Article
Multidisciplinary Sciences
Hee Soon Lee, Kicheol You, Jin Pyeong Jeon, Chulho Kim, Sungeun Kim
Summary: Video-instructed dispatcher-assisted CPR in adult OHCA patients in a metropolitan city with sufficient experience and facilities is associated with favorable neurologic recovery and survival to discharge, particularly in elderly patients and those outside the home or medical facility.
SCIENTIFIC REPORTS
(2021)
Review
Medicine, General & Internal
Karol Bielski, Bernd W. Boettiger, Michal Pruc, Aleksandra Gasecka, Mariusz Sieminski, Milosz J. Jaguszewski, Jacek Smereka, Natasza Gilis-Malinowska, Frank W. Peacock, Lukasz Szarpak
Summary: Compared to conventional audio-instructed dispatcher-assisted bystander cardiopulmonary resuscitation (C-DACPR), video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation (V-DACPR) significantly improves prehospital return of spontaneous circulation and survival to hospital discharge. Under simulated resuscitation conditions, V-DACPR also demonstrates better quality of chest compressions.
ANNALS OF MEDICINE
(2022)
Article
Critical Care Medicine
Julia Yu Xin Ng, Zariel Jiaying Sim, Fahad Javaid Siddiqui, Nur Shahidah, Benjamin Sieu-Hon Leong, Ling Tiah, Yih Yng Ng, Audrey Blewer, Shalini Arulanandam, Shir Lynn Lim, Marcus Eng Hock Ong, Andrew Fu Wah Ho
Summary: This study aimed to investigate the characteristics and clinical outcomes of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) initiated for non-out-of-hospital cardiac arrest (OHCA) cases in the Singapore population. The study found that 40.0% of patients recognized as having OHCA were not actually in cardiac arrest, and 52.7% of these patients received DA-CPR. Results showed that chest compressions initiated by dispatchers on patients not in cardiac arrest did not result in any reported complications and were not associated with in-hospital mortality.
Editorial Material
Critical Care Medicine
Ian Maconochie, Neil Thompson
Summary: This study demonstrates that conventional CPR outcomes are better than compression-only bystander CPR outcomes in terms of cerebral performance category. However, survival rates in pediatric CPR remain low, and ways to improve outcomes include bystander CPR, dispatcher training, and the use of additional technologies.
Review
Emergency Medicine
Kristine Elisabeth Eberhard, Gitte Linderoth, Mads Christian Tofte Gregers, Freddy Lippert, Fredrik Folke
Summary: Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) and bystander-initiated CPR both increase neurologically intact survival in out-of-hospital cardiac arrest patients. However, DA-CPR shows inferior outcomes compared to bystander-initiated CPR. Early CPR initiation is crucial for improving neurologically intact survival following OHCA.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2021)
Article
Critical Care Medicine
Marcus Eng Hock Ong, Sang Do Shin, Patrick Chow-In Ko, Xinyi Lin, Matthew Huei-Ming Ma, Hyun Wook Ryoo, Kwanhathai Darin Wong, Jirapong Supasaowapak, Chih-Hao Lin, Chan-Wei Kuo, Ramana Rao, Wenwei Cai, Faith Joan Gaerlan, Munawar Khursheed, Do Ngoc Son, Karim Sarah, Mazen El Sayed, Saad Al Qahtani, Hideharu Tanaka
Summary: This study evaluated the impact of a DA-CPR program on BCPR rates and survival. The results showed that a comprehensive DA-CPR program had the most impact on BCPR and favorable neurological outcome.
Review
Critical Care Medicine
Yip Han Chin, Clyve Yu Leon Yaow, Seth En Teoh, Mabel Zhi Qi Foo, Nan Luo, Nicholas Graves, Marcus Eng Hock Ong, Andrew Fu Wah Ho
Summary: This study aimed to evaluate the long-term survival outcomes and quality-of-life of out-of-hospital cardiac arrest (OHCA) patients. The study found lower survival rates in Asia compared to other regions, and higher survival rates in males and patients with initial shockable rhythm.
Review
Critical Care Medicine
Mariachiara Ippolito, Giulia Catalisano, Claudia Marino, Rosa Fuca, Antonino Giarratano, Enrico Baldi, Sharon Einav, Andrea Cortegiani
Summary: The mortality rate for COVID-19 patients after IHCA is extremely high, with nearly 90% of patients not surviving at 30 days or to hospital discharge. While a third of patients may achieve ROSC, the rate of survival with favorable neurological status is low.
Article
Critical Care Medicine
Yoshikazu Goto, Akira Funada, Tetsuo Maeda, Yumiko Goto
Summary: In cases of pediatric out-of-hospital cardiac arrest, dispatcher-assisted conventional CPR was found to be more effective than compression-only CPR, making it the optimal choice for guiding bystanders in performing CPR.
Article
Emergency Medicine
Pin Pin Pek, Jasmine Yen Yin Lim, Benjamin Sieu-Hon Leong, Desmond Ren-Hao Mao, Michael Yih-Chong Chia, Si Oon Cheah, Han Nee Gan, Yih Yng Ng, Lai Peng Tham, Shalini Arulanandam, Nur Shahidah, Xinyi Lin, Andrew Fu Wah Ho, Marcus Eng Hock Ong
Summary: The study found that implementing a simplified dispatcher-assisted CPR program in the EMS system could increase bystander CPR rates and improve survival rates of OHCA cases. For patients with initial shockable rhythms, performing CPR, even without dispatcher assistance, was associated with significantly higher odds of survival and favorable cerebral performance.
PREHOSPITAL EMERGENCY CARE
(2021)
Article
Emergency Medicine
Michael Peters, Samuel Stipulante, Veronique Cloes, Andre Mulder, Frederic Lebrun, Anne-Francoise Donneau, Alexandre Ghuysen
Summary: This study aimed to evaluate the impact of adding video conferencing to dispatcher-assisted telephone cardiopulmonary resuscitation (CPR) on pediatric bystander CPR quality. The study found that using video assistance improved cardiac arrest recognition and CPR quality, including chest compression technique and ventilation delivering. However, ventilation quality and effectiveness remained questionable.
PEDIATRIC EMERGENCY CARE
(2022)
Review
Critical Care Medicine
Filippo Annoni, Lorenzo Peluso, Marco Fiore, Per Nordberg, Leif Svensson, Benjamin Abella, Lorenzo Calabro, Sabino Scolletta, Jean-Louis Vincent, Jacques Creteur, Fabio Silvio Taccone
Summary: Following a systematic search of almost 21,000 studies, 8 studies with a total of 3493 patients were included in the analysis, showing that intra arrest therapeutic hypothermia did not significantly improve neurological outcome, return of spontaneous circulation rate, or survival compared to standard targeted temperature management. Studies on trans-nasal evaporative cooling and cold fluids also did not show any notable differences in outcomes for OHCA patients with initial shockable rhythm. Additionally, the meta-analysis revealed significant heterogeneity among studies in the analysis of return of spontaneous circulation rate.
Article
Medicine, General & Internal
Xiang Yi Wong, Qiao Fan, Nur Shahidah, Carl Ross De Souza, Shalini Arulanandam, Yih Yng Ng, Wei Ming Ng, Benjamin Sieu Hon Leong, Michael Yih Chong Chia, Marcus Eng Hock Ong
Summary: Bystander cardiopulmonary resuscitation (B-CPR) rates in Singapore have been increasing with the implementation of community-level interventions such as dispatcher-assisted CPR (DA-CPR) and myResponder. DA-CPR was significantly associated with improved odds of receiving B-CPR over time, while the impact of myResponder was less clear.
ANNALS ACADEMY OF MEDICINE SINGAPORE
(2021)
Article
Public, Environmental & Occupational Health
Christopher T. Richards, Danielle M. McCarthy, Eddie Markul, Doreen R. Rottman, Patricia Lindeman, Shyam Prabhakaran, Diego Klabjan, Jane L. Holl, Kenzie A. Cameron
Summary: This study describes the importance of communication characteristics in identifying out-of-hospital cardiac arrest (OHCA) and facilitating cardiopulmonary resuscitation (CPR) during emergency calls. Based on the analysis of 9-1-1 calls, it was found that the language and emotional state of callers had an impact on OHCA recognition and the initiation of CPR.
PATIENT EDUCATION AND COUNSELING
(2022)
Review
Medicine, General & Internal
Zi Hui Celeste Ng, Siyuan Joseph Ho, Tan Caleb, Clyve Yu Leon Yaow, Seth En Teoh, Lai Peng Tham, Marcus Eng Hock Ong, Shu-Ling Chong, Andrew Fu Wah Ho
Summary: This systematic review examined the long-term outcomes of pediatric non-traumatic out-of-hospital cardiac arrest (OHCA). The study found that at least 95% of pediatric OHCA patients survived beyond 1 year after discharge. The proportion of patients with favorable neurological outcomes and health-related quality of life outcomes varied at the 24-month follow-up.
JOURNAL OF CLINICAL MEDICINE
(2022)
Letter
Rheumatology
Martin Sebastian Winkler, Peter Korsten, Claudia Binder, Bjoern Tampe
ANNALS OF THE RHEUMATIC DISEASES
(2023)
Article
Oncology
Yi Liao, Senmao Li, Hao Chen, Chunyu Chen, Jintuan Huang, Feng Lin, Jianping Wang, Zuli Yang
Summary: A risk prediction system combining FIT and risk factors was developed to improve the sensitivity of colonoscopy screening. The system effectively stratified participants into high risk and low risk groups, with better predictive ability for colorectal neoplasia compared to using FIT alone.
EUROPEAN JOURNAL OF CANCER PREVENTION
(2023)
Article
Oncology
Luca Giraldi, Jovana Stojanovic, Dario Arzani, Roberto Persiani, Jinfu Hu, Kenneth C. Johnson, Zuo-Feng Zhang, Monica Ferraroni, Domenico Palli, Guo-Pei Yu, Carlo La Vecchia, Claudio Pelucchi, Nuno Lunet, Ana Ferro, Reza Malekzadeh, Joshua Muscat, David Zaridze, Dmitry Maximovich, Nuria Aragones, Vicente Martin, Jesus Vioque, Eva M. Navarrete-Munoz, Mohammadreza Pakseresht, Eva Negri, Matteo Rota, Farhad Pourfarzi, Lina Mu, Robert C. Kurtz, Areti Lagiou, Pagona Lagiou, Roberta Pastorino, Stefania Boccia
Summary: This study aimed to examine the association between height and risk of gastric cancer. Through a large pooled analysis of case-control studies, the study found no significant association between adult height and gastric cancer.
EUROPEAN JOURNAL OF CANCER PREVENTION
(2023)
Article
Oncology
Maria A. Karalexi, Marina Servitzoglou, Vassilios Papadakis, Denis Kachanov, Maja Cesen Mazic, Margaret Baka, Maria Moschovi, Maria Kourti, Sofia Polychronopoulou, Eftichia Stiakaki, Emmanuel Hatzipantelis, Helen Dana, Kalliopi Stefanaki, Astero Malama, Marios S. Themistocleous, Katerina Strantzia, Tatyana Shamanskaya, Panagiota Bouka, Paraskevi Panagopoulou, Maria Kantzanou, Evangelia Ntzani, Nick Dessypris, Eleni Th. Petridou
Summary: The prognosis of children with neuroblastoma varies depending on the stage and biology of the tumor, and early-stage neuroblastoma has a better prognosis. Treatment with anti-GD2 antibody can improve the prognosis of high-risk patients.
EUROPEAN JOURNAL OF CANCER PREVENTION
(2023)
Article
Emergency Medicine
Christian Vaillancourt, Manya Charette, Julie Sinclair, Richard Dionne, Peter Kelly, Justin Maloney, Marie-Joe Nemnom, George A. Wells, Ian G. Stiell
Summary: This study aimed to evaluate the clinical impact of the modified Canadian C-spine rule when implemented by paramedics. The results showed that paramedics could accurately apply the rule and significantly reduce the need for spinal immobilization during transport, without any adverse events or spinal cord injuries.
ANNALS OF EMERGENCY MEDICINE
(2023)
Review
Emergency Medicine
Julie E. Sinclair, Michael A. Austin, Shannon Leduc, Richard Dionne, Mark Froats, Jane Marchand, Christian Vaillancourt
Summary: This study aims to describe the characteristics, management, and outcomes of patients treated by paramedics for hypoglycemia, and to identify the predictors of hospital admission for these patients within 72 hours.
PREHOSPITAL EMERGENCY CARE
(2023)
Article
Health Care Sciences & Services
Peter Binyaruka, Antonio Andreoni, Dina Balanova, Martin Mckee, Eleanor Hutchinson, Blake Angell
Summary: This study examined the preferences of health providers for policy interventions to address informal payments in Tanzania using a discrete choice experiment. The results showed that health providers generally preferred incentive payments for non-infraction and opportunities for private practice, but disliked disciplinary measures. Preferences varied across different groups, suggesting the need for tailored interventions.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2023)
Review
Emergency Medicine
Jessica McCallum, Debra Eagles, Yongdong Ouyang, Jamie Vander Ende, Christian Vaillancourt, Christophe Fehlmann, Risa Shorr, Monica Taljaard, Ian Stiell
Summary: This systematic review found that adults aged 65 and older are at risk of cervical spine injury after low-level falls, and explored the association between unreliable clinical exam and C-spine injury. A meta-analysis of 21 studies revealed a prevalence rate of 3.8% for C-spine injury in this population. More research is needed to determine whether there is an association between GCS < 15 or altered level of consciousness and cervical spine injury.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Shannon Leduc, George Wells, Venkatesh Thiruganasambandamoorthy, Peter Kelly, Christian Vaillancourt
Summary: A national survey was conducted to explore the existence of community paramedic programs in Canada for treating LTC patients on-site. The survey revealed a significant need for such programs, but a lack of implementation. Priorities for future programs include support for discharged patients, extended care paramedics, and respiratory illness treatment.
CANADIAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Thomas Stubbs, Alexandros Kentikelenis, Daniela Gabor, Jayati Ghosh, Martin McKee
Summary: Recognising the lack of preparedness for the COVID-19 pandemic, international organisations are calling for additional funding to strengthen pandemic preparedness and response systems in low-income and middle-income countries. This article examines the prospects of national health budgets increasing in such a context, revealing that public spending will decrease for almost half of these countries by 2024. The increase in public spending on repaying external debt is a key driver of this austerity wave, potentially leading to deteriorating population health and reduced public health services.
Article
Economics
Gabor Scheiring, Aytalina Azarova, Darja Irdam, Katarzyna Doniec, Martin McKee, David Stuckler, Lawrence King
Summary: An unprecedented mortality crisis occurred in Eastern Europe during the 1990s, resulting in around seven million excess deaths. This study examines the relationship between deindustrialization and mortality in Eastern Europe and proposes a theoretical framework that identifies deindustrialization as a process of social disintegration caused by shock therapy. The findings show that deindustrialization directly influenced male mortality rates and was indirectly mediated by hazardous drinking as a coping strategy.
CAMBRIDGE JOURNAL OF ECONOMICS
(2023)
Article
Public, Environmental & Occupational Health
Corina L. Vasilescu, Martin McKee, Aaron Reeves
Summary: The scholarship on the commercial determinants of health has primarily used qualitative methods, but there is now a growing number of quantitative studies. This article demonstrates the use of quantitative text analysis in analyzing public consultation responses on a draft scientific opinion by the European Food Safety Authority. The study finds varied positions among different actors, with the public health community opposing acrylamide while industry positions were diverse. The policy guidance did not show clear movement, likely due to the majority of submissions supporting the draft document. The article argues that quantitative text analysis can be applied to better understand the positions taken by different actors in public consultations.
Article
Cardiac & Cardiovascular Systems
Katherine M. Berg, Janet E. Bray, Kee-Chong Ng, Helen G. Liley, Robert Greif, Jestin N. Carlson, Peter T. Morley, Ian R. Drennan, Michael Smyth, Barnaby R. Scholefield, Gary M. Weiner, Adam Cheng, Therese Djaerv, Cristian Abelairas-Gomez, Jason Acworth, Lars W. Andersen, Dianne L. Atkins, David C. Berry, Farhan Bhanji, Joost Bierens, Thomaz Bittencourt Couto, Vere Borra, Bernd W. Boettiger, Richard N. Bradley, Jan Breckwoldt, Pascal Cassan, Wei-Tien Chang, Nathan P. Charlton, Sung Phil Chung, Julie Considine, Daniela T. Costa-Nobre, Keith Couper, Katie N. Dainty, Vihara Dassanayake, Peter G. Davis, Jennifer A. Dawson, Maria Fernanda de Almeida, Allan R. De Caen, Charles D. Deakin, Bridget Dicker, Matthew J. Douma, Kathryn Eastwood, Walid El-Naggar, Jorge G. Fabres, Joe Fawke, Nino Fijacko, Judith C. Finn, Gustavo E. Flores, Elizabeth E. Foglia, Fredrik Folke, Elaine Gilfoyle, Craig A. Goolsby, Asger Granfeldt, Anne-Marie Guerguerian, Ruth Guinsburg, Tetsuo Hatanaka, Karen G. Hirsch, Mathias J. Holmberg, Shigeharu Hosono, Ming-Ju Hsieh, Cindy H. Hsu, Takanari Ikeyama, Tetsuya Isayama, Nicholas J. Johnson, Vishal S. Kapadia, Mandira Daripa Kawakami, Han-Suk Kim, Monica E. Kleinman, David A. Kloeck, Peter Kudenchuk, Amy Kule, Hiroshi Kurosawa, Anthony T. Lagina, Kasper G. Lauridsen, Eric J. Lavonas, Henry C. Lee, Yiqun Lin, Andrew S. Lockey, Finlay Macneil, Ian K. Maconochie, R. John Madar, Carolina Malta Hansen, Siobhan Masterson, Tasuku Matsuyama, Christopher J. D. Mckinlay, Daniel Meyran, Vix Monnelly, Vinay Nadkarni, Firdose L. Nakwa, Kevin J. Nation, Ziad Nehme, Michael Nemeth, Robert W. Neumar, Tonia Nicholson, Nikolaos Nikolaou, Chika Nishiyama, Tatsuya Norii, Gabrielle A. Nuthall, Shinchiro Ohshimo, Theresa M. Olasveengen, Yong-Kwang Gene Ong, Aaron M. Orkin, Michael J. Parr, Catherine Patocka, Gavin D. Perkins, Jeffrey M. Perlman, Yacov Rabi, James Raitt, Shalini Ramachandran, Viraraghavan V. Ramaswamy, Tia T. Raymond, Amelia G. Reis, Joshua C. Reynolds, Giuseppe Ristagno, Antonio Rodriguez-Nunez, Charles C. Roehr, Mario Ruediger, Tetsuya Sakamoto, Claudio Sandroni, Taylor L. Sawyer, Steve M. Schexnayder, Georg M. Schmoelzer, Sebastian Schnaubelt, Federico Semeraro, Eunice M. Singletary, Markus B. Skrifvars, Christopher M. Smith, Jasmeet Soar, Willem Stassen, Takahiro Sugiura, Janice A. Tijssen, Alexis A. Topjian, Daniele Trevisanuto, Christian Vaillancourt, Myra H. Wyckoff, Jonathan P. Wyllie, Chih-Wei Yang, Joyce Yeung, Carolyn M. Zelop, David A. Zideman, Jerry P. Nolan, Roberto Barcala-Furelos, Stephen B. Beerman, Maaret Castren, Shuling Chong, Andreas Claesson, Cody L. Dunne, Hege L. Ersdal, Emer Finan, Janene Fuerch, Tatsuma Fukuda, Saptharishi Lalgudi Ganesan, Callum Gately, Seth Gray, Louis P. Halamek, Amber V. Hoover, Louise Kollander, C. Omar Kamlin, Mirjam Koo, Lei Li, Tina A. Leone, S. Mecrow, William Montgomery, Patrick Ristau, Muralidharan Jayashree, Bin Huey Quek, Andrew Schmidt, Tommaso Scquizzato, Jeroen Seesink, Justin Sempsrott, Birju A. Shah, Marya L. Strand, David Szpilman, Edgardo Szyld, Marta Thio, Ogilvie Thom, Joshua M. Tobin, Enrique Udaeta, Jonathon Webber, Hannah K. Webster, Michelle Wellsford, Nicole K. Yamada
Summary: The International Liaison Committee on Resuscitation conducts continuous reviews of new, peer-reviewed, published CPR and first aid science. They provide annual summaries of the Consensus on Science With Treatment Recommendations, covering a variety of topics and highlighting areas for further research.
Review
Critical Care Medicine
Gene Y. Ong, Hiroshi Kurosawac, Takanari Ikeyamad, June Dong Parkf, Poomiporn Katanyuwongg, Olivia C. F. Reyesh, En-Ting Wui, Kam Lun Ellis Honj, Ian Maconochie, Lindsay N. Shepardm, Vinay M. Nadkarnim, Kee Chong Ng
Summary: This study reviewed published pediatric resuscitation algorithms in Asia, finding both similarities and differences in pediatric life support guidelines, which highlight important knowledge gaps in pediatric resuscitation science.
RESUSCITATION PLUS
(2023)
Article
Respiratory System
Simon Craig, Yao Xu, Kael Robas, Ricardo Iramain, Adriana Yock-Corrales, Manuel E. Soto-Martinez, Pedro Rino, Maria Belen Alvarez Ricciardi, Sofia Piantanida, Sanjay Mahant, Peter Odion Ubuane, Olatunde Odusote, Maria Kwok, Michael D. Johnson, Natalia Paniagua, Javier Benito Fernandez, Gene Y. Ong, Mark D. Lyttle, Jin Gong, Damian Roland, Stuart R. Dalziel, Gillian M. Nixon, Colin V. E. Powell, Andis Graudins, Franz E. Babl
Summary: This qualitative study interviewed parents and caregivers of children with severe acute exacerbation of asthma to identify important outcomes and factors influencing the patient experience. The study found that hospital length of stay, intensive care unit or high-dependency unit admission, and treatment costs were highlighted as important outcomes. Decision-making leading to seeking hospital care, transit to hospital, waiting times, and the use of intravenous treatment also influenced the patient and family experience.
BMJ OPEN RESPIRATORY RESEARCH
(2023)