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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.
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.
Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiacarrest with return of spontaneous circulation. Circulation. Electrical alternans — was first observed in the laboratory by Herring in 1909.
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.
If cardiacarrest from hypokalemia is imminent (i.e., mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 As I indicated above, in our cardiacarrest case, after pushing 40 mEq, the K only went up to 4.2 mEq/L, and 10 mEq would increase it by 3.3 mEq/L, from 1.9 mg/dL [1.03 0.16
A plan was made to follow up within the week for a repeat EKG and laboratory tests. Smith : Alternatively , if there is chronic total LAD Occlusion (CTO), then RCA coronary syndrome would result in the same clinical and ECG syndrome, because the anterior wall would be dependent on collateral circulation from the RCA.
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