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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.
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.
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.
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. 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.
BackgroundIn-hospital cardiacarrest (IHCA) refers to the occurrence of cardiacarrest in hospitalized patients requiring chest compressions and/or defibrillation, with only about one-third of patients achieving return of spontaneous circulation (ROSC) after cardiopulmonary resuscitation.
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.
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.
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.
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).
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, 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.
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.
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).
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.
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?
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, 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.
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.
Circulation, Volume 150, Issue Suppl_1 , Page ASa505-ASa505, November 12, 2024. Once ROSC was obtained rSO2 and EtCO2 monitoring were continued for 24 hours or until cardiacarrest resumed. Introduction:The effectiveness of cardiopulmonary resuscitation is dependent on maintaining optimal cerebral perfusion.
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 ).
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?
Circulation, Volume 150, Issue Suppl_1 , Page A4137905-A4137905, November 12, 2024. Background:In out-of-hospital cardiacarrest (OHCA) patients with an initial shockable rhythm, epinephrine increases the likelihood of return of spontaneous circulation (ROSC), but its effect on neurological outcome remains uncertain.
Circulation, Volume 150, Issue Suppl_1 , Page A4137065-A4137065, November 12, 2024. Introduction:Out-of-hospital cardiacarrest (OHCA) remains a significant public health challenge, with conventional cardiopulmonary resuscitation (CPR) often yielding limited success.
I suspect this is Type 2 MI due to prolonged severe hypotension from cardiacarrest. PEARL: In my experience, cardiac rhythms observed during ( or shortly after ) cardiacarrest do not obey the usual rules for AV blocks and escape rhythms. This is a troponin I level that is almost exclusively seen in STEMI.
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