keyword
https://read.qxmd.com/read/38660025/emergency-resuscitative-thoracotomy-in-severe-trauma-analysis-of-the-nation-wide-registry-data-in-japan
#21
JOURNAL ARTICLE
Hiromu Okano, Takero Terayama, Hiroshi Okamoto, Tsutomu Yamazaki
AIM: Emergency resuscitative thoracotomy is a potentially lifesaving procedure for patients with cardiac pulmonary arrest and profound circulatory failure resulting from a severe injury. However, survival rate post-emergency resuscitative thoracotomy shows considerable variation, with many studies constrained by limited sample sizes and ambiguous criteria for inclusion. Herein, we assessed the outcomes of emergency resuscitative thoracotomy and identified predictors of futility using Japan Trauma Data Bank data...
2024: Acute Medicine & Surgery
https://read.qxmd.com/read/38657949/quality-of-life-and-performance-status-after-cardiopulmonary-resuscitation-a-study-in-cova-da-beira-university-hospital-center-s-intensive-care-unit
#22
JOURNAL ARTICLE
Cláudia Raquel Rodrigues Pratas, Cristina Maria Veiga do Coxo, Vítor Alexandre Gonçalves Branco, Miguel Castelo-Branco Sousa
INTRODUCTION AND OBJECTIVES: Cardiac arrest (CA) is associated with high morbidity and mortality. Many studies focus on survival, but few explore the outcomes. The aim of this study is to analyze the survival curve, independence, quality of life, and performance status after CA. METHODS: This retrospective study included adults admitted to the intensive care unit of Cova da Beira University Hospital Center after CA between 2015 and 2019. We analyzed patient records and applied a questionnaire including EuroQoL's EQ-5D-3L and ECOG performance status...
April 22, 2024: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/38657347/extracorporeal-cardiopulmonary-resuscitation-outcomes-for-children-with-out-of-hospital-and-emergency-department-cardiac-arrest
#23
JOURNAL ARTICLE
Kyle S Bilodeau, Kristen E Gray, D Michael McMullan
OBJECTIVE: Data suggest extracorporeal cardiopulmonary resuscitation (ECPR) improves survival in adult patients with refractory cardiac arrest; however, ECPR outcomes in pediatric patients with out-of-hospital cardiac arrest (OHCA) is lacking. The primary aim of this study was to characterize pediatric patients who experience OHCA or cardiac arrest in the ED (EDCA). The secondary aim was to examine associations of cardiac arrest and location of ECPR cannulation with mortality. METHODS: We performed a retrospective analysis of the Extracorporeal Life Support Organization registry...
April 7, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38654337/development-and-internal-validation-of-an-algorithm-for-estimating-mortality-in-patients-encountered-by-physician-staffed-helicopter-emergency-medical-services
#24
MULTICENTER STUDY
Emil Reitala, Mitja Lääperi, Markus B Skrifvars, Tom Silfvast, Hanna Vihonen, Pamela Toivonen, Miretta Tommila, Lasse Raatiniemi, Jouni Nurmi
BACKGROUND: Severity of illness scoring systems are used in intensive care units to enable the calculation of adjusted outcomes for audit and benchmarking purposes. Similar tools are lacking for pre-hospital emergency medicine. Therefore, using a national helicopter emergency medical services database, we developed and internally validated a mortality prediction algorithm. METHODS: We conducted a multicentre retrospective observational register-based cohort study based on the patients treated by five physician-staffed Finnish helicopter emergency medical service units between 2012 and 2019...
April 23, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38653631/a-service-evaluation-of-measuring-fluid-responsiveness-in-acutely-unwell-hypotensive-patients-outside-of-critical-care
#25
JOURNAL ARTICLE
Adam Rossiter, James Anthony Hilton, S Fizza Haider, Syed M T Nasser, Naomi Boyer, Cath Cooper, Charlene Davis, Debbie Marshall, Emma Skelding, Jennifer Pike, Laura Jarratt, Laura Wood, Lucy Knight, Sophie Holmes, Tamsin Cowman, Elaine Shepley, Natalie Dubravac, Wendy Gray, Caz Munday, Ben Creagh-Brown, Lui Forni
INTRODUCTION: Early recognition and prompt, appropriate management may reduce mortality in patients with sepsis. The Surviving Sepsis Campaign's guidelines suggest the use of dynamic measurements to guide fluid resuscitation in sepsis; although these methods are rarely employed to monitor cardiac output in response to fluid administration outside intensive care units. This service evaluation investigated the introduction of a nurse led protocolised goal-directed fluid management using a non-invasive cardiac output monitor to the standard assessment of hypotensive ward patients...
April 22, 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38653444/a-review-regarding-the-article-health-inequalities-in-cardiopulmonary-resuscitation-and-use-of-automated-electrical-defibrillators-in-out-of-hospital-cardiac-arrest
#26
REVIEW
Yulan Luo, Yaowen Jiang
Out-of-hospital cardiac arrest (OHCA) is a major cause of mortality worldwide, with a high incidence and low survival rate. Prompt cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use are major contributors in the "chain of survival" for OHCA. the response of a community plays a key role in determining the outcomes in OHCA. The outcomes of OHCA are affected by health inequalities in bystander CPR and AED use, due to factors such as differences in sex, ethnicity, and socioeconomic status amongst others...
April 21, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38652707/identifying-areas-of-australia-with-high-out-of-hospital-cardiac-arrest-incidence-and-low-bystander-cardiopulmonary-resuscitation-rates-a-retrospective-observational-study
#27
JOURNAL ARTICLE
Tan Doan, Stuart Howell, Stephen Ball, Judith Finn, Peter Cameron, Emma Bosley, Bridget Dicker, Steven Faddy, Ziad Nehme, Natalie Heriot, Andy Swain, Melanie Thorrowgood, Andrew Thomas, Samuel Perillo, Mike McDermott, Tony Smith, Karen Smith, Jason Belcher, Janet Bray
AIM: This study aims to explore regional variation and identify regions within Australia with high incidence of out-of-hospital cardiac arrest (OHCA) and low rates of bystander cardiopulmonary resuscitation (CPR). METHOD: Adult OHCAs of presumed medical aetiology occurring across Australia between 2017 and 2019 were mapped onto local government areas (LGA) using the location of arrest coordinates. Bayesian spatial models were applied to provide "smoothed" estimates of OHCA incidence and bystander CPR rates (for bystander-witnessed OHCAs) for each LGA...
2024: PloS One
https://read.qxmd.com/read/38652269/cost-effectiveness-of-ecpr-versus-ccpr-in-ohca-a-pre-planned-trial-based-economic-evaluation
#28
JOURNAL ARTICLE
Thijs S R Delnoij, Martje M Suverein, Brigitte A B Essers, Renicus C Hermanides, Luuk Otterspoor, Carlos V Elzo Kraemer, Alexander P J Vlaar, Joris J van der Heijden, Erik Scholten, Corstiaan den Uil, Sakir Akin, Jesse de Metz, Iwan C C van der Horst, Jos G Maessen, Roberto Lorusso, Marcel C G van de Poll
INTRODUCTION: When out-of-hospital cardiac arrest (OHCA) becomes refractory, extracorporeal cardiopulmonary resuscitation (ECPR) is a potential option to restore circulation and improve the patient's outcome. However, ECPR requires specific materials and highly skilled personnel, and it is unclear whether increased survival and health-related quality of life (HRQOL) justify these costs. METHODS: This cost-effectiveness study was part of the INCEPTION study, a multicenter, pragmatic randomized trial comparing hospital-based ECPR to conventional CPR (CCPR) in patients with refractory OHCA in 10 cardiosurgical centers in the Netherlands...
April 23, 2024: European Heart Journal. Acute Cardiovascular Care
https://read.qxmd.com/read/38650518/tapse-spap-prognostic-value-for-in-hospital-adverse-events-in-patients-hospitalized-for-acute-coronary-syndrome
#29
JOURNAL ARTICLE
Charles Fauvel, Jean-Guillaume Dillinger, Claire Bouleti, Antonin Trimaille, Christophe Tron, Anne Solene Chaussade, Christophe Thuaire, Clément Delmas, Albert Boccara, Vincent Roule, Damien Millischer, Eugénie Thevenet, Christophe Meune, Mathilde Stevenard, Clément Charbonnel, Laura Maitre Ballesteros, Thibaut Pommier, Amine El Ouahidi, Fédérico Swedsky, David Martinez, Marie Hauguel-Moreau, Guillaume Schurtz, Augustin Coisne, Valentin Dupasquier, Thomas Bochaton, Edouard Gerbaud, Etienne Puymirat, Patrick Henry, Théo Pezel
AIMS: Although several studies have shown that the right ventricular to pulmonary artery (RV-PA) coupling, assessed by the ratio between tricuspid annular plane systolic excursion and systolic pulmonary artery pressure (TAPSE/sPAP) using echocardiography, is strongly associated with cardiovascular events, its prognostic value is not established in acute coronary syndrome (ACS). We aimed to assess the in-hospital prognostic value of TAPSE/sPAP among patients hospitalized for ACS in a retrospective analysis from the prospective ADDICT-ICCU study...
April 23, 2024: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/38649088/evaluating-the-impact-of-elso-guideline-adherence-on-favorable-neurological-outcomes-among-patients-requiring-extracorporeal-cardiopulmonary-resuscitation-for-out-of-hospital-cardiac-arrest
#30
JOURNAL ARTICLE
Akira Kawauchi, Yohei Okada, Makoto Aoki, Tomoko Ogasawara, Takashi Tagami, Nobuya Kitamura, Mitsunobu Nakamura
AIM: Selecting the appropriate candidates for extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA) is challenging. Previously, the Extracorporeal Life Support Organization (ELSO) guidelines suggested the example of inclusion criteria. However, it is unclear whether patients who meet the inclusion criteria of the ELSO guidelines have more favorable outcomes. We aimed to evaluate the relationship between the outcomes and select inclusion criteria of the ELSO guidelines...
April 20, 2024: Resuscitation
https://read.qxmd.com/read/38649087/biomarkers-for-neuroprognostication-after-standard-versus-extracorporeal-cardiopulmonary-resuscitation-a-sub-analysis-of-prague-ohca-study
#31
JOURNAL ARTICLE
Helena Brodska, Jana Smalcova, Petra Kavalkova, Danielle R Lavage, Milan Dusik, Jan Belohlavek, Tomas Drabek
BACKGROUND: Limited evidence exists for prognostic performance of biomarkers in patients resuscitated from out-of-hospital cardiac arrest (OHCA) with extracorporeal CPR (ECPR). We hypothesized that (1) the time course and (2) prognostic performance of biomarkers might differ between CPR and ECPR in a sub-analysis of Prague-OHCA study. METHODS: Patients received either CPR (n=164) or ECPR (n=92). The primary outcome was favorable neurologic survival at 180 days [cerebral performance category (CPC) 1-2]...
April 20, 2024: Resuscitation
https://read.qxmd.com/read/38649086/the-association-of-recent-simulation-training-and-clinical-experience-of-team-leaders-with-cardiopulmonary-resuscitation-quality-during-in-hospital-cardiac-arrest
#32
JOURNAL ARTICLE
Johannes Wittig, Bo Løfgren, Rasmus P Nielsen, Rikke Højbjerg, Kristian Krogh, Hans Kirkegaard, Robert A Berg, Vinay M Nadkarni, Kasper G Lauridsen
OBJECTIVE: We aimed to investigate the association of recent team leader simulation training (<6 months) and years of clinical experience (≥4 years) with chest compression quality during in-hospital cardiac arrest (IHCA). METHODS: This cohort study of IHCA in four Danish hospitals included cases with data on chest compression quality and team leader characteristics. We assessed the impact of recent simulation training and experienced team leaders on longest chest compression pause duration (primary outcome), chest compression fraction (CCF), and chest compression rates within guideline recommendations using mixed effects models...
April 20, 2024: Resuscitation
https://read.qxmd.com/read/38646094/resuscitation-for-out-of-hospital-cardiac-arrest-in-ireland-2012-2020-modelling-national-temporal-developments-and-survival-predictors
#33
JOURNAL ARTICLE
Tomás Barry, Alice Kasemiire, Martin Quinn, Conor Deasy, Gerard Bury, Siobhan Masterson, Ricardo Segurado, Andrew W Murphy
AIM: To explore potential predictors of national out-of-hospital cardiac arrest (OHCA) survival, including health system developments and the COVID pandemic in Ireland. METHODS: National level OHCA registry data from 2012 through to 2020, relating to unwitnessed, and bystander witnessed OHCA were interrogated. Logistic regression models were built by including predictors through stepwise variable selection and enhancing the models by adding pairwise interactions that improved fit...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38646093/ongoing-cpr-with-an-onboard-physician
#34
JOURNAL ARTICLE
Alfredo Echarri Sucunza, Patricia Fernández Del Valle, Jose Antonio Iglesias Vázquez, Youcef Azeli, Jose María Navalpotro Pascual, Juan Valenciano Rodriguez, Cristian Fernández Barreras, Sonia Royo Embid, Carmen Gutiérrez-García, María Isabel Ceniceros Rozalén, Cesar Manuel Guerra García, Carmen Del Pozo Pérez, María José Luque-Hernández, Silvia Sola Muñoz, Ana Belén Forner Canos, María Isabel Herrera Maíllo, Marcos Juanes García, Natividad Ramos García, Belén Muñoz Isabel, Junior Jose García Mendoza, José Antonio Cortés Ramas, Faustino Redondo Revilla, Inmaculada Mateo-Rodríguez, Félix Rivera Sanz, Emily Knox, Antonio Daponte Codina, José Ignacio Ruiz Azpiazu, Fernando Rosell Ortiz
INTRODUCTION: Recent data are not available on ongoing CPR for emergency services with an onboard physician. The aim of the present study was to identify factors associated with the decision to transport patients to hospital with ongoing CPR and examine their survival to hospital discharge with good neurological status. METHODS: An observational study based on a registry of out-of-hospital cardiac arrests attended to by emergency services with an onboard physician...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38646092/an-18-year-single-centre-retrospective-study-of-long-term-neurological-outcomes-in-paediatric-submersion-related-cardiac-arrests
#35
JOURNAL ARTICLE
Denne Scharink, Maayke Hunfeld, Marijn Albrecht, Karolijn Dulfer, Matthijs de Hoog, Annabel van Gils, Rogier de Jonge, Corinne Buysse
AIM: Investigate long-term outcome in paediatric submersion-related cardiac arrests (CA). METHODS: Children (age one day-17 years) were included if admitted to the Erasmus MC Sophia Children's Hospital, after drowning with CA, between 2002 and 2019. Primary outcome was survival with favourable neurological outcome, defined as a Paediatric Cerebral Performance Category (PCPC) score of 1-3 at longest available follow-up. Secondary outcome were age-appropriate neuropsychological assessments at longest available follow-up...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38646091/the-german-resuscitation-registry-epidemiological-data-for-out-of-hospital-and-in-hospital-cardiac-arrest
#36
JOURNAL ARTICLE
Jan Wnent, Jan-Thorsten Gräsner, Matthias Fischer, Alexandra Ramshorn-Zimmer, Andreas Bohn, Berthold Bein, Stephan Seewald
INTRODUCTION: The German Resuscitation Registry was started in 2007 and collects data on out-of-hospital as well as in-hospital cardiac arrest and resuscitation. It has collected more than 400.000 datasets till today. METHODS: The German Resuscitation Registry (GRR) is a voluntary quality improvement tool and research tool for out-of-hospital and in-hospital resuscitation as well as in-hospital emergency treatment. It collects data for initial treatment, in-hospital care as well as long-term outcome in an online database...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38643059/organ-donation-from-patients-receiving-extracorporeal-membrane-oxygenation-a-systematic-review
#37
JOURNAL ARTICLE
Sasa Rajsic, Benedikt Treml, Nicole Innerhofer, Christine Eckhardt, Aleksandra Radovanovic Spurnic, Robert Breitkopf
OBJECTIVE: The mismatch between the demand for and supply of organs for transplantation is steadily growing. Various strategies have been incorporated to improve the availability of organs, including organ use from patients receiving extracorporeal membrane oxygenation (ECMO) at the time of death. However, there is no systematic evidence of the outcome of grafts from these donors. DESIGN: Systematic literature review (Scopus and PubMed, up to October 11, 2023). SETTING: All study designs...
March 20, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38640316/observation-of-the-effect-of-hypothermia-therapy-combined-with-optimized-nursing-on-brain-protection-after-cardiopulmonary-resuscitation-a-retrospective-case-control-study
#38
JOURNAL ARTICLE
Yan You, Zheng Gong, Yaxu Zhang, Lirong Qiu, Xiahong Tang
This study aimed to investigate the impact of optimized emergency nursing in conjunction with mild hypothermia nursing on neurological prognosis, hemodynamics, and complications in patients with cardiac arrest. A retrospective analysis was conducted on the medical records of 124 patients who received successful cardiopulmonary resuscitation (CPR) at Fujian Provincial Hospital South Branch. The patients were divided into control and observation groups, each consisting of 62 cases. The brain function of both groups was assessed using the Glasgow Coma Scale and the National Institutes of Health Stroke Scale...
April 19, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38636955/duration-of-cardiopulmonary-resuscitation-and-outcomes-for-adults-with-in-hospital-cardiac-arrest-retrospective-cohort-study
#39
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
April 18, 2024: BMJ: British Medical Journal
https://read.qxmd.com/read/38636600/cerebral-edema-following-cardiac-arrest-are-all-shades-of-gray-equal
#40
EDITORIAL
Rachel Beekman, Emily J Gilmore
No abstract text is available yet for this article.
April 16, 2024: Resuscitation
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