Article
Cardiac & Cardiovascular Systems
Alyaman Almiro, Osamah AlQassab, Rasmieh Alzeidan, Abdulaziz Saad Binhaddab, Ahmad M. Alkhorisi, Hani A. Almalki, Muhannad Abdulaziz Ghouthalsayd, Tarek Kashour, Ahmed Hersi, Wael Alqarawi
Summary: This study utilized EMS data to report the characteristics of OHCA patients in Saudi Arabia and predictors of bystander CPR. The findings showed a young age at presentation, low rates of bystander CPR, and long response time in Saudi Arabia, which are significantly different from other countries.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Review
Medicine, General & Internal
Dominika Chojecka, Jakub Pytlos, Mateusz Zawadka, Pawel Andruszkiewicz, Lukasz Szarpak, Tomasz Dzieciatkowski, Milosz Jaroslaw Jaguszewski, Krzysztof Jerzy Filipiak, Aleksandra Gasecka
Summary: The COVID-19 pandemic has posed challenges for CPR in patients with cardiac arrest, leading to the publication of modified guidelines to ensure the safety of medical personnel and the efficacy of CPR for patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Ming-Shun Hsieh, Amrita Chattopadhyay, Tzu-Pin Lu, Shu-Hui Liao, Chia-Ming Chang, Yi-Chen Lee, Wei-En Lo, Jia-Jun Wu, Vivian Chia-Rong Hsieh, Sung-Yuan Hu, Chorng-Kuang How
Summary: This study suggests that end-stage renal disease (ESRD) patients on long-term hemodialysis (HD) have a higher likelihood of return of spontaneous circulation (ROSC) and better hospital outcomes post out-of-hospital cardiac arrest (OHCA) compared to non-ESRD patients. Possible explanations for these findings include chronic toxin tolerance and vascular compliance training during regular HD sessions.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Theo Walter Jensen, Stig Nikolaj Blomberg, Fredrik Folke, Soren Mikkelsen, Martin Rostgaard-Knudsen, Palle Juelsgaard, Erika Frishknecht Christensen, Christian Torp-Pedersen, Freddy Lippert, Helle Collatz Christensen
Summary: The Danish Cardiac Arrest Registry aims to monitor and evaluate the quality of prehospital cardiac arrest treatment and facilitate research. It records descriptive and qualitative variables related to out-of-hospital cardiac arrest and provides important data for assessing treatment protocols and patient outcomes. The registry is one of the oldest and most comprehensive national clinical registries in Denmark, playing a crucial role in improving the care for patients suffering from out-of-hospital cardiac arrest.
CLINICAL EPIDEMIOLOGY
(2022)
Article
Medicine, General & Internal
Stig Nikolaj Blomberg, Helle Collatz Christensen, Freddy Lippert, Annette Kjaer Ersboll, Christian Torp-Petersen, Michael R. Sayre, Peter J. Kudenchuk, Fredrik Folke
Summary: This randomized clinical trial found that using machine learning model to identify out-of-hospital cardiac arrest in emergency calls did not significantly improve dispatchers' ability to recognize cardiac arrest, despite artificial intelligence surpassing human recognition.
Review
Medicine, General & Internal
Megan Hoffer, Robert C. F. Pena, Quincy K. Tran, Ali Pourmand
Summary: This article provides a comprehensive review of the use of four medications in cardiopulmonary resuscitation, including epinephrine, antiarrhythmics, calcium, magnesium, sodium bicarbonate, and corticosteroids. The available data from the past three decades show mixed results for the effectiveness of these medications, and their specific applications vary for different cases.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Tamara Rafaela Yacobis-Cervantes, Juan Antonio Garcia-Mendez, Cesar Leal-Costa, Maria Angeles Castano-Molina, Maria Suarez-Cortes, Jose Luis Diaz-Agea
Summary: This study aims to design an algorithm to improve telephone-cardiopulmonary resuscitation and implemented it through clinical simulation. The results showed that the operator was able to perform telephone-guided CPR effectively and guide the witnesses to perform the correct actions. Furthermore, the authors suggest further experimental studies to validate this algorithm.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Health Care Sciences & Services
Amreen Aijaz Husain, Uddipak Rai, Amlan Kanti Sarkar, V. Chandrasekhar, Mohammad Farukh Hashmi
Summary: This study found that the incidence of out-of-hospital cardiac arrest (OHCA) and mortality rates increased significantly during the COVID-19 pandemic. The pandemic also led to changes in the community's response to OHCA, with fewer bystander CPRs, longer EMS response times, and worse survival rates.
Article
Multidisciplinary Sciences
Ming-Shun Hsieh, Amrita Chattopadhyay, Tzu-Pin Lu, Shu-Hui Liao, Chia-Ming Chang, Yi-Chen Lee, Wei-En Lo, Jia-Jun Wu, Vivian Chia-Rong Hsieh, Sung-Yuan Hu, Chorng-Kuang How
Summary: Rescuing patients with out-of-hospital cardiac arrest (OHCA), especially those with end-stage kidney disease (ESKD), is challenging. This study hypothesizes that OHCA patients with ESKD undergoing maintenance hemodialysis have higher rates of return of spontaneous circulation (ROSC) during cardio-pulmonary resuscitation (CPR) and lower rates of hyperkalemia and less severe acidosis than those without ESKD. The association of ESKD with any and sustained ROSC were examined using logistic regression analysis, and the effect of ESKD on hospital outcomes for OHCA patients who survived to admission was evaluated using Kaplan-Meier analysis. ESKD patients without any ROSC displayed lower potassium and higher pH levels than non-ESKD patients. ESKD was positively associated with any ROSC and sustained ROSC, and ESKD patients had a non-inferior hospital survival than non-ESKD patients.
SCIENTIFIC REPORTS
(2023)
Article
Critical Care Medicine
Sara M. Niederberger, Remle P. Crowe, David D. Salcido, James J. Menegazzi
Summary: This study analyzed the association between sodium bicarbonate administration and resuscitation outcomes in out-of-hospital cardiac arrest patients. It found that bicarb was associated with survival in non-shockable rhythms and with return of spontaneous circulation (ROSC) in asystole. These findings should be confirmed with prospective randomized trials.
Article
Critical Care Medicine
Angel Guerrero, Audrey L. Blewer, Anjni P. Joiner, Benjamin S. H. Leong, Nur Shahidah, Pin Pin Pek, Yih Yng Ng, Shalini Arulanandam, Truls Ostbye, Alexander Gordee, Maragatha Kuchibhatla, Marcus E. H. Ong
Summary: This study examined the relationship between the quality of telephone CPR programs and survival rates. The findings suggest that the American Heart Association's scientific statements play a crucial role in improving the quality of telephone CPR systems and patient outcomes.
Review
Emergency Medicine
Justin Ong, Francis O'Connell, Maryann Mazer-Amirshahi, Ali Pourmand
Summary: During the COVID-19 pandemic, there has been a significant increase in out-of-hospital cardiac arrest (OHCA) incidence globally, posing challenges to the safety of emergency medical service personnel and healthcare providers. The lack of unified safety protocols has led to the development of different resuscitation approaches worldwide.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Janine Poess, Christoph Sinning, Isabelle Schreiner, Christian Apfelbacher, Karl-Philipp Drewitz, Nadine Hoesler, Steffen Schneider, Burkert Pieske, Bernd W. Boettiger, Sebastian Ewen, Harm Wienbergen, Malte Kelm, Daniel Bock, Tobias Graf, Christoph Adler, Jochen Dutzmann, Wulf Knie, Martin Orban, Uwe Zeymer, Guido Michels, Holger Thiele
Summary: The German Cardiac Arrest Registry (G-CAR) is the first national registry in Germany to include long-term follow-up for adult out-of-hospital cardiac arrest (OHCA) patients. Its primary aim is to provide an optimized treatment perspective by systematically recording treatment course and outcomes, while evaluating various patient-reported outcomes.
CLINICAL RESEARCH IN CARDIOLOGY
(2023)
Article
Medicine, General & Internal
Sangsoo Han, Hye Ji Park, Won Jung Jeong, Gi Woon Kim, Han Joo Choi, Hyung Jun Moon, Kyoungmi Lee, Hyuk Joong Choi, Yong Jin Park, Jin Seong Cho, Choung Ah Lee
Summary: The study validates the efficiency of the TEAM as a valid and reliable tool for evaluating the non-technical skills of paramedics performing CPR.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Critical Care Medicine
H. Albargi, S. Mallett, S. Berhane, S. Booth, C. Hawkes, G. D. Perkins, M. Norton, T. Foster, B. Scholefield
Summary: This study investigated the rates of bystander cardiopulmonary resuscitation (BCPR) in pediatric out-of-hospital cardiac arrest cases in England, and found that BCPR was associated with significantly increased rates of return of spontaneous circulation (ROSC) but not survival-to-hospital-discharge outcomes. Variations in EMS BCPR rates may indicate opportunities for targeted increase in public BCPR education.