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Resuscitation
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San Antonio Vasopressin in Shock Symposium Report???
24 Jul 2010 at 1:07pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 23 July 2010 Stephen M., Cohn , Lorne H., Blackbourne , Donald W., Landry , Kenneth G., Proctor , Keith R., Walley , ... The San Antonio Vasopressin Symposium reviewed substantial accumulated data concerning vasopressin in haemorrhagic, septic, and cardiac arrest shock conditions and found that there is considerable evidence to support the use of vasopressin in overcoming vasopressin deficiency or insufficiency. The value of vasopressin in the setting of trauma requires further investigation. It was concluded that a large, multicenter controlled trial of vasopressin is needed to assess the therapeutic benefit of vasopressin replacement in the setting of trauma with haemorrhagic shock that is prolonged and profound.
Reply to Letter: ?Determining core body temperature via heat flux?A new promi...
24 Jul 2010 at 1:07pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 23 July 2010 Jasper, Klewer , Fritz, Sterz , Andrea, Zeiner
Bystander CPR in south east Scotland increases over 16 years?
24 Jul 2010 at 1:07pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 23 July 2010 R., Ghose , R.M., Lyon , G.R., Clegg , A.J., Gray Background: Out-of-hospital cardiac arrest (OHCA) remains a leading cause of mortality and serious neurological disability across Europe. Without immediate bystander cardiopulmonary resuscitation (CPR), chances of survival are minimal. Despite community initiatives to increase the number of trained CPR providers, the effectiveness of these measures remains unknown and the proportion of OHCA patients receiving bystander CPR in the United Kingdom yet to be established. We sought to identify the change in the rate of bystander CPR in south east Scotland over a 16-year period. Methods: Retrospective cohort study of all adult non-traumatic OHCA in south east Scotland from 1 January 1992 to 31 December...
Poor recall of ?4Hs and 4Ts? by medical staff
24 Jul 2010 at 1:07pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 23 July 2010 Nicola, Jones , Craig, Lammas , Carl, Gwinnutt
Primary percutaneous coronary intervention and thrombolysis improve survival ...
24 Jul 2010 at 1:07pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 23 July 2010 Oliver, Koeth , Ralf, Zahn , Timm, Bauer , Claus, Juenger , Anselm Kai, Gitt , ... Background: Patients with ST-elevation myocardial infarction (STEMI) surviving pre-hospital resuscitation represent a selected subgroup of patients with a very high adverse event rate. Only few data on the outcome of primary percutaneous coronary intervention (primary PCI) and thrombolysis in such patients are available. Methods: We analysed the Maximal Individual Therapy of Acute Myocardial Infarction (MITRA) Plus registry. 1529 survivors of pre-hospital resuscitation with STEMI were included. 593 (38.8%) of those patients did not receive early reperfusion therapy, 793 (51.9%) patients received thrombolysis and 143 (9.4%) patients received primary PCI. Hospital mortality in patients receiving primary PCI or thrombolysis was adjusted for confounding factors...
Successful implementation of a family and patient activated rapid response te...
24 Jul 2010 at 1:07pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 23 July 2010 Cynthia, Gerdik , Roberta O., Vallish , Kelly, Miles , Steven A., Godwin , Peter S., Wludyka , ... Background: When cardiac arrests occur in hospitalized patients, delays in treatment are associated with lower survival and poorer outcomes. Patients often show a physiological deterioration hours before cardiac or pulmonary arrest. As a result, many hospitals have implemented a rapid response team (RRT) as part of their involvement in the 100,000 Lives Campaign sponsored by the Institute for Healthcare Improvement. Method: In conjunction with the University Health System Consortium (UHC) Patient- and Family-Centered Care Implementation Collaborative, Shands Jacksonville Medical Center (SJMC) launched a pilot RRT program in October 2006 followed by campus-wide implementation in July 2007. The program was enhanced to allow patient...
Statistical considerations in assessing the impact of hospital characteristic...
24 Jul 2010 at 1:07pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 23 July 2010 Tsung-Tai, Chen , Kuo-Piao, Chung , Chieh-Min, Fan , Wen-Chu, Chiang , Patrick Chow-In, Ko , ...
Emergency medicine and organ donation?A core responsibility at a time of need...
23 Jul 2010 at 1:05pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 22 July 2010 Dominic, Bell
Determining core body temperature via heat flux - a new promising approach
20 Jul 2010 at 1:04pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 18 July 2010 Oliver, Opatz , Alexander, Stahn , Andreas, Werner , Hanns-Christian, Gunga
Risen from the dead: A case of the Lazarus phenomenon?With considerations on ...
20 Jul 2010 at 1:04pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 18 July 2010 Niels Henrik, Krarup , Anne, Kaltoft , Poul, Lenler-Petersen
The efficacy of straddling external chest compression on a moving stretcher?
19 Jul 2010 at 1:06pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 17 July 2010 Zhan, Lei , He, Qing , Zhou, Yaxiong Objective: To evaluate the efficacy of straddling external chest compression performed on moving stretchers. Methods: The study was a prospective, randomized, cross-over study on a manikin performed at a university hospital. Twenty subjects were selected from the 40 graduates using random numbers to participate in the study. Participants were randomized to either performing standard or straddling external chest compression followed by the other technique 7 days later. The compression variables and time to first compression were recorded. Results: Twenty subjects (12 males and 8 females) took part in the study. There were no differences between the standard and straddling external chest compression for the compression...
Analysis of reasons for emergency call delays in Japan in relation to locatio...
19 Jul 2010 at 1:06pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 17 July 2010 Yutaka, Takei , Hideo, Inaba , Takahiro, Yachida , Miki, Enami , Yoshikazu, Goto , ... Review: The interval between collapse and emergency call influences the prognosis of out-of-hospital cardiac arrest (OHCA). To reduce the interval, it is essential to identify the causes of delay. Methods: Basal data were collected prospectively by fire departments from 3746 OHCAs witnessed or recognised by citizens and in which resuscitation was attempted by emergency medical technicians (EMTs) between 1 April 2003 and 31 March 2008. EMTs identified the reasons for call delay by interview. Results: The delay, defined as an interval exceeding 2min (median value), was less frequent in the urban region, public places and for witnessed OHCAs. Delay was more frequent in care facilities...
A longstanding error by Ernest Henry Starling
19 Jul 2010 at 1:06pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 17 July 2010 Peter, Faybik , Daniel, Lahner , Wolfgang, Schramm
Extended series of cardiac compressions during CPR in a swine model of perina...
19 Jul 2010 at 1:06pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 17 July 2010 Anne L., Solevåg , Ingrid, Dannevig , Myra, Wyckoff , Ola D., Saugstad , Britt, Nakstad Background: The rationale for a compression to ventilation ratio of 3:1 in neonates with primary hypoxic, hypercapnic cardiac arrest is to emphasize the importance of ventilation; however, there are no published studies testing this approach against alternative methods. An extended series of cardiac compressions offers the theoretical advantage of improving coronary perfusion pressures and hence, we aimed to explore the impact of compression cycles of two different durations. Materials and methods: Newborn swine (n=32, age 12?36h, weight 2.0?2.7kg) were progressively asphyxiated until asystole occurred. Animals were randomized to receive compressions:ventilations 3:1 (n=16) or 9:3 (n=16). Return of spontaneous circulation (ROSC) was defined as...
Randomised comparison of percutaneous left ventricular assist device with ope...
19 Jul 2010 at 1:06pm
Publication year: 2010 Source: Resuscitation, In Press, Corrected Proof, Available online 17 July 2010 V., Tuseth , R.J., Pettersen , K., Grong , T., Wentzel-Larsen , R., Haaverstad , ... Aims: A percutaneous left ventricular assist device can maintain blood flow to vital organs during ventricular fibrillation and may improve outcomes in ischaemic cardiac arrest. We compared haemodynamic and clinical effects of a percutaneous left ventricular assist device with a larger device deployed via endovascular prosthesis and with open-chest cardiac massage during ischaemic cardiac arrest. Methods: Eighteen swine were randomised into three groups. After thoracotomy, coronary ischaemia and ventricular fibrillation was induced. Cardiac output was measured with transit-time flowmetry. Tissue perfusion was measured with microspheres. Defibrillation was performed after 20min. Results: Cardiac output with cardiac massage was 1129mLmin?1 vs. 1169mLmin?1 with the percutaneous- and 570mLmin?1...
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