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Showing papers in "Resuscitation in 2006"


Journal ArticleDOI
TL;DR: The quality of CPR prior to defibrillation directly affects clinical outcomes and strategies to correct these deficiencies should be developed and consideration should be made to replacing current-generation automated external defibrillators that require long pre-shock pauses for rhythm analysis.

623 citations


Journal ArticleDOI
TL;DR: Automatic feedback improved CPR quality in this prospective non-randomised study of out-of-hospital cardiac arrest and increased compression depth was associated with increased short-term survival.

500 citations


Journal ArticleDOI
TL;DR: The preliminary data suggest amiodarone combined with beta-blocker may be helpful in treating episodes of polymorphic ventricular tachycardia for patients with an unknown genotype and Quinidine proved to be efficient in prolonging the QT interval and rendering ventricularTachyarrhythmias non-inducible in patients with a mutation in KCNH2 (HERG).

344 citations


Journal ArticleDOI
TL;DR: The chain of survival is a prominent symbol of resuscitation services in many parts of the world and was revised in 2005 to reflect the importance of recognising critical importance of early basic life support and early defibrillation.

294 citations


Journal ArticleDOI
TL;DR: A system for collecting routine vital signs data at the bedside using standard personal digital assistants (PDA) and analysis of the raw physiological data and patient outcomes will make it possible to validate existing and future "track and trigger" systems.

203 citations


Journal ArticleDOI
TL;DR: A higher incidence of difficult and failed laryngoscopy, DAM, and high laryngeal grade views when patients were managed in a prehospital setting by anaesthesia trained physicians is demonstrated.

196 citations


Journal ArticleDOI
TL;DR: Clinical assessment by 23 observers randomly allocated to assess HR by one of two methods in 26 infants, was found to be inaccurate and underestimate ECG HR.

188 citations


Journal ArticleDOI
TL;DR: Treatment algorithms have undoubtedly been useful in the management of other medical emergencies such as cardiac arrest and acute asthma and are applied to the treatment of hyperkalaemia and hypokalaemia which may prove valuable in clinical practice.

183 citations


Journal ArticleDOI
TL;DR: Refresher classes held more frequently and at shorter intervals increased subjects' self-assessed confidence, possibly indicating greater preparedness to use an AED in a real emergency.

178 citations


Journal ArticleDOI
TL;DR: In-patient paediatric cardiac arrest has a mediocre outcome with a better outlook if the initial rhythm is hypotensive-bradycardia, VF or pulsatile VT and Doses of adrenaline greater than 15 mcg/kg given for non-shockable rhythms may cause secondary VF which has a worse outcome than primary VF.

172 citations


Journal ArticleDOI
TL;DR: The findings of this study show resuscitation survival rates from a 10-year study and indicate some of the key predictors of survival.

Journal ArticleDOI
TL;DR: Improved outcomes in recent years in patients with metastatic disease are likely to reflect more selective use of CPR in cancer patients, with the sickest patients deselected.

Journal ArticleDOI
TL;DR: This study confirms the validity of current MET call criteria but points to the need to expand them and provides a possible explanation for the failure to demonstrate efficacy of a MET in some trials because current call criteria maybe too late in the progress of the patient's critical condition.

Journal ArticleDOI
TL;DR: The proportion of patients with cardiogenic shock or cardiac arrest who achieved restoration of spontaneous circulation or survival to discharge with percutaneous bypass is described to demonstrate whether it is safe, effective and cost-effective.

Journal ArticleDOI
TL;DR: There is a marked variability between hospitals in the rate of 1-month survival among patients who were alive on hospital admission after an out-of-hospital cardiac arrest, and one possible contributory factor is the standard of post-resuscitation care.

Journal ArticleDOI
TL;DR: Most patients had acceptable arterial oxygenation when ventilated with 30% oxygen during the immediate post-resuscitation period and the use of 100% oxygen was associated with increased level of NSE at 24h in patients not treated with therapeutic hypothermia.

Journal ArticleDOI
TL;DR: Comparison between consultants and residents showed that consultants retained knowledge information better, skills decreased comparably in both groups and residents performed tasks faster, supports the need for periodical reinforcement during intervals before recertification.

Journal ArticleDOI
TL;DR: This work compared the speed and accuracy of charting the weighted value attributed to each vital sign, and of calculating the EWS, using the traditional pen and paper method with that using a specially programmed, personal digital assistant (VitalPAC).

Journal ArticleDOI
TL;DR: To help minimize the possible catastrophic impact on the public, several recommendations based on analysis of the Tokyo subway sarin attack are made and the current scientific literature is systematically reviewed.

Journal ArticleDOI
TL;DR: Evidence is found that interactive computer based self instruction alone was sufficient to teach CPR and AED knowledge and Aed actions to high school students and all forms of instruction were highly effective in teaching AED use.

Journal ArticleDOI
TL;DR: Although the majority of out-of-hospital cardiac arrests occur at private residences, arrests in public or in the work place had a higher chance of being found in ventricular fibrillation and survival than those at private residence.

Journal ArticleDOI
TL;DR: When assessed after 3 months, a 24 min DVD-based instruction plus subsequent self-training in BLS appears equally effective compared to a 6h BLS course and hence is more efficient.

Journal ArticleDOI
TL;DR: Honey poisoning should be taken into consideration in the differential diagnosis of acute myocardial infarction and in the patients with vomiting, hypotension and bradycardia.

Journal ArticleDOI
TL;DR: The principles of NIRS and the basis for its proposed use in the trauma patient to assess tissue oxygenation are described, including its known limitations, current controversies, and what will be needed in the future to make this technology a part of the initial and ongoing assessment of the trauma patients.

Journal ArticleDOI
TL;DR: Delays to the initiation of BLS and ACLS intervention influenced outcome from prehospital cardiac arrest negatively, and there was no overall difference in survival except at longer arrest times when considering the primary study intervention bicarbonate administration.


Journal ArticleDOI
TL;DR: The results suggest that a routine use of simple physiological tests can be of help in the identification of patients at risk, and even modified - and simplified - MET-criteria proved to be able to single out patients with elevated mortality as compared to the rest of the hospital population.

Journal ArticleDOI
TL;DR: Private services for transportation of non-acute or minor injury/illness have been introduced in some areas, and dispatch protocols to triage 119 calls are being developed.

Journal ArticleDOI
TL;DR: The hypothesis that the introduction of mechanical chest compression in OHCA improves outcome does not support, however, there is room for further improvement in the use of the device.

Journal ArticleDOI
TL;DR: The history of the discovery of therapeutic hypothermia, as well as the current therapeutic applications and ways to deliver this treatment are reviewed.