Showing papers in "Resuscitation in 2019"
TL;DR: An updated in-hospital Utstein reporting template for cardiac arrest was developed by Representatives of the International Liaison Committee on Resuscitation iteratively by meeting face-to-face, by teleconference, and by online surveys between 2013 and 2018.
142 citations
TL;DR: Short-duration, distributed CPR training on a manikin with real-time visual feedback is effective in improving CPR performance, with monthly training more effective than training every 3, 6, or 12 months.
125 citations
TL;DR: A machine learning framework performed better than emergency medical dispatchers for identifying out-of-hospital cardiac arrest in emergency phone calls and may play an important role as a decision support tool for emergency medical Dispatchers.
122 citations
TL;DR: Categorizing reasons for death after cardiac arrest with ROSC is feasible using proposed categories, with substantial inter-rater agreement, and neurological withdrawal of care is much less common in IHCA than OHCA, which may have implications for further research.
111 citations
North Bristol NHS Trust1, Imperial College Healthcare2, University of Texas Southwestern Medical Center3, Oslo University Hospital4, University of Virginia5, University of Bern6, University Hospital of Bern7, McGill University8, Beth Israel Deaconess Medical Center9, University of Texas at Arlington10, James Cook University Hospital11, Aarhus University12, University of Iowa13, University of Alberta14, University of Newcastle15, Saginaw Valley State University16, McMaster University17, Great Ormond Street Hospital for Children NHS Foundation Trust18, University of São Paulo19, University of Cologne20, Alfred Hospital21, University of Zurich22, Queen's University23, University of Toronto24, University of Pittsburgh25, Allegheny Health Network26, International Federation of Red Cross and Red Crescent Societies27, Helsinki University Central Hospital28, National Taiwan University29, Alberta Children's Hospital30, Yonsei University31, Deakin University32, University of Warwick33, Northern General Hospital34, Royal Women's Hospital35, Federal University of São Paulo36, University of Southampton37, St. Michael's GAA, Sligo38, Boston Children's Hospital39, American Red Cross40, National Heart Foundation of Australia41, Rosalind Franklin University of Medicine and Science42, Aarhus University Hospital43, Hospital for Sick Children44, Monash Medical Centre45, Jichi Medical University46, Kyoto University47, Dalhousie University48, University of Washington Medical Center49, University of Calgary50, Denver Health Medical Center51, Mater Health Services52, Singapore General Hospital53, European Resuscitation Council54, Stanford University55, Middlemore Hospital56, University of Melbourne57, Royal Melbourne Hospital58, Children's Hospital of Philadelphia59, University of Michigan60, Waikato Hospital61, Wayne State University62, Liverpool Hospital63, Heart of England NHS Foundation Trust64, Cornell University65, Michigan State University66, University of Milan67, University of Oxford68, Teikyo University69, Catholic University of the Sacred Heart70, Agostino Gemelli University Polyclinic71, University of Arkansas72, Arkansas Children's Hospital73, University of Birmingham74, St. Marianna University School of Medicine75, University of Helsinki76, London Health Sciences Centre77, University of Padua78, Ottawa Hospital79, University of Ottawa80, Ghent University81, Memorial Hospital of South Bend82, Hamilton Health Sciences83, Vanderbilt University84
TL;DR: This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role for presyncope by first aid providers, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, and initial oxygen concentration during resuscitation of newborns.
110 citations
TL;DR: In this paper, a multi-centre retrospective observational study at five acute hospitals from two UK NHS Trusts was conducted to compare the ability of National Early Warning Score (NEWS) and the National Early warning score 2 (NEWS2) to identify patients at risk of in-hospital mortality and other adverse outcomes.
105 citations
TL;DR: REBOA significantly improves blood pressure and may reduce the risk of pre-hospital hypovolaemic cardiac arrest and early death due to exsanguination, and is a feasible pre- hospital resuscitation strategy for patients with exsourcing pelvic haemorrhage.
94 citations
TL;DR: The chance of a bystander defibrillation was tripled, and 30-day survival nearly doubled, when the nearest AED was accessible, compared to inaccessible, at the time of an out-of-hospital cardiac arrest, underscoring the importance of unhindered AED accessibility.
82 citations
TL;DR: Both VM and HP are promising for continuous vital sign monitoring and may be more accurate than nurses and high MEWS can be detected in hospitalized patients around the clock and clinical deterioration at an earlier phase during unobserved periods.
80 citations
TL;DR: Very low certainty of evidence suggests that post-cardiac arrest care at CACs is associated with improved outcomes at hospital discharge, and there remains a need for high quality data to fully elucidate the impact of Cacs.
70 citations
TL;DR: TEE is feasible and clinically impactful during OHCA management and may allow for characterization of cardiac activity, including identification of pseudo-PEA and fine VF, determination of reversible pathology, and optimization of CPR quality.
TL;DR: A systematic review of the literature on the use of vasopressors during adult cardiac arrest to inform an update of international guidelines is presented in this article, where the authors search Medline, Embase, Web of Science, CINAHL, and the Cochrane Library for controlled trials and observational studies.
TL;DR: Recommendation that dispatchers provide CPR instructions to callers for adults and children with suspected OHCA is supported after a systematic review and meta-analysis of the impact of DA-CPR programs on key clinical outcomes following out-of-hospital cardiac arrest.
TL;DR: Although the mortality of patients matched to those with eWLST was high, these data showed excess mortality with eElderly age, initial non-shockable rhythm, increased ischemic time, shock on admission, out-of-hospital arrest, and admission in the United States were each independently associated with e WLST.
TL;DR: This study provides the first external validation of the HOPE score reaching good calibration and excellent discrimination, and may replace serum potassium in the future as the triage tool when considering ECLS rewarming of a hypothermic cardiac arrest victim.
TL;DR: In comatose resuscitated patients, a multimodal approach based on results of SEPs, EEG and brain CT accurately predicts poor neurological outcome at 6months within the first 24 h after cardiac arrest.
TL;DR: CPR training was found to improve psychomotor skills, and any previous training was associated with better skills, compared to no previous training, however only the use of a popular song promoted meaningful retention of a specifically targeted skill,Compared to standard training methods.
TL;DR: The DCAPS predicted neurologic recovery and survival to discharge of OHCA patients accurately and outperformed the conventional method and other machine-learning methods.
TL;DR: ECMO support for refractory cardiac arrests is cost effective and compares favourably to accepted cost effectiveness thresholds.
TL;DR: To succeed with a RRS, the keys seem to lie in the administrative and quality improvement limbs; clear leadership and continuous quality improvement provide the foundation for the continuing collaboration to manage deteriorating patients.
TL;DR: In this out-of-hospital cardiac arrest population without ST-elevation, randomization to a strategy to perform immediate coronary angiography was feasible although the time window of 120 min from EMS arrival at the scene of the arrest to start of coronary angIography was not achieved.
TL;DR: There is a distinct lack of data on SES measured at the individual level and on differences within subgroups, e.g. by sex and age.
TL;DR: A large number of studies related to advanced airway management in adult cardiac arrest are identified, including three recently published, large randomized trials in out-of-hospital cardiac arrest that will help to inform future guidelines.
TL;DR: Though each guideline had components that performed well, only the ERC/ESICM guideline yielded a 0% FPR, reflective of continuing recovery after discharge, even in a cohort inevitably biased by WLST.
TL;DR: In-hospital cardiac arrest occurs in at least 2000 patients each year in Denmark with a 30-day survival of approximately 28% and the establishment of a national registry for in- hospital cardiac arrest in Denmark will allow for quality improvement and research projects.
TL;DR: The use of the VR mApp significantly increased the likelihood of calling 911 and asking for an AED, however, CC depth was decreased.
TL;DR: ONSD and TCD methods demonstrated agreement with invasively-monitored ICP, suggesting their potential roles in the detection of intracranial hypertension in HIBI after cardiac arrest.
TL;DR: NSE measured at day 3 significantly improves clinical risk scores for outcome prediction in cardiac arrest patients and may thus add to clinical decision making about escalation or withdrawal of therapy in this vulnerable patient population.
TL;DR: Overall, there is a paucity of skills retention research and further high-quality randomized controlled trials are needed to determine the optimal intervention and design for resuscitation training that would maximize skills retention.