out of hospital cardiac arrests pdf

... 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 An alternative ... 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, ... number of patients receiving cardiac- only resuscitation, adherence to Utstein-style reporting (the standard for studies of out- ofhospital cardiac arrest), 100% follow-up, and performance of multiple...

Ngày tải lên: 13/08/2014, 10:20

... 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 ... 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 ... 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...

Ngày tải lên: 13/08/2014, 20:21

... 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 ... hypothermia for asphyxial cardiac arrest in rats Am J Emerg Med 1998, 17-25 16 Gubb NR, Fox KA, Cawood P: Resuscitation from out- of- hospital cardiac arrest: implications for cardiac enzyme estimation ... 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

... variables, and the 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 ... 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 ... corresponded to CPC scores of or 2; poor outcome corresponded to CPC scores of to ACLS, advanced cardiac life support; CA, cardiac arrest; MIH, mild induced hypothermia; ROSC, return of spontaneous circulation;...

Ngày tải lên: 13/08/2014, 03:21

... 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: ... 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, 11:R71 ... Thoren AB, Axelsson C, Herlitz J: Treatment and outcome in post-resuscitation care after out- of- hospital cardiac arrest when a modern therapeutic approach was introduced Resuscitation 2007, 73:40-45...

Ngày tải lên: 13/08/2014, 08:20

... 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 cardiac ... 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 arrest...

Ngày tải lên: 13/08/2014, 11:22

... 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 ... 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 ... Cognitive impairment in survivors of out- of- hospital cardiac arrest Am Heart J 2004, 148:416-421 Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest N Engl J Med 2002,...

Ngày tải lên: 13/08/2014, 16:20

... [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 ... 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 ... 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...

Ngày tải lên: 13/08/2014, 19:20

... 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 ... Advanced cardiac life support in out- of- hospital cardiac arrest N Engl J Med 2004, 351:647-656 doi:10.1186/cc8906 Cite this article as: Dargin JM, Emlet LL: Thrombolysis during out- ofhospital cardiac ... 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

... 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 ... CPC at month One-month 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) ... 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...

Ngày tải lên: 13/08/2014, 21:21

... 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, ... implementation of therapeutic hypothermia in comatose out- of- hospital cardiac arrest survivors Acta Anaesthesiol Scand 2006, 50:1277-83 Sanders AB: Therapeutic hypothermia after cardiac arrest ... 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 fibrillation Circulation 1996, 93:2019-2022...

Ngày tải lên: 13/08/2014, 23:20

... Alaspää A: Out- of- hospital cardiac arrests of noncardiac origin: Epidemiology and outcome Eur Heart J 1997, 18(7):1122-8 Axelsson AB, Herlitz J, Holmberg S, Thorén AB: A nationwide survey of CPR ... 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...

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 ... 12 13 14 Support Study Group: Advanced Cardiac Life Support in Outof -Hospital Cardiac Arrest N Engl J Med 2004, 351:647-56 Callans DJ: Out- of- Hospital Cardiac Arrest - The Solution Is Shocking ... 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, 43:798-802...

Ngày tải lên: 13/08/2014, 23:21

... survivors of out- of- hospital cardiac arrest Am Heart J 2009, 157:312-318 De Vreede-Swagemakers JJ, Gorgels AP, Dubois-Arbouw WI, van Ree JW, Daemen MJ, Houben LG, Wellens HJ: Out- of- hospital cardiac ... patients with 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 ... intervention is associated with better survival after out- of- hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac ArresT) registry Circ Cardiovasc Interv 2010,...

Ngày tải lên: 14/08/2014, 08:21

... indications of extracorporeal circulatory assistance for out- of- hospital refractory cardiac arrest, similarly to hypothermic or poisoned patients [33] or some specific intrahospital cardiac arrests ... 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...

Ngày tải lên: 13/08/2014, 18:22

... 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 ... Incidence of EMStreated out- of- hospital cardiac arrest in Europe Resuscitation 2005, 67:75-80 Rea TD, Eisenberg MS, Sinibaldi G, White RD: Incidence of EMStreated out- of- hospital cardiac arrest in ... 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- of- hospital cardiac...

Ngày tải lên: 13/08/2014, 23:20

... outcome of out- of- hospital cardiac arrest of non -cardiac origin Resuscitation 2007, 72:200-206 Lombardi G, Gallagher J, Gennis P: Outcome of out- of- hospital cardiac arrest in New York City The Pre -Hospital ... results The rate of survival following out- of- hospital cardiac arrest of non -cardiac origin has been previously reported to be lower than the survival rate in cases of cardiac arrest of cardiac origin ... variation in out- of- hospital cardiac arrest incidence and outcome JAMA 2008, 300:1423-1431 Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP: Predicting survival from out- of- hospital cardiac arrest:...

Ngày tải lên: 14/08/2014, 08:21

... 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

... characterized variation of the Carney complex (type II of CNC2) [8,10] The life expectancy for patients with Carney complex is reduced Most of the patients die from complications of cardiac myxomas, ... of the two previously performed operations were the dimension, localization and morphology of the tumor relapse However, due to the increase in the dimension of the lesion and appearance of cardiac ... review by the Editor-in-Chief of this journal Page of Author details Department of Thoracic and Cardiovascular Surgery, University of Göttingen, Germany 2Department of Cardiothoracic Transplantation...

Ngày tải lên: 10/08/2014, 09:23

... following onset of VF Appropriate timing of advanced cardiac life support and countershocks The evolving concept of providing ‘preshock’ interventions for VF may explain why several teams of investigators ... 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 ... 8–9 of VF before professional intervention) Specifically, ROSC occurred more often in the group with of CPR first when response intervals exceeded (58% versus 38%, P < 0.04) with an odds ratio of...

Ngày tải lên: 12/08/2014, 20:20