25,942 results match your criteria Cardiopulmonary Resuscitation CPR


The deubiquitinase UCHL1 regulates cardiac hypertrophy by stabilizing epidermal growth factor receptor.

Sci Adv 2020 Apr 17;6(16):eaax4826. Epub 2020 Apr 17.

Department of Cardiology, Institute of Cardiovascular Diseases, First Affiliated Hospital of Dalian Medical University, Dalian 11600, China.

Pathological cardiac hypertrophy leads to heart failure (HF). The ubiquitin-proteasome system (UPS) plays a key role in maintaining protein homeostasis and cardiac function. However, research on the role of deubiquitinating enzymes (DUBs) in cardiac function is limited. Read More

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http://dx.doi.org/10.1126/sciadv.aax4826DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164950PMC

Etiology, clinical findings and laboratory parameters in neonates with acute bacterial meningitis.

Iran J Microbiol 2020 Apr;12(2):89-97

Department of Midwifery, Faculty of Medical Sciences, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.

Background And Objectives: Neonatal meningitis is one of the most important and serious neonatal infections with a high mortality and morbidity rate. The present study aimed to investigate the causes, clinical signs, laboratory parameters and mortality rates in newborns with bacterial meningitis.

Materials And Methods: This cross-sectional study was performed on 468 neonates aged 2-28 days admitted to NICU in Ghaem Hospital Mashhad, Iran by available sampling method during 2009-2018. Read More

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Cardiopulmonary resuscitation in COVID-19 patients.

Cleve Clin J Med 2020 Jun 3. Epub 2020 Jun 3.

Center of Critical Care and Resuscitation, Anesthesiology Institute, Cleveland Clinic.

COVID-19 is extremely transmissible. Cardiopulmonary resuscitation (CPR) is associated with multiple aerosol-generating procedures including chest compression, positive pressure ventilation, and airway manipulation. Healthcare providers who perform CPR are at high risk of contracting COVID-19. Read More

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http://dx.doi.org/10.3949/ccjm.87a.ccc040DOI Listing

Letter to the Editor: Extracorporeal cardiopulmonary resuscitation should not be performed on confirmed or suspected COVID-19 patients.

Resuscitation 2020 May 31. Epub 2020 May 31.

Department of Emergency and Critical Care Medicine, Japanese Red Cross Society, Kyoto Daini Hospital, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.resuscitation.2020.05.040DOI Listing

Chest compressions induce errors in end-tidal carbon dioxide measurement.

Resuscitation 2020 May 31. Epub 2020 May 31.

University of the Basque Country, UPV/EHU, Bilbao, Bizkaia, Spain.

Background: Real-time measurement of end-tidal carbon dioxide (ETCO) is used as a non-invasive estimate of cardiac output and perfusion during cardiopulmonary resuscitation (CPR). However, capnograms are often distorted by chest compressions (CCs) and this may affect ETCO measurement. The aim of the study was to quantify the effect of CC-artefact on the accuracy of ETCO measurements obtained during out-of-hospital manual CPR. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2020.05.029DOI Listing

Pediatric Code Blue: How Prepared Are We? A Self-Efficacy Assessment Project.

Hawaii J Health Soc Welf 2020 May;79(5 Suppl 1):122-126

Department of Pediatrics and Division of Pediatric Critical Care at Kapi'olani Medical Center for Women and Children, Honolulu, HI and Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.

Pediatric advanced life support (PALS) recertification every two years is inadequate to maintain proficiency. The authors hypothesized that a standardized, recurring curriculum may enhance retention of cardiopulmonary resuscitation (CPR) skills. Monthly mock code training and an annual online self-directed learning module were implemented for pediatric intensive care unit nurses, pediatric residents, and respiratory therapists at a women and children's hospital. Read More

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A retrospective analysis of inpatient cardiac arrests over one year at a tertiary heart attack and cardiothoracic centre identifying potential candidates for an inpatient extracorporeal cardiopulmonary resuscitation service.

J Intensive Care Soc 2020 May 9;21(2):105-110. Epub 2019 May 9.

St Bartholomew's Hospital, London, UK.

Introduction: Extracorporeal cardiopulmonary resuscitation (ECPR) is an internationally recognised treatment for refractory cardiac arrest, with evidence of improved outcomes in selected patient groups from cohort studies and case series. In order to establish the clinical need for an in-hospital extracorporeal cardiopulmonary resuscitation service at a tertiary cardiac centre, we analysed the inpatient cardiac arrest database for the previous 12 months.

Methods: Evidence-based inclusion criteria were used to retrospectively identify the number of patients potentially eligible for extracorporeal cardiopulmonary resuscitation over a 12-month period. Read More

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http://dx.doi.org/10.1177/1751143719848660DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238474PMC

[Comparison of the accuracy of predicting prognosis of brain function in patients after cardiopulmonary cerebral resuscitation with two kinds of electroencephalogram techniques combined with neuron-specific enolase].

Zhonghua Yi Xue Za Zhi 2020 Jun;100(21):1629-1633

Department of Neurology, Fujian Medical University Union Hospital, Fuzhou 350001, China.

To compare the accuracy of electroencephalography (EEG) grading or amplitude-integrated electroencephalography (aEEG) grading combined with NSE in predicting brain function prognosis after cardiopulmonary cerebral resuscitation (CPR) in adults. The patients who were admitted to Fujian Medical University Union Hospital after CPR from January 2015 to June 2019 were enrolled. Demographic data, Glasgow coma scale (GCS), blood neuron specific enolase (NSE), EEG grading and aEEG grading were collected. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20190911-02011DOI Listing

Comparison of end-of-life care in people with chronic obstructive pulmonary disease or lung cancer: A systematic review.

Palliat Med 2020 Jun 2:269216320929556. Epub 2020 Jun 2.

Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada.

Background: Palliative care has been widely implemented in clinical practice for patients with cancer but is not routinely provided to people with chronic obstructive pulmonary disease.

Aim: The study aims were to compare palliative care services, medications, life-sustaining interventions, place of death, symptom burden and health-related quality of life among chronic obstructive pulmonary disease and lung cancer populations.

Design: Systematic review with meta-analysis (PROSPERO: CRD42019139425). Read More

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http://dx.doi.org/10.1177/0269216320929556DOI Listing

Impact of Personal Protective Equipment on Pediatric Cardiopulmonary Resuscitation Performance: A Controlled Trial.

Pediatr Emerg Care 2020 Jun;36(6):267-273

Feinberg School of Medicine, Northwestern University, Chicago, IL.

Objectives: This study aimed to determine whether personal protective equipment (PPE) results in deterioration in chest compression (CC) quality and greater fatigue for administering health care providers (HCPs).

Methods: In this multicenter study, HCPs completed 2 sessions. In session 1 (baseline), HCPs wore normal attire; in session 2, HCPs donned full PPE. Read More

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http://dx.doi.org/10.1097/PEC.0000000000002109DOI Listing

Induced Hypothermia to 4.2°C with Neurologically Intact Survival: A Forgotten Case Series.

Wilderness Environ Med 2020 May 29. Epub 2020 May 29.

Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Armed Forces Hospital Ulm, Ulm, Germany. Electronic address:

The lowest recorded core temperature from which a person with accidental hypothermia has survived neurologically intact is 11.8°C in a 2-y-old boy. The lowest recorded temperature from which an adult has been resuscitated neurologically intact is 13. Read More

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http://dx.doi.org/10.1016/j.wem.2020.02.003DOI Listing

Diaphragmatic rupture with inferior phrenic artery bleeding caused by cardiopulmonary resuscitation.

Clin Exp Emerg Med 2020 Jun 2. Epub 2020 Jun 2.

Radiology and Interventional Radiology Unit, Advanced Technology Department of Diagnostic and Therapy, ASST Santi Paolo and Carlo, San Carlo Borromeo Hospital, Milano, Italy.

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http://dx.doi.org/10.15441/ceem.19.044DOI Listing

Frontal EEG Changes with the Recovery of Carotid Blood Flow in a Cardiac Arrest Swine Model.

Sensors (Basel) 2020 May 28;20(11). Epub 2020 May 28.

Department of Biomedical Engineering, Seoul National University College of Medicine, Seoul 03080, Korea.

Monitoring cerebral circulation during cardiopulmonary resuscitation (CPR) is essential to improve patients' prognosis and quality of life. We assessed the feasibility of non-invasive electroencephalography (EEG) parameters as predictive factors of cerebral resuscitation in a ventricular fibrillation (VF) swine model. After 1 min untreated VF, four cycles of basic life support were performed and the first defibrillation was administered. Read More

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http://dx.doi.org/10.3390/s20113052DOI Listing

The Development of Innovative Handheld Devices to Augment Cardiopulmonary Resuscitation Therapy and External Cardioversion and Defibrillation.

J Innov Card Rhythm Manag 2017 Dec 15;8(12):2930-2938. Epub 2017 Dec 15.

NYU Winthrop Hospital, Mineola, NY, USA.

Active compression-decompression (ACD) cardiopulmonary resuscitation (CPR) devices were conceived and invented by Drs. Todd Cohen and Keith Lurie to improve the low survival rates for conventional CPR. Active decompression creates greater chest recoil as compared with the passive decompression used in standard CPR, leading to increased preload and greater cardiac output. Read More

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http://dx.doi.org/10.19102/icrm.2017.081201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252650PMC
December 2017

Major liver trauma post-mechanical cardiopulmonary resuscitation-the first reported case of survival with normal cardiovascular and neurological outcome.

Oxf Med Case Reports 2020 Apr 23;2020(4):omz144. Epub 2020 May 23.

Royal Brompton and Harefield NHS Foundation Trust, Harefield Hospital, Hill End Road, Harefield UB9 6JH, UK.

Cardiopulmonary resuscitation (CPR) is often conducted with mechanical devices, such as Lund University Cardiac Arrest System in the setting of cardiac arrest during coronary catheterization, to enable effective chest compressions for a prolonged period. Certain injuries from such devices are common such as skin lesions, sternal and rib fractures. Others are rarer, such as visceral injury to the heart, major vessels, lung, liver, spleen and stomach. Read More

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http://dx.doi.org/10.1093/omcr/omz144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243720PMC

[Cardiac Tamponade by Chest Compression at Cardiopulmonary Resuscitation;Report of a Case].

Kyobu Geka 2020 Jun;73(6):437-440

Department of Cardiovascular Surgery, Nozaki Tokushukai Hospital, Daito, Japan.

We report a case of right ventricular rupture caused by sternal bone fracture following chest compression at cardiopulmonary resuscitation (CPR). A 68-year-old man presented with syncope and was referred to our hospital in an ambulance. Ventricular fibrillation was confirmed by electrocardiography(ECG), and CPR was performed with chest compression. Read More

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[Analysis of Basic Life Support Training Provided to Pharmacy Students Using Feedback Device].

Yakugaku Zasshi 2020 ;140(6):819-825

Teikyo Simulation Education Research Center, Teikyo University.

The quality of chest compression affects survival after sudden cardiac arrest, particularly when it occurs out of hospital. Pharmacy students should acquire basic life support skills as part of the model core curriculum of pharmacy education. Here, we trained first-year students at the Faculty of Pharmacy to deliver cardiopulmonary resuscitation and used a manikin with a real-time feedback device that quantified chest compression skills. Read More

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http://dx.doi.org/10.1248/yakushi.20-00005DOI Listing
January 2020

Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study.

Lancet Public Health 2020 May 27. Epub 2020 May 27.

Université de Paris, Centre de Recherche Cardiovasculaire de Paris, INSERM, Paris, France; Paris-Sudden Death Expertise Center, Paris, France; European Georges Pompidou Hospital, Cardiology Department, Paris, France.

Background: Although mortality due to COVID-19 is, for the most part, robustly tracked, its indirect effect at the population level through lockdown, lifestyle changes, and reorganisation of health-care systems has not been evaluated. We aimed to assess the incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in an urban region during the pandemic, compared with non-pandemic periods.

Methods: We did a population-based, observational study using data for non-traumatic OHCA (N=30 768), systematically collected since May 15, 2011, in Paris and its suburbs, France, using the Paris Fire Brigade database, together with in-hospital data. Read More

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http://dx.doi.org/10.1016/S2468-2667(20)30117-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255168PMC

Neonatal resuscitation guideline adherence: simulation study and framework for improvement.

Eur J Pediatr 2020 May 29. Epub 2020 May 29.

Department of Neonatology, Amalia Children's Hospital, Radboud Institute for Health Sciences (RIHS), Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, the Netherlands.

We wanted to assess newborn life support (NLS) knowledge and guideline adherence, and provide strategies to improve (neonatal) resuscitation guideline adherence. Pediatricians completed 17 multiple-choice questions (MCQ). They performed a simulated NLS scenario, using a high-fidelity manikin. Read More

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http://dx.doi.org/10.1007/s00431-020-03693-6DOI Listing

Adiponectin inhibits cardiac arrest/cardiopulmonary resuscitation‑induced apoptosis in brain by increasing autophagy involved in AdipoR1‑AMPK signaling.

Mol Med Rep 2020 May 22. Epub 2020 May 22.

Emergency Medicine Department, West China Hospital, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China.

Emerging evidence suggests that both apoptosis and autophagy contribute to global cerebral ischemia‑reperfusion (GCIR)‑induced neuronal death, which results from cardiac arrest (CA). However, the mechanism of how GCIR may affect the balance between apoptosis and autophagy resulting from CA remains to be elucidated. Additionally, the role of adiponectin (APN) in reversing the apoptosis and autophagy induced by GCIR following cardiac arrest‑cardiopulmonary resuscitation (CA‑CPR) is unclear. Read More

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http://dx.doi.org/10.3892/mmr.2020.11181DOI Listing

Implementing Cardiac Surgical Unit-Advanced Life Support Through Simulation-Based Learning: A Quality Improvement Project.

Dimens Crit Care Nurs 2020 Jul/Aug;39(4):180-193

Gregory S. Marler, DNP, APRN, ACNP-BC, FCCP has nearly 15 years' experience as a nurse practitioner in cardiothoracic surgery and is an assistant professor in the Department of Nursing at Appalachian State University in Boone, North Carolina. He is board certified as an acute care nurse practitioner. Margory A. Molloy, DNP, RN, CNE, CHSE, is the director of the Center for Nursing Discovery at the Duke University School of Nursing, Durham, North Carolina, and actively involved in developing interprofessional collaborative experiences that focus on patient safety, effective teamwork, and communication. Jill R. Engel, DNP, ACNP, FNP, NEA-BC, FAANP, is associate vice president for Heart Services Operations, Nursing, and Patient Care Services for Duke University Hospital System and clinical associate with Duke University School of Nursing in Durham, North Carolina. Gloria Walters, PhD, RN, RN-BC, CCRN-K, is a nurse scientist with Novant Health Forsyth Medical Center in Winston-Salem, North Carolina. Melanie B. Smitherman, BSN, RN-BC, CCRN-CSC, has 10 years' experience in cardiothoracic surgery critical care nursing and is currently pursuing a master of science in nursing degree in adult-gerontology acute care nurse practitioner at Duke University in Durham, North Carolina. Valerie K. Sabol, PhD, ACNP, GNP, ANEF, CNE, CHSE, FAANP, FAAN, is the chair for the Division of Healthcare in Adult Populations at Duke University School of Nursing, Durham, North Carolina. Dr Sabol has more than 25 years of acute and critical care experience and is board certified as an acute care and a gerontology nurse practitioner.

Background: The European Association for Cardio Thoracic Surgery and the Society of Thoracic Surgeons endorse Cardiac Surgical Unit-Advanced Life Support, a protocol designed specifically for cardiothoracic surgical patients who suffer postoperative cardiac arrests. To enhance patient outcomes and to reduce death rates, cardiothoracic intensive care unit nurses must be able to perform the protocol with confidence, proficiency, and without delays. To this end, simulation-based learning (SBL) is a pedagogical method ideal for optimized learning. Read More

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http://dx.doi.org/10.1097/DCC.0000000000000425DOI Listing

Triage criteria for cardiopulmonary resuscitation and advanced life support during the COVID-19 epidemic.

Med Clin (Barc) 2020 May 8. Epub 2020 May 8.

Comité de Ética Asistencial, Hospital Universitario de La Princesa, Madrid, España; Unidad de Cuidados Paliativos, Hospital Universitario de La Princesa, Madrid, España.

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http://dx.doi.org/10.1016/j.medcli.2020.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205666PMC

Relationship Between Institutional Volume of Out-of-Hospital Cardiac Arrest Cases and 1-Month Neurologic Outcomes: A Post Hoc Analysis of a Prospective Observational Study.

J Emerg Med 2020 May 25. Epub 2020 May 25.

Department of Emergency Medicine, Teikyo University School of Medicine, Tokyo, Japan.

Background: The influence of institutional volume of out-of-hospital cardiac arrest (OHCA) cases on outcomes remains unclear.

Objectives: This study evaluated the relationship between institutional volume of adult, nontraumatic OHCA cases and 1-month favorable neurologic outcomes.

Methods: This study retrospectively analyzed data between January 2012 and March 2013 from a prospective observational study in the Kanto area of Japan. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.04.039DOI Listing

Impact of Dispatcher-Assisted Bystander Cardiopulmonary Resuscitation with Out-of-Hospital Cardiac Arrest: A Systemic Review and Meta-Analysis.

Prehosp Disaster Med 2020 May 29:1-10. Epub 2020 May 29.

Emergency Department, Peking University Third Hospital, Haidian District, Beijing, PR China.

Objective: This systemic review and meta-analysis was conducted to explore the impact of dispatcher-assisted bystander cardiopulmonary resuscitation (DA-BCPR) on bystander cardiopulmonary resuscitation (BCPR) probability, survival, and neurological outcomes with out-of-hospital cardiac arrest (OHCA).

Methods: Electronically searching of PubMed, Embase, and Cochrane Library, along with manual retrieval, were done for clinical trials about the impact of DA-BCPR which were published from the date of inception to December 2018. The literature was screened according to inclusion and exclusion criteria, the baseline information, and interested outcomes were extracted. Read More

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http://dx.doi.org/10.1017/S1049023X20000588DOI Listing

Sports-Related Sudden Cardiac Arrest in Germany.

Can J Cardiol 2020 Mar 23. Epub 2020 Mar 23.

Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany.

Background: Knowledge about causes of sports-related sudden cardiac arrest (SrSCA) may influence national strategies to prevent such events. Therefore, we established a prospective registry on SrSCA to estimate the incidence and in particular describe the etiologies of SrSCA in the general population in Germany.

Methods: The registration of SrSCA based upon 4 pillars: a web-based platform to record SrSCA cases in competitive and recreational athletes, media-monitoring, cooperation with the German Resuscitation Registry, and 15 institutes of forensic medicine. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.03.021DOI Listing

Intensive care utilization in patients with end-stage liver disease: A population-based comparative study of cohorts with and without comorbid hepatocellular carcinoma in taiwan.

EClinicalMedicine 2020 May 20;22:100357. Epub 2020 May 20.

Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, Address: Bessemer Road, London, SE5 9PJ, United Kingdom.

Background: End-of-life intensive care may be futile and can be a cause of distress to both patients and their families. This study aimed to understand the utilization of intensive care and its associated factors in patients with End-stage liver disease (ESLD) during terminal hospitalization.

Methods: Population-based retrospective cohort study using the National Health Institute Research Database of Taiwan. Read More

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http://dx.doi.org/10.1016/j.eclinm.2020.100357DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240333PMC

ICMR Consensus Guidelines on 'Do Not Attempt Resuscitation'.

Authors:
Roli Mathur

Indian J Med Res 2020 Apr;151(4):303-310

ICMR Bioethics Unit, ICMR-National Centre for Disease Informatics & Research, Nirmal Bhawan, Poojanhalli, Kannamangala Post, Bengaluru 562 110, Karnataka, India.

Cardiopulmonary resuscitation (CPR) is widely practised by healthcare professionals to revive heart beat and breathing in a patient suffering from cardiac/ respiratory arrest. It is increasingly being recognized that in some patients with specific medical conditions, CPR does not alter the overall outcome of illness, and is likely to increase suffering and further deteriorate the quality of life. Do Not Attempt Resuscitation (DNAR) as an option has been practised in many countries for such cases to avoid futile CPR and maintain dignity of the patient. Read More

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http://dx.doi.org/10.4103/ijmr.IJMR_395_20DOI Listing

Simplified instructional phrasing in dispatcher-assisted cardiopulmonary resuscitation - when 'less is more'.

Singapore Med J 2020 May 27. Epub 2020 May 27.

Department of Acute and Emergency Care, Khoo Teck Puat Hospital, Singapore.

Introduction: In our national emergency dispatch centre, the standard protocol for dispatcher-assisted cardiopulmonary resuscitation (DACPR) in out-of-hospital cardiac arrests (OHCAs) involves the instruction "push 100 times a minute 5 cm deep". As part of quality improvement, the instruction was simplified to "push hard and fast".

Methods: We analysed all dispatcher-diagnosed OHCAs over four months in 2018: January to February ("push 100 times a minute 5 cm deep") and August to September ("push hard and fast"). Read More

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http://dx.doi.org/10.11622/smedj.2020080DOI Listing

A Call to Include Death Disclosure Training Alongside Cardiopulmonary Resuscitation Training: After the Code.

JAMA Cardiol 2020 May 27. Epub 2020 May 27.

Emory Palliative Care Center, Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.

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http://dx.doi.org/10.1001/jamacardio.2020.1279DOI Listing

Cardio protected areas in Mexico.

Arch Cardiol Mex 2020 ;90(2):207-215

Departamento de Medicina y Nutrición. Universidad de Guanajuato, León, Guanajuato, Mexico.

Sudden cardiac death (SCD) remains a major public health problem. Fortunately, with timely access to early defibrillation and high-quality cardiopulmonary resuscitation, an improvement in survival of victims of sudden death has been demonstrated. Efforts made in different countries to create programs for access to public defibrillation have shown great benefits in counteracting mortality associated with this type of event. Read More

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http://dx.doi.org/10.24875/ACM.19000158DOI Listing
January 2020

Prone ventilation of critically ill adults with COVID-19: how to perform CPR in cardiac arrest?

Crit Care 2020 05 26;24(1):258. Epub 2020 May 26.

Department of Anesthesiology and Intensive Care, Specialistic Hospital, Gdańsk-Zaspa, Poland.

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http://dx.doi.org/10.1186/s13054-020-02970-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249982PMC

Update: AHA guidelines for CPR and emergency cardiovascular care.

Nursing 2020 Jun;50(6):58-61

In Philadelphia, Pa., Mary Patricia Day is a nurse anesthetist at Temple University Hospital; Karen Jean Craig-Brangan is an AHA Training Center manager at Temple University Health System and president and owner of EMS Educational Services, Inc. in Bensalem, Pa.

Continuous review of current research and practice has resulted in updates to the American Heart Association guidelines for CPR and emergency cardiovascular care. This article examines the recommendations and their implementation into current healthcare practice. Read More

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http://dx.doi.org/10.1097/01.NURSE.0000659320.66070.a9DOI Listing

Outcomes After In-Hospital Pediatric Recurrent Cardiac Arrests.

Pediatr Crit Care Med 2020 May 26. Epub 2020 May 26.

University of Washington, Seattle, WA.

Objectives: The objective of this study is to determine outcomes of recurrent cardiac arrest events in the general pediatric inpatient population.

Design: Retrospective cohort study of inpatients in a single institution.

Setting: A tertiary care free-standing children's hospital. Read More

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http://dx.doi.org/10.1097/PCC.0000000000002427DOI Listing

How to verify the death of a patient.

Nurs Stand 2020 May 26. Epub 2020 May 26.

Faculty of Life Science and Education, University of South Wales, Pontypridd, Wales.

When a patient dies, it is important that nurses understand their role in the verification of death. This article explains the steps required to verify the death of an adult patient. Verification of death is not a mechanistic task, but one that requires sensitivity and compassion. Read More

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http://dx.doi.org/10.7748/ns.2020.e11561DOI Listing

Characteristics of mechanical CPR-related injuries: A case series.

J Forensic Leg Med 2020 May 27;72:101943. Epub 2020 Mar 27.

Anaesthetics & Intensive Care Medicine, Southmead Hospital, Bristol, United Kingdom. Electronic address:

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http://dx.doi.org/10.1016/j.jflm.2020.101943DOI Listing

Role of the Rapid Response System in End-of-Life Care Decisions.

Am J Hosp Palliat Care 2020 May 26:1049909120927372. Epub 2020 May 26.

Inha University Hospital Rapid Response Team (INHART), Incheon, Republic of Korea.

Purpose: An important role of the rapid response system (RRS) is to provide opportunities for end-of-life care (EOLC) decisions to be appropriately operationalized. We investigated whether EOLC decisions were made after the RRS-recommended EOLC decision to the primary physician.

Materials And Methods: We studied whether patients made EOLC decisions consistent with the rapid response team's (RRT) recommendations, between January 1, 2017, and February 28, 2019. Read More

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http://dx.doi.org/10.1177/1049909120927372DOI Listing

Ventricular Fibrillation Caused by Primary Carnitine Deficiency.

J Emerg Med 2020 May 21. Epub 2020 May 21.

Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Background: Primary carnitine deficiency (PCD) is a rare but potentially life-threatening genetic disorder if left untreated. Although some patients remain asymptomatic lifelong, a few patients present with hepatic encephalopathy, hypoglycemia, cardiomyopathy, dysrhythmia, and even sudden death.

Case Report: A 25-year-old woman with PCD collapsed suddenly while eating lunch. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.04.024DOI Listing

A Reusable Mask for Coronavirus Disease 2019 (COVID-19).

Arch Med Res 2020 Apr 10. Epub 2020 Apr 10.

Graduate Institute of Biomedical Engineering, National Chung Hsing University, Taichung, Taiwan. Electronic address:

The outbreak of Novel Coronavirus is causing an intensely feared globally. World Health Organization has even declared that it is a global health emergency. The simplest method to limit the spread of this new virus and for people to protect themselves as well as the others is to wear a mask in crowded places. Read More

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http://dx.doi.org/10.1016/j.arcmed.2020.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151523PMC

Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year "Greater Paris Fire Brigade" Experience.

Acad Emerg Med 2020 May 23. Epub 2020 May 23.

From the, Emergency Medical Department, Paris Fire Brigade, Paris, France.

Background: Out-of-hospital cardiac arrest (OHCA) remains associated with very high mortality. Accelerating the initiation of efficient cardiopulmonary resuscitation (CPR) is widely perceived as key to improving outcomes. The main goal was to determine whether identification and activation of nearby first responders through a smartphone application named Staying Alive (SA) can improve survival following OHCA in a large urban area (Paris). Read More

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http://dx.doi.org/10.1111/acem.13987DOI Listing

Survival from Out-of-Hospital Cardiac Arrest - Comparing the Automated LUCAS-2 Device and Manual CPR.

S D Med 2020 Apr;73(4):171-177

Department of Nursing, University of South Dakota.

Introduction: Competency in and understanding of the factors impacting cardiopulmonary resuscitation (CPR) are key to emergency medicine. The purpose of this study was to assess the impact of the automated LUCAS-2 device on survival to emergency department (ED) compared to manual CPR as part of the EMS response using a large data set collected in a mostly rural U.S. Read More

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Using a Mobile Phone Application Versus Telephone Assistance During Cardiopulmonary Resuscitation: A Randomized Comparative Study.

J Emerg Nurs 2020 May 19. Epub 2020 May 19.

Introduction: In recent years, the way CPR instructions are given has changed because of the development of new technology that allows bystanders who witness a cardiac arrest to be guided in performing CPR. This study aimed to compare the effectiveness of using a mobile phone application (app) versus telephone operator assistance in performing cardiopulmonary resuscitation (CPR) techniques in simulated settings.

Methods: A comparative study was performed with 2 intervention groups: (1) mobile phone app and (2) telephone assistance. Read More

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http://dx.doi.org/10.1016/j.jen.2020.03.015DOI Listing

Myocardial infarction type 1 is frequent in refractory out-of-hospital cardiac arrest (OHCA) treated with extracorporeal cardiopulmonary resuscitation (ECPR).

Sci Rep 2020 May 21;10(1):8423. Epub 2020 May 21.

Department of Medicine III (Interdisciplinary Medical Intensive Care), Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Extracorporeal cardiopulmonary resuscitation (ECPR) is a last resort treatment option for refractory cardiac arrest performed in specialized centers. Following consensus recommendations, ECPR is mostly offered to younger patients with witnessed collapse but without return of spontaneous circulation (ROSC). We report findings from a large single-center registry with 252 all-comers who received ECPR from 2011-2019. Read More

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http://dx.doi.org/10.1038/s41598-020-65498-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242317PMC

Survival After In-Hospital Cardiac Arrest In Critically Ill Patients: Implications For Covid-19 Outbreak?

Circ Cardiovasc Qual Outcomes 2020 May 22. Epub 2020 May 22.

Department of Internal Medicine, University of Michigan Medical School and Veterans Affairs Ann Arbor Center for Clinical Management Research, Ann Arbor, MI.

The coronavirus disease 2019 (COVID-19) outbreak is placing a considerable strain on U.S. healthcare systems by requiring both significant acute resources and endangering healthcare team members through airborne infection. Read More

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http://dx.doi.org/10.1161/CIRCOUTCOMES.120.006837DOI Listing

Enhancing citizens response to out-of-hospital cardiac arrest: A systematic review of mobile-phone systems to alert citizens as first responders.

Resuscitation 2020 May 11;152:16-25. Epub 2020 May 11.

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine, Vita-Salute San Raffaele University, Milan, Italy.

Introduction: Involving laypersons in response to out-of-hospital cardiac arrest through mobile-phone technology is becoming widespread in numerous countries, and different solutions were developed. We performed a systematic review on the impact of alerting citizens as first responders and to provide an overview of different strategies and technologies used.

Methods: We searched electronic databases up to October 2019. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2020.05.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211690PMC
May 2020
4.167 Impact Factor

Cardiopulmonary resuscitation of inpatients with severe COVID-19 pneumonia: The Wuhan experience.

Resuscitation 2020 May 11;152:95-96. Epub 2020 May 11.

Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing Chaoyang Hospital, Beijing, China; Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. Electronic address:

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http://dx.doi.org/10.1016/j.resuscitation.2020.05.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211744PMC

Prognostication with point-of-care echocardiography during cardiac arrest: A systematic review.

Resuscitation 2020 May 11;152:56-68. Epub 2020 May 11.

Division of Emergency Medicine, McMaster University, Hamilton, Ontario, Canada.

Aim: To conduct a prognostic factor systematic review on point-of-care echocardiography during cardiac arrest to predict clinical outcomes in adults with non-traumatic cardiac arrest in any setting.

Methods: We conducted this review per PRISMA guidelines and registered with PROSPERO (ID pending). We searched Medline, EMBASE, Web of Science, CINAHL, and the Cochrane Library on September 6, 2019. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2020.05.004DOI Listing

Myocardial bridge pathology and preventable accidents during physical activity of healthy subjects: A case report and a literature review.

Med Leg J 2020 May 21:25817220923638. Epub 2020 May 21.

Department Pro.Mi.Se, Legal Medicine, School of Medicine, University of Palermo, Palermo, Italy.

Myocardial bridging is a congenital coronary pathology described as a segment of coronary artery which courses through the myocardial wall under the muscle bridge. Although the prognosis of myocardial bridging is benign, sports medicine recognises myocardial bridging as a leading cause of sudden death among young basketball, football and soccer players. The authors report a case of a 42-year-old man who collapsed while playing football. Read More

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http://dx.doi.org/10.1177/0025817220923638DOI Listing

[Preclinical management of cardiac arrest-extracorporeal cardiopulmonary resuscitation].

Anaesthesist 2020 May 20. Epub 2020 May 20.

Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Kassel, Kassel, Deutschland.

Background: The chances of surviving out-of-hospital cardiac arrest (OHCA) are still very low. Despite intensive efforts the outcome has remained relatively poor over many years. In specific situations, new technologies, such as extracorporeal cardiopulmonary resuscitation (eCPR) could significantly improve survival with a good neurological outcome. Read More

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http://dx.doi.org/10.1007/s00101-020-00787-6DOI Listing