Search Tag: out-of-hospital cardiac arrest

ICU Management

Drones-delivering-automated-external-defibrillators

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

ICU Management

Speed-of-cooling-after-cardiac-arrest-sub-study-from-ttm-2-trial

2022 23 Nov

Out-of-hospital cardiac arrest (OHCA) typically has a poor prognosis. Less than 50% of patients admitted to ICU survive to hospital discharge. Animal models suggest that therapeutic hypothermia is neuroprotective and decreases neuronal injury.  Targeted temperature management (TTM 33–36 °C) is part of international guidelines when managing post-OHCA...Read more

ICU Management

Ventilatory-settings-and-outcomes-in-ohca-patients

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

ICU Management

Association-between-age-and-neurological-outcomes-in-ohca

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

Cardiology Management

Esccongress-insights-from-the-tomahawk-trial

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

Cardiology Management

Hypothermia-vs-normothermia-after-ohca

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

ICU Management

Passive-leg-raising-in-out-of-hospital-cardiac-arrest

2021 08 Jun

  Survival among patients with out-of-hospital cardiac arrest (OHCA) is typically quite low. Survival in OHCA is dependent on several factors, including the performance of early bystander cardiopulmonary resuscitation (CPR), the use of public automatic external defibrillators (AEDs), and the performance of high-quality CPR or the post-resuscitation...Read more

ICU Management

Cardiac-arrest-in-covid-19-characteristics-and-outcomes

2021 23 Feb

A recent report evaluates the characteristics and outcomes among cardiac arrest cases with COVID-19 and the differences between out-of-hospital cardiac arrests (OHCA) and in-hospital cardiac arrest (IHCA) during the pre-pandemic and the pandemic period. Several reports demonstrate an increased risk of OHCA during the pandemic. A study from Paris...Read more

Cardiology Management

Covid-19-and-increase-in-ohca

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

Cardiology Management

Acc-hearthero-to-advance-out-of-hospital-cardiac-arrest-treatment

2020 20 Feb

The American College of Cardiology (ACC) has partnered up with HeartHero to form an alliance to combat sudden cardiac death (SCD) and improve survival rates. For many years, the ACC has been on a mission to improve cardiac care. Now it aims to improve survival with the help of HeartHero's portable defibrillator. SCD is a leading cause of mortality...Read more

Cardiology Management

Machine-learning-to-recognise-cardiac-arrest-in-emergency-calls

2019 29 May

Nearly 600,000 people in the US and Europe combined sustain an out-of-hospital cardiac arrest (OHCA) annually. OHCA is a life-threatening condition, and in order to improve survival rates, it is imperative that it is recognised rapidly by medical dispatchers. Accurate recognition of OHCA either by a bystander or a dispatcher is essential for initiation...Read more

ICU Management

Study-use-of-therapeutic-hypothermia-in-out-of-hospital-cardiac-arrest-dipped-after-ttm-trial

2018 09 Nov

A U.S. registry study on use of therapeutic hypothermia for out-of-hospital cardiac arrest patients found that use dipped immediately after publication of the Targeted Temperature Management (TTM) trial , which provided evidence for more lenient temperature management. The study, by Steven M. Bradley, MD, MPH, Minneapolis Heart Institute and colleagues,...Read more

ICU Management

Epinephrine-for-out-of-hospital-cardiac-arrest

2018 27 Aug

Insights from the PARAMEDIC2 trial and future improvements Perkins et al. have advanced the long-awaited PARAMEDIC2 trial (Perkins et al. 2018). They deserve to be congratulated for such a well-interpreted and well-designed contribution. The study’s two main outcomes are as follows: the Epinephrine group had a significantly improved inpatient survival...Read more

ICU Management

Lighter-emergency-breathing-tubes-associated-with-higher-survival-after-ohca

2018 01 Jun

When paramedics used a new, more flexible laryngeal breathing tube to give oxygen to patients who had had an out-of-hospital cardiac arrest, these patients survived longer than patients who received oxygen via the traditional endotracheal tube, according to the results of a large randomised controlled trial conducted in the USA.   The results...Read more

ICU Management

Optimising-community-based-interventions-to-improve-ohca-survival

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

ICU Management

Pre-hospital-ecpr-challenges-and-benefits

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

ICU Management

Importance-of-community-treatment-in-ohca

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

ICU Management

Does-prehospital-cooling-help-achieve-target-temperature-after-ohca

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

ICU Management

Bystander-automated-external-defibrillator-beneficial-in-ohca

2017 07 Nov

Current resuscitation guidelines recommend that bystander defibrillation be attempted as soon as an automated external defibrillator (AED) is available. Moreover, a new systematic review finds evidence supporting the association between bystander AED use and improved clinical outcomes in out-of-hospital cardiac arrest (OHCA), although the review team...Read more

Cardiology Management

Public-health-initiatives-improve-outcomes-in-out-of-hospital-cardiac-arrest-1

2017 10 Oct

A new U.S. study shows that coordinated, multifaceted public health initiatives may be helpful for communities aiming to improve outcomes of out-of-hospital cardiac arrest (OHCA), including at home. Implementation of such initiatives targeting multiple personnel across the cardiac arrest “chain of survival” resulted in more patients receiving bystander...Read more

ICU Management

Lucas-2-in-out-of-hospital-cardiac-arrest-cost-analysis

2017 17 Jul

The use of the mechanical chest compression device LUCAS-2 represents poor value for money when compared to standard manual chest compression in out-of-hospital cardiac arrest, according to a new study published in the journal Resuscitation. A critical step of the resuscitation process is early cardiopulmonary resuscitation (CPR) – i.e., the combination...Read more

ICU Management

Whither-the-chain-of-survival

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