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MIRACLE2 score validation for neuroprognostication after out-of-hospital cardiac arrest: a district general hospital experience

Open Heart

Introduction and objectives Decision-making regarding prognosticating out-of-hospital cardiac arrest (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.

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Expedited transfer to cardiac arrest center vs standard care for non-ST elevation out-of-hospital cardiac arrest

Cardiology Update

In a prospective, multicentre, parallel, randomised clinical trial titled ARREST, researchers aimed to evaluate the effectiveness of expedited transfer to a cardiac arrest center compared to standard care following out-of-hospital cardiac arrest. The ARREST study is the first randomized trial of its kind.

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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

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 cardiac arrest with return of spontaneous circulation. Circulation. Electrical alternans — was first observed in the laboratory by Herring in 1909.

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Cardiac Catheterization Laboratory Management of the Comatose Adult Patient With an Out-of-Hospital Cardiac Arrest: A Scientific Statement From the American Heart Association

Circulation

Circulation, Ahead of Print. Out-of-hospital cardiac arrest 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 cardiac arrest.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

If cardiac arrest 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 cardiac arrest 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

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Never send a chest pain patient home without measuring troponin. What is masquerading bundle branch block? And, and, and.

Dr. Smith's ECG Blog

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.