Search Tag: out-of-hospital

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

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... 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

Cardiac Arrest Centres - the Fourth Link

2016 01 Aug

Treatment of cardiac arrest out of hospital has improved over the last few years. Unlike other acute conditions such as trauma few countries have implemented a regional system of cardiac arrest centres. In their review, Eldar Søreide, Department of Anaesthesiology and Intensive Care, Stavanger University Hospital, Norway and Michael Busch, Department... 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

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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