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Showing papers in "Resuscitation in 2010"


Journal ArticleDOI
TL;DR: Cardiothoracic anesthetic, Southampton General Hospital, Southampton, UK Anesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK Anaesthesia and intensive care medicine, Southmead Hospital, Bristol, UK Surgical ICU, Oslo University Hospital Ulleval, Oslo, Norway Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands Critical Care and Resuscitation, University of Warwick, Warwick Medical School, Warwick, UK

2,561 citations


Journal ArticleDOI
TL;DR: The weighted incidence estimate was significantly higher in studies including adults than in those including adults and paediatrics for treated OHCAs, and the percentage of VF and survival to discharge rates were lower in Asia than in Europe, North America, Asia, or Australia.

1,551 citations


Journal ArticleDOI
TL;DR: This section contains the guidelines for adult BLS by lay rescuers and for the use of an automated external defibrillator (AED), which includes recognition of sudden cardiac arrest, the recovery position and management of choking.

1,486 citations


Journal ArticleDOI
TL;DR: This book discusses Anaesthesia and Intensive Care Medicine, neonatology and Paediatrics, and any Anasthesiologie und Operative Intensivmedizin, which may apply to these fields.

1,204 citations



Journal ArticleDOI
TL;DR: A validated, paper-based, aggregate weighted track and trigger system (AWTTS) that could serve as a template for a national early warning score (EWS) for the detection of patient deterioration is developed and demonstrated that its performance for predicting mortality (within a range of timescales) is superior to all other published AWTTSs.

495 citations


Journal ArticleDOI
TL;DR: The following guidelines for resuscitation at birth have been eveloped during the process that culminated in the 2010 Interational Consensus Conference on Emergency Cardiovascular Care ECC and Cardiopulmonary Resuscitation Science with reatment Recommendations.

473 citations


Journal ArticleDOI
TL;DR: Several ethical decisions are required to ensure the decisions to attempt or withhold cardiopulonary resuscitation (CPR) are appropriate, and patients and their loved ones are treated with ignity.

423 citations


Journal ArticleDOI
TL;DR: Application of ALS-compliant echocardiography in pre-hospital care is feasible, and alters diagnosis and management in a significant number of patients, and further research into its effect on patient outcomes is warranted.

365 citations


Journal ArticleDOI
TL;DR: Paediatric Intensive Care, Hopital Universitaire des Enfants, 15 av JJ Crocq, Brussels, Belgium; Great Ormond Street Hospital for Children, London, UK; Zentrum Anaesthesiologie, Rettungsund Intensivmedizin Gottingen; and Imperial College Healthcare NHS Trust.

330 citations


Journal ArticleDOI
TL;DR: Major findings include: vital sign aberrations predict risk, monitoring patients more effectively may improve outcome, and the workload implications of monitoring on the clinical workforce have not been explored, but are amenable to study and should be investigated.

Journal ArticleDOI
TL;DR: TEAM was found to be a valid and reliable instrument and should be a useful addition to clinicians' tool set for the measurement of teamwork during medical emergencies, and further evaluation is warranted to fully determine its psychometric properties.

Journal ArticleDOI
TL;DR: The Chain of Survival is a metaphor used to organize and describe the integrated set of time-sensitive, coordinated actions necessary to maximize survival from cardiac arrest as discussed by the authors, which is a function of many factors including the willingness of bystanders to perform CPR, the ability of rescuers to integrate knowledge and psychomotor skills, the quality of performance delivered by individual rescuers and teams, and the efficiency and effectiveness of post-cardiac arrest care.

Journal ArticleDOI
TL;DR: CPR with ECLS led to more favourable patient outcomes after IHCA compared with OHCA in the authors' patient group, and the difference in outcomes for EclS after IhCA and OHCA disappeared after adjusting for patient factors and the time delay in starting ECLs.

Journal ArticleDOI
TL;DR: Evaluating the effectiveness of a serious game in the teaching of major incident triage by comparing it with traditional training methods found it to offer the potential to enhance learning and improve subsequent performance when compared to traditional educational methods.

Journal ArticleDOI
TL;DR: Initially heparin-free ECMO support can improve therapy and outcome even in disastrous trauma patients with coexisting bleeding shock, as well as describe blood coagulation management on ECMO.

Journal ArticleDOI
TL;DR: Improving resuscitation training should include considerations regarding team leader experience, structured communication, mandatory use of cognitive aids, avoidance of task overload and mutual performance monitoring to avoid unnecessary interruptions in chest compressions.


Journal ArticleDOI
TL;DR: The introduction of a multi-faceted intervention to detect clinical deterioration may benefit patients through increased monitoring of vital signs and the triggering of a medical review following an episode of clinical instability.

Journal ArticleDOI
TL;DR: The therapeutic goals are to treat acute life-threatening conditions, such as ventricular fibrillation or extreme bradycardias, and to preserve left ventricular function and prevent heart failure by minimising the extent of any myocardial infarction.

Journal ArticleDOI
TL;DR: There is recognition in these guidelines that the risk of harm to a rescuer from a defibrillator is very small, particularly if the rescuer is wearing gloves, and the focus is now on a rapid safety check to minimise the pre-shock pause.

Journal ArticleDOI
TL;DR: Predictive pre-resuscitation factors may supplement patient-specific information available at bedside to assist in revising resuscitation plans during the patient's hospitalization.

Journal ArticleDOI
TL;DR: This article proposes the adoption of an additional chain for in-hospital settings--a 'chain of prevention'--to assist hospitals in structuring their care processes to prevent and detect patient deterioration and cardiac arrest.

Journal ArticleDOI
TL;DR: The use of mechanical chest compressions in the catheterisation laboratory allows for continued PCI or pericardiocentesis despite ongoing cardiac or circulatory arrest with artificially sustained circulation.

Journal ArticleDOI
TL;DR: Some subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.

Journal ArticleDOI
TL;DR: Survival after OHCA was increased after improving weak links of the local Chain of Survival, quality of advanced life support (ALS) and post-resuscitation care.

Journal ArticleDOI
TL;DR: The BLS training increases laypersons' confidence and willingness to perform bystander CPR on a stranger, however,Laypersons are more willing to perform hands only CPR rather than to perform standard CPR onA stranger regardless of the BLSTraining.

Journal ArticleDOI
TL;DR: Maturation of a RRS is associated with a decrease in the incidence of unplanned ICU admissions and MET activation delay, and assessment of the RRS early in the course of its implementation may underestimate its efficacy.

Journal ArticleDOI
TL;DR: While the proportion of subjects reaching target temperature within 4h was not significantly different, the Arctic Sun cooled patients to a temperature of 34 degrees C more rapidly than standard cooling blankets.