Search Tag: out-of-hospital cardiac arrest

Cardiology Management

#ESCCongress: Insights from the TOMAHAWK Trial

2021 29 Aug

Late-breaking research presented at a hot line session at ESC Congress 2021 shows that early coronary angiography in out-of-hospital cardiac arrest (OHCA) patients without ST-segment elevation is not superior to a delayed/selective approach.   The timing and usefulness of coronary angiography in OHCA survivors without ST-segment elevation are still... Read more

Cardiology Management

Hypothermia vs Normothermia After OHCA

2021 22 Jun

Since 2005, the guidelines for the care of unconscious cardiac arrest patients have been to cool the body temperature down to 33 degrees Celsius. However, findings from a large, randomised clinical trial led by Lund University and Region Skåne in Sweden show that this treatment does not improve survival.    "These results will affect the current... Read more

ICU Management

Passive Leg Raising in Out-of-Hospital Cardiac Arrest

2021 08 Jun

  Survival among patients with out-of-hospital cardiac arrest (OHCA) is typically quite low. Survival in OHCA is dependent on several factors, including the performance of early bystander cardiopulmonary resuscitation (CPR), the use of public automatic external defibrillators (AEDs), and the performance of high-quality CPR or the post-resuscitation... Read more

ICU Management

Cardiac Arrest in COVID-19 - Characteristics and Outcomes

2021 23 Feb

A recent report evaluates the characteristics and outcomes among cardiac arrest cases with COVID-19 and the differences between out-of-hospital cardiac arrests (OHCA) and in-hospital cardiac arrest (IHCA) during the pre-pandemic and the pandemic period. Several reports demonstrate an increased risk of OHCA during the pandemic. A study from Paris... Read more

Cardiology Management

COVID-19 and Increase in OHCA

2020 18 Sep

COVID-19 has a wide range of presentations including asymptomatic to various intensity of symptomatic patients, some of whom develop acute respiratory distress syndrome and require mechanical ventilation. COVID-19 first hit in December 2019 in China. Outside of China, Northern Italy was also sufficiently impacted by it, leading to a high number of... Read more

Cardiology Management

ACC, HeartHero to Advance Out-of-Hospital Cardiac Arrest Treatment

2020 20 Feb

The American College of Cardiology (ACC) has partnered up with HeartHero to form an alliance to combat sudden cardiac death (SCD) and improve survival rates. For many years, the ACC has been on a mission to improve cardiac care. Now it aims to improve survival with the help of HeartHero's portable defibrillator. SCD is a leading cause of mortality... Read more

Cardiology Management

Machine learning to recognise cardiac arrest in emergency calls

2019 29 May

Nearly 600,000 people in the US and Europe combined sustain an out-of-hospital cardiac arrest (OHCA) annually. OHCA is a life-threatening condition, and in order to improve survival rates, it is imperative that it is recognised rapidly by medical dispatchers. Accurate recognition of OHCA either by a bystander or a dispatcher is essential for initiation... Read more

ICU Management

Study: Use of therapeutic hypothermia in out-of-hospital cardiac arrest dipped after TTM trial

2018 09 Nov

A U.S. registry study on use of therapeutic hypothermia for out-of-hospital cardiac arrest patients found that use dipped immediately after publication of the Targeted Temperature Management (TTM) trial , which provided evidence for more lenient temperature management. The study, by Steven M. Bradley, MD, MPH, Minneapolis Heart Institute and colleagues,... Read more

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

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