Articles tagged with Resuscitation
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The Canadian Medical Association Journal published new guidance on take-home naloxone distribution and use by community overdose responders in Canada. The guidance prioritizes preserving life and mitigating harms, and is the result of a collaborative process involving diverse stakeholders from across the country.
Researchers investigated the quality of CPR directions provided by AI voice assistants and found they lacked relevance and consistency. The study recommends relying on emergency services for life-saving care instead of self-directed guidance from AI tools.
A study by the British Heart Foundation found that in England and Scotland, the average distance to a 24/7 accessible defibrillator is over 1.8km in deprived areas, highlighting alarming health inequalities. Researchers are urging urgent action to improve access to these lifesaving devices.
A study published in the Journal of the American College of Cardiology found that alerting volunteers can increase bystander CPR and AED use, leading to improved survival rates. The volunteer system increased rates of CPR and defibrillation in out-of-hospital cardiac arrests, giving victims a higher chance of receiving early care.
A study presented at the American College of Cardiology's Care of the Athletic Heart conference found that only 50% of athletes surveyed reported knowing what sudden cardiac arrest is or being concerned about it during play. The researchers identified 46 cases of sports-related cardiac arrests between 1984 and 2022 involving CPR, with ...
A new scientific statement co-authored by the American Heart Association recommends teaching CPR to school-aged children as early as age 4, with layers of skill-building throughout childhood. This approach aims to educate generations on responding to cardiac arrest and increasing survival rates globally.
Researchers analyzed ECG data from 298 patients with cardiac arrest to predict treatment outcomes. The study found a connection between heart rate and QRS duration before the patient's pulse returns, allowing for more tailored treatments.
A case of a 14-year-old girl who had a cardiac arrest at an overnight camp emphasizes the need for preparation and training for rare but often fatal events. The survival of the patient is attributed to the quick response of emergency medical services and bystander CPR.
A study found that CPR mannikins depicted in public social media accounts are predominantly white, lean men, lacking representation of diverse groups. The lack of diversity in these models may influence disparities in training and care for patients experiencing out-of-hospital cardiac arrest.
A clinical trial found that early use of ECMO devices did not improve outcomes for adults with rapidly deteriorating or severe cardiogenic shock. Participants who received immediate ECMO therapy showed similar clinical outcomes as those receiving early conservative therapy, including treatment with inotropes and vasopressors.
Patients who survived cardiac arrest and received CPR reported lucid experiences of death, including separation from the body and meaningful evaluation of life. Researchers discovered rhythmic brain waves suggestive of near-death experiences, providing evidence for a unique human experience on the brink of death.
Research found a hospital code response team arrives at least one minute quicker and leads to better patient outcomes with smartphone emergency code notification systems. The study used a secure texting system that connected with electronic medical records, reducing conventional methods' average delay of 78 seconds.
A new study suggests that CPR education programs tailored to public housing communities can significantly improve cardiac arrest survival rates. The research found that more than half of all out-of-hospital cardiac arrests in Vienna and Copenhagen occurred in these communities, highlighting the need for targeted interventions to train ...
Survival rates for in-hospital pediatric cardiac arrest events have increased significantly between 2000 and 2021. Children with a history of cardiovascular disease showed slower improvement in survival rates compared to those without a history of CVD.
A recent study presented at the American Heart Association's Resuscitation Science Symposium 2022 found that ICU evaluations prior to cardiac arrest improved survival rates by 15% among Black adults. This study analyzed data from over 28,000 adults who experienced cardiac arrest between 2000 and 2021.
The study found that the probability of surviving cardiac arrest outside hospital has more than doubled in 30 years, from approximately 5% to 11%. The improvement is attributed to increased CPR training and better healthcare resources. However, ambulance delays and an increase in difficult-to-treat cases are hindering further progress.
A study of cardiology programs found that patients' documented DNR preferences are often suspended during TAVR procedures, with varying durations across programs. Only 26% had formal policies governing clinicians' responsibilities in these decisions.
A study from the University of Warwick found that 69.3% of OHCA's in the West Midlands occurred within 500 meters of a school, equivalent to a five-minute walk. The research suggests that increasing accessibility and availability of defibrillators could lead to improved survival rates.
A new study by University of Missouri found that Black nursing home residents and those under 65 are significantly more likely to experience repeat hospital transfers. This phenomenon can be attributed to various factors including 'full-code' status regarding end-of-life care, comorbidities, and inadequate staffing. The study suggests ...
Researchers found that mouth-to-mouth ventilation while wearing a face mask is effective in reducing the risk of COVID-19 transmission. The study used a breathable face mask and found that over 90% of breaths into the mouth were judged effective.
Researchers administered epidural electrical stimulation (EES) to patients with degenerative spine diseases undergoing surgery, improving respiratory control and depth of breathing. The study provides proof of principle for using EES as an alternative treatment to combat opioid-induced respiratory depression.
A new study examines the effect of rapid infusion of sodium bicarbonate on gas exchange and coronary and cerebral perfusion in the immediate post-resuscitation phase. The study found that rapid administration led to a significant rise in myocardial and cerebral perfusion, as well as higher levels of exhaled carbon dioxide.
The study compares current recommendations for ventilation and chest compression versus ventilation during neonatal resuscitation using an ovine model. The findings suggest that optimizing ventilation could reduce the need for chest compressions and improve gas exchange in neonates, potentially improving overall outcomes.
A global team of experts has published guidelines for researching deaths and recalled experiences, suggesting that consciousness persists after death. The study highlights the need for further research into the nature of consciousness and its relationship to death.
A nationwide study found that Black and Hispanic individuals are 41% less likely than white individuals to receive CPR when suffering cardiac arrest in public and 26% less likely at home. The disparity persists regardless of neighborhood income level, suggesting access to training may play a role.
Experts provide a concise review of the experience of lay people who have performed CPR, assessing their motivations and psychological impact. The statement suggests understanding these perspectives is critical to improve training, motivation, and experience of lay responders, potentially raising the rate of bystander CPR.
A large clinical trial involving over 5,000 patients found that commonly used saline solution is as effective at keeping people alive and their organs functioning as more expensive balanced solutions. The study's results provide greater certainty about the safety and benefits of saline solution for treatment.
A nationwide observational study published in Circulation found that lower levels of income and education are associated with reduced chances of survival after out-of-hospital cardiac arrest. The study analyzed data from 31,373 cases of OHCA between 2010 and 2017, showing a correlation that was observed in both men and women.
Researchers found that earlier epinephrine treatment during cardiac arrest is associated with improved recovery outcomes. Patients who received epinephrine within four minutes of the first shock had a greater likelihood of recovering and regaining daily functions.
Researchers studied 129 cardiac arrest survivors and found that those practicing mindfulness had lower rates of psychological symptoms. Mindfulness appears to be a potential protective factor against psychological symptoms in cardiac arrest survivors.
A study found that bystander intervention can reduce the risk of drowning child deaths or severe disabilities by 80%. Children submerged under water for less than 5 minutes and rescued by a bystander were more likely to recover. Early rescue can lead to good outcomes in victims of drowning.
A UK study found that only 22% of critically ill older adults have a documented 'do not resuscitate' (DNACPR) decision at hospital admission. Discussions about end-of-life care should occur earlier in their treatment journey to ensure patient preferences are respected.
A new study by Children's Hospital of Philadelphia finds that bystander CPR using only chest compression has similar outcomes to not using CPR at all for infants experiencing cardiac arrest. In contrast, children who received CPR with rescue breathing had nearly 1.5 times better neurological outcomes.
Researchers at Karolinska Institutet successfully deployed drones to deliver defibrillators to patients with suspected cardiac arrests, with the drones arriving on target ahead of ambulances in most cases. The pilot study showed a median response time benefit of 1 minute and 52 seconds, improving survival rates.
A feasibility study has found that drones can be used to deliver automated external defibrillators (AEDs) to people with suspected cardiac arrest in the community, arriving before ambulances in 64% of cases. The study shows that drone technology could increase the number of patients and time benefits.
Researchers from Freiburg University have developed a new resuscitation technique called CARL, which improves survival rates after cardiac arrest to over 90% in hospital settings and 10% outside hospitals. The technique involves controlled automated reperfusion of the whole body to minimize brain damage.
Researchers find precordial thump, percussion pacing, and cough CPR have no benefit in saving lives; CPR remains the gold standard for cardiac arrest resuscitation. The study analyzed data from 23 previous studies and concludes that these techniques are not effective either in hospital or outside of it.
The Minnesota Mobile Resuscitation Consortium has launched a medical truck equipped with virtual reality technology and state-of-the-art medical equipment to provide on-site treatment for cardiac arrest patients. The truck aims to shorten treatment time and expand the area served by the MMRC, reducing mortality rates.
The new ELSO guidelines provide a practical guide to implementing ECPR and early management following establishment of ECMO support. Children undergoing ECPR generally have better survival rates than adults, but long-term outcomes are limited.
A study by Dr Edmund Lodwick found that junior doctors in the UK are struggling with end-of-life discussions during the COVID-19 pandemic, due to lack of formal training and experience. The survey of 75 foundation doctors revealed that most felt out of their depth in such discussions.
Resusci Annie is a plaster death mask created from an unknown woman found in the River Seine in 19th century Paris. Her face has been used in CPR training for over 50 years, helping to save an estimated 2.5 million lives, and inspiring songs like Michael Jackson's Smooth Criminal.
A study from the University of Minnesota found that the first four months of the MMRC was 100% effective in cannulation for out-of-hospital sudden cardiac arrests. The program's mobile ECMO program has demonstrated functional favorable survival rates, good safety, and potential for replication in other states.
Preliminary research shows that increased safety measures during COVID-19 pandemic CPR do not compromise patient survival rates. The study analyzed in-hospital CPR cases from March 2019 and 2020, finding similar patient outcomes despite the use of additional protective equipment.
A new study has identified autopsy, airway suctioning, and cardiopulmonary resuscitation as aerosol-generating procedures that require enhanced personal protective equipment. The research aims to prevent healthcare workers from becoming infected with COVID-19, protecting them from severe disease and maintaining staffing levels during t...
A study found that nearly 85% of dialysis patients prefer CPR in the event of a cardiac arrest, despite having poor survival rates. The respondents' appreciation for life is acknowledged, but the findings highlight the need for better discussions between doctors and patients about resuscitation and end-of-life care.
A new CT scanning method developed by researchers from Aarhus University and University of Leicester has shown how the chest and abdominal region of a deceased person move during simulated heart massage. This detailed information can help clarify important physiological mechanisms and improve resuscitation techniques.
Research found patients significantly overestimating CPR success and understating its negative impact. Clinicians should discuss CPR with patients to clarify success rates and risks before consent is given. The study highlighted the importance of informed decision-making in end-of-life care.
Researchers found that COVID-19 patients' survival rates after resuscitation vary greatly, with probabilities ranging from less than 3% to over 22%. Younger patients with shockable rhythms had higher survival rates without severe neurological disability.
Researchers discovered that shorter time to receiving ECPR significantly improves neurological function in out-of-hospital cardiac arrest patients, especially those with heart rhythms responding to defibrillation. The study's findings can inform future revisions to international CPR guidelines.
Researchers developed a novel approach called MTV-CPR to video record and review CPR practices, leading to improved survivorship rates for cardiac arrest patients. The study found that the use of video recording and team-focused strategy increased the return of spontaneous circulation (ROSC) rate from 26% to 41%.
Researchers found that prehospital epinephrine administration was associated with improved return of circulation in pediatric patients with out-of-hospital cardiac arrest. However, there was no significant improvement in 1-month survival rates. The study suggests that prehospital epinephrine administration should be included in interna...
Patients treated in a specialized resuscitation unit received faster treatment and better health outcomes, including a 36% lower risk of dying than those transferred directly to traditional intensive care units. The CCRU improved access to critical care resources and definitive surgical treatment.
A recent court ruling in Ontario allows physicians to withhold CPR from patients they believe will not benefit from it, but emphasizes the importance of communicating concerns with families. The College of Physicians and Surgeons of Ontario has updated its end-of-life policy to reflect this change.
A randomized trial at a music festival in the Netherlands found that virtual reality (VR) training was comparable to traditional hands-on training for cardiopulmonary resuscitation (CPR) skills. The study, which enrolled 381 participants, showed improved results for speed and depth of compressions in both groups.
A programme of research and innovation led by Queen Mary University of London has reduced deaths from severe bleeding after major trauma by 40%. The 'Code Red' protocol, introduced between 2008 and 2017, involved new approaches to diagnosis and treatment, including the use of clotting components derived from blood.
Researchers found that delays in CPR are more likely to result in lawsuits and financial damages than providing CPR itself. The study analyzed 30 years of U.S. legal cases involving CPR, with over $620 million in settlements for delayed CPR and only $120,000 for performing CPR.
The NIH invests significantly less money in cardiac arrest research than in other diseases, such as diabetes, stroke, and ischemic heart disease. The study suggests that low funding may be due to an inadequate number of grant applications being submitted to the NIH.
Researchers found that patients who suffered a cardiac arrest between Saturday and Sunday were about 20% less likely to survive than those on weekdays. The study suggests improving AED awareness, availability, and training can help address weekend cardiac arrests.
A study in Denmark found that citizen responders can arrive before emergency medical services in 40% of residential cardiac arrests and perform defibrillation in nearly 50% of cases. This preliminary research suggests citizen responder programs have the potential to increase bystander defibrillation, leading to improved survival rates.
A new study found a fourfold increase in the use of cardiopulmonary resuscitation (CPR) devices among emergency medical technicians in the U.S. over a six-year period, despite minimal evidence of their effectiveness. The devices were used more often outside of hospitals, with a steep rise from 2% to 8% between 2010 and 2016.