Showing papers in "Resuscitation in 2015"

TL;DR: This chapter contains guidance on the techniques used during the initial resuscitation of an adult cardiac arrest victim and the use of an automated external defibrillator (AED).

TL;DR: Anaesthesia and Intensive Care Medicine, Southmead Hospital, Bristol, UK Anaesthesia and intensive care Medicine, Royal United Hospital, Bath, UK School of Clinical Sciences, University of Bristol, United Kingdom, UK Department of Anesthesiology, and intensive care medicine, The National Institute for Mental Health (NIMH), London, UK NHS Foundation Trust, Coventry, UK The National Health Service (NHS), Coventry and Birmingham, UK Heart of England (HSE), Birmingham, Birmingham and The Royal National Institute of Neurological and Women's Health Service

TL;DR: In this paper, the authors present a review of the state of the art in the field of anaesthesia and intensive care medicine at the University of Oslo and the Norwegian Department of Anesthesia and Intensive Care Medicine at the Norwegian National Institute of Emergencies and Critical Care.

TL;DR: This executive summary provides the essential treatment algorithms for the resuscitation of children and adults and highlights the main guideline changes since 2010.

TL;DR: The guidelines for resuscitation in special circumstances section Collaborators1 are published on behalf of the Cardiac arrest in special ircumstances section Collaborator1.

TL;DR: Recommendations for reporting out-of-hospital cardiac arrest and a standard reporting template is recommended to promote standardized reporting that facilitates reporting of the bystander-witnessed, shockable rhythm as a measure of emergency medical services system efficacy.

TL;DR: A protocol including E-CPR instituted by critical care physicians for refractory cardiac arrest which includes mechanical CPR, peri-arrest therapeutic hypothermia and ECMO is feasible and associated with a relatively high survival rate.

TL;DR: Department of Neonatology, The James Cook University Hospital, Middlesbrough, UK Department of Paediatrics, Sint Elisabeth Hospital, Tilburg, The Netherlands Department of Women and Children’s’ Health, Padua University.

TL;DR: Paediatric Emergency Medicine Department, Imperial college Healthcare NHS Trust and BRC Imperial NIHR, Imperial College, London, UK Department of Paediatric Anaesthesia, Great Ormond Street Hospital for Children, London and Department of Anaesthesia.

TL;DR: ROC-wide survival increased significantly between 2006 and 2010 and additional research efforts are warranted to identify specific factors associated with this improvement.

TL;DR: This research presents a novel and scalable system for simulating the dynamic response of the autonomic nervous system to treat central nervous system injuries.

TL;DR: Survival to hospital discharge for Asia varies widely and this may be related to patient and system differences, implying that survival may be improved with interventions such as increasing bystander CPR, public access defibrillation and improving EMS.

TL;DR: The European Resuscitation Council ERC), the American Heart Association (AHA) and other resuscitaion organizations have invested considerable effort and initiative in this approach.

TL;DR: On-site, brief and frequent HBB simulation training appears to facilitate transfer of new knowledge and skills into clinical practice and to be accompanied by a decrease in neonatal mortality.

TL;DR: ETCO2 values generated during CPR were statistically associated with CC depth and ventilation rate, and were higher in patients with return of spontaneous circulation than in patients who did not have a pulse restored.

TL;DR: Patients with OHCA who receive ETI by EMS are more likely to obtain ROSC, survive to hospital admission, and survive neurologically intact when compared to SGA.

TL;DR: Elevated NEWS among unselected prehospital patients is associated with a higher incidence of adverse outcomes, and calculation of prehospital NEWS may facilitate earlier recognition of deteriorating patients, early involvement of senior Emergency Department staff and appropriate critical care.

TL;DR: The NEWS measured at different time points was a good predictor of patient outcomes and can be of additional value in the emergency department to longitudinally monitor patients throughout their stay in the ED and in the hospital.

TL;DR: Current evidence supports that ultrasonography has high diagnostic value for identifying esophageal intubation, and can be a valuable adjunct in this aspect of airway assessment, especially in situations where capnography may be unreliable.

TL;DR: In this article, the authors calculated sensitivity and false positive rate for Glasgow Coma Scale motor score (GCSM), pupillary and corneal reflexes and SSEP to predict poor neurological outcome using prospective data from the Target Temperature Management after Out-of-Hospital Cardiac Arrest Trial which randomised 939 comatose survivors to treatment at either 33°C or 36°C.

TL;DR: Existing studies do not suggest that mechanical chest compression devices are superior to manual chest compression, when used during resuscitation after out of hospital cardiac arrest.

TL;DR: A neurological examination alone was considered insufficient to predict outcome in comatose patients and most respondents advocated a multimodal approach: EEG, brain CT and EP were considered most useful.

TL;DR: Chest compression depth and rate were associated with survival outcomes and more studies with consistent reporting of data are required for other quality parameters.

TL;DR: Cerebral autoregulation showed to be disturbed in 35% of post-CA patients of which a majority had pre-CA hypertension, and the time spent under a patient tailored optimal MAP, based on an index of autoreGulation, was negatively associated with survival.

TL;DR: In this paper, the authors validated the ability of early post-cardiac arrest illness severity classification to predict patient outcomes by assigning the Pittsburgh Cardiac Arrest Category (PCAC) scores to consecutive in and out-of-hospital cardiac arrest subjects treated at two tertiary care centers between January 2011 and September 2013.

TL;DR: In OHCAs available for PAD, 70% of patients survived if a public AED was used, but the structured approach was more efficient in relation to the number of AEDs used.

TL;DR: The use of high fidelity manikins for advanced life support training is associated with moderate benefits for improving skills performance at course conclusion and future research should define the optimal means of tailoring fidelity to enhance short and long term educational goals and clinical outcomes.

TL;DR: Significant variability was identified in DNACPR decision-making and implementation and the evidence base is weak but the absence of evidence does not indicate an absence of good practice.

TL;DR: The management of refractory ventricular fibrillation in the emergency department remains challenging, as evidenced by an overall survival rate of 35% and significantly improved neurological outcomes than those receiving C-CPR.