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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Delaying a shock after takeover from the automated external defibrillator by paramedics is associated with decreased survival
TL;DR: ALS takeover delays the next shock delivery in almost two-third of cases and this delay is associated with decreased survival, and the association between shock timing and survival was significant.
Journal ArticleDOI
An Utstein-based model score to predict survival to hospital admission: The UB-ROSC score
Enrico Baldi,Maria Luce Caputo,Simone Savastano,Roman Burkart,Catherine Klersy,Claudio Benvenuti,Vito Sgromo,Alessandra Palo,Roberto Cianella,Elisa Cacciatore,Luigi Oltrona Visconti,Gaetano M. De Ferrari,Angelo Auricchio +12 more
TL;DR: UB-ROSC score is a novel score that predicts the probability of survival to hospital admission of an OHCA victim and shall help in setting realistic expectations about sustained ROSC achievement during resuscitation manoeuvres.
Journal ArticleDOI
Improved neurologically intact survival with the use of an automated, load-distributing band chest compression device for cardiac arrest presenting to the emergency department
Marcus Eng Hock Ong,Stephanie Fook-Chong,Annitha Annathurai,Shiang Hu Ang,Ling Tiah,Kok Leong Yong,Zhi Xiong Koh,Susan Yap,Papia Sultana +8 more
TL;DR: A resuscitation strategy using LDB-CPR in an ED environment was associated with improved neurologically intact survival on discharge in adults with prolonged, non-traumatic cardiac arrest.
Journal ArticleDOI
Neighborhood characteristics, bystander automated external defibrillator use, and patient outcomes in public out-of-hospital cardiac arrest
Lars W. Andersen,Lars W. Andersen,Mathias J Holmberg,Asger Granfeldt,Bo Løfgren,Kimberly Vellano,Bryan McNally,Bob Siegerink,Tobias Kurth,Michael W. Donnino +9 more
TL;DR: Specific neighborhood characteristics were associated with bystander AED use in OHCA and several neighborhood characteristics, including the proportion of people living alone, theportion of white people, and the proportion with a high-school degree or higher, wereassociated with bystanding AEDuse.
Journal ArticleDOI
Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation
Mie Sasaki,Taku Iwami,Tetsuhisa Kitamura,Shinichi Nomoto,Chika Nishiyama,Tomohiko Sakai,Kayo Tanigawa,Kentaro Kajino,Taro Irisawa,Tatsuya Nishiuchi,Sumito Hayashida,Atsushi Hiraide,Takashi Kawamura +12 more
TL;DR: Railway stations are the most common places where shocks by public-access AEDs were delivered in large urban communities of Japan, and among lay-rescuers railway station workers use A EDs more frequently.
References
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