Jessie S Davis, Jared A Johns, David J Olvera, Allen C Wolfe, Alin Gragossian, Eliana M Rees, Edward A Pillar, Daniel P Davis
OBJECTIVE: Traditional vital sign thresholds reflect an increased risk of mortality, which may occur hours, days, or weeks following illness/injury, limiting immediate clinical significance to guide rescue therapy to avoid arrest. Our objective is to explore vital sign patterns prior to arrest due to shock. DESIGN: This retrospective observational analysis utilized physiological data from adult helicopter patients suffering provider-witnessed arrest. Pre-arrest values for systolic blood pressure (SBP), mean arterial pressure (MAP), heart rate (HR), shock index, and end-tidal carbon dioxide (EtCO2) were modeled against time using polynomial linear regression...
June 2019: Resuscitation