Search Tag: cardiac arrest

ICU Management

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

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

Lighter emergency breathing tubes associated with higher survival after OHCA

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

ICU Management

Hypothermia in neurocritical care patients other than cardiac arrest

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

Cardiology Management

Machine learning tools for predicting clinical outcomes

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

ICU Management

Optimal approach to mechanical ventilation after cardiac arrest

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

Cardiology Management

Study: screening programmes unlikely to prevent sudden cardiac arrest in competitive sport

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

ICU Management

NICE Medtech Innovation Briefing (MIB): ARCTIC SUN® 5000 TEMPERATURE MANAGEMENT SYSTEM

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

ICU Management

Predicting Neurologic Outcome in Cardiac Arrest Patients

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