Showing papers in "Resuscitation in 2013"

TL;DR: News has a greater ability to discriminate patients at risk of the combined outcome of cardiac arrest, unanticipated ICU admission or death within 24h of a NEWS value than 33 other EWSs.

TL;DR: No consistent threshold for 0% FPR could be identified for blood levels of biomarkers, and in 6/8 studies on SSEP, in 1/3 studies on EEG reactivity and in the single study on clinical examination the investigated predictor was used for decisions to withdraw treatment, causing the risk of a self-fulfilling prophecy.

TL;DR: Following induced hypothermia and delayed neurological prognostication, brain injury remains the main cause of death after CA and most patients with a poor prognosis statement died within 2 weeks.

TL;DR: Evidence shows that cardiopulmonary training, delivered in various ways, is successful in a wide age range of children, and legislative and funded mandates to provide such training to schoolchildren are recommended.

TL;DR: After introducing SBAR in hospital wards there was increased perception of effective communication and collaboration in nurses, an increase in unplanned ICU admissions and a decrease in unexpected deaths.

TL;DR: High-sensitivity serum tau measurements combined with an understanding of tau release kinetics could have utility for hypoxic brain injury assessment and prediction of cerebral function outcome.

TL;DR: Overall, simulation-based training of resuscitation skills, in comparison to no intervention, appears effective regardless of assessed outcome, level of learner, study design, or specific task trained.

TL;DR: In this nationwide cohort study from 2006 to 2010, the standardized incidence rate and survival to discharge rate of EMS-assessed OHCAs increased annually in metropolitan and urban communities but did not increase in rural communities.

TL;DR: The number of iatrogenic injuries in male patients was associated with chest compressions during cardiopulmonary resuscitation increased as the measured compression depth exceeded 6 cm, while there is an increased risk of complications with deeper compressions.

TL;DR: It is clear that a 'whole system' approach should be adopted and that AWSS appear to be more effective than single parameter systems.

TL;DR: Compared with normocapnia, hypocapnia was independently associated with worse clinical outcomes and hypercapnia a greater likelihood of discharge home among survivors, and Cox-proportional hazards modelling supported these findings.

TL;DR: The local implementation multiplicand (exemplified by therapeutic hypothermia) is likely to have the most immediate improvement in observed survival outcome in most systems of care, and will be useful as a mental framework when trying to improve resuscitation outcome in communities worldwide.

TL;DR: Given the occurrence rate of psychological distress after OHCA, psychological screening and early intervention seems indicated in the cardiac arrest population.

TL;DR: This pilot study suggests that PH-ECLS performed by non-surgeons is safe and feasible and further studies are needed to confirm the time saved by this strategy and its potential effect on survival.

TL;DR: Post-hypothermia fever ≥38.5°C is associated with increased 30-days mortality, even after controlling for potential confounding factors, and avoidance of PHF as a therapeutic target should be evaluated in prospective randomized trials.

TL;DR: There is a need to develop multiple-variable models for deteriorating ward patients similar to those used in intensive care units, and such models may assist clinician education, prospective and real-time patient risk stratification, and guide quality improvement initiatives that prevent and improve response to clinical deterioration.

TL;DR: Birth attendants in a rural hospital in Tanzania performed significantly better in simulated neonatal care and resuscitation seven months after one day of Helping Babies Breathe training, but this improvement did not transfer into clinical practice.

TL;DR: Management of avalanche victims should include spinal precautions and other trauma care as indicated, and treatment of hypothermia including gentle extrication, full body insulation, ECG and core-temperature monitoring is recommended, and advanced airway management if appropriate.

TL;DR: In this series, 1 in 25 emergency intubations was associated with the complication of CA, and peri-intubation CA is associated with increased mortality.

TL;DR: An expert group from the Swedish Resuscitation Council has reviewed the literature and made recommendations taking into account the effects of induced hypothermia and concomitant sedation, and a delayed neurological evaluation at 72 h after rewarming is recommended for Hypothermia treated patients.

TL;DR: Rebound pyrexia occurred in 41% of TTM-treated post-arrest patients, and was not associated with lower survival to discharge or worsened neurologic outcomes, however, among patients with pyrexIA, higher maximum temperature was associated with worse neurologic outcome among survivors to hospital discharge.

TL;DR: A novel standardized debriefing program was implemented using a Debriefing In Situ Conversation after Emergent Resuscitation Now (DISCERN) tool, with potential impacts on education, quality improvement programming, and staff emotional well-being.

TL;DR: The ATLS classification of hypovolaemic shock does not seem to reflect clinical reality accurately, and the corresponding changes of the remaining two parameters were assessed within these four groups.

TL;DR: The development of fever within the first 48 h after ROSC is common and is associated with death in non-TH patients, and TH treatment appears to mitigate this effect, perhaps by delaying fever onset.

TL;DR: Admission to tertiary centres is associated with lower mortality rates after OHCA compared with non-tertiary hospitals, and admission to a non- tertiary hospital was independently associated with increased risk of death.

TL;DR: Hemodynamic directed care targeting CPPs>20 mmHg improves short-term survival in an intensive care unit porcine model of asphyxia-associated cardiac arrest.

TL;DR: PSE strongly and independently predicts a poor outcome in comatose CA survivors receiving therapeutic hypothermia, but some patients with PSE survive with good functional outcomes.

TL;DR: Despite a large volume of tweets, Twitter can be filtered to identify public knowledge and information seeking and sharing about cardiac arrest, and healthcare providers can distil tweets by user, content, temporal trends, and message dissemination.

TL;DR: The requirement to rapidly address a number of potentially reversible pathologies in a short time period lends the management of traumatic cardiac arrest to a simple treatment algorithm.

TL;DR: Overall TI procedure success rates were poor and providers with advanced training were more likely to be successful, while patient factors were not associated with TI success.