Search Tag: OHCA
Hypothermia vs Normothermia After OHCA
2021 22 Jun
Since 2005, the guidelines for the care of unconscious cardiac arrest patients have been to cool the body temperature down to 33 degrees Celsius. However, findings from a large, randomised clinical trial led by Lund University and Region Skåne in Sweden show that this treatment does not improve survival. "These results will affect the current... Read more
COVID-19 and Increase in OHCA
2020 18 Sep
COVID-19 has a wide range of presentations including asymptomatic to various intensity of symptomatic patients, some of whom develop acute respiratory distress syndrome and require mechanical ventilation. COVID-19 first hit in December 2019 in China. Outside of China, Northern Italy was also sufficiently impacted by it, leading to a high number of... Read more
Out-of-Hospital Cardiac Arrests and Resuscitations During COVID-19
2020 25 Jun
New York City saw a three-fold increase in the number of cardiac arrests from March to April 2020 during the COVID-19 pandemic than during the same period in 2019. The purpose of this study was to understand the characteristics and outcomes of people who experienced out-of-hospital cardiac arrests during the pandemic in New York City and whether... Read more
Targeted Temperature Management After Cardiac Arrest
2020 11 Jan
Post-anoxic brain damage after cardiac arrest is a complex condition that is managed through targeted temperature management (TTM) as it is currently the only neuroprotective intervention recommended after out-of-hospital cardiac arrest (OHCA). However, experts have raised concerns about the level of evidence supporting this intervention. Two early... Read more
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
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
#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
#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
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
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