Search Tag: OHCA
2023 27 Aug
A recent trial involving all hospitals in London, U.K., reports no disparity in survival at 30 days in patients with resuscitated cardiac arrest who were transported by ambulance to a cardiac arrest centre or the nearest emergency department. These findings were presented during a Hot Line session at the ESC Congress 2023. Sudden cardiac arrest...Read more
2023 31 Jan
Out-of-Hospital Cardiac Arrest (OHCA) is a dangerous condition with high mortality and poor health outcomes. According to the International Liaison Committee for Resuscitation (ILCOR), the global incidence of OHCA treated by emergency medical services (EMS) is 30.0-97.1 per 100,000 population, with discharge/30-day survival rates of 3.1-20.4% and good...Read more
2022 12 Jul
Protective ventilation strategies are commonly applied in patients after cardiac arrest. However, the optimal ventilatory settings in these patients and their association with patient outcomes remain unclear. The goal of this study was to describe the ventilatory settings applied in the first 72 hours of mechanical ventilation in patients after...Read more
2021 09 Nov
There is very little information about the differences in outcomes between young and old patients who receive extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA). In this study, researchers aimed to investigate the differences in outcomes between patients aged 75 years and older and patients younger than...Read more
2021 29 Aug
Late-breaking research presented at a hot line session at ESC Congress 2021 shows that early coronary angiography in out-of-hospital cardiac arrest (OHCA) patients without ST-segment elevation is not superior to a delayed/selective approach. The timing and usefulness of coronary angiography in OHCA survivors without ST-segment elevation are still...Read more
2021 22 Jun
Since 2005, the guidelines for the care of unconscious cardiac arrest patients have been to cool the body temperature down to 33 degrees Celsius. However, findings from a large, randomised clinical trial led by Lund University and Region Skåne in Sweden show that this treatment does not improve survival. "These results will affect the current...Read more
2020 18 Sep
COVID-19 has a wide range of presentations including asymptomatic to various intensity of symptomatic patients, some of whom develop acute respiratory distress syndrome and require mechanical ventilation. COVID-19 first hit in December 2019 in China. Outside of China, Northern Italy was also sufficiently impacted by it, leading to a high number of...Read more
2020 25 Jun
New York City saw a three-fold increase in the number of cardiac arrests from March to April 2020 during the COVID-19 pandemic than during the same period in 2019. The purpose of this study was to understand the characteristics and outcomes of people who experienced out-of-hospital cardiac arrests during the pandemic in New York City and whether...Read more
2020 11 Jan
Post-anoxic brain damage after cardiac arrest is a complex condition that is managed through targeted temperature management (TTM) as it is currently the only neuroprotective intervention recommended after out-of-hospital cardiac arrest (OHCA). However, experts have raised concerns about the level of evidence supporting this intervention. Two early...Read more
2019 14 Nov
Out-of-hospital cardiac arrest (OHCA) without return of spontaneous circulation (ROSC) despite conventional resuscitation is common and has poor outcomes. Adding extracorporeal membrane oxygenation (ECMO) to cardiopulmonary resuscitation (extracorporeal-CPR) is increasingly used in an attempt to improve outcomes. A new study analysed a prospective...Read more
2019 02 Aug
The survival outcomes of out-of-hospital cardiac arrests (OHCAs) can be influenced by many factors including age, the presence of witnesses, emergency service response time etc. However, it is still widely debated whether sex is a contributing factor to survival. This hypothesis was recently tested by the analysis of 386,535 individuals from the Japanese...Read more
2019 25 Mar
At the 39th International Symposium on Intensive Care and Emergency Medicine in Brussels, Belgium, Professor Jerry Nolan discussed the role of adrenaline. He highlighted that there are many observational studies out there that suggested that the use of adrenaline [epinephrine], while it increased the return of spontaneous circulation (ROSC),...Read more
2019 20 Mar
At this years 39th International Symposium on Intensive Care and Emergency Medicine , Professor Jerry Nolan , a consultant in anaesthesia and intensive care medicine at the Royal United Hospital, Bath, talked about new developments in CPR during the Max Harry Weil Lecture, one of the most important presentations at #ISICEM19. Dr. Max Harry Weil...Read more
2018 04 Dec
Cardiac arrest, a leading cause of admission to the intensive care unit (ICU), is associated with high mortality. Current illness severity scores perform poorly in predicting survival for this patient group. New research from Australia shows machine learning (ML) techniques can significantly increase the accuracy of estimating survival for ICU patients...Read more
2018 29 Aug
Among adults with out-of-hospital cardiac arrest (OHCA), a strategy of initial laryngeal tube (LT) insertion, compared with endotracheal intubation (ETI), was associated with greater likelihood of 72-hour survival, according to a new randomised clinical trial published in JAMA. "These findings suggest that LT insertion may be considered as...Read more
2018 24 Jul
In addition to early initiation of cardiopulmonary resuscitation (CPR), treatment strategies for out-of-hospital cardiac arrest have included the use of various drugs, but there is limited evidence that such medications are effective. Results of the clinical trial (Pre-hospital Assessment of the Role of Adrenaline: Measuring the Effectiveness of Drug...Read more
2018 24 Apr
New research from Norway shows that out-of-hospital cardiac arrest (OHCA) survival was higher in urban compared to rural areas. To save more lives following OHCA, continuous endeavours to optimise modifiable prehospital factors (e.g., bystander CPR and response time) are required to improve every link in the chain of survival, according to the study...Read more
2018 10 Apr
Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extracorporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest compressions. Pre-hospital delivery...Read more
2018 20 Mar
Sudden out-of-hospital cardiac arrest (OHCA) is the most time-critical medical emergency. Survival from OHCA remains poor globally. Successful resuscitation relies on a strong chain of survival with the community, dispatch centre, ambulance, and hospital working together, according to a review paper in The Lancet, noting that early cardiopulmonary...Read more
2017 05 Dec
Researchers conducted a pragmatic randomised controlled trial (ICEPACS RCT) in a large metropolitan area to compare prehospital cooling by paramedics of patients resuscitated after out-of-hospital cardiac arrest (OHCA), to usual care with no targeted temperature management (TTM) applied until hospital. Results show that prehospital cooling initiated...Read more
2017 28 May
More patient lives have been saved after OHCA in recent years, but the numbers can improve further. Increased awareness, more education of laypersons and more first responders, in combination with reduced response times for the EMS and early defibrillation will save many lives The chances of surviving an out-of-hospital cardiac arrest (OHCA)...Read more
2017 17 Apr
To improve outcomes in out-of-hospital cardiac arrest (OHCA) patients, doctors and researchers need to investigate the chain of survival of these patients, according to an Editorial to appear in the journal Resuscitation. The patient’s initial injury and resuscitation events are often seen as "irrelevant" in hospital-based intervention studies of OHCA...Read more