Search Tag: cardiac arrest

IMAGING Management

Streamlining Management of Cardiac Arrest with the Aid of Point-of-Care Ultrasound

2017 29 May

Point-of-care ultrasound plays an important role in the emergency sector, enabling hospital clinicians and paramedics responding to an urgent call for medical assistance to assess a patient’s condition. Dr Matthew Reed, an Emergency Medicine consultant at the Royal Infirmary of Edinburgh, explained how ultrasound contributes to the management of cardiac... Read more

ICU Management

Volume 17 - Issue 2, 2017

2017 28 May

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ICU Management

Cardiac Arrest

2017 28 May

The “chain of survival” metaphor for improving outcomes from sudden cardiac arrest (CA) was first coined in the 1980s. Since adopted by the American Heart Association and the International Liaison Committee on Resuscitation amongst others, it is a useful tool to concentrate efforts on how to optimise every link in the chain to improve survival and neurologically... Read more

ICU Management

Denmark: Increased Bystander CPR, Decreased Mortality in Out-of-Hospital Cardiac Arrest

2017 28 May

Aregistry study from Denmark has investigated the 1-year risk of anoxic brain damage or nursing home admission and of mortality among patients who survived to day 30 after an out-of-hospital cardiac arrest. The risks were analysed according to whether bystander CPR or defibrillation was performed. The study is published in the New England Journal of... Read more

ICU Management

Out-of-Hospital Cardiac Arrest: Bystander CPR Impact on Survival, Cost

2017 28 May

Bystander cardiopulmonary resuscitation (CPR) is crucial to successful resuscitation following out-of-hospital cardiac arrest (OHCA). New research shows that bystander CPR was positively associated with long-term survival and appears cost-effective, with an incremental costeffectiveness ratio of USD48,044 per quality-adjusted life year (QALY).The findings... Read more

ICU Management

Cardiac Arrest Management

2017 28 May

The treatment of cardiac arrest has made significant progress over the last 10–15 years. This period marks a significant turning point, because the treatment of out-of-hospital cardiac arrest (OHCA) had often been considered an exercise in futility, with no improvement in outcome for the previous 30 years (Berdowski et al. 2010). In recent years, several investigators... Read more

ICU Management

Prehospital Care for Cardiac Arrest: How to Improve Outcome

2017 28 May

More patient lives have been saved after OHCA in recent years, but the numbers can improve further. Increased awareness, more education of laypersons and more first responders, in combination with reduced response times for the EMS and early defibrillation will save many lives   The chances of surviving an out-of-hospital cardiac arrest (OHCA) and returning... Read more

ICU Management

Targeted Therapeutic Mild Hypercapnia After Cardiac Arrest

2017 28 May

Cardiac arrest (CA) causes ischaemic brain injury and persistent cerebral hypoperfusion and cerebral hypoxia during the early post-resuscitation period. PaCO2 is the major physiological regulator of cerebral blood flow, is a modifiable component of care and mild hypercapnia may lead to improved neurological outcomes for resuscitated CA survivors. In... Read more

ICU Management

Prognostication Following Out-of-Hospital Cardiac Arrest

2017 28 May

This article reviews the current evidence on prognostication after cardiac arrest.   Post-resuscitation care has developed and evolved significantly since 2003, following recommendations by the Advanced Life Support task force of the International Liaison Committee on Resuscitation to implement therapeutic hypothermia (TH) in unconscious survivors following out-ofhospital... Read more

ICU Management

Cardiac Arrest: Bystander CPR's Impact on Survival, Cost

2017 16 May

Bystander cardiopulmonary resuscitation (CPR) is crucial to successful resuscitation following out-of-hospital cardiac arrest (OHCA). Now new research shows that bystander CPR was positively associated with long-term survival and appears cost-effective with an incremental cost-effectiveness ratio of USD48,044 per quality-adjusted life year (QALY). The... Read more