Search Tag: cardiac arrest

Cardiology Management

Therapeutic-hypothermia-decreases-chances-of-survival

2016 10 Oct

A cohort study of data on 26,183 patients resuscitated from an in-hospital cardiac arrest found that patients treated with therapeutic hypothermia were less likely to survive to hospital discharge or to favourable neurological survival. This is in contrast to out-of-hospital cardiac arrest, where therapeutic hypothermia has been shown to improve survival...Read more

ICU Management

Tracheal-intubation-after-in-hospital-cardiac-arrest-in-children-significant-survival-difference

2016 05 Oct

An observational study of 2294 patients from a large registry found decreased survival to hospital discharge in paediatric patients who were tracheally intubated during in-hospital cardiac arrest. Lars W. Andersen, MD, MPH, of the Research Center for Emergency Medicine, Aarhus University Hospital, Denmark, and colleagues, analysed data from the United...Read more

ICU Management

Therapeutic-hypothermia-associated-with-worse-survival-in-in-hospital-cardiac-arrest

2016 04 Oct

A cohort study of data on 26,183 patients resuscitated from an in-hospital cardiac arrest found that patients treated with therapeutic hypothermia were less likely to survive to hospital discharge or to favourable neurological survival. This is in contrast to out-of-hospital cardiac arrest, where therapeutic hypothermia has been shown to improve survival...Read more

ICU Management

Three-criteria-can-id-ohca-patients-for-potential-organ-donation

2016 12 Sep

Three objective criteria can be used during the first minutes of cardiopulmonary resuscitation to identify patients who have an out-of-hospital cardiac arrest (OHCA), who have zero chance of survival and can be considered for organ donation, thus potentially saving other lives. Xavier Jouven, Georges Pompidou European Hospital, Paris, and colleagues,...Read more

Cardiology Management

Out-of-hospital-cardiac-arrest-can-outcomes-improve

2016 30 Aug

Patients who experience out-of-hospital cardiac arrest (OHCA) rarely survive. Only five percent survive, and even fewer (1-3%) survive with no or minimal neurological sequelae. Experts were on hand at the European Society of Cardiology Congress in Rome this week to sum up current best practice. Alain Combes, Professor of Intensive Care Medicine, University...Read more

ICU Management

Study-delirium-high-after-therapeutic-hypothermia-for-cardiac-arrest

2016 11 Jul

A retrospective study of a small group of patients treated with therapeutic hypothermia after cardiac arrest found a high prevalence of delirium. The researchers reviewed the medical charts of patients treated in the cardiovascular intensive care unit (ICU) at Vanderbilt University Medical Center , Nashville, Tennessee, USA. Of 107 patients who survived...Read more

ICU Management

Review-of-ecmo-in-out-of-hospital-cardiac-arrest

2016 07 Jul

While the role of extracorporeal membrane oxygenation (ECMO) for in-hospital cardiac arrest has good evidence, the benefit of using it for out-of-hospital cardiac arrest (OHCA) is less clear. Favrizio Cirillo, Department for Anaesthesiology and Intensive Care Medicine, University Hospital Cologne, Germany, and colleagues have recently published a...Read more

Cardiology Management

Gender-gap-in-cardiac-arrest-care

2016 21 Jun

New research published in the Journal of the American Heart Association shows that women who have a cardiac arrest are less likely than men to receive potentially life-saving procedures such as angiography to look for blocked coronary arteries or angioplasty to open them.  Lead author of the study Luke Kim, MD, assistant professor of medicine in...Read more

ICU Management

Esa2016-who-benefits-from-intensive-care

2016 14 Jun

When patients and families are increasingly questioning clinical decisions, facts are important when it comes to admitting patients to intensive care. It is vital that critical care physicians have good knowledge of the important prognostic indicators, and use them as foundations for their decisions to admit, said Saxon Ridley, from Glan Clwyd Hospital...Read more

ICU Management

Esa2016-death-by-resuscitation

2016 07 Jun

When anaesthesiologist Sharon Einav took her car to be repaired on the way to hospital one day, she wondered why the mechanic was just leaning on his car. It took a while to realise he was having a heart attack, she related at Euroanaesthesia 2016 in London in May. This lack of situational awareness was an example she used to show how the chain of...Read more

ICU Management

Chain-of-survival-after-out-of-hospital-cardiac-arrest

2016 30 May

The Final Link The "Chain of Survival" Concept After Out-of-Hospital Cardiac Arrest To overcome a time-sensitive and severe condition with a low survival rate—out-of-hospital cardiac arrest (OHCA)—the following four links of the “chain of survival” concept were introduced by Newman in the 1980s (Newman 1989): Early access to emergency medical...Read more

ICU Management

Volume-16-issue-2-2016

2016 27 May

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ICU Management

Taking-the-tablet-improved-resuscitation-performance-and-documentation

2016 21 Apr

Documenting in-hospital cardiopulmonary resuscitations in real time simulations on a tablet-based app improved both clinical performance and documentation quality when carried out by the resuscitation team leader. The study from Germany is published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine . Tobias Grundgeiger...Read more

Cardiology Management

High-rise-building-residents-have-low-cardiac-arrest-survival-rates

2016 19 Jan

A new study has found that survival rates from cardiac arrest decrease the higher up the building a person lives. The study is published in the Canadian Medical Association Journal.    The primary reason for this is that high-rise buildings pose unique barriers for 911-initiated first responders, explains Ian Drennan, paramedic with York Region Paramedic...Read more

Cardiology Management

3-ways-to-improve-cardiac-arrest-survival

2016 04 Jan

Survival rates for patients who suffer cardiac arrest outside of a hospital are extremely low. An editorial published in the  Annals of Emergency Medicine outlines three interventions that could significantly improve survival rates and functional outcomes for such patients. The editorial also highlights the need for additional funding for cardiac...Read more

ICU Management

Icu-volume-15-issue-4-2015

2015 31 Dec

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ICU Management

Therapeutic-hypothermia-for-cardiac-arrest

2015 31 Dec

Targeted temperature management is the key intervention for improving neurological outcomes after cardiac arrest. We discuss new data on the optimal timing and modalities of targeted temperature management.  It took nearly half a century, from 1957 to 2002, for therapeutic hypothermia to acquire its current status as a key intervention for improving...Read more

ICU Management

Reanimate-conference-2016

2016 25 Feb

Learn ECMO, REBOA, and Bleeding Edge Resuscitation A sim lab, a procedure lab, and one-on-one teaching so you can initiate ECMO and perform the most advanced hemodynamic resuscitation on your next cardiac arrest Read more

ICU Management

Resuscitate-nyc-2016

2016 13 Jan

Every January, the Icahn Mount Sinai School of Medicine’s Department of Emergency Medicine and the EMCrit Podcast host > 500 residents and faculty from the Greater NY area for a conference on Resuscitation & Critical Care. On January 13, 2016, this year's conference features short, engaging TED-style talks along with panel experts discussing cutting-edge...Read more

Cardiology Management

Study-shows-little-difference-between-old-and-new-cpr-in-cardiac-arrest

2015 10 Nov

A new study published in the New England Journal of Medicine reveals that continuous chest compression (CCC) is not an improvement over standard CPR. This is the largest study of out-of hospital cardiac arrest ever conducted.  The researchers evaluated over 23,000 adults with out-of-hospital cardiac arrest for whom EMS crews responded. Study patients...Read more

ICU Management

Study-mismatch-between-dnr-orders-and-patient-prognosis

2015 22 Sep

Do-not-resuscitate (DNR) orders are often established for patients whose prognosis is poor. Now new research published in JAMA finds that almost two-thirds of patients with the worst prognosis after in-hospital cardiac arrest did not have DNR orders. “Among patients with a low likelihood of favourable neurological survival after in-hospital cardiac...Read more

Cardiology Management

Carbonated-drinks-linked-with-out-of-hospital-cardiac-arrest

2015 01 Sep

Carbonated beverages are associated with out-of-hospital cardiac arrests of cardiac origin, according to results from the All-Japan Utstein Registry presented for the first time today at ESC Congress. The study in nearly 800,000 patients suggests that limiting consumption of carbonated beverages may be beneficial for health. “Some epidemiologic studies...Read more

ICU Management

Out-of-hospital-cardiac-arrest-improved-outcomes

2015 21 Jul

Two new studies, one conducted in the U.S. and another in Japan, indicate that use of interventions such as cardiopulmonary resuscitation and automated external defibrillators (AEDs) by bystanders and first responders has increased and was associated with improved outcomes for persons who suffered an out-of-hospital cardiac arrest. Both studies are...Read more

Cardiology Management

No-benefits-of-body-cooling-in-children-after-cardiac-arrest

2015 21 May

Body-cooling or therapeutic hypothermia has been a standard of care in treating adults after heart attacks but according to a recently published study, it does not confer any survival-with-quality-of-life benefit for children who are resuscitated after suffering out-of-hospital cardiac arrest. The findings have been published in the New England Journal...Read more

Cardiology Management

Routine-inpatient-admission-not-beneficial-for-patients-with-chest-pain

2015 19 May

According to an article published in JAMA Internal Medicine, routine inpatient admission may not be a beneficial strategy for patients with chest pain. Patients with negative findings and nonconcerning vital signs rarely had adverse cardiac events. Patients with potentially ischaemic chest pain are commonly admitted to the hospital or are kept under...Read more

Cardiology Management

What-happens-when-cardiologists-are-away

2015 03 May

There are two major cardiology conferences in the U.S. These include the American Heart Association conference which takes place in the fall and the American College of Cardiology or ACC conference which usually takes place early in the year. There are over 30,000 cardiologists in the U.S. and approximately 7000 of them are estimated to attend these...Read more

ICU Management

Therapeutic-hypothermia-after-cardiac-arrest-in-children

2015 28 Apr

Research presented at the Pediatric Academic Societies Annual Meeting in San Diego and published simultaneously in the New England Journal of Medicine has found that therapeutic hypothermia is no more effective than normal temperature control for children after cardiac arrest. The NIH/National Heart, Lung and Blood Institute-funded research was a large,...Read more

Cardiology Management

Cognitive-problems-are-common-after-cardiac-arrest

2015 19 Apr

A major international study led by Lund University (Sweden) has found that half of all cardiac arrest survivors experience problems with cognitive functions such as memory and attention. Also, researchers were surprised to learn that a control group comprising heart attack patients had largely the same level of problems. The results suggest that it...Read more

ICU Management

Selenide-protects-heart-muscle-following-cardiac-arrest

2015 14 Apr

According to a new preclinical study by researchers at Fred Hutchinson Cancer Research Center, damage to heart muscle from insufficient blood supply during cardiac arrest and reperfusion injury after blood flow is restored can be reduced by 90 percent if selenide is administered intravenously in the wake of an attack. The findings have been published...Read more

ICU Management

Near-death-brain-signalling-speeds-cardiac-demise

2015 07 Apr

A new laboratory study by the University of Michigan Medical School has shown that, in the moments just before death, a storm of brain activity erupting as the heart deteriorates can play a surprising destabilising role in heart function. “Despite the loss of consciousness and absence of signs of life, internally the brain exhibits sustained, organised...Read more