7,292 results match your criteria Resuscitation[Journal]


Is it necessary to see to save a life? Pilot study of basic CPR training for blind people.

Resuscitation 2018 Nov 26. Epub 2018 Nov 26.

CLINURSID Research Group, School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Paediatric Emergency and Critical Care Division, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Institute of Health Research of Santiago (IDIS), Spain.

View Article
November 2018

European Resuscitation Council Guidelines for Resuscitation: 2018 Update - Antiarrhythmic drugs for cardiac arrest.

Resuscitation 2018 Nov 26. Epub 2018 Nov 26.

European Resuscitation Council, Emile Vanderveldelaan 35, BE-2845, Niel, Belgium.

This European Resuscitation Council (ERC) Guidelines for Resuscitation 2018 update is focused on the role of antiarrhythmic drugs during advanced life support for cardiac arrest with shock refractory ventricular fibrillation/pulseless ventricular tachycardia in adults, children and infants. This update follows the publication of the International Liaison Committee on Resuscitation (ILCOR) 2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR). The ILCOR CoSTR suggests that any beneficial effects of amiodarone or lidocaine are similar. Read More

View Article
November 2018
1 Read

Out-of-hospital cardiac arrest termination of resuscitation.

Authors:
Emma McLean

Resuscitation 2018 Dec;133:e9

Imperial College London, United Kingdom. Electronic address:

View Article
December 2018

Letter by Briche et al. Bystanders, Dispatchers, Rescuers, and Defibrillator must recognize agonal breathing.

Resuscitation 2018 Dec;133:e11-e12

Emergency Department, Paris Fire Brigade, Paris, 1 Place Jules Renard, 75017 Paris, France. Electronic address:

View Article
December 2018
2 Reads

Food-riders may improve the chain of survival in out-of-hospital cardiac arrests by delivering CPR and AEDs.

Resuscitation 2018 Nov 22. Epub 2018 Nov 22.

118 HEMS Pieve di Cadore, ULSS 1 Dolomiti, Belluno, Italy.

View Article
November 2018

Partial pressure of arterial carbon dioxide after resuscitation from cardiac arrest and neurological outcome: A prospective multi-center protocol-directed cohort study.

Resuscitation 2018 Nov 16. Epub 2018 Nov 16.

The Department of Emergency Medicine, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, United States. Electronic address:

Aims: Partial pressure of arterial carbon dioxide (PaCO) is a regulator of cerebral blood flow after brain injury. We sought to test the association between PaCO after resuscitation from cardiac arrest and neurological outcome.

Methods: A prospective protocol-directed cohort study across six hospitals. Read More

View Article
November 2018
4 Reads

Impact of prehospital physician-led cardiopulmonary resuscitation on neurologically intact survival after out-of-hospital cardiac arrest: a nationwide population-based observational study.

Resuscitation 2018 Nov 15. Epub 2018 Nov 15.

Department of Cardiology, Yawata Medical Centre, Komatsu, Japan.

Aim: The impact of prehospital physician care for out-of-hospital cardiac arrest (OHCA) on long-term neurological outcome is unclear. We aimed to determine the association between emergency medical services (EMS) physician-led cardiopulmonary resuscitation (CPR) versus paramedic-led CPR and neurologically intact survival after OHCA.

Methods: We assessed 613,251 patients using All-Japan Utstein Registry data from 2011 to 2015 retrospectively. Read More

View Article
November 2018
11 Reads

Twenty-Year Trends in the Characteristic, Management and Outcome of Patients with ST-Elevation Myocardial Infarction and Out-of-hospital Reanimation. Insight from the National AMIS PLUS Registry 1997-2017.

Resuscitation 2018 Nov 14. Epub 2018 Nov 14.

AMIS Plus Data Center, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Switzerland.

Background: Few studies describe recent changes in the incidence, treatment and outcome of successfully resuscitated STEMI patients after out-of-hospital cardiac arrest (OHCA) compared with non-OHCA STEMI patients.

Objective: To examine temporal trends in the incidence, therapeutic management, most serious complications, mortality rate and outcome of OHCA patients fulfilling criteria of STEMI compared with a reference group of STEMI patients without OHCA.

Methods: Analysis of registry data (AMIS Plus Registry) among STEMI patients both with and without OHCA between 1997 and 2017. Read More

View Article
November 2018
5 Reads

Validation of the return of spontaneous circulation after cardiac arrest (RACA) score in two different national territories.

Resuscitation 2018 Nov 14. Epub 2018 Nov 14.

Cardiocentro Ticino, Lugano, Switzerland.

Background: The likelihood of return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest (OHCA) is influenced by unmodifiable (gender, aetiology, location, the presence of witnesses and initial rhythm) and modifiable factors (bystander CPR and the time to EMS arrival). All of these have been included in the ROSC After Cardiac Arrest (RACA) score.

Purpose: To test the ability of the RACA score to predict the probability of ROSC in two different regions with different local resuscitation networks: the Swiss Canton Ticino and the Italian Province of Pavia. Read More

View Article
November 2018
4 Reads

A New Paradigm of Resuscitation: Perfusion-Guided Cardiopulmonary Resuscitation.

Resuscitation 2018 Nov 13. Epub 2018 Nov 13.

Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond St, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St, Toronto, ON, Canada; Division of Emergency Medicine, Department of Medicine, University of Toronto, 200 Elizabeth Street, Suite RFE 3-805, Toronto, ON, Canada. Electronic address:

View Article
November 2018
2 Reads

Cost minimization analysis for basic life support.

Resuscitation 2018 Nov 11. Epub 2018 Nov 11.

UIC and Health Sciences, C/ JosepTrueta s/n. 08195 St. Cugat del Vallès, Barcelona, Spain. Electronic address:

The use of online teaching methodology for basic life support (BLS) courses is progressively increasing. The objective of this study was to verify whether the blended-learning methodology (virtual course with a short face-to-face complement) was more efficient than a course that followed the classical or face-to-face methodology in our university.

Materials And Methods: A cost minimization analysis was performed for two BLS and automatic external defibrillation (AED) courses, one of which was conducted face-to-face (Control Group) and the second of which was conducted via blended-learning (Experimental Group). Read More

View Article
November 2018
6 Reads

Early On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest Can Result in Improved Chances for Neurologically-Intact Survival.

Resuscitation 2018 Nov 6. Epub 2018 Nov 6.

Polk County Fire Rescue, 2470 Clower Lane, Bartow FL 33830 USA.

Aim: To evaluate the frequency of neurologically-intact survival (SURV) following pediatric out-of-hospital cardiac arrest (POHCA) when comparing traditional early evacuation strategies to those emphasizing resuscitation efforts being performed on-scene.

Methods: Before 2014, emergency medical services (EMS) crews in a county-wide EMS agency provided limited treatment for POHCA on-scene and rapidly transported patients to appropriate hospitals. After 2014, training strongly enhanced EMS provider comfort levels with on-scene resuscitation efforts including methods to expedite protocols on-site and control positive-pressure ventilation. Read More

View Article
November 2018
3 Reads

2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary.

Resuscitation 2018 Dec 5;133:194-206. Epub 2018 Nov 5.

The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the second annual summary of International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations that includes the most recent cardiopulmonary resuscitation science reviewed by the International Liaison Committee on Resuscitation. This summary addresses the role of antiarrhythmic drugs in adults and children and includes the Advanced Life Support Task Force and Pediatric Task Force consensus statements, which summarize the most recent published evidence and an assessment of the quality of the evidence based on Grading of Recommendations, Assessment, Development, and Evaluation criteria. Read More

View Article
December 2018
7 Reads

Reply to: The role of extracorporeal life support in patients with hypothermic cardiac arrest.

Resuscitation 2018 Nov 2. Epub 2018 Nov 2.

Critical Care Medicine, London Health Sciences Centre, Western University, London, ON, Canada.

View Article
November 2018
3 Reads

Chest-compression-only versus conventional cardiopulmonary resuscitation by bystanders for children with out-of-hospital cardiac arrest: a systematic review and meta-analysis.

Resuscitation 2018 Nov 1. Epub 2018 Nov 1.

Department of Emergency, the Baoan Hospital affiliated to Southern Medical University, People's Hospital of Baoan District of ShenZhen, China. Electronic address:

Background: For children with out-of-hospital cardiac arrest, previous observational studies regarding chest-compression-only CPR (CC-CPR) versus conventional CPR yielded inconsistent results. We aimed to summarize the current evidence and compare the outcomes after CC-CPR with those after conventional CPR by bystanders in children with out-of-hospital cardiac arrest.

Methods: Observational studies that compared CC-CPR to conventional CPR for children with out-of-hospital cardiac arrest were identified through systematic searches of three databases (PubMed, EMBASE, and the Cochrane Library). Read More

View Article
November 2018
5 Reads

Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized trial.

Resuscitation 2018 Oct 31. Epub 2018 Oct 31.

Departments of Pediatrics and Emergency Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, T3B 6A8, Alberta, Canada. Electronic address:

Aim: Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one year. Read More

View Article
October 2018
2 Reads

Performance of clinical risk scores to predict mortality and neurological outcome in cardiac arrest patients.

Resuscitation 2018 Oct 31. Epub 2018 Oct 31.

Medical Intensive Care Unit, University Hospital Basel, University of Basel, Petersgraben 4, 4031 Basel, Switzerland; Medical Communication and psychosomatic medicine, University Hospital Basel, Klingelbergstrasse 23, 4031 Basel, Switzerland; Medical faculty of the University of Basel, Klingelbergstrasse 61, 4056 Basel, Switzerland. Electronic address:

Aim: Several scores are available to predict mortality and neurological outcome in cardiac arrest patients admitted to the intensive care unit (ICU). The aim of the study was to externally validate the prognostic value of four previously published risk scores.

Methods: For this observational, single-center study, we prospectively included 349 consecutive adult cardiac arrest patients upon ICU admission. Read More

View Article
October 2018
5 Reads
4.170 Impact Factor

Post resuscitation prognostication by EEG in 24 vs 48 hours of targeted temperature management.

Resuscitation 2018 Oct 31. Epub 2018 Oct 31.

Research Centre for Emergency Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Building J, Plan 1, 8200, Aarhus N, Denmark.

Objective: To test if prognostic performance is affected by prolonged targeted temperature management (TTM) in comatose out-of-hospital cardiac arrest patients using two recently proposed EEG pattern classification models.

Methods: In this sub-study of the "Target Temperature Management for 48 vs. 24 hours and Neurologic Outcome after Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial", EEGs of 20-30 minutes duration were collected 24 h and 48 h after reaching the target temperature of 33 ± 1 °C. Read More

View Article
October 2018
8 Reads

Decision Making and Situational Awareness in Neonatal Resuscitation in Low Resource Settings.

Resuscitation 2018 Oct 31. Epub 2018 Oct 31.

Department of Woman's and Child's Health, University of Padua, Padua, Italy. Electronic address:

Introduction: Data on non-technical skills (i.e. task management, team working, situation awareness and decision-making) of healthcare providers during real-life newborn resuscitation in low-resource settings are lacking. Read More

View Article
October 2018

Intraosseous versus Intravenous access in Patients with Out-of-Hospital Cardiac Arrest: Insights from the Resuscitation Outcomes Consortium Continuous Chest Compression Trial.

Resuscitation 2018 Oct 31. Epub 2018 Oct 31.

Department of Emergency Medicine, UT Southwestern Medical Center, Dallas, TX, United States.

Aim: To examine outcomes associated with intraosseous access route attempt for delivery of medications during out-of-hospital cardiac arrest (OHCA) resuscitation.

Methods: Using data from the Continuous Chest Compression trial, we examined rates of survival to hospital discharge, sustained return of spontaneous circulation (ROSC), and survival with favorable neurological function among patients with intraosseous and intravenous access attempts after adjusting for age, sex, initial rhythm, bystander cardiopulmonary resuscitation, public location, witnessed status, EMS response and trial randomization cluster.

Results: Among 19,731 patients, intraosseous access was attempted in 3,068 patients and intravenous access in 16,663 patients respectively. Read More

View Article
October 2018
1 Read

What is the best position to place and re-evaluate an unconscious but normally breathing victim? A randomised controlled human simulation trial on children.

Resuscitation 2018 Oct 30. Epub 2018 Oct 30.

Faculty of Teacher Training, Avda. Ramón Ferreiro sn, C.P. 27001, Lugo, Spain. Electronic address:

Background: Current resuscitation guidelines endorse placing the unconscious and normally breathing victims in the recovery position (RP), but this technique might hinder breathing evaluation.

Aim: To compare breathing evaluation and cardiac arrest detection: placing the victim in RP and checking breathing regularly, placing the victim in RP while re-evaluating breathing every minute, and placing the victim on his back, maintaining an open airway with the head-tilt-chin-lift technique and continuously checking breathing.

Methods: Schoolchildren aged 10-12 with no previous cardiopulmonary resuscitation (CPR) training, from three different primary schools were randomly allocated into groups to receive a CPR course involving one of the three strategies. Read More

View Article
October 2018

Detailed analysis of health-related quality of life after out-of-hospital cardiac arrest.

Resuscitation 2018 Oct 29. Epub 2018 Oct 29.

Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.

Aim: To describe the detailed health-related quality of life (HRQoL) in survivors from the TTM-trial and to investigate potential differences related to sex and age.

Methods: This is a cross-sectional study originating from a large prospective international, multicentre trial, including 442 respondents who answered the Short Form-36 item Questionnaire Health Survey version 2 (SF-36v2) at a structured follow-up 6 months after out-of-hospital cardiac arrest (OHCA). Statistical analysis between independent groups were performed with Mann-Whitney U or Chi-square. Read More

View Article
October 2018
1 Read

Comparison of video laryngoscopy versus direct laryngoscopy for intubation in emergency department patients with cardiac arrest: A multicentre study.

Resuscitation 2018 Oct 29. Epub 2018 Oct 29.

Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.

Aim: To compare the tracheal intubation performance between video laryngoscopy (VL) and direct laryngoscopy (DL) in patients with cardiac arrest in the ED.

Methods: This is an analysis of the data from a prospective, multicentre study of 15 EDs in Japan. We included consecutive adult patients with cardiac arrest who underwent intubation with VL or DL from 2012 through 2016. Read More

View Article
October 2018

A nationwide investigation of CPR courses, books, and skill retention.

Resuscitation 2018 Oct 29. Epub 2018 Oct 29.

Emergency Medical Services Copenhagen, University of Copenhagen, Telegrafvej 5, 2750 Copenhagen, Denmark; Danish Resuscitation Council, c/o Emergency Medical Services, Telegrafvej 5, 2750 Copenhagen, Denmark.

Introduction: Survival from Out-of-Hospital Cardiac Arrest is highly associated with bystander cardiopulmonary resuscitation. The quality of bystander CPR is influenced by citizens attending Basic Life Support (BLS) courses and the quality of these courses. The purpose of the study was to investigate content, quality and compliance with the European Resuscitation Council (ERC) guidelines in national Danish BLS courses and the skill retention. Read More

View Article
October 2018
2 Reads

Towards a Non-Invasive Cardiac Arrest Monitor: an in vivo pilot study.

Resuscitation 2018 Oct 23. Epub 2018 Oct 23.

Applied Physics Laboratory, University of Washington, Seattle, WA, United States; Department of Neurological Surgery, University of Washington, Seattle, WA, United States; Division of Engineering and Mathematics, University of Washington, Bothell, WA, United States. Electronic address:

Introduction: Hemodynamic-guided cardiopulmonary resuscitation (HGCPR) achieves better outcomes than standard resuscitation. Currently, HGCPR requires an invasive procedure, infeasible during resuscitation. Non-invasive measures of blood flow could provide useful hemodynamic guidance to rescuers. Read More

View Article
October 2018
5 Reads

Effect of High Flow Transnasal Dry Air on Core Body Temperature in Intubated Human Subjects.

Resuscitation 2018 Oct 22. Epub 2018 Oct 22.

Division of Cardiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address:

Purpose: Early initiation of hypothermia is recommended in the setting of cardiac arrest. Current hypothermia methods are invasive and expensive and not applicable in ambulatory settings. We investigated the evaporative cooling effect of high flow transnasal dry air on core esophageal temperature in human volunteers. Read More

View Article
October 2018
7 Reads

Trends in Overdose-Related Out-of-Hospital Cardiac Arrests in Arizona.

Resuscitation 2018 Oct 20. Epub 2018 Oct 20.

Arizona Department of Health Services, Phoenix, AZ, United States; Department of Emergency Medicine, The University of Arizona College of Medicine-Tucson, Tucson, AZ, United States; Arizona Emergency Medicine Research Center, College of Medicine, College of Pharmacy, The University of Arizon, United States. Electronic address:

Aim: Opioid overdose mortality has increased in North America; however, recent regional trends in the proportion of treated overdose-related out-of-hospital cardiac arrests (OD-OHCA) compared to out-of-hospital cardiac arrests of presumed cardiac etiology (C-OHCA) are largely unknown. Our aim is to assess trends in the prevalence and outcomes of OD-OHCA compared to C-OHCA in Arizona.

Methods: Statewide, observational study utilizing an Utstein-style database with EMS-first care reports linked with hospital records, and vital statistics data from 2010-2015. Read More

View Article
October 2018

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

View Article
December 2018
5 Reads

Airway management in cardiac arrest-Not a question of choice but of quality?

Resuscitation 2018 Dec 15;133:A5-A6. Epub 2018 Oct 15.

Warwick Medical School, University of Warwick, Coventry, CV4 7AL, United Kingdom; University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom. Electronic address:

View Article
December 2018

Extracorporeal life support in the emergency department: A narrative review for the emergency physician.

Resuscitation 2018 Dec 15;133:108-117. Epub 2018 Oct 15.

Department of Emergency Medicine, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USA.

Background: Extracorporeal life support (ECLS) describes the use of blood perfusion devices to provide advanced cardiac or respiratory support. Advances in percutaneous vascular cannula insertion, centrifugal pump technologies, and the miniaturization of extracorporeal devices have simplified ECLS. The intention of this discussion is to review the role of ECLS as a potential rescue method for emergency department (ED) clinicians in critical clinical scenarios and to focus on the prerequisites for managing an ECLS program in an ED setting. Read More

View Article
December 2018
4 Reads

Paediatric early warning scores are predictors of adverse outcome in the pre-hospital setting: A national cohort study.

Resuscitation 2018 Dec 16;133:153-159. Epub 2018 Oct 16.

Institute for Research in Healthcare Policy and Practice, School of Health, Nursing and Midwifery, Hamilton Campus, Almada Street, Hamilton, ML3 0JB, United Kingdom; Intensive Care Unit, Royal Alexandra Hospital, Corsebar Road, Paisley, PA2 9PN, United Kingdom.

Introduction: Physiological deterioration often precedes clinical deterioration as patients develop critical illness. Use of a specific Paediatric Early Warning Score (PEWS), based on basic physiological measurements, may help identify children prior to their clinical deterioration. NHS Scotland has adopted a single national PEWS - PEWS (Scotland). Read More

View Article
December 2018
13 Reads

Reply to: Letter to the Editor re out-of-hospital cardiac arrest termination of resuscitation with ongoing CPR: An observational study.

Resuscitation 2018 Dec 15;133:e10. Epub 2018 Oct 15.

Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, West Midlands, UK.

View Article
December 2018
4 Reads

A low end-tidal CO/arterial CO ratio during cardiopulmonary resuscitation suggests pulmonary embolism.

Resuscitation 2018 Dec 12;133:137-140. Epub 2018 Oct 12.

Department of Intensive Care Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.

Introduction: Identifying reversible causes of cardiac arrest is challenging. The diagnosis of pulmonary embolism is often missed. Pulmonary embolism increases alveolar dead space resulting in low end-tidal CO (EtCO) relative to arterial CO (PaCO) tension. Read More

View Article
December 2018
2 Reads

An integrated program of extracorporeal membrane oxygenation (ECMO) assisted cardiopulmonary resuscitation and uncontrolled donation after circulatory determination of death in refractory cardiac arrest.

Resuscitation 2018 Dec 13;133:88-94. Epub 2018 Oct 13.

Department of Emergency and Intensive Care Medicine, São João Hospital Centre, Porto, Portugal; Department of Medicine, Faculty of Medicine, University of Porto, Portugal.

Aim: To assess the feasibility of an integrated program of extracorporeal cardiopulmonary resuscitation (ECPR) and uncontrolled donation after circulatory determination of death (uDCDD) in refractory cardiac arrest (rCA).

Methods: Single center, prospective, observational study of selected patients with in-hospital (IHCA) and out-of-hospital (OHCA) rCA occurring in an urban area of ∼1.5 million inhabitants, between October-2016 and May-2018. Read More

View Article
December 2018
6 Reads

The effect of different target temperatures in targeted temperature management on neurologically favorable outcome after out-of-hospital cardiac arrest: A nationwide multicenter observational study in Japan (the JAAM-OHCA registry).

Resuscitation 2018 Dec 11;133:82-87. Epub 2018 Oct 11.

Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan.

Background: It has been insufficiently investigated whether neurological function after out-of-hospital cardiac arrest (OHCA) would differ by 1 °C change in ordered target temperature of 33-36 °C among patients undergoing targeted temperature management (TTM) in the real-world setting.

Methods: This nationwide hospital-based observational study (The Japanese Association for Acute Medicine-OHCA Registry) conducted between June 2014 and December 2015 in Japan included OHCA patients aged ≥18 years who were treated with TTM. The primary outcome was one-month survival with neurologically favorable outcomes defined by cerebral performance category 1 or 2. Read More

View Article
December 2018
21 Reads

Laboratory alerts to guide early intensive care team review in surgical patients: A feasibility, safety, and efficacy pilot randomized controlled trial.

Resuscitation 2018 Dec 11;133:167-172. Epub 2018 Oct 11.

Department of Intensive Care, Austin Hospital, Melbourne, Australia; Health and Biomedical Informatics Centre, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Melbourne, Australia.

Aim: Common blood tests can help identify patients at risk of death, unplanned intensive care unit (ICU) admission, or rapid response team (RRT) call. We aimed to test whether early ICU-team review triggered by such laboratory tests (lab alert) is feasible, safe, and can alter physiological variables, clinical management, and clinical outcomes.

Methods: In prospective pilot randomized controlled trial in surgical wards of a tertiary hospital, we studied patients admitted for >24 h. Read More

View Article
December 2018
9 Reads

'We're going to do CPR': A linguistic study of the words used to initiate dispatcher-assisted CPR and their association with caller agreement.

Resuscitation 2018 Dec 11;133:95-100. Epub 2018 Oct 11.

Prehospital, Resuscitation and Emergency Care Research Unit (PRECRU), School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, WA, 6102, Australia; St John Ambulance (WA), Belmont, WA, 6104, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Victoria, 3004, Australia; Emergency Medicine, The University of Western Australia, Crawley, WA, 6009, Australia.

Background: In emergency ambulance calls for out-of-hospital cardiac arrest (OHCA), dispatcher-assisted cardiopulmonary resuscitation (CPR) plays a crucial role in patient survival. We examined whether the language used by dispatchers to initiate CPR had an impact on callers' agreement to perform CPR.

Methods: We analysed 424 emergency calls relating to cases of paramedic-confirmed OHCA where OHCA was recognised by the dispatcher, the caller was with the patient, and resuscitation was attempted by paramedics. Read More

View Article
December 2018
2 Reads

Performance of coronary angiography and intervention after out of hospital cardiac arrest.

Resuscitation 2018 Dec 11;133:141-146. Epub 2018 Oct 11.

University of Washington, Department of Internal Medicine, Division of Cardiology, United States. Electronic address:

Aims: Out of Hospital Cardiac Arrest (OHCA) is frequently attributed to coronary artery disease, thus guidelines recommend coronary angiography (CAG) for survivors of OHCA. However, the real-world application of these guidelines is unknown, and we sought to evaluate CAG practices in the contemporary OHCA population.

Methods: The Clinical Outcomes Assessment Program (COAP), a Washington State public reporting system, and the Cardiac Arrest Registry to Enhance Survival (CARES), a national registry of OHCA, were matched to characterize OHCA presentations between 2014 and 2015. Read More

View Article
December 2018
4 Reads

Letter by Wu et al regarding article, "Comparison of two sedation regimens during targeted temperature management after cardiac arrest".

Resuscitation 2018 Nov;132:e3

Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32607, USA. Electronic address:

View Article
November 2018
1 Read

Cardiac and respiratory causes of out-of-hospital cardiac arrest.

Authors:
Mark C Kendall

Resuscitation 2018 Nov;132:e2

Department of Anesthesiology, Rhode Island Hospital, Warren Alpert Medical School of Brown University, 593 Eddy Street, Providence, RI, 02903, United States. Electronic address:

View Article
November 2018
1 Read

Comorbidity and survival in out-of-hospital cardiac arrest.

Resuscitation 2018 Dec 10;133:118-123. Epub 2018 Oct 10.

Prehospital-Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.

Background: Patients suffering out-of-hospital cardiac arrest (OHCA) have a poor prognosis but survival among subgroups differs greatly. Previous studies have shown conflicting results on whether patient comorbidity affects outcome. The aim of this national study was to investigate the effect of comorbidity on outcome after OHCA in Sweden. Read More

View Article
December 2018
8 Reads

'Cough CPR': Misinformation perpetuated by social media.

Resuscitation 2018 Dec 8;133:e7-e8. Epub 2018 Oct 8.

University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. Electronic address:

View Article
December 2018

Global resuscitation alliance consensus recommendations for developing emergency care systems: Reducing perinatal mortality.

Resuscitation 2018 Dec 4;133:71-74. Epub 2018 Oct 4.

Duke-NUS Medical School, 8, College Road, 169857, Singapore; Department of Emergency Medicine, Singapore General Hospital, Outram Road, 169608, Singapore.

Perinatal and neonatal deaths account for an increasing proportion of deaths under 5 years old. We present essential elements to reduce perinatal mortality, barriers to establishing these elements, and the role of developing emergency care systems. Essential elements for prompt perinatal and postnatal care are categorised based on care-seeking behaviours, access to a primary care facility and for the severely ill, access to advanced neonatal care. Read More

View Article
December 2018
1 Read
4.170 Impact Factor

Prediction of neurological outcomes following the return of spontaneous circulation in patients with out-of-hospital cardiac arrest: Retrospective fast-and-frugal tree analysis.

Resuscitation 2018 Dec 4;133:65-70. Epub 2018 Oct 4.

Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, 20 Boramae-ro-5-gil, Dongjak-gu, Seoul 07061, Republic of Korea.

Aim: Although various quantitative methods have been developed for predicting neurological prognosis in patients with out-of-hospital cardiac arrest (OHCA), they are too complex for use in clinical practice. We aimed to develop a simple decision rule for predicting neurological outcomes following the return of spontaneous circulation (ROSC) in patients with OHCA using fast-and-frugal tree (FFT) analysis.

Methods: We performed a retrospective analysis of prospectively collected data archived in a multi-centre registry. Read More

View Article
December 2018
2 Reads

Number of treating team reviews prior to rapid response team activation.

Resuscitation 2018 Dec 3;133:e5-e6. Epub 2018 Oct 3.

Intensive Care Unit, Sir Charles Gairdner Hospital, Perth, WA, 6009, Australia; School of Public Health, Curtin University, Bentley, WA, 6102, Australia.

View Article
December 2018
4 Reads

Therapeutic hypothermia after paediatric cardiac arrest: Pooled randomized controlled trials.

Resuscitation 2018 Dec 3;133:101-107. Epub 2018 Oct 3.

University of Michigan, Ann Arbor, MI, United States.

Background: Separate trials to evaluate therapeutic hypothermia after paediatric cardiac arrest for out-of-hospital and in-hospital settings reported no statistically significant differences in survival with favourable neurobehavioral outcome or safety compared to therapeutic normothermia. However, larger sample sizes might detect smaller clinical effects. Our aim was to pool data from identically conducted trials to approximately double the sample size of the individual trials yielding greater statistical power to compare outcomes. Read More

View Article
December 2018
8 Reads
4.170 Impact Factor

A comparison of the ability of the National Early Warning Score and the National Early Warning Score 2 to identify patients at risk of in-hospital mortality: A multi-centre database study.

Resuscitation 2018 Oct 1. Epub 2018 Oct 1.

Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.

Aims: To compare the ability of the National Early Warning Score (NEWS) and the National Early Warning Score 2 (NEWS2) to identify patients at risk of in-hospital mortality and other adverse outcomes.

Methods: We undertook a multi-centre retrospective observational study at five acute hospitals from two UK NHS Trusts. Data were obtained from completed adult admissions who were not fit enough to be discharged alive on the day of admission. Read More

View Article
October 2018

Corrigendum to "Outcomes and healthcare-associated costs one year after intensive care-treated cardiac arrest" [Resuscitation 131 (2018) 128-134].

Resuscitation 2018 Dec 1;133:193. Epub 2018 Oct 1.

University of Helsinki and Helsinki University Hospital, Division of Intensive Care Medicine, Department of Anaesthesiology, Intensive Care and Pain Medicine, Helsinki, Finland; University of Helsinki and Helsinki University Hospital, Department of Emergency Care and Services, Helsinki, Finland.

View Article
December 2018

Enhancement of capnogram waveform in the presence of chest compression artefact during cardiopulmonary resuscitation.

Resuscitation 2018 Dec 29;133:53-58. Epub 2018 Sep 29.

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

Background: Current resuscitation guidelines emphasize the use of waveform capnography to help guide rescuers during cardiopulmonary resuscitation (CPR). However, chest compressions often cause oscillations in the capnogram, impeding its reliable interpretation, either visual or automated. The aim of the study was to design an algorithm to enhance waveform capnography by suppressing the chest compression artefact. Read More

View Article
December 2018
2 Reads