Search Tag: cardiac arrest
2018 27 Aug
Insights from the PARAMEDIC2 trial and future improvements Perkins et al. have advanced the long-awaited PARAMEDIC2 trial (Perkins et al. 2018). They deserve to be congratulated for such a well-interpreted and well-designed contribution. The study’s two main outcomes are as follows: the Epinephrine group had a significantly improved inpatient survival...Read more
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
2018 01 Jun
When paramedics used a new, more flexible laryngeal breathing tube to give oxygen to patients who had had an out-of-hospital cardiac arrest, these patients survived longer than patients who received oxygen via the traditional endotracheal tube, according to the results of a large randomised controlled trial conducted in the USA. The results...Read more
2018 16 Mar
Hypothermia (HT) is a cornerstone of neuroprotective strategies and has been used in critical care for acutely brain injured adult patients for many years. This review aims to discuss the clinical evidence supporting the use of HT in neurocritical care patients beyond care after cardiac arrest (CA), such as traumatic brain injury (TBI), acute ischaemic...Read more
2018 06 Mar
New research findings suggest that machine learning may usher in a new era in digital healthcare tools that are able to predict clinical outcomes in patients with known or potential heart problems. These findings are from several studies being presented at the American College of Cardiology's 67th Annual Scientific Session. The new studies presented...Read more
2017 05 Dec
Return of spontaneous circulation after cardiac arrest results in a systemic inflammatory state called the post-cardiac arrest syndrome (PCAS), characterised by oxidative stress, coagulopathy, neuronal injury, and organ dysfunction. Further, patients who suffer cardiac arrest are at high risk for pulmonary infection. Meticulous attention to mechanical...Read more
2017 21 Nov
New research suggests that screening programmes for cardiac conditions are not effective in preventing sudden cardiac arrest in competitive sport, and may prevent healthy athletes from participating. The findings, published in the New England Journal of Medicine, show that more than 80 percent sudden cardiac arrests in competitive sports could...Read more
2017 25 Aug
NICE has developed a medtech innovation briefing (MIB) on the Arctic Sun® 5000 Temperature management System. The Arctic Sun® 5000 Temperature management system is a non-invasive system for controlling and monitoring body temperature within the range of 32°C to 38.5°C. It is intended for use in adults who are comatose after sudden cardiac...Read more
2017 11 Jul
Researchers in South Korea previously reported that diffusion-weighted magnetic resonance imaging (DW-MRI) could be used to predict neurologic outcomes before targeted temperature management (TTM) after return of spontaneous circulation (ROSC) from cardiac arrest. In a new study, the same team of researchers compared the efficacy of brain computed...Read more
2017 24 Jun
The European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) has created a novel smartphone application that can direct responders to cardiac arrest victims more than three minutes before the emergency services arrive. Each minute increases the chances of survival by 10%. According to EHRA spokesperson...Read more
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...Read more
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...Read more
2017 28 May
A registry 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...Read more
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
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
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)...Read more
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....Read more
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...Read more
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)....Read more
2017 11 Apr
Sepsis-associated cardiac arrest is a relatively common occurrence with especially poor outcomes. A review paper, published in Journal of Critical Care, discusses the epidemiology of sepsis-associated in-hospital cardiac arrest in adults and children, the relevant physiology responsible for its pathogenesis and poor outcomes, and potential therapeutic...Read more
2017 02 Apr
For cardiac arrest patients, admission to a specialist heart centre rather than to the nearest general hospital is associated with improved chances of survival, according to a study reported in European Heart Journal. Researchers say that distance needed to travel to a specialist heart centre is not linked to better or worse risk of death. See Also...Read more
2017 14 Mar
Most cardiac arrest (CA) patients remain comatose post resuscitation, prompting goals-of-care (GOC) conversations. Researchers studying the impact of these conversations on patient outcomes have found that most CA survivors due to family wishes despite poor neurological prognosis die or have poor outcomes at one-year. The findings will be published...Read more
2017 31 Jan
A multi-centre observational study was conducted to report the duration of resuscitation for patients after an in-hospital cardiac arrest as well as to examine the relationship between resuscitation and neurologically intact survival to discharge. See Also : ESA2016: Death by Resuscitation? For the purpose of the study, the authors collated...Read more
2016 14 Nov
According to a study presented at the Resuscitation Science Symposium at the American Heart Association’s Scientific Sessions 2016 , patients who have been taking statins have better chances of surviving longer after a cardiac arrest. See Also : High-Intensity Statin Therapy Linked to Lower Risk of Death Cholesterol-lowering...Read more
2016 25 Oct
A meta-analysis of therapeutic hypothermia (TH) after out-of-hospital cardiac arrest (OHCA) concludes that it is associated with a survival and neuroprotective benefit, even when including patients with non-shockable rhythms, more lenient downtimes, unwitnessed arrest and/or persistent shock after return of spontaneous circulation (ROSC). Therapeutic...Read more
2016 25 Oct
An observational study from Denmark, based on data from the Danish Cardiac Arrest Registry, found an association between prehospital physician-delivered advanced cardiac life support as a supplement to emergency medical services and better 30-day survival. The article, by Annika Hamilton, Department of Anaesthesiology and Intensive Care, Hvidovre Hospital,...Read more