2019: World Journal of Surgery
Kartik Kulkarni, Erik Hildahl, Ramesh Dutta, Sandra C Webber, Steven Passmore, Gerren K McDonald, Gordon G Giesbrecht
INTRODUCTION: To evaluate the rewarming effectiveness of a similar amount of heat (from a charcoal heater) applied to either the head or torso in a human model for severe hypothermia in which shivering is pharmacologically inhibited in mildly hypothermic subjects. METHODS: Six male subjects were cooled on 3 different occasions, each in 8°C water for 60 min, or to a lowest core temperature of 35°C. Shivering was inhibited by intravenous meperidine (1.5 mg·kg-1 ), administered during the last 10 min of the cold-water immersion...
February 5, 2019: Wilderness & Environmental Medicine
Bogusław Bucki, Dariusz Waniczek, Robert Michnik, Jacek Karpe, Andrzej Bieniek, Arkadiusz Niczyporuk, Joanna Makarska, Tomasz Stepien, Dariusz Myrcik, Hanna Misiołek
BACKGROUND: In pursuit of improvement in cardiopulmonary resuscitation (CPR), new technologies for the measurement and assessment of CPR quality are implemented. In our study, we assessed the kinematics of the rescuer during continuous chest compression (CCC-CPR). The proper performance of the procedure is a survival predictor for patients with cardiac arrest (CA). The purpose of the study was a prospective assessment of the kinematics of the rescuer's body with consideration given to the depth and rate of chest compression (CC) as the indicator of properly performed CC maneuver by professional and non-professional rescuers during a simulation of a 10-min CCC using a manikin...
February 8, 2019: European Journal of Medical Research
Patrick H Pun, Matthew E Dupre, Monique A Starks, Clark Tyson, Kimberly Vellano, Laura P Svetkey, Steen Hansen, Brian G Frizzelle, Bryan McNally, James G Jollis, Sana M Al-Khatib, Christopher B Granger
BACKGROUND: Out-of-hospital cardiac arrest, the leading cause of death among patients on hemodialysis, occurs frequently within outpatient dialysis centers. Practice guidelines recommend resuscitation training for all dialysis clinic staff and on-site defibrillator availability, but the extent of staff involvement in cardiopulmonary resuscitation (CPR) efforts and its association with outcomes is unknown. METHODS: We used data from the Cardiac Arrest Registry to Enhance Survival and the Centers for Medicare & Medicaid Services dialysis facility database to identify patients who had cardiac arrest within outpatient dialysis clinics between 2010 and 2016 in the southeastern United States...
February 7, 2019: Journal of the American Society of Nephrology: JASN
Murtaza Bharmal, Joseph M Venturini, Rhys F M Chua, Willard Sharp, David G Beiser, Corey Tabit, Taishi Hirai, Jonathan R Rosenberg, Janet Friant, John E A Blair, Jonathan D Paul, Sandeep Nathan, Atman P Shah
BACKGROUND: Extracorporeal cardiopulmonary resuscitation (ECPR) is a resource-intensive tool that provides haemodynamic and respiratory support in patients who have suffered cardiac arrest. In this study, we investigated the cost-utility of ECPR (cost/QALY) in cardiac arrest patients treated at our institution. METHODS: We performed a retrospective review of patients who received ECPR following cardiac arrest between 2012 and 2018. All medical care-associated charges with ECPR and subsequent hospital admission were recorded...
February 1, 2019: Resuscitation
Patrick Michaelis, Richard J Leone
More than 250 000 cardiac surgical procedures are performed annually in the United States. Postoperative cardiac arrest rates range from 0.7% to 5.2%. This article reviews current evidence for cardiac arrest resuscitation after cardiac surgery. The evaluation included resuscitation guidelines and 22 studies identified through a MEDLINE search. Evidence-based resuscitation differs from advanced cardiovascular life support guidelines. European Resuscitation Council guidelines include correcting reversible causes of arrest, applying defibrillation/pacing before external cardiopulmonary resuscitation, resternotomy within 5 minutes if electrical therapies fail, and restricting epinephrine use to avoid rebound hypertension...
February 2019: Critical Care Nurse
Wataru Takayama, Akira Endo, Hazuki Koguchi, Kiyoshi Murata, Yasuhiro Otomo
BACKGROUND: Although patients with out-of-hospital cardiac arrest (OHCA) have a lower survival rate during night-time than during day-time, the cause of this difference remains unclear. We aimed to assess CPR parameters according to time period based on in-hospital cardiopulmonary resuscitation (IHCPR) duration and the frequency of iatrogenic chest injuries among OHCA patients. METHODS: This two-centre observational cohort study evaluated non-traumatic OHCA patients who were transferred between 2013-2016...
January 29, 2019: Resuscitation
Yonghong Wang, Jie Wang, Guolan Wu, Ronghua Yang, Shouhui Wang, Manguo Zhao, Shijun Zhu, Xusheng Li, Yongsheng Chen
OBJECTIVE: To investigate the effect of active abdominal compression-decompression cardiopulmonary resuscitation (AACD-CPR) in patients with pre-hospital respiratory and cardiac arrest. METHODS: Forty-five patients with respiratory and cardiac arrest, and with contraindication of chest compression admitted to Baiyin Central Hospital of Gansu Province from March 2012 to September 2018 were enrolled, and they were divided into two groups according to random number table...
January 2019: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Nannan Ding, Li Yao, Zhigang Zhang, Liping Yang, Lingjie Jiang, Biantong Jiang, Yuchen Wu, Caiyun Zhang, Jinhui Tian
OBJECTIVE: To determine the safety criteria for early goal-oriented rehabilition exercise in patients undergoing mechanical ventilation in intensive care unit (ICU) by systematic review. METHODS: Randomized controlled trails (RCTs) and cohort studies about early goal-oriented rehabilition exercise in patients undergoing mechanical ventilation in ICU were retrieved in CBM, CNKI, Wanfang Data, PubMed, Cochrane Library and Web of Science from their foundation to March 2018, and other sources as supplement was also retrieved...
January 2019: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
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