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Introduction and objectives Decision-making regarding prognosticating out-of-hospital cardiacarrest (OHCA) remains challenging at the front door. The MIRACLE2 score provides a simple and practical tool for early neuroprognostication to aid decision-making. Patients with a Glasgow Coma Scale of 15/15 after ROSC were excluded.
Image courtesy of Takenobu Shimada, Osaka Metropolitan University (CC BY 4.0, [link] mtaschetta-millane Mon, 07/29/2024 - 09:09 July 29, 2024 — When it comes to treating cardiacarrest, acting quickly can mean the difference between life and death. Cardiacarrest can lead to death within minutes.
Photo by Cedars-Sinai milla1cf Fri, 03/01/2024 - 08:25 March 1, 2024 — Two new studies by Cedars-Sinai investigators support using artificial intelligence (AI) to predict sudden cardiacarrest-a health emergency that in 90% of cases leads to death within minutes.
Circulation, Ahead of Print. Task forces comprising international experts in sports cardiology and the respective topics covered were assigned to each section and prepared specific clinical considerations tables for practitioners to reference.
We identified variables linked to hospital mortality in the training set using Least Absolute Shrinkage and Selection Operator (LASSO) regression, as well as univariate and multivariate logistic analyses. Of these, 213 patients were dead in the hospital.
A new observational study suggests the position in which responders initially place the two defibrillator pads on the body may make a significant difference in returning spontaneous blood circulation after shock from a defibrillator.
Circulation, Ahead of Print. People who experience out-of-hospital cardiacarrest often require care at a regional center for continued treatment after resuscitation, but many do not initially present to the hospital where they will be admitted.
This randomized trial showed no significant difference in return of spontaneous circulation between initial intraosseous and intravenous vascular access in adults with out-of-hospital cardiacarrest.
Circulation, Ahead of Print. Out-of-hospital cardiacarrest is a leading cause of death, accounting for ≈50% of all cardiovascular deaths. The cardiac catheterization laboratory plays an important role in the coordinated Chain of Survival for patients with out-of-hospital cardiacarrest.
In a prospective, multicentre, parallel, randomised clinical trial titled ARREST, researchers aimed to evaluate the effectiveness of expedited transfer to a cardiacarrest center compared to standard care following out-of-hospital cardiacarrest. The ARREST study is the first randomized trial of its kind.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. AN evaluation of efficacy amonGst cOmpression only and standard CPR) trial is designed to evaluate whether compression-only cardiopulmonary resuscitation (CPR) by trained laypersons is noninferior to standard CPR in adult out-of-hospital cardiacarrest.
Does epinephrine improve the chances of return of spontaneous circulation at the expense of the brain? In other words, while we know that epinephrine doubles rates of ROSC in all comers in cardiacarrest, there’s never been robust evidence for long term improvements in neurologic functional outcomes.
The impact of chest compression (CC) pause duration on survival outcomes in pediatric in-hospital cardiacarrests remains unclear, despite the American Heart Association’s recommendation to limit pauses to less than 10 seconds for children without solid evidence. Circulation 2024; 149: 1493-1500.
Circulation, Ahead of Print. Every 10 years, the American Heart Association (AHA) Emergency Cardiovascular Care Committee establishes goals to improve survival from cardiacarrest.
BackgroundOutofhospital cardiacarrest (OHCA) with initial shockable rhythm generally has a favorable prognosis. patients achieved return of spontaneous circulation, 32.8% Journal of the American Heart Association, Ahead of Print. The primary outcome was rhythm conversion to nonshockable on hospital arrival.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Prompt initiation of bystander cardiopulmonary resuscitation (CPR) is critical to survival for out-of-hospital cardiacarrest (OHCA).
A patient had a cardiacarrest with ventricular fibrillation and was successfully defibrillated. Coronary Angiography after CardiacArrest without ST-Segment Elevation. N Engl J Med [Internet] 2019;Available from: [link] Should all patients with shockable arrest be taken to angiography regardless of STEMI or No STEMI?
Circulation, Volume 150, Issue Suppl_1 , Page ASu505-ASu505, November 12, 2024. The targeted Automated External Defibrillator (AED) program in the Sao Paulo Metro has yielded promising results in improving survival rates for individuals experiencing out-of-hospital cardiacarrest (OHCA) due to ventricular arrhythmias.
Circulation, Ahead of Print. Drowning generally progresses from initial respiratory arrest due to submersion-related hypoxia to cardiacarrest; thus, it can be challenging to distinguish respiratory arrest from cardiacarrest because pulses are difficult to accurately palpate within the recommended 10-second window.
Circulation, Volume 150, Issue Suppl_1 , Page A4141869-A4141869, November 12, 2024. Introduction:Over 290,000 in-hospital cardiacarrests occur annually in the United States. Survival is about 25% with significant variation across the country.
What is the utility of a head CT in cardiacarrest? We found intracranial hemorrhage in 2% of non-traumatic cardiacarrest patients, and in 4 others the presence of cerebral edema changed management. in Vienna found that 27 of 765 (4%) of out of hospital cardiacarrests (OHCA) were due to SAH.
BackgroundDespite the wellknown importance of witnessed arrest and bystander cardiopulmonary resuscitation (CPR) for outofhospital cardiacarrest outcomes, previous studies have shown significant statistical inconsistencies. The outcome measure was prehospital return of spontaneous circulation (ROSC).
A new study has found no evidence that COVID vaccines increase the risk of sudden cardiacarrest in young athletes, despite numerous claims that circulated during the pandemic.
Circulation, Ahead of Print. BACKGROUND:In patients with out-of-hospital cardiacarrest who present with an initial shockable rhythm, a longer delay to the first shock decreases the probability of survival, often attributed to cerebral damage. The mechanisms of this decreased survival have not yet been elucidated.
Circulation, Ahead of Print. Cardiacarrest is common and deadly, affecting up to 700 000 people in the United States annually. Advanced cardiac life support measures are commonly used to improve outcomes.
Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (ECPR) in selected patients after out-of-hospital cardiacarrest (OHCA) is an established method if return of spontaneous circulation cannot be achieved.
BackgroundAlthough they are fastgrowing populations in the United States, little is known about survival outcomes of Hispanic and Asian patients after inhospital cardiac arrest.Methods and ResultsIn Get With The GuidelinesResuscitation, we identified Asian, Hispanic, and White adults with inhospital cardiacarrest during 2005 to 2023.
Does hospital median cardiopulmonary resuscitation (CPR) duration in patients without return of circulation (ROC) predict survival among hospitalized children?
Circulation, Volume 150, Issue Suppl_1 , Page ASa901-ASa901, November 12, 2024. Introduction:In the United States, the incidence of in-hospital cardiacarrest (IHCA) ranges from 0.1-0.5% IHCA after cardiac surgery is unique because patients are often monitored closely and arrest etiologies are frequently reversible.
Circulation, Volume 150, Issue Suppl_1 , Page ASu1107-ASu1107, November 12, 2024. Introduction:Opioid overdose (OD) is a growing cause of cardiacarrest in the US, spurred by the rise of illegally manufactured fentanyl and analogs. Naloxone is a reversal agent that can be administered by bystanders. 22.2%, p<0.00001).Conclusion:Most
Although PAD can substantially increase the survival of cardiacarrest, PAD use remains low. The primary outcomes were the rate of bystander PAD use, sustained return of spontaneous circulation, survival to discharge, and favorable neurological outcomes. Journal of the American Heart Association, Ahead of Print.
Circulation, Volume 150, Issue Suppl_1 , Page ASu1202-ASu1202, November 12, 2024. C and hypothermia at 33°C had similar outcomes in out-of-hospital post cardiacarrest patients. The median age was 62 years and 105 (66%) patients had cardiac etiology. The median cardiacarrest time was 29 min. 2018;22:226).
Circulation, Volume 150, Issue Suppl_1 , Page ASa1108-ASa1108, November 12, 2024. Background:Patients with diabetes have lower survival and worse neurological outcome after cardiopulmonary resuscitation (CPR) compared with non-diabetes. Previous studies have mentioned the aberrant autophagy in diabetic mice.
Circulation, Ahead of Print. The critical care management of patients after cardiacarrest is burdened by a lack of high-quality clinical studies and the resultant lack of high-certainty evidence. Critical care management is crucial in patients after cardiacarrest and affects outcome.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:Although racial disparities have been described in resuscitation, little is known about potential bias in race classification of out-of-hospital cardiacarrest (OHCA).METHODS:We
Circulation, Volume 150, Issue Suppl_1 , Page ASu507-ASu507, November 12, 2024. Background:Most out-of-hospital cardiacarrest (OHCA) patients who are initially treated with an automated external defibrillator (AED) and present in a non-shockable rhythm never receive a shock.
Although one may have all kinds of ischemic findings as a result of cardiacarrest (rather than cause of cardiacarrest), this degree of ST elevation and HATW is all but diagnostic of acute proximal LAD occlusion. This prompted cath lab activation. On arrival to the ED, this ECG was recorded: What do you think?
Shortly after arrival in the ED ( E mergency D epartment ) — she suffered a cardiacarrest. BUT — Cardiac catheterization done a little later did not reveal any significant stenosis. Figure-1: The initial ECG in today's case — obtained after successful resuscitation from cardiacarrest. ( No CP ( C hest P ain ).
Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:There is no specific treatment for sudden cardiacarrest (SCA) manifesting as pulseless electric activity (PEA) and survival rates are low; unlike ventricular fibrillation (VF), which is treatable by defibrillation.
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