Search Tag: out-of-hospital cardiac arrest

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

ICU Management

Optimising community-based interventions to improve OHCA survival

2018 24 Apr

New research from Norway shows that out-of-hospital cardiac arrest (OHCA) survival was higher in urban compared to rural areas. To save more lives following OHCA, continuous endeavours to optimise modifiable prehospital factors (e.g., bystander CPR and response time) are required to improve every link in the chain of survival, according to the study... Read more

ICU Management

Pre-hospital ECPR: challenges and benefits

2018 10 Apr

Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extracorporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest compressions. Pre-hospital delivery... Read more

ICU Management

Importance of community treatment in OHCA

2018 20 Mar

Sudden out-of-hospital cardiac arrest (OHCA) is the most time-critical medical emergency. Survival from OHCA remains poor globally. Successful resuscitation relies on a strong chain of survival with the community, dispatch centre, ambulance, and hospital working together, according to a review paper in The Lancet, noting that early cardiopulmonary... Read more

ICU Management

Does prehospital cooling help achieve target temperature after OHCA?

2017 05 Dec

Researchers conducted a pragmatic randomised controlled trial (ICEPACS RCT) in a large metropolitan area to compare prehospital cooling by paramedics of patients resuscitated after out-of-hospital cardiac arrest (OHCA), to usual care with no targeted temperature management (TTM) applied until hospital. Results show that prehospital cooling initiated... Read more