Search Tag: OHCA

ICU Management

Extracorporeal Cardiopulmonary Resuscitation in OHCA

2019 14 Nov

Out-of-hospital cardiac arrest (OHCA) without return of spontaneous circulation (ROSC) despite conventional resuscitation is common and has poor outcomes. Adding extracorporeal membrane oxygenation (ECMO) to cardiopulmonary resuscitation (extracorporeal-CPR) is increasingly used in an attempt to improve outcomes. A new study analysed a prospective... Read more

ICU Management

Sex-Specific Differences in Survival After OHCA

2019 02 Aug

The survival outcomes of out-of-hospital cardiac arrests (OHCAs) can be influenced by many factors including age, the presence of witnesses, emergency service response time etc. However, it is still widely debated whether sex is a contributing factor to survival. This hypothesis was recently tested by the analysis of 386,535 individuals from the Japanese... Read more

ICU Management

#ISICEM19: Adrenaline is here to stay

2019 25 Mar

At the 39th International Symposium on Intensive Care and Emergency Medicine in Brussels, Belgium, Professor Jerry Nolan discussed the role of adrenaline. He highlighted that there are many observational studies out there that suggested that the use of adrenaline [epinephrine], while it increased the return of spontaneous circulation (ROSC),... Read more

ICU Management

#ISICEM19: New developments in CPR; machine learning - Professor Jerry Nolan

2019 20 Mar

At this years  39th International Symposium on Intensive Care and Emergency Medicine ,  Professor Jerry Nolan , a consultant in anaesthesia and intensive care medicine at the Royal United Hospital, Bath, talked about new developments in CPR during the Max Harry Weil Lecture, one of the most important presentations at #ISICEM19. Dr. Max Harry Weil... Read more

ICU Management

Machine learning improves prediction of OHCA survival

2018 04 Dec

Cardiac arrest, a leading cause of admission to the intensive care unit (ICU), is associated with high mortality. Current illness severity scores perform poorly in predicting survival for this patient group. New research from Australia shows machine learning (ML) techniques can significantly increase the accuracy of estimating survival for ICU patients... Read more

ICU Management

OHCA airway management: laryngeal tube insertion vs. endotracheal intubation

2018 29 Aug

Among adults with out-of-hospital cardiac arrest (OHCA), a strategy of initial laryngeal tube (LT) insertion, compared with endotracheal intubation (ETI), was associated with greater likelihood of 72-hour survival, according to a new randomised clinical trial published in JAMA. "These findings suggest that LT insertion may be considered as... Read more

ICU Management

PARAMEDIC2: Is epinephrine a safe and effective treatment for cardiac arrest?

2018 24 Jul

In addition to early initiation of cardiopulmonary resuscitation (CPR), treatment strategies for out-of-hospital cardiac arrest have included the use of various drugs, but there is limited evidence that such medications are effective. Results of the  clinical trial (Pre-hospital Assessment of the Role of Adrenaline: Measuring the Effectiveness of Drug... Read more

ICU Management

Optimising community-based interventions to improve OHCA survival

2018 24 Apr

New research from Norway shows that out-of-hospital cardiac arrest (OHCA) survival was higher in urban compared to rural areas. To save more lives following OHCA, continuous endeavours to optimise modifiable prehospital factors (e.g., bystander CPR and response time) are required to improve every link in the chain of survival, according to the study... Read more

ICU Management

Pre-hospital ECPR: challenges and benefits

2018 10 Apr

Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extracorporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest compressions. Pre-hospital delivery... Read more

ICU Management

Importance of community treatment in OHCA

2018 20 Mar

Sudden out-of-hospital cardiac arrest (OHCA) is the most time-critical medical emergency. Survival from OHCA remains poor globally. Successful resuscitation relies on a strong chain of survival with the community, dispatch centre, ambulance, and hospital working together, according to a review paper in The Lancet, noting that early cardiopulmonary... Read more