delivery precipitous out of hospital

... addition of a specific regimen of out- of- hospital advanced-life-support interventions to an existing EMS system that provides basic life support was associated with a decrease in the rate of death of ... basis of a type I error of 0.05, a type II error of 0.20, a baseline mortality of 17%, and a clinically important difference of 2% We therefore defined the 6-month duration of each phase of the ... Outcome Measures The primary outcome measure was mortality, defined as the rate of death before hospital discharge regardless of the duration of admission Secondary outcome measures included intubation...

Ngày tải lên: 27/06/2014, 00:20

... bystanders; and immediate delivery of specialized countershock in cases of VF Therefore, poor resuscitation rates in EMS systems have been attributed most often to delays in the delivery of basic CPR by ... venues, even for out- of- hospital VF [1–4] Two key interventions have been proven scientifically to improve the chances of survival for those experiencing SOHCA: immediate performance of basic cardiopulmonary ... unmonitored out- of- hospital VF [8,9] In such scenarios, there is de facto more than several minutes of VF while the emergency response is being made, even in rapid response EMS systems In one of these...

Ngày tải lên: 12/08/2014, 20:20

... six out of ten patients had CPC or 2; three out of ten had CPC or 4; and one out of ten had CPC For group II the values were as follows: five out of eight patients had CPC or 2; and three out of ... clinical investigation to assess the effect of vasopressin on outcome in out- of- hospital CPR for VF and pulseless VT Our hypothesis was that vasopressin improves outcome in VF/VT cardiac arrest, especially ... [35,23] Prehospital administration of adrenaline appears to be of little value in increasing rates of survival to discharge, and the cumulative dose of adrenaline is an independent predictor of poor...

Ngày tải lên: 12/08/2014, 23:21

... attempts, the ‘hands-off’ intervals between interruption of chest compressions and the delivery of the countershock should be limited to only a few seconds [8,20] In all of these areas of concern, evolving ... ventricular fibrillation is one of the greatest causes of premature mortality in many societies, the magnitude of the public health impact of AEDs is potentially dramatic, in terms of both life-saving and ... Prediction of awakening after out- of- hospital cardiac arrest N Engl J Med 1983, 308: 1378-1382 Cummins RO, Ornato JP, Thies WH, Pepe PE: Improving survival from sudden cardiac arrest: the ‘chain of survival’...

Ngày tải lên: 12/08/2014, 23:21

... with a return of a pulse in out- of- hospital cardiac arrest Resuscitation 2004, 63:277-282 Grmec S, Mally S: Vasopressin improves outcome in out- ofhospital cardiopulmonary resuscitation of ventricular ... and functional outcome J Trauma 1999, 47:1-7 Engdahl J, Abrahamsson P, Bang A, Lindqvist J, Karlsson T, Herlitz J: Is hospital care of major importance for outcome after outof -hospital cardiac ... from patients with out- of- hospital cardiac arrest resuscitated by the same Emergency Medical Service and admitted to one of two hospitals over a 16-year period in the municipality of Göteborg Resuscitation...

Ngày tải lên: 13/08/2014, 03:20

... disability at hospital discharge The remaining 13 out of the 40 patients had a favorable neurological outcome, with a CPC score of either (n = 8) or (n = 5) on day 28 Overall, 57% of patients who ... favorable outcome The estimated time of anoxia was shorter in the subset of patients with favorable outcome (7 ± versus 13 ± min; P = 0.03) The time between initiation of ACLS and return of spontaneous ... Recommended guidelines for uniform reporting of data from out- of- hospital cardiac arrest: the Utstein Style A statement for health professionals from a task force of the American Heart Association, the...

Ngày tải lên: 13/08/2014, 03:21

... 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 endovascular cooling system Crit Care 2007, ... improve the neurologic outcome after cardiac arrest N Engl J Med 2002, 346:549-556 12 Hovdenes J, Laake JH, Aaberge L, Haugaa H, Bugge JF: Therapeutic hypothermia after out- of- hospital cardiac arrest: ... several safety concerns remain to be investigated, none of the adverse effects result in a worsened outcome In addition, the beneficial effect of the endovascular cooling system by far exceeds the...

Ngày tải lên: 13/08/2014, 08:20

... cause of death in the industrialized world [2] Bystander cardiopulmonary resuscitation (CPR) can substantially improve outcomes, yet is typically provided in less than one in four cases of out- ofhospital ... to mouth-to-mouth breathing or the complex nature of this task are thought to underlie the low rate of bystander CPR An alternative to conventional CPR that avoids the need for mouth-to-mouth ... authors compared 30-day neurologic outcomes of bystanderprovided cardiac-only resuscitation to bystander-provided conventional CPR in 4068 adults victims of out- of- hospital cardiac arrest Not surprisingly,...

Ngày tải lên: 13/08/2014, 10:20

... Copass 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 ... neurologic outcome after cardiac arrest N Engl J Med 2002, 346:549-556 Bernard SA, Gray TW, Buist MD, Jones BM, Silvester W, Gutteridge G, Smith K: Treatment of comatose survivors of out- ofhospital ... influenced by a variety of factors that are independent of the individual patient characteristics, such as the availability of ICU beds and/or of facilities of 'step-down' care It is of interest to note,...

Ngày tải lên: 13/08/2014, 11:22

... nontraumatic out- of- hospital cardiac arrest Materials and methods During a two-year period from 2005 to 2007, 68 patients (aged over 18 years) suffering from non-traumatic out- of- hospital cardiac ... administration of MTH did not significantly influence serum levels of S-100 protein in patients surviving non-traumatic out- of- hospital cardiac arrest Both patients treated with or without MTH showed ... population of patients with cardiac arrest, MTH had no influence on S-100 serum levels in survivors of non-traumatic outof -hospital cardiac arrest in the present investigation The predictive quality of...

Ngày tải lên: 13/08/2014, 16:20

... protocol of care The protocol of care is fully described and timing limits are defined in Figure Patients with out- of- hospital cardiac arrest were handled on site by the Fire Departments of Paris ... is a coordinated effort with participation of out- of- hospital emergency services and hospital staff There is, however, a need for a better acceptance of organ donation by the population, which ... extending indications of extracorporeal circulatory assistance for out- of- hospital refractory cardiac arrest, similarly to hypothermic or poisoned patients [33] or some specific intrahospital cardiac...

Ngày tải lên: 13/08/2014, 18:22

... [10] Currently, people who die from an out- of- hospital cardiac arrest are denied the opportunity to be organ donors except in those few locations where out- of- hospital UDCD programs are active The ... continuing success of the Madrid and Barcelona out- of- hospital UDCD programs, demonstrate the viability and reproducibility of such protocols The IOM conservatively estimated that in the US about 22,000 ... task of restarting the heart to achieve the return of spontaneous circulation in a patient in cardiac arrest Fortunately, techniques for resuscitation have advanced and survival after outof-hospital...

Ngày tải lên: 13/08/2014, 19:20

... 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 ... not improve outcome for out- of- hospital cardiac arrest The TROICA trial has several strengths, including the large sample size, multicenter design, evaluation of clinically important outcomes, ... after return of spontaneous circulation may contribute to poor neurological function after cardiac arrest [6,7] A number of studies have evaluated the efficacy of thrombolysis during out- of- hospital...

Ngày tải lên: 13/08/2014, 20:21

... 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 Celje, and to Professor ... intensive care units of three of the largest hospitals in Slovenia: the Clinical Centre of Ljubljana, the Clinical Centre of Maribor, and the General Hospital of Celje The majority of cardiac arrest ... on the occurrence of NDEs in out- of- hospital cardiac arrest survivors In addition, we also investigated the effect of serum levels of sodium and potassium on the occurrence of NDEs Materials...

Ngày tải lên: 13/08/2014, 20:21

... Successful rescue of patients with cardiac arrest outside the hospital setting is a long-term public health issue in most jurisdictions in the majority of countries [1,2] Reported out- of- hospital cardiac ... of survival’ increased survival after out- ofhospital cardiac arrests: a large-scale population-based study Circulation 2009, 119:728-734 Kim C, Fahrenbruch CE, Cobb LA, Eisenberg MS: Out- of- hospital ... Agency of Japan; OHCA: out- of- hospital cardiac arrest; OR: odds ratio; VF: ventricular fibrillation Acknowledgements The authors thank the Fire and Disaster Management Agency of Japan for offering...

Ngày tải lên: 13/08/2014, 21:21

... results Ontario Prehospital Advanced Life Support Ann Emerg Med 1999, 33:44-50 Hallstrom AP, Cobb LA, Yu BH: Influence of comorbidity on the outcome of patients treated for out- of- hospital ventricular ... prediction of cerebral outcome in comatose OHCA survivors [3,7-12] The strength and level of evidence of current predictors vary widely With TH now becoming the standard of care for this type of injury, ... parameter: prediction of outcome in comatose survivors after cardiapulmonary resuscitation (an evidence-based review): Reports of the Quality Standards Subcommittee of the American Academy of Neurology...

Ngày tải lên: 13/08/2014, 23:20

... estimate that the Swedish Out of Hospital Cardiac Arrest Register includes about 70% of all OHCA:s in whom CPR was attempted This is due to a combination of limited number of ambulance organisations, ... of out- of- hospital ventricular fibrillation, 1980–2000 JAMA 2002, 288:3008-13 Bunch TJ, White RD, Friedman PA, Kottke TE, Wu LA, Packer DL: Trends in treated ventricular fibrillation out- of- hospital ... suddenly due to out- of- hospital cardiac arrest (OHCA) [1] Survival rates in major urban areas remain poor [2], despite the introduction of the chain -of- survival concept [3] and new in -hospital treatment...

Ngày tải lên: 13/08/2014, 23:20

... Copass 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 out- ofhospital cardiac arrest Circulation ... the out- of- hospital setting might overcome these limitations and should be evaluated in further clinical trials The potential benefits of starting the cooling process already in the out- of- hospital ... cooling rate of 1.1°C/h [43] In two other in -hospital studies, time to start cooling was 120 minutes [46], and 95 minutes respectively [48] Thus, with out- of- hospital cooling, delay of in-hospital...

Ngày tải lên: 13/08/2014, 23:20

... from 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 ... The overall rate of successful resuscitation in patients with out- of- hospital CA has been poor, averaging to 23 percent in different reports [1-3] About half patients with out- of- hospital CA are ... provision of BLS that raised the chance of recovery Although the duration of CA has been estimated in about nine minutes, several features were identified as good outcome predictors ConsidPage of (page...

Ngày tải lên: 13/08/2014, 23:21

... contributions MB carried out the initial resuscitation, clinical follow-up of the patient and conceived the idea of possible publication of the case MB and ES both Page of participated equally ... outcome for comatose survivors of cardiac arrest JAMA 2004, 291:870-9 10 Engdahl J, Bång A, Karlson BW, Lindquist J, Herlitz J: Characteristics and outcome among patients suffering from out- of- hospital ... Successful use of 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,...

Ngày tải lên: 13/08/2014, 23:21