AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesTechnology, Industry, AgricultureInformation ScienceNamed GroupsHealth CareGeographicals
Heart ArrestCardiopulmonary ResuscitationEmergency Medical ServicesCardiopulmonary BypassEmergency Medical TechniciansOut-of-Hospital Cardiac ArrestRetrospective StudiesResuscitationAmbulancesTreatment OutcomeProspective StudiesTime FactorsElectric CountershockFollow-Up StudiesHospitals, TeachingHospitals, GeneralHospitals, UniversityHospital CostsSurvival AnalysisCardiac Surgical ProceduresMyocytes, CardiacHospitals, UrbanNursing Staff, HospitalHospitals, PediatricEconomics, HospitalCardiac OutputHospitals, DistrictHospital Bed CapacityHospitals, SpecialLength of StayHospitals, PrivateHeartEmergency Service, HospitalFinancial Management, HospitalHospitalizationHospital PlanningHospital ChargesHospital DepartmentsHospitals, PsychiatricArrhythmias, CardiacHospital RecordsHospital UnitsPostoperative ComplicationsHeart Arrest, InducedDeath, Sudden, CardiacHeart DiseasesEquipment and Supplies, HospitalRisk FactorsPatient DischargeLibraries, HospitalHypothermia, InducedPatient AdmissionHeart MassageCoronary Artery BypassSurgery Department, HospitalInfant, NewbornOutpatient Clinics, HospitalHemodynamicsHospitals, CountyHospital Bed Capacity, 500 and overHeart FailureAmerican Hospital AssociationUnited StatesHospitals, MunicipalCross InfectionFood Service, HospitalExercise TestHospital Information SystemsHeart RateHeart Defects, CongenitalMyocardial InfarctionObstetrics and Gynecology Department, HospitalCardiac CatheterizationExtracorporeal Circulation
ResuscitationMortalityPresumed cardiac etiologyReturn of spontaneous circulationDischargeOutcomeOHCAMethodsNontraumatic cardiac arrestRespiratory arrestClinicalOutcomes after in-hospital cardiac arrestVentricularOccursCessation of cardiac mechanical activityCentersImprove survivalPerson in cardiac arrestIntensive careFutileCompressionsDefibrillationSurvival ratesComplications2019Pulseless2020Scene of cardiacAcuteMechanicalECPRSocioeconomic statusTraumaCirculationStudyNeonatesCerebral performance categoryInfantsCohort2018Extracorporeal membrane oxVentilatory supportRhythmNeurologicalBypassUnresponsiveRegistryOccurDiseaseAirway managementSudden cardiAdult patientsAorticVictimsProportionHeart attacksTreatment
Resuscitation74
Mortality12
  • Sudden cardiac deaths result in about 15% of global mortality and a significantly large proportion of these cardiac deaths occurs in the low- and middle-income countries (LMICs). (aku.edu)
  • Sternal fracture-associated mortality can result from cardiac contusion, aortic rupture, pulmonary contusion, and thoracic spine compression fractures. (medscape.com)
  • Additionally, patients with sternal fractures had a 70% higher risk of undergoing tracheostomy, 40% higher risk of undergoing intubation, 10-30% higher risk of respiratory failure, and 10-40% higher risk of mortality. (medscape.com)
  • The authors found that critically ill and mechanically ventilated coronavirus disease 2019 acute respiratory distress syndrome patients transferred from Appalachian critical access hospitals/rural facilities have increased mortality compared with noncoronavirus disease 2019 acute respiratory distress syndrome controls, suggesting that lack or delay in access to tertiary care may impact coronavirus disease 2019 outcome in rural areas. (sccm.org)
  • Such grim outcomes only apply if a patient survives CPR-recent studies have calculated a mortality rate of over 95% for frail patients that receive CPR in a non-surgical setting. (medicalxpress.com)
  • Similar findings were reported in two other recently reported single-center studies: one that included 31 patients with IHCA ( 2 ), and another that included 60 such patients ( 3 ), with a 100% in-hospital mortality reported in both studies. (lww.com)
  • 8 Auble T E, Menegazzi J J, Paris P M. Effect of out-of-hospital defibrillation by basic life support providers on cardiac arrest mortality: a metaanalysis. (thieme-connect.de)
  • The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. (ahrq.gov)
  • Due to the increment in the number of patients receiving protracted mechanical ventilation through artificial airway, much attention is needed to focus on how to reduce the morbidity and mortality rate of accidental decannulation. (bartleby.com)
  • Post-operative atrial fibrillation (POAF) is one of the most common arrythmias after cardiac surgery with an increased mortality, stroke and prolonged hospital stay. (jafib.com)
  • The mortality rate is 20 to 25% for respiratory arrest alone. (msdmanuals.com)
  • Cardiac complications are by far the most frequent cause of 30-day postoperative mortality. (medscape.com)
Presumed cardiac etiology4
  • Adult patients with OHCA of presumed cardiac etiology who received ECPR between 2013 and 2018 were included. (elsevierpure.com)
  • This registry evaluates only OHCA events of presumed cardiac etiology that involve persons who received resuscitative efforts, including CPR or defibrillation. (cdc.gov)
  • OHCA is defined in CARES as a cardiac arrest that occurred in the prehospital setting, had a presumed cardiac etiology, and involved a person who received resuscitative efforts, including CPR or defibrillation. (cdc.gov)
  • ACD+ITD was associated with a relative 53% increase in survival to hospital discharge with favorable neurologic function for subjects with a cardiac arrest of presumed cardiac etiology, compared with SCPR. (healthpartners.com)
Return of spontaneous circulation1
  • The trial randomized 1,359 adults "with prehospital cardiac arrest to standard care with or without prehospital cooling, accomplished by infusing up to 2 L of 4°C normal saline as soon as possible following return of spontaneous circulation. (acc.org)
Discharge17
  • Only two (11%), two (7%), two (9%), and one (14%) of these patient(s) survived to discharge, respectively. (biomedcentral.com)
  • The primary outcome was favorable neurological outcome at hospital discharge, defined as a cerebral performance category of 1 or 2. (elsevierpure.com)
  • The proportions of favorable neurological outcome at hospital discharge in terms of shockable rhythm, pulseless electrical activity, and asystole were 16.7%, 9.2%, and 3.9%, respectively. (elsevierpure.com)
  • There was little difference between the groups in patients surviving to hospital discharge. (bmj.com)
  • The authors say that the study did not have sufficient statistical power to show any benefit for survival to hospital discharge. (bmj.com)
  • A total of 48 of the 400 (12.0%) who received CPR survived to hospital discharge. (lww.com)
  • The primary endpoint was functionally favorable survival to hospital discharge with Cerebral Performance Category (CPC) 1 or 2. (healthpartners.com)
  • Using data from all patients randomized to one of these two methods of CPR from this trial, we tested the hypothesis that ACD+ITD would improve the likelihood of survival from the time of hospital discharge to one year after cardiac arrest. (healthpartners.com)
  • 134 patients versus 165 patients, respectively, survived to hospital discharge. (healthpartners.com)
  • Fewer patients in the S-CPR group survived to hospital discharge with modified Rankin score (MRS) ¡Â3 (5.7% vs. 7.9%, p = 0.03), but the demographic characteristics of survivors were similar between groups. (healthpartners.com)
  • Starting with 100% survival at hospital discharge, survival decreased in both groups over time, but more notably in the S-CPR group. (healthpartners.com)
  • The survivors to hospital discharge in the ResQTrial who were treated with ACD+ITD CPR had an absolute 11% greater likelihood of surviving to 365 days after cardiac arrest compared with the patients treated with S-CPR. (healthpartners.com)
  • It has been well documented that survival to discharge of patients who experience in-hospital PEA arrest in the absence of an initial shockable rhythm (VF or pulseless VT) is 12 percent [2]. (ama-assn.org)
  • In a small case series evaluating the efficacy of repeated cycles of CPR in ICU patients, the likelihood of survival to discharge was found to be zero [3]. (ama-assn.org)
  • This study describes the baseline characteristics, prearrest physiological parameters and the rate of survival to hospital discharge of adult patients with an IHCA at a tertiary hospital in Kenya. (bvsalud.org)
  • Data on patient characteristics, pre-arrest physiological parameters and discharge condition were collected on all patients 18 years of age or older with an IHCA at the Aga Khan University Hospital, Nairobi, from January 2013 to December 2013. (bvsalud.org)
  • All the patients who survived to hospital discharge had a good neurological outcome. (bvsalud.org)
Outcome9
  • Outcome measures -The primary end point was admission to hospital with a spontaneously perfusing rhythm. (bmj.com)
  • This Concise Critical Appraisal reviews a study that sought to determine whether patients who received eCPR after out-of-hospital cardiac arrest had a favorable neurologic outcome at 30 days compared to those who received conventional CPR. (sccm.org)
  • The lack of patient reported outcome measures (PROMs) appropriate for youth with neurodevelopmental disabilities (DD) and related cognitive impairments including Down syndrome (DS) poses a significant problem for healthcare research and practice. (sbir.gov)
  • Sometimes they awaken from coma five, six or seven days after being admitted to the hospital and many of these have a good neurological outcome," he said. (sciencedaily.com)
  • If you intubate a patient who hasn't been adequately ventilated, the delay in providing oxygen can produce a bad outcome, such as brain injury," he warns. (rtmagazine.com)
  • The secondary outcome assessed was the duration from hospital arrival to extracorporeal circulation start. (medscape.com)
  • Massive FFP transfusion was defined as a composite outcome of at least 10 units of FFP or death for any cause except for cerebral herniation, within 24 h after hospital arrival. (bvsalud.org)
  • RESULTS: A total of 2160 patients were eligible for the analysis, of which 167 fulfilled the criteria for the composite outcome. (bvsalud.org)
  • Background: A prediction model that estimates survival and neurological outcome in out-of-hospital cardiac arrest patients has the potential to improve clinical management in emergency rooms. (lu.se)
OHCA7
  • We performed a retrospective cohort study of 200 OHCA patients (August 1, 2017-May 31, 2019) in Regina, Saskatchewan. (biomedcentral.com)
  • The objectives of this study were to (a) determine what proportion of OHCA patients in a tertiary care institution in Saskatchewan would meet different ECPR criteria and (b) evaluate the outcomes of ECPR eligible OHCA patients. (biomedcentral.com)
  • We conducted a retrospective cohort study of consecutive OHCA patients presenting to the Regina General Hospital emergency department (ED) between August 1, 2017 and May 31, 2019 (REB-18-28). (biomedcentral.com)
  • The low SES group was associated with a longer time to dispatcher recognition of cardiac arrest and worse outcomes of OHCA. (ncku.edu.tw)
  • The aim of this study was to provide real-world data on ECPR for patients with OHCA, including details of complications. (elsevierpure.com)
  • Results: A total of 1644 patients with OHCA were included in this study. (elsevierpure.com)
  • An OHCA is defined as cessation of cardiac mechanical activity that occurs outside of the hospital setting and is confirmed by the absence of signs of circulation. (cdc.gov)
Methods4
  • The objectives of this study were to 1) assess implementation success with use of in-person support and nudging strategy and 2) describe baseline provider knowledge and metacognition.Methods: 6-month observational study at 1 zonal hospital and 3 health centers in Mwanza, Tanzania. (stanfordchildrens.org)
  • METHODS: This retrospective study included patients with blunt trauma aged ≥ 18 years who were transported directly to the tertiary care hospital between April, 2012, and March, 2021. (bvsalud.org)
  • PATIENTS AND METHODS: We retrospectively analyzed the data of 61 clear cell carcinoma and 46 prostate cancer patients that were diagnosed between December 2018 and August 2022 using the GeneRead Human Comprehensive Cancer Panel or SureSelect PrePool custom Tier2. (bvsalud.org)
  • At the conclusion of today's session the participant will be able to describe the risk factors, endemic areas, and incubation period of hantavirus infection, identify the clinical presentation and methods to identify a patient with hantavirus in the clinical setting, and understand the parameters of clinical management and critical care for patients with hantavirus. (cdc.gov)
Nontraumatic cardiac arrest2
  • The reported rates of CPR-related sternal fracture has ranged widely, from 16.1% to 72% of patients with nontraumatic cardiac arrest. (medscape.com)
  • These data support the hypothesis that increased perfusion during CPR, obtained with the use of ACD+ITD CPR, results in a significantly higher likelihood of long-term survival, regardless of etiology of the nontraumatic cardiac arrest. (healthpartners.com)
Respiratory arrest2
  • DNR means that, in the event of a cardiac or respiratory arrest, no CPR efforts would be undertaken. (the-hospitalist.org)
  • In cases of airway edema, noxious stimuli may precipitate a respiratory arrest in a tenuous child. (medscape.com)
Clinical10
  • A large number of patients (504) were analysed in the trial with similar clinical profiles in both groups. (bmj.com)
  • The International Cardiac Arrest REsearch consortium (I-CARE) Database includes baseline clinical information and continuous electroencephalogram (EEG) and electrocardiogram (ECG) recordings from comatose patients following cardiac arrest. (physionet.org)
  • PACE is novel in 2 ways: 1) its patient-centric approach using clinical audit data or frontline provider input to determine content and 2) its ability to incorporate refresher learning over time to solidify knowledge gains. (stanfordchildrens.org)
  • Clinical outcomes of in-hospital cardiac arrest in COVID-19. (lww.com)
  • Using an automated risk assessment report to identify patients at risk for clinical deterioration. (ahrq.gov)
  • Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. (ahrq.gov)
  • The difficult airway represents a complex interaction between patient factors, the clinical setting and the skills of the practitioner," it adds. (rtmagazine.com)
  • If no relevant studies were identified, recom- hospital and emergency medical care settings, with parti- mendations were based on the panel's clinical experience cular focus on the wilderness context. (bvsalud.org)
  • Clinical presentation of cardiac [8] showed that chest pain may arise to be severe enough in the field to kill a echinococcosis depends on the site, secondary to intrapericardial rupture significant number of cysts. (who.int)
  • Objective To report the ESICM consensus and clinical practice recommendations on fluid therapy in neurointensive care patients. (bvsalud.org)
Outcomes after in-hospital cardiac arrest1
  • To determine whether outcomes after in-hospital cardiac arrest differ during nights and weekends compared with days/evenings and weekdays. (nih.gov)
Ventricular5
  • Patients who had a cardiac arrest with ventricular fibrillation (or pulseless ventricular tachycardia) and who had not been resuscitated after three or more precordial shocks were randomly assigned to receive 300 mg of amiodarone (246 patients) or placebo (258 patients). (bmj.com)
  • Conclusion -Patients with out-of-hospital cardiac arrest due to refractory ventricular arrhythmias who were treated with amiodarone had a higher rate of survival to hospital admission. (bmj.com)
  • Johns Hopkins cardiologist and ventricular arrhythmia expert Jonathan Chrispin, M.D. , explains symptoms, causes and treatments of cardiac arrest. (hopkinsmedicine.org)
  • Ventricular fibrillation is a type of arrhythmia and is the most common cause of cardiac arrest. (hopkinsmedicine.org)
  • Left atrial volume (LAV) index (LAV indexed to body surface area) is a validated marker of chronic left ventricular load and is closely related to the development of atrial fibrillation (AF) in patients with and without cardiovascular disease. (jafib.com)
Occurs4
  • However, nitroglycerin-induced syncope occurs more often in patients with aortic stenosis than in those without aortic stenosis. (medscape.com)
  • If cardiopulmonary arrest occurs, basic CPR must be initiated at the scene. (vin.com)
  • Out of hospital cardiac arrest occurs frequently in residential areas in Asian countries, and many victims are required to be transported from high-rise buildings in metropolitan cities [ 1 - 4 ]. (ceemjournal.org)
  • When cardiac arrest occurs suddenly with no other existing heart conditions, it's more likely to be caused by a heart attack. (hopkinsmedicine.org)
Cessation of cardiac mechanical activity1
  • Зупинка серця Cardiac arrest is the cessation of cardiac mechanical activity resulting in the absence of circulating blood flow. (msdmanuals.com)
Centers3
  • 110 (56%) were at the zonal hospital and 85 (44%) at health centers. (stanfordchildrens.org)
  • Participating sites collect data from three sources that define the continuum of emergency cardiac care: 911 dispatch centers, EMS providers, and receiving hospitals. (cdc.gov)
  • Often, patients are transferred to tertiary care centers where physicians are faced with advanced disease states and sometimes little opportunity to establish a patient-physician relationship. (ama-assn.org)
Improve survival1
  • There, the immediate availability of drugs, heightened skills, and in-place procedures significantly improve survival following a cardiopulmonary arrest. (the-hospitalist.org)
Person in cardiac arrest2
  • Out of 670 answers, 364 (54%) believed that CPR could worsen the health status of a person in cardiac arrest, whereas 413 (62%) agreed that BLS training should be mandatory in secondary school. (smw.ch)
  • An AED is a device that easily walks you through how to use it on a person in cardiac arrest. (cdc.gov)
Intensive care6
  • Regina General Hospital is a 468-bed tertiary care teaching hospital with 31 funded intensive care unit (ICU) and coronary care unit beds. (biomedcentral.com)
  • In patients with acute symptoms, hospital admission, telemetry/intensive care unit admission, and cardiology consultation all should be considered. (medscape.com)
  • The patients were admitted to an intensive care unit (ICU) in one of seven academic hospitals in the U.S. and Europe and monitored for several hours to several days. (physionet.org)
  • Essential program components included emergency medical services, 3 community ECMO Initiation Hospitals with emergency department ECMO cannulation sites and 24/7 cardiac catheterization laboratories, a 24/7 mobile ECMO cannulation team, and a single, centralized ECMO intensive care unit. (healthpartners.com)
  • During Dr. Shen's shift at the cardiac intensive care unit in his regional hospital, airlift brought in an intubated middle-aged woman in respiratory distress from a rural hospital 150 miles away. (ama-assn.org)
  • Whereas postoperative patients commonly find themselves in the PACU and the intensive care unit (ICU), these areas are intensively monitored as a rule. (medscape.com)
Futile4
  • Such uncertainty has led some doctors to wonder: are efforts to resuscitate frail patients in the operating room futile? (medicalxpress.com)
  • CPR should not be considered futile for frail patients in the context of surgery," said lead author Matt Allen, MD, an attending physician in the Brigham's Department of Anesthesiology. (medicalxpress.com)
  • Our study ( 1 ) does not support the notion that CPR is universally futile in hospitalized patients with COVID-19, although we agree that outcomes are often poor and that early initiation of goals of care discussions in such patients is appropriate. (lww.com)
  • However, competent patients do not have an equivalent right to demand treatment: physicians are under no obligation to provide treatment that they consider futile. (thehastingscenter.org)
Compressions1
  • Frail patients can be particularly vulnerable to the chest compressions involved in CPR, which can cause rib and sternal fractures that may lead to further complications and a slow recovery in those who survive. (medicalxpress.com)
Defibrillation1
  • However there was so little difference between the groups it may be that the major determining factor in long term survival in out-of-hospital cardiac arrest is still early defibrillation. (bmj.com)
Survival rates4
  • More than 6 million cardiac arrests happen every year worldwide, with survival rates ranging from 1% to 10% depending on geographic location [1]. (physionet.org)
  • Because nearly half of cardiac arrest events are witnessed, efforts to increase survival rates should focus on timely and effective delivery of interventions by bystanders and emergency medical services (EMS) personnel. (cdc.gov)
  • Six months after cardiac arrest, survival rates were 77% in the S-CPR group and 88% in the ACD+ITD group. (healthpartners.com)
  • Survival rates from in-hospital cardiac arrest are lower during nights and weekends, even when adjusted for potentially confounding patient, event, and hospital characteristics. (nih.gov)
Complications5
  • Complications were observed during ECPR in 32.7% of patients, and the most common complication was bleeding, with the rates of cannulation site bleeding and other types of hemorrhage at 16.4% and 8.5%, respectively. (elsevierpure.com)
  • Often, however, the problem is detected during screening blood tests for a medical disorder, or after hospitalization for complications such as cardiac arrhythmia or sudden cardiac death. (wikipedia.org)
  • But it's unclear whether that trend applies to frail patients, who are often older and at a higher risk of experiencing CPR-related trauma and complications. (medicalxpress.com)
  • 1 , 2 , 5 , 6 Patients with symptomatic severe aortic stenosis (AS) have a poor prognosis with conservative treatment and aortic valve replacement (AVR) in these patients is also associated with higher incidence of post-operative complications including POAF. (jafib.com)
  • In most patients, heart pericardial tamponade, secondary peri- complications include systemic or pul- hydatidosis is calcified and become cardial cysts or constructive pericarditis. (who.int)
20191
  • FINDINGS: From December 1, 2019 to April 1, 2020, 63 consecutive patients were transported and 58 (97%) met criteria and were treated by the mobile ECMO service. (healthpartners.com)
Pulseless2
  • We can assume that all causes for pulseless electrical activity (PEA) arrest have been investigated and appropriately managed (e.g., bedside echocardiography to rule out pericardial tamponade, roentgenogram to rule out pneumothorax, fingerstick to evaluate for hypoglycemia, pulse oximetry to ensure adequate oxygenation). (ama-assn.org)
  • The initial rhythm post cardiac arrest was pulseless electrical activity (41.7%) or asystole (35.2%) in the majority of cases. (bvsalud.org)
20201
  • The registry included 3,149 cases of patients over the age of 50 who received CPR on the day of their surgery between 2015 and 2020. (medicalxpress.com)
Scene of cardiac1
  • These lives can be saved by involving citizens of Pakistan to provide live saving care at the scene of cardiac arrest or injury. (aku.edu)
Acute6
  • Design -Meta-analysis of trials comparing use of ipratropium bromide as an adjuvant treatment in the treatment of patients with an acute exacerbation of asthma. (bmj.com)
  • [ 2 ] In 1958, streptokinase was first used in patients with acute myocardial infarction (AMI), and this changed the focus of treatment. (medscape.com)
  • Infection is the leading cause of death and prolonged hospitalization in severely burned patients that survive the acute phase of injury. (vumc.org)
  • 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. (medlineplus.gov)
  • The Wilderness Medical Society convened a panel to review available evidence supporting practices for acute management and treatment of drowning in out-of-hospital and emergency medical care settings. (bvsalud.org)
  • Abstracts for as part of a review and evaluation of literature regarding which the full article could not be obtained were acute care for the drowning patient, in both out-of- excluded. (bvsalud.org)
Mechanical2
  • Then, 6 minutes of basic life support was performed in a position randomly assigned to either head-up tilt at 30° or supine with a mechanical CPR device, LUCAS-2, and an impedance threshold device, followed by 20 minutes of advanced cardiac life support in the same position. (ceemjournal.org)
  • BACKGROUND: Interventions that lead to earlier liberation from mechanical ventilation can improve patient outcomes. (bvsalud.org)
ECPR3
Socioeconomic status1
  • Not only they have effects on patients, but also they project threat to the socioeconomic status. (bartleby.com)
Trauma3
  • PURPOSE: This study aimed to examine the association of fibrinogen/fibrin degradation product (FDP) values in comparison with D-dimer and fibrinogen (Fib) values and the need for massive fresh frozen plasma (FFP) transfusion in patients with blunt trauma. (bvsalud.org)
  • To develop French guidelines on the management of patients with severe abdominal trauma. (bvsalud.org)
  • Objetivo: Generar recomendaciones basadas en la mejor evidencia disponible acerca del manejo de personas con trauma ocular. (bvsalud.org)
Circulation2
  • Duration from hospital arrival to extracorporeal circulation start was almost the same in both groups (median, 17.0 min vs. 17.0 min, p = 0.92). (medscape.com)
  • bed into the left ventricle, from where or intramyocardial, However, when a Most patients with calcification of it could reach any part of the body cyst is located in subendocardial en- the cyst wall remain asymptomatic for through systemic circulation [1-3]. (who.int)
Study27
  • Before administration of the study vial the patients were intubated, intravenous access obtained, and 1 mg of adrenaline (epinephrine) given intravenously. (bmj.com)
  • These included patients who were successfully cardioverted before the study drug could be given. (bmj.com)
  • The study was well blinded throughout the initial treatment and the patients' hospital stay. (bmj.com)
  • Care after reaching the hospital was not standardised and would thus probably involve many variables, not analysed in the study. (bmj.com)
  • Although exercise restriction is sometimes recommended to avoid the risk of sudden unexpected death for some patients with congenital aortic stenosis, a recent study by Brown et al suggests that sudden unexpected death is extremely rare following balloon valvuloplasty, and the study found no beneficial effect for exercise restriction after the procedure is performed. (medscape.com)
  • The routine radiologic study of the sternum consists of a lateral projection and frontal views, which are obtained with the patient prone and rotated slightly off the midline in each direction (see the images below). (medscape.com)
  • In a study of 292 patients with sternal fracture by Terry et al, 94% of fractures were visible only on chest CT, and cardiac contusion was identified in 7 of the patients. (medscape.com)
  • A Swedish study showed that 65% of the patients who had a cardiac arrest perioperatively were successfully resuscitated. (the-hospitalist.org)
  • To calculate the survival odds for frail patients that receive CPR during surgery, the Brigham team designed a longitudinal cohort study that drew data from the American College of Surgeons National Surgical Quality Improvement Program, a database that tracks case studies from over 700 US hospitals. (medicalxpress.com)
  • A study recently published in Critical Care Medicine sought to answer this question and provide more data around outcomes of in-hospital cardiac arrest in patients with COVID-19. (sccm.org)
  • Her PhD used a Discrete Choice Experiment (DCE), a type of preference study, to inform and calculate the 'value' of cancer treatments to patients and clinicians. (edu.au)
  • Study aims: Hyperglycemia is associated with poor outcomes in critically ill patients. (arizona.edu)
  • In a study from the University of California at Davis, researchers discovered that long-term survival among feline patients is extremely poor. (vin.com)
  • In this study, only 2.3 percent of feline patients who received CPR survived to be discharged from the hospital alive. (vin.com)
  • The authors conclude that their study "raises important questions about the futility of ACLS measures in these patients. (lww.com)
  • We recently reported the outcomes following IHCA using data from the Study of the Treatment and Outcomes in Critically Ill Patients with COVID-19, a large multicenter cohort study of critically ill adult patients with COVID-19 admitted to ICUs at 68 geographically diverse hospitals across the United States ( 4 ). (lww.com)
  • In-hospital cardiac arrest in critically ill patients with covid-19: Multicenter cohort study. (lww.com)
  • This study aimed to assess the effect of head-up tilt position during CPR on 24-hour survival in a porcine cardiac arrest experimental model. (ceemjournal.org)
  • The multicenter study showed the time it takes for out-of-hospital cardiac arrest patients to regain consciousness varies widely and is longer than many had thought. (sciencedaily.com)
  • A study led by Bentley Bobrow, MD, professor at the University of Arizona Colleges of Medicine in Tucson and Phoenix and co-director of the Arizona Emergency Medicine Research Center -- Phoenix, and his fellow UA emergency medicine researchers, showed that physicians may need to allow comatose cardiac arrest patients much more time to awaken before making a prognosis. (sciencedaily.com)
  • Results from the multicenter UA study, recently published in the Annals of Emergency Medicine , showed for out-of-hospital cardiac arrest patients, the time it takes to regain consciousness after rewarming from therapeutic hypothermia treatment varies widely and is longer than many had thought. (sciencedaily.com)
  • However, our study found that a substantial number of cardiac arrest victims wake up longer than many people would expect. (sciencedaily.com)
  • This multicenter, randomized phase 3 study evaluated the efficacy and safety of 0.3 mg/kg intravenous mogamulizumab, a monoclonal antibody targeting-CC chemokine receptor 4, every 12 weeks in HAM/TSP patients. (bvsalud.org)
  • In our case study, the treating medics were limited in their options for treatment, mostly due to the inability to secure the airway due to the patient locking down his jaw. (bartleby.com)
  • 11 Though the study included patients undergoing AVR, their number was not reported. (jafib.com)
  • Results: The main study population comprised 108 patients. (bvsalud.org)
  • He was the site principal investigator for a CDC sponsored open trial of IV Ribavirin and subsequently the overall principle investigator through a National Institutes of Health collaborative antiviral study group sponsored controlled trial of IV Ribavirin for the treatment of hantavirus cardiopulmonary syndrome in North America. (cdc.gov)
Neonates2
  • Case presentation: The patients were term neonates with high Apgar scores in the first minutes of life. (researchgate.net)
  • Durbin's story illustrates the challenges of managing difficult airways, common among obese patients, neonates, young children, and men with beards. (rtmagazine.com)
Cerebral performance category1
  • The long-term neurological function of the patients was determined using the Cerebral Performance Category scale. (physionet.org)
Infants1
  • With colleagues in pediatric neurology, McQuillen leads research on advanced magnetic resonance techniques to assess brain injury in infants requiring cardiopulmonary bypass - a technique for maintaining heart and lung function during surgery - to correct congenital heart disease. (ucsfbenioffchildrens.org)
Cohort1
  • To address this question, a team from Brigham and Women's Hospital, a founding member of the Mass General Brigham health care system, analyzed a national cohort of over 3,000 patients and determined that around one in three older frail patients survive surgical CPR. (medicalxpress.com)
20181
  • I slutet av januari 2018 besökte professor Margret Lepp GUs partneruniversitet Kochi University i Japan för att arrangera en workshop. (gu.se)
Extracorporeal membrane ox1
  • He was still critically unwell when he was transported to St Thomas' Hospital the next day in case he needed access to extracorporeal membrane oxygenation (ECMO) - a life support system which can fully replace the work of the heart and lungs so that patients have time to heal. (imperial.nhs.uk)
Ventilatory support1
  • A patient presenting with uncontrolled heart failure should be treated supportively with oxygen, cardiac and oximetry monitoring, intravenous access, loop diuretics, nitrates (remembering the potential nitrate sensitivity of patients with aortic stenosis), morphine (as needed and tolerated), and noninvasive or invasive ventilatory support (as indicated). (medscape.com)
Rhythm2
  • Atrial fibrillation in the setting of aortic stenosis is considered a medical emergency, and sinus rhythm should be restored urgently in patients who are hemodynamically unstable. (medscape.com)
  • Hyperkalemia can cause an abnormal heart rhythm which can result in cardiac arrest and death. (wikipedia.org)
Neurological3
  • Most patients surviving to ICU admission will be comatose, and 50% to 80% will have life-sustaining therapies withdrawn due to a perceived poor neurological prognosis [3]. (physionet.org)
  • Eight patients became responsive more than seven days after rewarming, six of whom were discharged with good neurological scores. (sciencedaily.com)
  • It is important to note that there are currently no invasive procedures that Paramedics are trained to do in the field to reduce ICP and early recognition and prompt transport to the nearest hospital with neurological capabilities is the definitive treatment for this type of injury. (bartleby.com)
Bypass1
Unresponsive1
  • Unlike previously reported instances of transmission during aerosol-generating procedures, the index case-patient was unresponsive, and the intubation procedure was performed quickly and without difficulty. (cdc.gov)
Registry1
  • In 2004, CDC established the Cardiac Arrest Registry to Enhance Survival (CARES) in collaboration with the Department of Emergency Medicine at the Emory University School of Medicine. (cdc.gov)
Occur4
  • When a terminally ill patient with a DNR order undergoes surgery, how should physicians deal with the patient's no-code status, especially if an iatrogenic cardiac arrest should occur? (the-hospitalist.org)
  • Physicians are tasked with explaining these risks to their patients prior to surgery, a conversation that often includes settling on a course of action if a cardiac arrest does occur. (medicalxpress.com)
  • Cardiac arrest can be caused by a heart condition, or it can occur unexpectedly. (hopkinsmedicine.org)
  • If an adequate number of trained personnel are available, patient assessment, CPR, and activation of the emergency response system should occur simultaneously. (msdmanuals.com)
Disease4
  • If left untreated, coronary artery disease can lead to heart failure or arrhythmias, which both can lead to cardiac arrest. (hopkinsmedicine.org)
  • Dr. Shen has looked for and intervened in all reversible causes of PEA arrest and is left with an essentially irreversible disease process. (ama-assn.org)
  • Finally, a number of patient-related factors may play a role, including age, body habitus, and preexisting pulmonary disease. (medscape.com)
  • Cardiac hydatid cysts are uncom- ventricle, local intracavitary rupture is shells protect them from environmental mon in cases of hydatid disease. (who.int)
Airway management3
  • Charles Durbin, MD, professor of anesthesiology and surgery, University of Virginia, Charlottesville, describes a difficult airway management case that left his patient feeling fine but gave him heart palpitations. (rtmagazine.com)
  • Durbin says patients immobilized by halo traction devices present the greatest challenges to airway management. (rtmagazine.com)
  • As an EMT student, you'll acquire essential skills such as airway management, bleeding control, cardiac arrest management, and more. (clevelandclinic.org)
Sudden cardi1
  • 5 Muller D, Agrawal R, Arntz H R. How sudden is sudden cardiac death? (thieme-connect.de)
Adult patients2
  • Percutaneous balloon valvuloplasty is used as a palliative measure in critically ill adult patients who are not surgical candidates or as a bridge to aortic valve replacement in critically ill patients. (medscape.com)
  • Families in the U.K. do not have the right to make decisions about medical treatments (or anything else) for adult patients lacking capacity unless they have taken specific legal action to acquire the right (and very few people do - or are even aware that they can). (thehastingscenter.org)
Aortic9
  • For patients who are not candidates for aortic replacement, percutaneous aortic balloon valvuloplasty may provide some symptom relief. (medscape.com)
  • The Leadership Council of the American College of Cardiology (ACC) recommends considering percutaneous coronary intervention (PCI) in all patients with significant proximal coronary stenosis in major coronary arteries before transcatheter aortic valve replacement (TAVR), even though the indication is not covered in current guidelines. (medscape.com)
  • In truly asymptomatic patients with severe aortic stenosis, the issue of valve replacement is less clear. (medscape.com)
  • Patients with severe heart failure due to aortic stenosis that is resistant to medical management should be considered for urgent surgery. (medscape.com)
  • Syncope in the face of aortic stenosis should be assessed and treated as in any patient presenting with a syncopal episode. (medscape.com)
  • The second patient was treated with prostaglandin E1 since birth due to suspicion of aortic coarctation (CoA). (researchgate.net)
  • We performed a retrospective analysis of 139 patients undergoing aortic valve replacement for aortic stenosis. (jafib.com)
  • In patients with aortic stenosis (AS), increased LAV is a marker of severity of stenosis. (jafib.com)
  • Left atrial volume index is a very good predictor of POAF in patients undergoing aortic valve replacement (AVR) for AS. (jafib.com)
Victims2
  • Thousands of lives each year across the country could be saved by simply giving cardiac arrest victims more time to awaken in the hospital. (sciencedaily.com)
  • Cardiac arrests still happen outside of hospitals during the COVID-19 outbreak, and victims still need help. (cdc.gov)
Proportion2
  • Dr. Bobrow said, "We were surprised by the large proportion of cardiac arrest survivors who woke up more than three days after their arrest and went home with their families. (sciencedaily.com)
  • The primary endpoint was the proportion of patients with a ≥ 1-grade improvement in the Osame motor disability score (OMDS). (bvsalud.org)
Heart attacks2
  • Other agencies have proposed a three-pronged strategy for reducing the risk of on-duty heart attacks and cardiac arrests among fire fighters. (cdc.gov)
  • Heart attacks can increase the risk for cardiac arrest because heart attacks can alter electrical signals in the heart. (hopkinsmedicine.org)
Treatment11
  • Her PhD thesis investigated patient and clinician preferences for adjuvant immunotherapy as a treatment for melanoma skin cancer. (edu.au)
  • While targeted therapeutic hypothermia has been shown to improve outcomes, no validated system currently exists for predicting when patients receiving this treatment will awaken from coma. (sciencedaily.com)
  • In the U.K. competent patients have the right to refuse treatment: medical treatment without the competent patient's consent could constitute a criminal offence. (thehastingscenter.org)
  • This is similar to the situation in the U.S. Where the U.K. and the U.S. laws diverge is in the treatment of patients who have lost capacity. (thehastingscenter.org)
  • Therefore, it is usually the responsibility of the senior treating clinician to decide what treatment to give, as well as what treatment to withhold/withdraw for patients without capacity to make their own choices. (thehastingscenter.org)
  • In Aintree v James the judgment was ultimately that it was legal to withhold treatment even though the patient probably would have wanted it. (thehastingscenter.org)
  • In W v M, the judgment was that treatment must be continued even though the patient probably would have wanted to refuse it. (thehastingscenter.org)
  • If someone experiences cardiac arrest, they need immediate treatment to increase the flow of oxygen-rich blood to their organs. (hopkinsmedicine.org)
  • CPR can temporarily treat cardiac arrest until more advanced emergency treatment is available to the person experiencing cardiac arrest. (hopkinsmedicine.org)
  • Smedira and colleagues looked at a sample of almost 2,000 ICU patients for whom treatments were withheld or withdrawn and found that only 5 percent of patients had decisional capacity or participated in discussions about treatment [1]. (ama-assn.org)
  • Conclusions: Early identification of warning signs that precede many in-hospital arrests may enable institution of treatment to prevent patient deterioration. (bvsalud.org)