Current Resuscitation News and Events | Page 12

Current Resuscitation News and Events, Resuscitation News Articles.
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Blacks, Whites divided on end-of-life treatment
Black patients are more likely than white patients to prefer life-sustaining care when confronted with an incurable illness or serious mental and physical disabilities, according to a study by University of Rochester Medical Center researchers. (2006-11-30)

Cardiocerebral Resuscitation better than CPR for out-of-hospital cardiac arrest
New data show that in cases of out-of-hospital cardiac arrest, interrupting chest compressions for anything -- including mouth-to-mouth ventilations -- appears to be detrimental. Cardiocerebral Resuscitation, a new, chest-compression-only approach developed at the University of Arizona Sarver Heart Center, improved survival rates by 300 percent and enhances bystanders' willingness to perform CPR. (2006-11-12)

Reporters struggle to cover comas in newspaper articles, Mayo Clinic study finds
Newspaper articles skew coverage of comas by focusing heavily on patients who are more likely to awaken and recover, thus possibly leading the public to believe that coma patients have better odds than they truly do. (2006-10-18)

Prototype just-in-time medical device enables untrained bystanders to save lives
Human factors/ergonomics researchers at the University of Utah have created a prototype device that could make it possible for anyone -- even those with no emergency medical training -- to perform life-saving actions for victims of sudden cardiac arrest. (2006-10-16)

New study aims to stop sepsis in its tracks
Sepsis is the second leading killer in the ICU. A 5-year grant of more than $8.4 million will nationally test the first set of standard procedures to diagnose and treat sepsis in emergency departments. (2006-10-02)

National study: Patients poorly prepared for end-of-life decisions
Terminally-ill patients in Canada are poorly prepared to deal with end-of-life issues such as whether or not they will be resuscitated if they suffer a heart attack or other life-threatening medical complication, says Queen's University professor of medicine Daren Heyland. (2006-09-13)

FDA safety alerts for automated external defibrillators occur frequently
The FDA frequently issues safety advisories for automated external defibrillators (portable electronic device used to restore regular heart beat in patients with cardiac arrest) and accessories, although the number of actual device malfunctions appears to be relatively small, according to a study in the August 9 issue of JAMA. (2006-08-08)

Confusion -- not stress -- keeps CPR volunteers from responding
Even though they are trained in CPR, people hesitate to take action when an emergency unfolds in front of them (2006-08-01)

Guideline helps predict outcome in comatose survivors after CPR
Certain tests can predict with great accuracy whether a person in a coma after CPR (cardiopulmonary resuscitation) will have a poor outcome, according to new guideline developed by the American Academy of Neurology. The guideline is published in the July 25, 2006, issue of Neurology, the scientific journal of the American Academy of Neurology. (2006-07-24)

UT Southwestern, BioTel system to test methods of improving cardiac arrest, trauma survival
UT Southwestern Medical Center is among 10 institutions selected to oversee innovative clinical trials designed to test life-saving interventions for critical trauma and sudden cardiac arrest. (2006-07-10)

Anaesthetists need urgent guidance on patients who don't want to be resuscitated
Following Do Not Attempt Resuscitation Orders during surgery could lead to accusations of euthanasia or assisted suicide say UK clinicians. DNAR Orders also have important implications for anaesthesia during intensive and palliative care. (2006-06-28)

Getting answers
With research funded by the Department of Defense, two scientists have taken novel approaches with IV resuscitation fluids to find ways to save Soldiers' and civilians' lives. Joseph Messina of the University of Alabama at Birmingham and Patrick Kochanek of the University of Pittsburgh don't collaborate with one another, but they both are interested in improving patients' chances of surviving trauma, be it on a battlefield or in a Buick. (2006-06-23)

Few young competitive athletes survive sudden cardiac arrest
Cardiopulmonary resuscitation (CPR) and automated external defibrillators (AED's) had surprisingly little effect on the survival rates for young athletes who experience sudden cardiac arrest (SCA), according to a new study published in the July 2006 edition of Heart Rhythm. (2006-06-20)

Manual vs device-assisted CPR
In an editorial in the June 14th edition of JAMA, Roger J. Lewis, M.D. and James T. Niemann, M.D., investigators at the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center (LA BioMed), attempt to reconcile apparent contradictions in conclusions drawn from two studies examining use of a mechanical CPR device for the resuscitation patients with out-of-hospital sudden cardiac arrest. (2006-06-13)

Manual chest compressions are better than automated for treatment of out-of-hospital cardiac arrest
Standard cardiopulmonary resuscitation (CPR) works better than an automated chest compression device, according to emergency medicine researchers from the University of Pittsburgh School of Medicine reporting in today's Journal of the American Medical Association (JAMA). (2006-06-13)

Using device to give CPR does not improve survival
Researchers looking for methods to improve survival from cardiac arrest were surprised by the results of a study comparing manual CPR compressions with those given by an FDA-approved mechanical device. The randomized study, conducted in five North American cities including Columbus, showed that victims of sudden cardiac arrest were more likely to be discharged alive from the hospital if they received manual cardio-pulmonary resuscitation (CPR) rather than CPR administered by the mechanical device. (2006-06-13)

Mixed results comparing use of manual vs. automated chest compression following cardiac arrest
Two studies comparing the use of manual chest compression vs. an automated chest compression device during resuscitation for out-of-hospital cardiac arrest produce contrasting findings, according to the studies in the June 14 issue of JAMA. (2006-06-13)

When a child's heart stops, onset time of abnormal rhythms is crucial
Ventricular fibrillation, the life-threatening disordered heart rhythms that may accompany full cardiac arrest, occurs more frequently in children than commonly believed, according to a large national pediatric study. Furthermore, not all ventricular fibrillation (VF) is the same. VF is more often fatal if it is not the initial heart rhythm detected at the start of cardiac arrest, but instead develops later during the arrest, typically during resuscitation. (2006-05-31)

Reducing the damage caused by cardiac arrest
Many people die of cardiac arrests, even after resuscitation. There are educational programs in CPR - but Latinos are less likely to receive CPR. Automated External Defibrillators have been installed - but are they really cost effective? Cooling patients after cardiac arrest helps - but it is not used much in the United States. Three papers presented at the 2006 Society for Academic Emergency Medicine Annual Meeting, May 18-21, 2006 in San Francisco will address these issues. (2006-05-18)

Even a little cooling helps after cardiac arrest
As many as 400,000 people in North America suffer sudden cardiac arrest each year. Only 30 percent have their hearts restarted. Once the heart is restarted, a significant factor for subsequent death is brain injury. Cooling the patient can minimize the damage. In a paper presented at the 2006 Society for Academic Emergency Medicine Annual Meeting, May 18-21, in San Francisco, investigators from the University of Pittsburgh discussed how even slight cooling (2 ºC) can help. (2006-05-18)

Annals of Internal Medicine tip sheet for May 2, 2006
The Annals of Internal Medicine tip sheet for May 2, 2006 includes (2006-05-01)

Interdisciplinary team develops guidelines for treating severely injured patients
A team of scientists and surgeons is developing a series of standard procedures for the care of severely injured patients. The clinical guidelines aim to improve patient care and to help the team identify genetic factors that correlate with particular outcomes. (2006-04-19)

Study: Paramedics save more lives when they don't follow the rules
Survival rates following the most common form of cardiac arrest increased three-fold when emergency medical personnel used a new form of CPR developed at The University of Arizona Sarver Heart Center. (2006-04-11)

Scientists provide new evidence for cellular cause of SIDS
University of Chicago researchers have found strong support that a disturbance of a specific neurochemical can lead to sudden infant death syndrome, the primary cause of death before age 1 in the United States. They describe what happens during hypoxia when levels of the hormone serotonin are disturbed in pacemaker cells -- the specific group of neurons they previously showed to be responsible for gasping, which resets the normal breathing pattern for babies. (2006-03-07)

Resuscitation policies in long-term care settings should be reviewed
Resuscitation policies in care homes and community hospitals should be reviewed, argue experts in this week's BMJ. (2006-02-23)

Paternalism not to blame for failure to implement resuscitation policies
Many seriously ill patients admitted to hospital cannot discuss resuscitation in line with current guidelines, finds a study published online by the BMJ today. (2006-02-09)

Largest study of in-hospital cardiac arrest suggests how to improve outcomes for children and adults
Children survive in-hospital cardiac arrests more frequently than adults, CPR may improve outcomes for both groups, and better knowledge of the underlying cause of a cardiac arrest may increase the chances of helping a patient survive it. These are some results of the largest-ever study of cardiac arrests occurring in hospitals. Some of the findings challenge conventional medical wisdom about the patterns and causes of these life-threatening events. (2006-01-03)

CPR and external defibrillator training may decrease adolescent sports-related deaths
Although adolescent sports-related deaths are rare, they are commonly caused by cardiovascular problems, like commotio cardis--cardiac arrest caused by being hit in the chest with an object, such as a baseball or softball. The survival rate is low among reported cases, but may be increased when CPR is performed and an automated external defibrillator (AED) is used within three minutes of impact. An article in The Journal of Pediatrics (December) examines how CPR training and use of an AED can increase the survival rate. (2005-12-06)

Making the best decisions when faced with the risks of premature delivery
Mothers who give birth to premature babies must often make critical and difficult decisions. Because premature babies have lower survival rates and could suffer long term disabilities, the decision to resuscitate can be complex. Doctors typically converse with parents about treatment options and the need for resuscitation for premature babies. A study in the November issue of The Journal of Pediatrics shows that what happens in the delivery room is not always reflective of these conversations. (2005-12-01)

Aggressive lowering of LDL level shows limited benefit for patients with previous heart attack
Patients who have had a heart attack and are treated with a high dose of a statin drug did not have significant reduction in the primary outcome of major cardiac events (coronary death, nonfatal acute heart attack, or cardiac arrest with resuscitation), but did appear to have reduced risk when certain secondary outcomes (composite end points of any coronary heart disease event) were examined, according to a study in the November 16 issue of JAMA. (2005-11-15)

Hospital characteristics play a role in use of do-not-resuscitate orders
Hospital characteristics, including size, non-profit status and affiliation with a university, appear to be associated with use of do-not-resuscitate orders (DNR) in California, independent of the patient's characteristics, according to a study in the August 8/22 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. (2005-08-08)

Armed forces search for ways to improve survival in the combat zone
Military experts believe that blood loss may be one of the most preventable causes of battlefield fatalities. With thousands of lives at risk and millions of dollars at stake for product development, two branches of the military are collaborating to find new resuscitative products that can be easily transported and used on the frontline. A new report outlines how the military can best identify, nurture and support next generation of resuscitation fluids and adjunct therapies. (2005-07-25)

Homeless prefer aggressive medical treatment
A new study published in the June issue of Chest, the peer-reviewed journal of the American College of Chest Physicians, reports that homeless persons are more likely than physicians to want lifesaving procedures performed on them. As a result, homeless persons who must rely on physicians as surrogate decision makers for medical care may receive less aggressive treatment than they would choose for themselves. (2005-06-13)

Location, access to trauma centers often inadequate, inefficient
Nearly 50 millions Americans do not have access to a level I or II trauma center within an hour if they were to be seriously injured, according to a study in the June 1 issue of JAMA. (2005-05-31)

CPR instructions should focus on continuous chest compressions, UT Southwestern physicians recommend
Cardiopulmonary resuscitation (CPR) instructions given over the phone by emergency dispatchers to lay rescuers should focus primarily on continuous chest compressions instead of the traditional ABC's - (2005-05-06)

Monitoring program finds serious, unreported adverse drug reactions
A monitoring program developed by a Northwestern University researcher has successfully identified a large number of previously unknown, serious and often-fatal drug reactions associated with 15 commonly used drugs, including Plavix®, thalidomide and drug-coated cardiac stents. (2005-05-03)

Protein discovery could unlock the secret to better TB treatment
UCL scientists have found a protein that could unlock the secret to quicker, more effective treatment of TB by waking TB bacteria in the body. Once the TB bacteria are active again, the disease becomes treatable using common drugs like antibiotics. Scientists believe that uncovering the molecular structure of this protein will lead the way to designing drugs which enable treatment of dormant and multidrug resistant TB. (2005-02-28)

CPR performance does not follow guidelines
New research indicates that CPR performed outside the hospital and in the hospital often does not meet or adhere to standard guidelines, according to 2 studies in the January 19 issue of JAMA. (2005-01-18)

Quality of in-hospital CPR may fail to meet guidelines
In the second report, Benjamin S. Abella, M.D., M.Phil., of the University of Chicago Hospitals, Chicago, and colleagues conducted a study to determine whether well-trained hospital staff perform CPR compressions and ventilations according to guideline recommendations. (2005-01-18)

Study of CPR quality reveals frequent deviation from guidelines
New technology has allowed researchers to measure, for the first time, how closely well-trained hospital staff comply with established guidelines for cardio-pulmonary resuscitation (CPR). The researchers show that, even in the hospital setting, chest compressions during CPR are often too slow, too shallow and too frequently interrupted, and ventilation rates are usually too high. Similar results in another study in the same journal suggest that the problem is endemic. (2005-01-18)

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