Search Tag: out-of-hospital cardiac arrest

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

ICU Management

Bystander automated external defibrillator beneficial in OHCA

2017 07 Nov

Current resuscitation guidelines recommend that bystander defibrillation be attempted as soon as an automated external defibrillator (AED) is available. Moreover, a new systematic review finds evidence supporting the association between bystander AED use and improved clinical outcomes in out-of-hospital cardiac arrest (OHCA), although the review team... Read more

Cardiology Management

Public health initiatives improve outcomes in out-of-hospital cardiac arrest

2017 10 Oct

A new U.S. study shows that coordinated, multifaceted public health initiatives may be helpful for communities aiming to improve outcomes of out-of-hospital cardiac arrest (OHCA), including at home. Implementation of such initiatives targeting multiple personnel across the cardiac arrest “chain of survival” resulted in more patients receiving bystander... Read more

ICU Management

LUCAS-2 in Out-of-Hospital Cardiac Arrest: Cost Analysis

2017 17 Jul

The use of the mechanical chest compression device LUCAS-2 represents poor value for money when compared to standard manual chest compression in out-of-hospital cardiac arrest, according to a new study published in the journal Resuscitation. A critical step of the resuscitation process is early cardiopulmonary resuscitation (CPR) – i.e., the combination... Read more