784 results match your criteria Pulseless Electrical Activity


Temporal Trends in the Use of Therapeutic Hypothermia for Out-of-Hospital Cardiac Arrest.

JAMA Netw Open 2018 Nov 2;1(7):e184511. Epub 2018 Nov 2.

University of Iowa Carver College of Medicine, Iowa City.

Importance: Despite evidence that therapeutic hypothermia improves patient outcomes for out-of-hospital cardiac arrest, use of this therapy remains low.

Objective: To determine whether the use of therapeutic hypothermia and patient outcomes have changed after publication of the Targeted Temperature Management trial on December 5, 2013, which supported more lenient temperature management for out-of-hospital cardiac arrest.

Design, Setting, And Participants: A retrospective cohort was conducted between January 1, 2013, and December 31, 2016, of 45 935 US patients in the Cardiac Arrest Registry to Enhance Survival who experienced out-of-hospital cardiac arrest and survived to hospital admission. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.4511DOI Listing
November 2018

Rhythm characteristics and patterns of change during cardiopulmonary resuscitation for in-hospital paediatric cardiac arrest.

Resuscitation 2019 Jan 9. Epub 2019 Jan 9.

Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NO-7491, Trondheim, Norway; Department of Anaesthesia and Intensive Care Medicine, St.Olav Hospital, Trondheim, Norway.

During paediatric cardiopulmonary resuscitation (CPR), patients may transition between pulseless electrical activity (PEA), asystole, ventricular fibrillation/tachycardia (VF/VT), and return of spontaneous circulation (ROSC). The aim of this study was to quantify the dynamic characteristics of this process.

Methods: ECG recordings were collected in patients who received CPR at the Children's Hospital of Philadelphia (CHOP) between 2006 and 2013. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2019.01.006DOI Listing
January 2019

Management of patch infections after carotid endarterectomy and utility of femoral vein interposition bypass graft.

J Vasc Surg 2018 Dec 24. Epub 2018 Dec 24.

Division of Vascular Surgery and Endovascular Therapy, University of Florid, Gainesville, Fla.

Objective: Patch infection after carotid endarterectomy (CEA) is a rare but devastating complication. A variety of different treatment options are reported; however, there is currently no consensus on how to manage this highly morbid problem. The purpose of this study was to review our experience with management of infectious patch complications after CEA and to highlight utility of femoral vein interposition bypass grafting. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.09.036DOI Listing
December 2018
1 Read

Methylene Blue Administration During and After Life-Threatening Intoxication by Hydrogen Sulfide:Efficacy Studies in Adult Sheep and Mechanisms of Action.

Toxicol Sci 2018 Dec 24. Epub 2018 Dec 24.

Heart and Vascular Institute, Pennsylvania State University College of Medicine, Hershey, PA.

Exposure to toxic levels of hydrogen sulfide (H2S) produces an acute cardiac depression that can be rapidly fatal. We sought to characterize the time course of the cardiac effects produced by the toxicity of H2S in sheep, a human sized mammal, and to describe the in vivo and in vitro antidotal properties of methylene blue (MB), which has shown efficacy in sulfide intoxicated rats. Infusing NaHS (720 mg) in anesthetized adult sheep produced a rapid dilation of the left ventricular with a decrease in contractility, which was lethal within about 10 minutes by pulseless electrical activity. Read More

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http://dx.doi.org/10.1093/toxsci/kfy308DOI Listing
December 2018

The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion.

Case Rep Crit Care 2018 19;2018:1568491. Epub 2018 Nov 19.

Cardiac Arrest Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.

A 66-year-old patient was admitted under continuous resuscitation for pulseless electrical activity. After return of spontaneous circulation ECG showed signs of acute inferior ST-elevation myocardial infarction, and echocardiography showed acute right ventricular failure with a dilated right ventricle. Carotid pulses were present in the absence of femoral pulses. Read More

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https://www.hindawi.com/journals/cricc/2018/1568491/
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http://dx.doi.org/10.1155/2018/1568491DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276461PMC
November 2018
4 Reads

Electrocardiography vs. Auscultation to Assess Heart Rate During Cardiac Arrest With Pulseless Electrical Activity in Newborn Infants.

Front Pediatr 2018 27;6:366. Epub 2018 Nov 27.

Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital Edmonton, AB, Canada.

In 2015, the neonatal resuscitation guidelines incorporated the use of electrocardiography (ECG) to monitor heart rate of newborns. However, previous studies have indicated that cardiac arrest with pulseless electrical activity rhythm (PEA) may occur in the delivery room, rendering this method problematic. To evaluate the accuracy of ECG and auscultation to assess heart rate during PEA. Read More

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http://dx.doi.org/10.3389/fped.2018.00366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277703PMC
November 2018

Fatal Dengue, Chikungunya and Leptospirosis: The Importance of Assessing Co-infections in Febrile Patients in Tropical Areas.

Trop Med Infect Dis 2018 Nov 26;3(4). Epub 2018 Nov 26.

Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira 66003, Colombia.

The febrile patient from tropical areas, in which emerging arboviruses are endemic, represents a diagnostic challenge, and potential co-infections with other pathogens (i.e., bacteria or parasites) are usually overlooked. Read More

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http://dx.doi.org/10.3390/tropicalmed3040123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306852PMC
November 2018
1 Read

Factors determining level of hospital care and its association with outcome after resuscitation from pre-hospital pulseless electrical activity.

Scand J Trauma Resusc Emerg Med 2018 Nov 19;26(1):98. Epub 2018 Nov 19.

Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Background: Patients resuscitated from out-of-hospital cardiac arrest (OHCA) with pulseless electrical activity (PEA) as initial cardiac rhythm are not always treated in intensive care units (ICUs): some are admitted to high dependency units with various level of care, others to ordinary wards. Aim of this study was to describe the factors determining level of hospital care after OHCA with PEA, post-resuscitation care and survival.

Methods: Adult OHCA patients with PEA (n = 221), who were resuscitated in southern Finland between 2010 and 2013 were included, provided patient survived to hospital admission. Read More

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http://dx.doi.org/10.1186/s13049-018-0568-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245922PMC
November 2018

In-hospital cardiac arrest resuscitation performed by the hospital emergency team: A 6-year retrospective register analysis at Danderyd University Hospital, Sweden.

F1000Res 2018 6;7:1013. Epub 2018 Jul 6.

Department of Anaesthesia & Intensive Care, Institution for Clinical Sciences, Danderyds University Hospital, Karolinska Institutet, Stockholm, 182 88, Sweden.

Cardiac arrest requires rapid and effective handling. Huge efforts have been implemented to improve resuscitation of sudden cardiac arrest patients. Guidelines around the various parts of effective management, the , are available. Read More

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https://f1000research.com/articles/7-1013/v1
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http://dx.doi.org/10.12688/f1000research.15373.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178903PMC
July 2018
6 Reads

Pulseless Electrical Activity Complicating Neonatal Resuscitation.

Neonatology 2018 Oct 23;115(2):95-98. Epub 2018 Oct 23.

Background: The most recent guidelines by the Neonatal Resuscitation Program recommend use of electrocardiography monitoring during advanced resuscitation.

Objective: We describe a case in whom detection of pulseless electrical activity (PEA) on electronic heart rate monitoring complicated delivery room management of an extremely low birth weight infant and offer suggestions for the identification of PEA for neonatal providers.

Conclusion: Further prospective studies are needed to determine the true incidence of PEA in the delivery room setting as well as its prognosis in newborns. Read More

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http://dx.doi.org/10.1159/000493357DOI Listing
October 2018
1 Read

Pulseless electrical activity is associated with improved survival in out-of-hospital cardiac arrest with initial non-shockable rhythm.

Resuscitation 2018 Dec 21;133:147-152. Epub 2018 Oct 21.

Lund University, Skåne University Hospital, Department of Clinical Sciences, Intensive and Perioperative Care, Malmö, Sweden.

Objective: To describe the prevalence, baseline characteristics and factors associated with survival in out-of-hospital cardiac arrest (OHCA) with initial non-shockable rhythm sub-grouped into pulseless electrical activity (PEA) and asystole as presenting rhythm.

Methods: The Swedish Registry of Cardiopulmonary Resuscitation is a prospectively recorded nationwide registry of modified Utstein parameters, including all patients with attempted resuscitation after OHCA. Data between 1990-2016 were analyzed. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2018.10.018DOI Listing
December 2018
7 Reads

Derivation and validation of a new score to predict long-term survival after sudden cardiac arrest.

Pacing Clin Electrophysiol 2018 Dec 8;41(12):1585-1590. Epub 2018 Nov 8.

Division of Cardiovascular Diseases, Department of Internal Medicine, UPMC, Heart & Vascular Institute, University of Pittsburgh, Pittsburgh, PA, USA.

Background: There is insufficient information about the long-term prognosis of sudden cardiac arrest (SCA) survivors. We therefore derived a clinical score (Sudden Cardiac Arrest-mortality score, SCA-MS) that predicts long-term mortality in patients surviving to hospital discharge and validated it in an independent cohort of SCA survivors.

Methods: A total of 1433 SCA survivors data were collected, who were discharged from the hospitals of the University of Pittsburgh Medical Center between 2002 and 2012. Read More

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http://dx.doi.org/10.1111/pace.13528DOI Listing
December 2018
5 Reads
1.250 Impact Factor

Acute right ventricular failure and pulseless electrical activity arrest following auto-transfusion of blood.

J Cardiol Cases 2018 Apr 12;17(4):119-122. Epub 2018 Jan 12.

Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.

Air embolism is a rare but potentially catastrophic complication of interventional procedures. The occurrence of acute right ventricular dysfunction during intraoperative auto-transfusion of blood, presumably related to pulmonary embolism of agitated air microbubbles and microthrombi, is less commonly recognized. We report a case of auto-transfusion complicated by acute right ventricular failure and pulseless electrical activity arrest. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409173011
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http://dx.doi.org/10.1016/j.jccase.2017.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149568PMC
April 2018
1 Read

Peri-mortem caesarean section after traumatic arrest: Crisis resource management.

Am J Emerg Med 2018 Dec 30;36(12):2338.e1-2338.e3. Epub 2018 Aug 30.

Emergency Department, Ng Teng Fong General Hospital, Singapore.

Peri-mortem caesarean section (PMCS) is a very rare procedure performed to improve the chances of survival for both mother and fetus following cardiorespiratory arrest. Non-obstetricians including Emergency Physicians (EPs) are often called upon to perform this procedure under challenging and suboptimal circumstances. We reported a case of PMCS performed timely after traumatic cardiorespiratory arrest that resulted in fetal survival. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.08.078DOI Listing
December 2018
1 Read

ECG-based pulse detection during cardiac arrest using random forest classifier.

Med Biol Eng Comput 2018 Sep 13. Epub 2018 Sep 13.

Department of Emergency Medicine, Oregon Health & Science University, Portland, OR, 97239-3098, USA.

Sudden cardiac arrest is one of the leading causes of death in the industrialized world. Pulse detection is essential for the recognition of the arrest and the recognition of return of spontaneous circulation during therapy, and it is therefore crucial for the survival of the patient. This paper introduces the first method based exclusively on the ECG for the automatic detection of pulse during cardiopulmonary resuscitation. Read More

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http://dx.doi.org/10.1007/s11517-018-1892-2DOI Listing
September 2018
2 Reads

Adherence to Pediatric Cardiac Arrest Guidelines Across a Spectrum of Fifty Emergency Departments: A Prospective, In Situ, Simulation-based Study.

Acad Emerg Med 2018 Dec 25;25(12):1396-1408. Epub 2018 Oct 25.

Department of Critical Care Medicine and Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA.

Background And Objectives: Pediatric out-of-hospital cardiac arrest survival outcomes are dismal (<10%). Care that is provided in adherence to established guidelines has been associated with improved survival. Lower mortality rates have been reported in higher-volume hospitals, teaching hospitals, and trauma centers. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.13564
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http://dx.doi.org/10.1111/acem.13564DOI Listing
December 2018
23 Reads
2.010 Impact Factor

Electrocardiographic manifestations of severe hyperkalemia.

J Electrocardiol 2018 Sep - Oct;51(5):814-817. Epub 2018 Jul 4.

Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC, USA.

Severe hyperkalemia is a hazardous condition that warrants urgent intervention. In critically ill patients, the electrocardiogram (ECG) can be the most immediately available diagnostic tool in identifying patients with potentially lethal hyperkalemia. Peaking of the T waves, the most widely appreciated ECG sign, is actually rarely a manifestation of life-threatening hyperkalemia. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2018.06.018DOI Listing
July 2018
2 Reads

Characteristics and outcomes of maternal cardiac arrest: A descriptive analysis of Get with the guidelines data.

Resuscitation 2018 Nov 28;132:17-20. Epub 2018 Aug 28.

Division of Cardiology, Dept of Medicine, William Osler Health System, Brampton, Ontario, Canada; University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Maternal mortality has risen in the United States in the twenty-first century, yet large cohort data of maternal cardiac arrest (MCA) are limited.

Objective: We sought to describe contemporary characteristics and outcomes of in-hospital MCA.

Methods: We queried the American Heart Association's Get with the Guidelines Resuscitation voluntary registry from 2000 to 2016 to identify cases of maternal cardiac arrest. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2018.08.029DOI Listing
November 2018
8 Reads

Initial Rhythm and Resuscitation Outcomes for Patients Developing Cardiac Arrest in Hospital: Data From Low-Middle Income Country.

Glob Heart 2018 12 18;13(4):255-260. Epub 2018 Aug 18.

Canadian VIGOUR Centre, University of Alberta, Edmonton, Alberta, Canada.

Background: Health care resource allocation remains challenging in lower middle income countries such as Kenya with meager resources being allocated to resuscitation and critical care. The causes and outcomes for in-hospital cardiac arrest and resuscitation have not been studied.

Objectives: This study sought to determine the initial rhythm and the survival for patients developing in-hospital cardiac arrest. Read More

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http://dx.doi.org/10.1016/j.gheart.2018.07.001DOI Listing
December 2018
1 Read

Conventional cardiopulmonary resuscitation-induced refractory cardiac arrest due to latent left ventricular outflow tract obstruction due to a sigmoid septum: a case report.

J Med Case Rep 2018 Aug 20;12(1):229. Epub 2018 Aug 20.

Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan.

Background: Patients with left ventricular outflow tract obstruction who do not exhibit a dynamic pressure gradient at rest, experience pressure gradient increases of ≥ 30 mmHg only during specific situations; this is called latent left ventricular outflow tract obstruction. It is provoked by increased cardiac contraction and preload and afterload depletion. There are a few reports of patients with it developing cardiac arrest. Read More

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http://dx.doi.org/10.1186/s13256-018-1767-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6100721PMC
August 2018
5 Reads

Characteristics and Prognosis of Exercise-Related Sudden Cardiac Arrest.

Front Cardiovasc Med 2018 26;5:102. Epub 2018 Jul 26.

Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.

The previous studies about exercise-related sudden cardiac arrest (SCA) have mainly focused on sports activity, but information related to SCA in other forms of physical exercise is lacking. Our aim was to identify characteristics and prognosis of SCA victims in the general population who suffered SCA during physical activity. We collected retrospectively all cases of attempted resuscitation in Oulu University Hospital Area between 2007 and 2012. Read More

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http://dx.doi.org/10.3389/fcvm.2018.00102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6070620PMC
July 2018
2 Reads

[Toracotomía en el departamento de urgencias en una paciente con actividad eléctrica sin pulso no traumática: potencial ampliación del horizonte terapéutico de una intervención de alta especialidad].

Cir Cir 2018 ;86(4):366-369

Hospital Central Militar. Secretaría de la Defensa Nacional, Ciudad de México, México.

Instituida bajo recomendaciones objetivas, la toracotomía en el departamento de urgencias (TDU) se ha descrito como una maniobra quirúrgica salvatoria de la vida en pacientes traumatizados in extremis. Sin embargo, hay pocos reportes acerca de la experiencia con su empleo en la actividad eléctrica sin pulso no traumática. Describimos el caso de una paciente obstétrica exanguinada por sangrado masivo transoperatorio, en la que se realizó una TDU con un resultado óptimo para la vida y la función neurológica. Read More

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http://dx.doi.org/10.24875/CIRU.M18000056DOI Listing
January 2018

Clinical Outcomes and Modes of Death in Timothy Syndrome: A Multicenter International Study of a Rare Disorder.

JACC Clin Electrophysiol 2018 Apr 6;4(4):459-466. Epub 2017 Nov 6.

Department of Pediatrics, Division of Pediatric Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address:

Objectives: The objective of this study was to evaluate contemporary clinical outcomes and identify triggers for arrhythmias or sudden death in an international cohort of Timothy Syndrome (TS) patients including those with novel TS-associated CACNA1C mutations.

Background: TS is an extremely rare genetic disorder of the L-type cardiac channel Ca1.2 encoded by CACNA1C. Read More

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http://dx.doi.org/10.1016/j.jacep.2017.08.007DOI Listing
April 2018
3 Reads

Profound Bradycardia and Cardiac Arrest After Sugammadex Administration in a Previously Healthy Patient: A Case Report.

A A Pract 2019 Jan;12(1):22-24

From the Department of Anesthesiology and Pain Management, John H. Stroger Jr. Hospital of Cook County, Chicago Illinois.

We report the case of a 60-year-old man who underwent open radical prostatectomy for prostate adenocarcinoma. He had no known cardiac disease or symptoms other than controlled hypertension and remote history of cocaine use. The patient was given sugammadex for reversal of neuromuscular blockade and, within 1 minute, developed severe, drug-resistant bradycardia followed by pulseless electrical activity arrest. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000834DOI Listing
January 2019
4 Reads

Emergency Medical Services Simple Thoracostomy for Traumatic Cardiac Arrest: Postimplementation Experience in a Ground-based Suburban/Rural Emergency Medical Services Agency.

J Emerg Med 2018 09 28;55(3):366-371. Epub 2018 Jun 28.

Montgomery County Hospital District Emergency Medical Services, Houston, Texas.

Background: Tube thoracostomy has long been the standard of care for treatment of tension pneumothorax in the hospital setting yet is uncommon in prehospital care apart from helicopter emergency medical services.

Objective: We aimed to evaluate the performance of simple thoracostomy (ST) for patients with traumatic cardiac arrest and suspected tension pneumothorax.

Methods: We conducted a retrospective case series of consecutive patients with traumatic cardiac arrest where simple thoracostomy was used during the resuscitation effort. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183059
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http://dx.doi.org/10.1016/j.jemermed.2018.05.027DOI Listing
September 2018
12 Reads

Anaesthesia, surgery, and life-threatening allergic reactions: epidemiology and clinical features of perioperative anaphylaxis in the 6th National Audit Project (NAP6).

Br J Anaesth 2018 Jul 21;121(1):159-171. Epub 2018 May 21.

Medicines and Healthcare products Regulatory Agency, London, UK.

Background: Anaphylaxis during anaesthesia is a serious complication for patients and anaesthetists.

Methods: The 6th National Audit Project (NAP6) on perioperative anaphylaxis collected and reviewed 266 reports of Grades 3-5 anaphylaxis over 1 yr from all NHS hospitals in the UK.

Results: The estimated incidence was ≈1:10 000 anaesthetics. Read More

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http://dx.doi.org/10.1016/j.bja.2018.04.014DOI Listing
July 2018
2 Reads

Ultrasound diagnosis of cardiac rupture caused by mechanical chest compression.

Turk J Emerg Med 2018 Jun 26;18(2):82-84. Epub 2018 Feb 26.

Department of Emergency Medicine, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan.

A 74-year-old male with chronic kidney disease presented to the emergency department with asystole. Mechanical chest compression was started immediately using a piston-type thumper device. The initial potassium level was 7. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005916PMC
June 2018
5 Reads

Pulseless electrical activity: a misdiagnosed entity during asphyxia in newborn infants?

Arch Dis Child Fetal Neonatal Ed 2018 Jun 12. Epub 2018 Jun 12.

Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, Alberta, Canada.

Background: The 2015 neonatal resuscitation guidelines added ECG as a recommended method of assessment of an infant's heart rate (HR) when determining the need for resuscitation at birth. However, a recent case report raised concerns about this technique in the delivery room.

Objectives: To compare accuracy of ECG with auscultation to assess asystole in asphyxiated piglets. Read More

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http://dx.doi.org/10.1136/archdischild-2018-314907DOI Listing
June 2018
14 Reads

Unique ECG Findings in Acute Pulmonary Embolism: STE with Reciprocal Changes and Pathologic Q Wave.

Case Rep Crit Care 2018 3;2018:7865894. Epub 2018 Apr 3.

Division of Critical Care Medicine and Division of Endocrinology & Metabolism, Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada.

A 68-year-old male presented to the emergency department with retrosternal chest pain, presyncope, and then a pulseless electrical activity cardiac arrest. An ECG prior to his arrest revealed ST elevations in leads V1-V3, Q waves in lead V2, and reciprocal ST depressions in the lateral and inferior leads. He received thrombolytic therapy for a presumptive diagnosis of ST elevation myocardial infarction. Read More

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http://dx.doi.org/10.1155/2018/7865894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903203PMC
April 2018
7 Reads

Cardiogenic Shock due to Pulseless Electrical Activity Arrest Associated with Severe Coronary Artery Spasm.

Intern Med 2018 Oct 18;57(19):2853-2857. Epub 2018 May 18.

Department of Cardiology, Tsukazaki Hospital, Japan.

A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Read More

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http://dx.doi.org/10.2169/internalmedicine.0196-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207832PMC
October 2018
4 Reads

Cardiac Arrest in Patients Managed for Convulsive Status Epilepticus: Characteristics, Predictors, and Outcome.

Crit Care Med 2018 Aug;46(8):e751-e760

Paris Descartes University, Sorbonne Paris Cité-Medical School, Paris, France.

Objectives: Cardiac arrest is a catastrophic event that may arise during the management of convulsive status epilepticus. We aimed to report the clinical characteristics, outcomes, and early predictors of convulsive status epilepticus-related cardiac arrest.

Design: Retrospective multicenter study. Read More

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http://dx.doi.org/10.1097/CCM.0000000000003196DOI Listing
August 2018
4 Reads

Electrophysiologic Considerations After Sudden Cardiac Arrest.

Curr Cardiol Rev 2018 ;14(2):102-108

Division of Cardiovascular Medicine, Department of Medicine, University of Arizona College of Medicine, Tucson, AZ, United States.

Background: Sudden Cardiac Death (SCD) remains a major public health concern, accounting for more than 50% of cardiac deaths. The majority of these deaths are related to ischemic heart disease, however increasingly recognized are non-ischemic causes such as cardiac channelopathies. Bradyarrhythmias and pulseless electrical activity comprise a larger proportion of out-ofhospital arrests than previously realized, particularly in patients with more advanced heart failure or noncardiac triggers such as pulmonary embolism. Read More

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http://dx.doi.org/10.2174/1573403X14666180507164443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088441PMC
September 2018
2 Reads

Circulation assessment by automated external defibrillators during cardiopulmonary resuscitation.

Resuscitation 2018 07 4;128:158-163. Epub 2018 May 4.

Emergentziak-Osakidetza, Basque Country Health System, Basque Country, Spain.

Aim: To design and evaluate a simple algorithm able to discriminate pulsatile rhythms from pulseless electrical activity during automated external defibrillator (AED) analysis intervals, using the ECG and the transthoracic impedance (TI) acquired from defibrillation pads.

Methods: ECG and TI signals from out-of-hospital AED recordings were retrospectively analysed. Experts annotated the cardiac rhythm during AED analysis intervals and at the end of each episode. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2018.04.036DOI Listing
July 2018
1 Read

A miraculous recovery: infection following a red ant bite.

BMJ Case Rep 2018 May 4;2018. Epub 2018 May 4.

Department of Anesthesiology, Mayo Clinic, Jacksonville, Florida, USA.

The clinically important human infections are mostly caused by the three species (eg, ) of out of the many progressively increasing identified species. transmitted by the arthropod vector, fleas, after cat bite is responsible for the rare multisystem cat scratch disease in humans. We present an extremely rare case of contracted presumably through a red ant bite. Read More

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http://dx.doi.org/10.1136/bcr-2017-222326DOI Listing
May 2018
3 Reads

Endotracheal tube clamping and extracorporeal membrane oxygenation to resuscitate massive pulmonary haemorrhage.

Respirol Case Rep 2018 07 6;6(5):e00321. Epub 2018 Apr 6.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine National Taiwan University Hospital Taipei Taiwan.

Massive pulmonary haemorrhage is a life-threatening and difficult-to-manage condition. In certain circumstances, traditional approaches for haemoptysis may not be effective. Here, we report a 64-year-old man presenting with dyspnoea and leg oedema. Read More

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http://doi.wiley.com/10.1002/rcr2.321
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http://dx.doi.org/10.1002/rcr2.321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891349PMC
July 2018
4 Reads

On the Efficacy of Cardio-Pulmonary Resuscitation and Epinephrine Following Cyanide- and HS Intoxication-Induced Cardiac Asystole.

Cardiovasc Toxicol 2018 Oct;18(5):436-449

Division of Pulmonary and Critical Care Medicine, Department of Medicine, College of Medicine, Pennsylvania State University, 500 University Drive, H041, Hershey, PA, 17033, USA.

This study was aimed at determining the efficacy of epinephrine, followed by chest compressions, in producing a return of spontaneous circulation (ROSC) during cyanide (CN)- or hydrogen sulfide (HS)-induced toxic cardiac pulseless electrical activity (PEA) in the rat. Thirty-nine anesthetized rats were exposed to either intravenous KCN (n = 27) or HS solutions (n = 12), at a rate that led to a PEA within less than 10 min. In the group intoxicated by CN, 20 rats were mechanically ventilated and received either epinephrine (0. Read More

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http://dx.doi.org/10.1007/s12012-018-9454-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126935PMC
October 2018
7 Reads

Trans-cranial Doppler as an Ancillary Study Supporting Irreversible Brain Injury in a Post Cardiac Arrest Patient on Extracorporeal Membrane Oxygenation.

Cureus 2018 Feb 6;10(2):e2161. Epub 2018 Feb 6.

Neurology, Cleveland Clinic Ohio.

Obtaining neuroimaging in patients on cardiopulmonary support devices such as extracorporeal membrane oxygenation (ECMO) can be challenging, given the complexities in monitoring, instrumentation, and associated hemodynamic lability. Transcranial Doppler (TCD) is used as an ancillary test for the assessment of cerebral circulatory arrest, but its use in non-pulsatile blood flow in venoarterial (VA) ECMO is not well described. We report the use of TCD in a patient on VA ECMO post-cardiac arrest for evaluation of death by neurological criteria. Read More

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http://dx.doi.org/10.7759/cureus.2161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889154PMC
February 2018
1 Read

ECG changes during resuscitation of patients with initial pulseless electrical activity are associated with return of spontaneous circulation.

Resuscitation 2018 06 3;127:31-36. Epub 2018 Apr 3.

Department of Circulation and Medical Imaging, Faculty of Medicine, NTNU, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway; St. Olav University Hospital, Department of Anesthesia and Intensive Care Medicine, NO-7006 Trondheim, Norway.

Background: Pulseless electrical activity (PEA) is a frequent initial rhythm in cardiac arrest, and ECG characteristics have been linked to prognosis. The aim of this study was to examine the development of ECG characteristics during advanced life support (ALS) and cardiopulmonary resuscitation (CPR) in cardiac arrest with initial PEA, and to assess any association with survival.

Methods: Patients with in-hospital cardiac arrest with initial PEA at St. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2018.03.039DOI Listing
June 2018
4 Reads

CC1 Emergent Endovascular Repair of a Ruptured Descending Thoracic Aortic Aneurysm in an Arresting Patient.

Innovations (Phila) 2018 Apr 4. Epub 2018 Apr 4.

University of Maryland Medical Center, Baltimore, MD USA.

Objective: Our goal was to present a case of emergent endovascular repair of a ruptured descending aortic aneurysm in an actively arresting patient.

Patient: The patient was a 75-year-old woman with a known history of a 6.5-cm descending thoracic aortic aneurysm with acute onset of back pain and syncope. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000472DOI Listing
April 2018
10 Reads

Intravascular Cooling Catheter-Related Venous Thromboembolism After Hypothermia: A Case Report and Review of the Literature.

Ther Hypothermia Temp Manag 2018 Jun 23;8(2):117-120. Epub 2018 Mar 23.

1 Department of Internal Medicine, University of Connecticut School of Medicine , Farmington, Connecticut.

Fifty-four year-old man with recent history of myocardial infarction and a percutaneous coronary intervention who suffered a ventricular fibrillation arrest at home. He was resuscitated in the field. His heart rhythm was in atrial fibrillation. Read More

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http://dx.doi.org/10.1089/ther.2017.0059DOI Listing
June 2018
9 Reads

Refractory Ventricle Arrhythmias Alternating with Pulseless Electrical Activity in a Young Woman Rescued by Extracorporeal Cardiopulmonary Resuscitation.

Case Rep Med 2018 14;2018:5686790. Epub 2018 Jan 14.

2nd Department of Medicine-Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, U Nemocnice 2, 128 00 Prague 2, Czech Republic.

Introduction: Extracorporeal cardiopulmonary resuscitation (ECPR) is a challenging approach for treating refractory out-of-hospital cardiac arrest (OHCA).

Case Presentation: The authors describe a case of a 40-year-old Caucasian female who suffered from refractory OHCA, was admitted to a hospital while receiving ongoing cardiopulmonary resuscitation, and was connected to venoarterial extracorporeal membrane oxygenation 73 minutes after collapse. Ventricular tachyarrhythmias alternating with pulseless electrical activity resolved after eight hours. Read More

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http://dx.doi.org/10.1155/2018/5686790DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5821974PMC
January 2018
5 Reads

Digoxin use in systemic light-chain (AL) amyloidosis: contra-indicated or cautious use?

Amyloid 2018 Jun 12;25(2):86-92. Epub 2018 Mar 12.

b Department of Cardiovascular Diseases , Mayo Clinic , Rochester , MN , USA.

Aim: Digoxin is considered contraindicated in light-chain (AL) amyloidosis, given reports of increased toxicity published 30-50 years ago. We sought to determine the frequency of digoxin toxicity in patients with AL.

Methods: We identified 107 patients with AL amyloidosis who received digoxin between 2000 and 2015. Read More

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http://dx.doi.org/10.1080/13506129.2018.1449744DOI Listing
June 2018
5 Reads
1 Citation
2.010 Impact Factor

Novel patterns of left ventricular mechanical activity during experimental cardiac arrest in pigs.

Physiol Res 2018 Jul 12;67(3):391-399. Epub 2018 Mar 12.

Department of Anesthesiology, Perioperative Medicine and Intensive Care, Masaryk Hospital Usti nad Labem, Usti nad Labem, Czech Republic.

We conducted an experimental study to evaluate the presence of coordinated left ventricular mechanical myocardial activity (LVMA) in two types of experimentally induced cardiac arrest: ventricular fibrillation (VF) and pulseless electrical activity (PEA). Twenty anesthetized domestic pigs were randomized 1:1 either to induction of VF or PEA. They were left in nonresuscitated cardiac arrest until the cessation of LVMA and microcirculation. Read More

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The dead and the dying - a difficult part of EMS transport: A Swiss cross-sectional study.

PLoS One 2018 27;13(2):e0191879. Epub 2018 Feb 27.

Sanitätspolizei Bern, Emergency Medical Service Bern, Bern, Switzerland.

Objective: Most deaths occur in the pre-hospital setting, whereas mortality in the emergency department (ED) is low (<1%). However, our clinical impression is that some patients are being transported to hospital in devastating conditions with no likelihood of survival, but demanding extensive hospital resources. The decision on whether to transport a dying person to hospital or not is a difficult task for emergency medical services (EMS) personnel. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0191879PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828436PMC
March 2018
3 Reads

AngioVac System Used as an Adjunct Treatment for Intra-Cardiac Lead and Valvular Vegetations.

S D Med 2018 Jan;71(1):22-24

Department of Cardiology, University of South Dakota Sanford School of Medicine.

Infections are known complications of cardiovascular implantable electronic devices (CIEDs). We describe a case of a 62-year-old male who presented with pulseless electrical activity (PEA) cardiac arrest and respiratory failure. He had a history of cardiac resynchronization device and defibrillator (CRT-D) implantation for nonischemic cardiomyopathy. Read More

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January 2018

Fatal air embolism following local anaesthetisation: does needle size matter?

BMJ Case Rep 2018 Feb 5;2018. Epub 2018 Feb 5.

Division of Pulmonary and Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

A 76--year--old male cigarette smoker presented with a 2-week history of cough and haemoptysis. Chest CT on admission revealed multiple new lung nodules concerning for malignancy. CT--guided biopsy of the nodule in left lower lobe was attempted in prone oblique position for tissue diagnosis. Read More

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http://dx.doi.org/10.1136/bcr-2017-222254DOI Listing
February 2018
2 Reads

Metformin-Associated Lactic Acidosis: A Case Report.

Drug Saf Case Rep 2018 Feb 9;5(1). Epub 2018 Feb 9.

Department of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Burlington, MA, USA.

A 54-year-old woman with type 2 diabetes mellitus, hypertension, and peripheral vascular disease developed life-threatening lactic acidosis during treatment with metformin for type 2 diabetes. The woman received metformin at 1000 mg orally twice a day for type 2 diabetes. She presented to our emergency department with a 3-day history of severe watery diarrhea, nausea, and vomiting. Read More

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http://dx.doi.org/10.1007/s40800-018-0076-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5807253PMC
February 2018
2 Reads

Initial electrical frequency predicts survival and neurological outcome in out of hospital cardiac arrest patients with pulseless electrical activity.

Resuscitation 2018 Apr 3;125:34-38. Epub 2018 Feb 3.

Department of Emergency Medicine, Medical University of Vienna, Austria.

Background: Outcome is generally poor in out of hospital cardiac arrests (OHCA) with initial non-shockable rhythms. Termination of resuscitation rules facilitate early prognostication at the scene to cease resuscitation attempts in futile situations and to proceed advanced life support in promising conditions. As pulseless electrical activity (PEA) is present as first rhythm in every 4th OHCA we were interested if the initial electrical frequency in PEA predicts survival. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2018.01.041DOI Listing
April 2018
2 Reads
4.170 Impact Factor