prevention of in hospital cardiac arrest

... episodes were retained and analysed in the PEA/ASY group Discussion There are two main findings in this population-based study of in- hospital cardiac arrest First, our findings indicate that defibrillation ... Variability in survival after in- hospital cardiac arrest depending on the hospital level of care Resuscitation 2007, 73(1):73-81 Weil MH, Fries M: In- hospital cardiac arrest Critical care medicine 2005, ... out-ofhospital cardiac arrest [7], and time intervals from collapse to BLS and defibrillation are in the order of 1–3 minutes [2,3,5,8] An earlier study of ours documented an inhospital incidence...

Ngày tải lên: 13/08/2014, 23:20

... enolase a77% out -of- hospital arrests; b56% were out -of- hospital arrests; c85% were out -of- hospital arrests; dNSE levels were determined in 231 of 407 patients The clinical characteristics of patients ... as 24 hours after a cardiac arrest in a cohort of 407 normothermic patients, most of whom were survivors of an out -of- hospital cardiac arrest Using a predefined cutoff value of 33 ng/ ml, NSE measurements ... protein originating in glial cells, in contrast with NSE, which is of neuronal origin S100 B has been shown to be a good predictor of neurological recovery in patients surviving cardiac arrest...

Ngày tải lên: 13/08/2014, 03:20

... registry of in- hospital cardiac arrests that collects data according to standardized Utstein definitions.6,11-15 Cardiac arrest is defined as cessation of cardiac mechanical activity as determined ... Defibrillation After In- Hospital Cardiac Arrest procainamide) at the time of cardiac arrest (1565 patients), and patients for whom data on the time of the cardiac arrest or defibrillation were missing (766 ... guidelines for reviewing, reporting, and conducting research on in- hospital resuscitation: the in- hospital ‘Utstein style.’ Circulation 1997; 95:2213-39 12 Cummins RO, Sanders A, Mancini E, Hazinski...

Ngày tải lên: 27/06/2014, 00:20

... for this component of the training Affective aspects of defibrillation training also make it advisable to select a group of highly motivated learners Participants in an in- hospital defibrillation ... decrease in skill Demonstrating mastery in a single simulation in a classroom setting is not sufficient to ensure adequate retention and competent performance in an actual code Clinical competence in ... is being brought to the scene Therefore, defibrillation at the earliest possible moment remains the best approach for in- hospital tachyarrythmic arrests Doing anything in the first moments of a...

Ngày tải lên: 13/08/2014, 23:20

... the level of knowledge at a second hospital with an ongoing annual CPR training programme Before training, the intervention hospital had approximately 20 CPR instructors As training in CPR had ... were educated in the new guidelines The training in CPR at Page of both hospitals was standard instructor led CPR training, following the Swedish national education programme [15] The intervention ... and training may further increase knowledge, or at least maintain it at a certain minimum level The decline in CPR knowledge and skills started as early as three months after the training of lay-people...

Ngày tải lên: 13/08/2014, 23:20

... baseline Discussion In the present study the administration of MTH did not significantly influence serum levels of S-100 protein in patients surviving non-traumatic out -of- hospital cardiac arrest ... as in adults [35] during sepsis or septic shock, indicating a potential role of infection and inflammation in the release of S-100 protein Due to the high infection rate in patients receiving ... active warming was applied before induction of MTH Hypothermia was induced via infusion of one to two litres of cold (about 6°C) saline in combination with body surface cooling using bags filled...

Ngày tải lên: 13/08/2014, 16:20

... and an increase risk of asymptomatic intracranial hemorrhage in patients with out -of- hospital cardiac arrest The search for new interventions to improve outcomes for out -of- hospital cardiac arrest ... be conducted to determine the efficacy of thrombolysis during cardiac arrest The Thrombolysis in Cardiac Arrest (TROICA) trial investigators conducted a prospective double-blind, randomized, placebo-controlled ... function after cardiac arrest [6,7] A number of studies have evaluated the efficacy of thrombolysis during out -of- hospital cardiopulmonary resuscitation A meta-analysis of these studies, including one...

Ngày tải lên: 13/08/2014, 20:21

... studied out -of- hospital cardiac arrest survivors who were successfully resuscitated in out -of- hospital settings and consecutively admitted to intensive care units from the beginning of January ... The clinical reliability and relevance of our findings should be extensively studied Conclusions As much as one-fifth of out -of- hospital cardiac arrest patients report NDEs during cardiac arrest ... Professor Marko Noc, the chief of the intensive care unit of the Clinical Centre of Ljubljana, to Assistant Professor Gorazd Voga, the chief of the intensive care unit of the General Hospital of...

Ngày tải lên: 13/08/2014, 20:21

... overall increase in bystander CPR Initial rhythm A major finding is the declining incidence of VF as the first recorded rhythm also in this cohort The decline applies to all the patients in the ... despite the drop in the incidence of ventricular fibrillation Our findings in the context of PAD and first responder programmes The alarming evidence about a decline in the incidence of VF found among ... place of arrest (crew witnessed, at home, in a public place, in an ambulance, at work) and presumed cause of the cardiac arrest The classification of the probable cause of the cardiac arrest...

Ngày tải lên: 13/08/2014, 23:20

... The influence of hypothermia on hypoglycaemia induced brain damage in the rat Acta Neuropathol 1992, 82:379-85 13 Shin BS, Won SJ, Yoo BH, Kauppinen TM, Suh SW: Prevention of hypoglycaemia-induced ... therapeutic hypothermia in an opiate induced out -of- hospital cardiac arrest complicated by severe hypoglycaemia and amphetamine intoxication: a case report Scandinavian Journal of Trauma, Resuscitation ... neuroprotective mechanisms of TH have been mostly studied in anoxic-ischemic brain injury, but temperature-dependent neurotoxic mechanisms of hypoglycaemia-, and amphetamine- induced brain damage have also...

Ngày tải lên: 13/08/2014, 23:21

... out -of- hospital cardiac arrest The hospitals in this project include the 33 southern Ontario hospitals already participating in the University of Toronto regional coordinating centre site of the ... to increase the use of induced hypothermia for cardiac arrest survivors We hypothesize that two main factors contribute to the poor implementation of induced hypothermia in hospitals: existing ... (KT) The unit of analysis in this study will be patients adjusted for clustering within individual hospitals Hospitals participating in the SPARC Network will be randomized in groups of 6-8 and...

Ngày tải lên: 10/08/2014, 10:23

... estimated time of cerebral anoxia The time of onset of cardiac arrest was only recorded in cases of witnessed cardiac arrest, and the estimated duration of cerebral anoxia was defined as the interval ... to be of cardiac origin in 31 patients (78%) and was deemed hypoxic in the nine remaining patients (three drownings, four hangings and two penetrative injuries) Among the 31 patients, the initial ... unit of our institution for management of resuscitated cardiac arrest Among them, 10 patients (12%) sustained in- hospital cardiac arrest and were excluded Among the 71 patients who sustained...

Ngày tải lên: 13/08/2014, 03:21

... competing interests References Pichon N, Amiel JB, François B, Dugard A, Etchecopar C, Vignon P: Efficacy and tolerance of mild induced hypothermia after out -of- hospital cardiac arrest using an ... after rewarming may decrease the beneficial effects of MIH on brain injury and has not yet been clearly explained [10] An additional use of the cooling system (target temperature of 37°C for ... outcome after cardiac arrest Crit Care Med 2006, 34:1865-1873 Werling M, Thoren AB, Axelsson C, Herlitz J: Treatment and outcome in post-resuscitation care after out -of- hospital cardiac arrest when...

Ngày tải lên: 13/08/2014, 08:20

... comparing cardiac- only and conventional CPR for subjects with out -of- hospital cardiac arrest are currently underway; one in the United States [13] and the other in Scandinavia A third such study in ... in less than one in four cases of out-ofhospital cardiac arrest [3] Aversions to mouth-to-mouth breathing or the complex nature of this task are thought to underlie the low rate of bystander CPR ... secondary cardiac arrest, making ventilation a more essential part of the initial resuscitation effort This may be especially important in children, in whom respiratory etiologies predominate Favorable...

Ngày tải lên: 13/08/2014, 10:20

... MK, Cobb LA: Pilot study of rapid infusion of L of degrees C normal saline for induction of mild hypothermia in hospitalized, comatose survivors of outof -hospital cardiac arrest Circulation 2005, ... study investigates the impact of therapeutic hypothermia on ICU LOS in patients with out-ofhospital cardiac arrest The major determinants of short ICU LOS and ventilator time in patients after cardiac ... after cardiac arrest – the implementation of the ILCOR guidelines in clinical routine is possible! Crit Care 2006, 10:425 Collins TJ, Samworth PJ: Therapeutic hypothermia following cardiac arrest: ...

Ngày tải lên: 13/08/2014, 11:22

... Ref Causes of arrest Noncardiac origin Cardiac origin with initial non-VF 1.58 1.43 to 1.73 < 0.001 3.00 Cardiac origin with initial VF 7.58 6.68 to 8.59 < 0.001 17.82 Ref Advanced cardiac life ... outcomes of all the bystander-witnessed out -of- hospital cardiac arrests (OHCAs) (n = 95,072) and those with initial ventricular fibrillation (VF) of cardiac origin (n = 11,970) Group A, advanced cardiac ... out -of- hospital cardiac arrests (OHCAs) (n = 95,072) and those with initial ventricular fibrillation (VF) of cardiac origin (n = 11,970) ACLS, advanced cardiac life support; BCPR, bystander-initiated...

Ngày tải lên: 13/08/2014, 21:21

... Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2008, 16:9 of patients who initially survive an OHCA remain in a coma for varying lengths of time and are admitted ... multidisciplinary approach to prognostication was applied in 19 hospitals (76%), with anaesthesiology, cardiology and neurology being the specialties involved In the remaining six institutions ... 50% of those remaining in this poor prognosis group [14] Comas persisting beyond days carry a greater than 90% risk of poor outcome [11] In our study, 100% of prognostication was performed within...

Ngày tải lên: 13/08/2014, 23:20

... out -of- hospital cardiac arrest [12,13] With no persistent coma after return of The costs-effectiveness of out -of- hospital ALS is difficult to calculate In a report describing the costs of out -of- hospital ... Difference in survival after out -of- hospital cardiac arrest between the two largest cities in Sweden: a matter of time? J Intern Med 2005, 257:247-254 Jasinskas N, Vaitkaitis D, Pilvinis V, Jancaityte ... Bernotiene G, Dobozinskas P: The dependence of successful resuscitation on electrocardiographically documented cardiac rhythm in case of out -of- hospital cardiac arrest Medicina (Kaunas) 2007,...

Ngày tải lên: 13/08/2014, 23:21

... clinical trial of prehospital induction of mild hypothermia in out -of- hospital cardiac arrest patients with a rapid infusion of degrees C normal saline Circulation 2007, 115:3064-3070 Kämäräinen ... (Table 3) In- hospital therapy and neurological outcome Patients in the two groups did not differ in the in- hospital markers of the severity of post -cardiac arrest syndrome, in the intensity of organ-supporting ... identification of cardiac arrest was based on the individual assessment of the medical history, prodromal pre -arrest symptoms, pre -hospital clinical examination (including 12-lead electrocardiogram), in- hospital...

Ngày tải lên: 14/08/2014, 07:21

... initiated in the angiography room and maintained in the ICU using an initial infusion of 4°C saline (500 mL to L) and either external cooling or a specific intravascular catheter connected to a cooling ... out -of- hospital cardiac arrest found in electromechanical dissociation Resuscitation 1995, 29:97-106 Juchems R, Wahlig G, Frese W: Influence of age on the survival rate of out -of- hospital and in- hospital ... Spaulding C: Immediate percutaneous coronary intervention is associated with better survival after out -of- hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac...

Ngày tải lên: 14/08/2014, 08:21