Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa)
Ian N. Jacobs,Vinay M. Nadkarni,J. Bahr,Robert A. Berg,John E. Billi,Leo Bossaert,Pascal Cassan,Ashraf Coovadia,Kate D'Este,Judith Finn,Henry R. Halperin,Anthony J. Handley,Johan Herlitz,Robert W. Hickey,Ahamed H. Idris,Walter Kloeck,Gregory Luke Larkin,Mary E. Mancini,Pip Mason,Gregory Mears,Koenraad G. Monsieurs,William H. Montgomery,Peter T. Morley,Graham Nichol,Jerry P. Nolan,Kazuo Okada,Jeffrey M. Perlman,Michael Shuster,Petter Steen,Fritz Sterz,J. Tibballs,Sergio Timerman,Tanya Lane Truitt,D. Zideman +33 more
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A task force of the International Liaison Committee on Resuscitation (ILCOR) met in Melbourne, Australia, to review worldwide experience with the Utstein definitions and reporting templates as mentioned in this paper.Abstract:
Outcome after cardiac arrest and cardiopulmonary resuscitation is dependent on critical interventions, particularly early defibrillation, effective chest compressions, and advanced life support. Utstein-style definitions and reporting templates have been used extensively in published studies of cardiac arrest, which has led to greater understanding of the elements of resuscitation practice and progress toward international consensus on science and resuscitation guidelines. Despite the development of Utstein templates to standardize research reports of cardiac arrest, international registries have yet to be developed. In April 2002, a task force of the International Liaison Committee on Resuscitation (ILCOR) met in Melbourne, Australia, to review worldwide experience with the Utstein definitions and reporting templates. The task force revised the core reporting template and definitions by consensus. Care was taken to build on previous definitions, changing data elements and operational definitions only on the basis of published data and experience derived from those registries that have used Utstein-style reporting. Attention was focused on decreasing the complexity of the existing templates and addressing logistical difficulties in collecting specific core and supplementary (ie, essential and desirable) data elements recommended by previous Utstein consensus conferences. Inconsistencies in terminology between in-hospital and out-of-hospital Utstein templates were also addressed. The task force produced a reporting tool for essential data that can be used for both quality improvement (registries) and research reports and that should be applicable to both adults and children. The revised and simplified template includes practical and succinct operational definitions. It is anticipated that the revised template will enable better and more accurate completion of all reports of cardiac arrest and resuscitation attempts. Problems with data definition, collection, linkage, confidentiality, management, and registry implementation are acknowledged and potential solutions offered. Uniform collection and tracking of registry data should enable better continuous quality improvement within every hospital, emergency medical services system, and community.read more
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Prolonged cardiopulmonary resuscitation and outcomes after out-of-hospital cardiac arrest ☆
Shahzleen Rajan,Fredrik Folke,Fredrik Folke,Kristian Kragholm,Carolina Malta Hansen,Christopher B. Granger,Steen Møller Hansen,Eric D. Peterson,Freddy Lippert,K. B. Sondergaard,Lars Køber,Gunnar Gislason,Christian Torp-Pedersen,Mads Wissenberg,Mads Wissenberg +14 more
TL;DR: Even those requiring prolonged resuscitation duration prior to ROSC had meaningful survival rates with the majority of survivors able to return to live in own homes, suggesting that prolonged resuscitations is not futile.
Journal ArticleDOI
Electrocardiographic changes in therapeutic hypothermia
TL;DR: Hypothermia-induced Osborn waves are relatively common and are not associated with an unfavorable short-term outcome, while TH is associated with ECG changes that may mimic STEMI.
Journal ArticleDOI
Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England.
Terry Brown,Scott J. Booth,Claire Hawkes,Jasmeet Soar,Julian Mark,James Mapstone,Rachael T Fothergill,Sarah Black,Helen Pocock,Anna Bichmann,Imogen Gunson,Gavin D. Perkins,Gavin D. Perkins +12 more
TL;DR: Neighbourhood characteristics of high-risk areas that experience a high incidence of OHCA and low bystander resuscitation rate that could be targeted for programmes of training in cardiopulmonary resuscitation and automated external defibrillator use are identified.
Journal ArticleDOI
The effect of the number and level of emergency medical technicians on patient outcomes following out of hospital cardiac arrest in Taipei.
Jen Tang Sun,Wen-Chu Chiang,Ming-Ju Hsieh,Edward Huang,Wen Shuo Yang,Yu Chun Chien,Yao Cheng Wang,Bin Chou Lee,Shyh Shyong Sim,Kuang Chao Tsai,Matthew Huei-Ming Ma,Lee Wei Chen +11 more
TL;DR: An on-scene EMT-P ratio >50% was associated with improved survival to discharge of OHCA cases, especially in those with witnessed, non-shockable rhythm.
Journal ArticleDOI
Long-term changes in the incidence of out-of-hospital ventricular fibrillation.
TL;DR: The decline in the incidence of out-of-hospital VF seems to have ended, and the annual incidence has stabilised to 11.6 per 100,000 inhabitants, during the period of lower incidence, cardiac aetiology caused fewer arrests, and these arrests did not present with VF as often as previously.
References
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Treatment of Comatose Survivors of Out-of-Hospital Cardiac Arrest with Induced Hypothermia
A. B Ernard,Imothy W. G Ray,D. B Uist,M. J Ones,W Illiam S Ilvester,G Eoff G Utteridge,K Aren S Mith +6 more
TL;DR: This randomized, controlled trial compared the effects of moderate hypothermia and normothermia in patients who remained unconscious after resuscitation from out-of-hospital cardiac arrest to survive to hospital discharge and be discharged to home or to a rehabilitation facility.
Journal ArticleDOI
Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest
Michael Holzer,Fritz Sterz,J. M. Darby,S. A. Padosch,Karl B. Kern,Bernd W. Böttiger,Kees H. Polderman,Armand R. J. Girbes,Michael Holzer,Stephen Bernard,M. D. Buist,Peter Safar,Patrick M. Kochanek +12 more
TL;DR: In patients who have been successfully resuscitated after cardiac arrest due to ventricular fibrillation, therapeutic mild hypothermia increased the rate of a favorable neurologic outcome and reduced mortality.
Journal ArticleDOI
Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council.
Richard O. Cummins,Douglas Chamberlain,N. Abramson,M. Allen,Peter Baskett,Lance B. Becker,Leo Bossaert,Herman H Delooz,Wolfgang Dick,Mickey Eisenberg +9 more
Journal ArticleDOI
Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation
Mary Ann Peberdy,William Kaye,Joseph P. Ornato,Gregory Luke Larkin,Vinay M. Nadkarni,Mary E. Mancini,Robert A. Berg,Graham Nichol,Tanya Lane-Trultt +8 more
TL;DR: The NRCPR is described as the first comprehensive, Utstein-based, standardized characterization of in-hospital resuscitation in the United States, with results that suggest that discharged survivors were generally good and neurological outcome in discharged survivors was generally good.
Journal ArticleDOI
Predicting survival from out-of-hospital cardiac arrest: a graphic model.
TL;DR: A graphic model that describes survival from sudden out-of-hospital cardiac arrest as a function of time intervals to critical prehospital interventions is developed and is useful in planning community EMS programs, comparing EMS systems, and showing how different arrival times within a system affect survival rate.