Articles tagged with Resuscitation
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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.
A new study aims to assess the impact of guided POLST form completion on patient care preferences being respected. Trained nurses will provide advanced care planning assistance to patients enrolled in the randomized controlled trial.
Researchers found a chest compression frequency and depth combination associated with significantly improved outcomes in cardiac arrest cases outside the hospital. The optimal rate was 107 compressions per minute, and the ideal depth was 4.7 cm.
Researchers found that nearly half of those rescued were close family or friends, while under 10-year-olds were also common victims. Meanwhile, most rescuers who drowned were male and between 25-44 years old, emphasizing the need for better training in water rescue skills.
New research found women are less likely to receive resuscitation attempts by bystanders and have lower survival rates from cardiac arrest, largely due to misdiagnosis of symptoms. Women are also less likely to be diagnosed with acute myocardial infarction or undergo life-saving treatments.
A groundbreaking experiment has successfully restored some functions and structures in donated pig brains for up to four hours after they were butchered. The result challenges the notion that mammalian brains are fully and irreversibly damaged by a lack of oxygen, raising questions about when to save patients and organs.
A large Japanese study found that women under 65 were less likely to receive bystander CPR in public locations than men. The researchers speculate that cultural attitudes may influence bystanders and propose better understanding of sex-based disparities are needed to facilitate public health intervention.
A recent study published in The BMJ found a correlation between the use of advanced airway management and electrocardiographic rhythm during out-of-hospital cardiac arrest. For non-shockable patients, AAM was associated with improved outcomes, including recovering neurological function and early hospital discharge.
Patient-centered care has merged with the concept of patients as consumers, potentially causing harm. The consumer metaphor fails to account for health care's distinct characteristics, such as lack of information and time to select options. Instead, costs are driven by physician compensation and government failure to negotiate prices.
A simulation training study found that blindfolding pediatric team leaders improved their leadership skills ratings by 11% compared to non-blindfolded leaders. The technique may help save lives by enhancing communication and reducing distractions during resuscitation scenarios.
Women are less likely to receive CPR from bystanders due to fears of inappropriate touching, causing injury, and misperceptions about their health. Studies suggest these concerns can lead to delays or no CPR being administered.
Researchers analyzed data from over 109,000 out-of-hospital cardiac arrests and found that states with required CPR education had higher bystander CPR rates and improved survival outcomes. Neurologically favorable survival was also more common in these states.
Research studies found that public access defibrillation significantly improved survival rates among patients with shockable rhythms. In the US study, researchers estimated costs in 2017 dollars and found placing an AED increased years of quality living.
A recent study found that post-traumatic stress disorder (PTSD) symptoms significantly increase the risk of major cardiovascular events and death up to a year after cardiac arrest. Researchers discovered that PTSD was associated with a three-fold increased risk of death from any cause or a major heart event in resuscitated patients.
A new study found that people from large Latino populations are less likely to receive CPR and survive cardiac arrests when they collapse. Bystander CPR rates were lower in these communities, with only 27% of cases receiving CPR in heavily Latino-populated neighborhoods.
Research suggests that standardized online and in-person courses are falling short and need improvement to optimize retention and mastery. The American Heart Association recommends adopting best practices in education, such as mastery learning, spaced practice, and feedback, to enhance CPR skills.
Most anesthesiologists (72%) experience emotional and professional effects after medical errors, with common symptoms including guilt, lack of confidence, and anger. Many (60%) seek help from colleagues, but only half feel adequately trained to manage the situation on their own.
A 69-year-old male patient was conscious during CPR after a cardiac arrest, despite efforts to restore a pulse and circulation. The study suggests that the high level of patient awareness was due to good peripheral and cerebral blood flow, but raises questions about proper sedation during resuscitation.
New research shows that using a smartphone app or singing the song 'La Macarena' improves the quality of chest compressions during CPR. The study found that both methods increased the proportion of adequate rate, but not depth, of compressions.
A multicenter trial found that initial laryngeal tube insertion may be associated with better clinical outcomes than endotracheal intubation for out-of-hospital cardiac arrest patients. The study, presented at SAEM18, compared the effectiveness of these two airway management techniques in adult OHCA resuscitation.
Researchers at UPV/EHU developed an algorithm to calculate chest compression depth and frequency based on chest acceleration, validating its accuracy in real-time monitoring of CPR quality. A new device is being marketed to assist CPR, aiming to improve patient survival rates.
A new study by the University of Stirling found that half of Scottish adults are not confident administering CPR, with over a fifth unaware of when it is required. The study's findings suggest priority groups include those who are unemployed, in lower social grades, and elderly.
A new study from Penn Medicine found that men are 45% more likely to receive bystander CPR in public compared to women, with 1.23 times increased odds of survival without it. The researchers aim to educate the public on the importance of providing bystander CPR regardless of gender or physical barriers.
Researchers at Rosalind Franklin University are investigating a new approach to treating patients with both severe bleeding and traumatic brain injury (TBI). The study aims to find a way to stabilize patients with vasopressin or similar compounds, while maintaining blood flow to vital organs.
A study published in JAMA Cardiology found that public health initiatives led to increased bystander CPR (41% vs 28%) and first-responder defibrillation at home (51% vs 42%), resulting in improved survival rates for out-of-hospital cardiac arrest patients.
Research suggests that clearing the airway to prevent 'tongue swallowing' can delay crucial chest compressions, leading to increased mortality rates. In analyzed videos of athlete cardiac arrests, only 38% showed chest compressions, highlighting a critical gap in resuscitation protocols.
A study published in JAMA Cardiology found that out-of-hospital cardiac arrest treatment and survival rates differ by racial neighborhood composition. Neighborhoods with higher percentages of black residents had lower bystander CPR and defibrillator use, as well as lower survival rates compared to predominantly white neighborhoods.
A new study published by the European Society of Cardiology found that bag-mask ventilation does not improve survival rates compared to endotracheal intubation in out-of-hospital cardiac arrest patients. The trial included 2,043 patients and showed a higher incidence of failed ventilation with bag-mask ventilation.
A novel smartphone application has been developed to direct first responders to cardiac arrest victims more than three minutes before emergency services arrive. Each minute of earlier intervention increases the chance of survival by 10%, reducing brain injury risk.
Critical care is a constantly evolving field with a huge literature base. EM physicians must stay up-to-date on medical literature to provide the best care for their patients. The recent PEITHO 2 study has sparked debate on pulmonary embolism treatment, and sepsis care requires being mindful of fluid type, pressors, and culture data.
A new study from Penn Medicine found that the likelihood of receiving CPR at home decreases significantly with age, affecting older Americans who are most likely to be struck by sudden cardiac arrest. Low CPR training rates among older adults have been identified, highlighting a need for targeted training in this population.
Research by the University of Basel found that female resuscitation teams were less efficient in CPR compared to their male counterparts. The study highlighted the importance of targeted measures to prepare and train women for emergency situations.
The new guidelines emphasize avalanche avoidance as a primary tactic for preventing injuries and deaths. They also provide detailed recommendations for rescue protocols, including the use of transceivers, probes, and shovels, as well as guidelines for resuscitation in burial situations.
A study published in Mayo Clinic Proceedings found that newborn telemedicine consultations can positively impact patient care by providing enhanced access to neonatologists. This resulted in one-third of babies being able to stay with their families in the local hospital, increasing the value of care and potential cost savings.
Researchers assess documentation of advance care planning preferences in Indiana nursing homes, finding that a majority of residents have orders for CPR. The study aims to identify ways to improve practice and ensure time is taken to discuss and record preferences, increasing the likelihood that treatment wishes will be honored.
According to a study published in JAMA Pediatrics, hospitalized children who experience cardiac arrest have lower survival rates at night compared to daytime and evening hours. The rate of survival to hospital discharge was about 12% lower during nights than days and evenings.
A study of healthcare staff perceptions found that only 36.9% were in favor of family presence during resuscitation, with attending physicians being the most comfortable at 47%. Staff working in intensive care units and emergency departments were more amenable to FPDR, despite concerns about increased stress and anxiety.
A mobile app improved knowledge and skills in neonatal resuscitation among Ethiopian healthcare workers, but did not significantly reduce perinatal mortality. The app trained workers on managing obstetric and neonatal emergencies through animated videos and local language voiceovers.
The Wilderness Medical Society has released comprehensive guidelines for preventing and treating drowning, with a focus on rescue, resuscitation, and clinical management. The new recommendations aim to reduce the 10 daily US fatalities and 3,800 annual drownings, emphasizing importance of water safety measures.
A telephone CPR program was associated with improved cardiac arrest outcomes, including increased bystander CPR rates and reduced time to first chest compression. The study found a significant increase in survival rates and favorable functional outcomes for patients who experienced out-of-hospital cardiac arrests.
Emergency physicians propose three interventions to improve cardiac arrest survival rates: developing a national OHCA registry, encouraging bystander CPR, and fostering high-performance CPR. The authors argue that inadequate research funding is a significant problem, hindering efforts to reduce mortality rates.
A new Penn study shows that mechanical CPR can be an effective alternative to manual CPR for treating cardiac arrest patients. After analyzing over 10,000 cases, researchers found that patients who received mechanical CPR were eight percent more likely to regain a pulse than those who received manual CPR.
The 2015 European Resuscitation Council guidelines provide detailed advice on treating cardiac arrest and continue treatment after the heart is restarted. The guidelines emphasize the importance of bystander CPR and recommend specific chest compression rates.
A study of nearly 26,000 patients found that DNR orders were not aligned with their predicted neurological survival rates, particularly for those with the worst prognosis. Patients without DNR orders had a significantly higher rate of favorable neurological survival.
A study of over 17,000 patients found that nearly all survivors were achieved within 35 minutes of CPR, with longer resuscitation efforts offering little benefit. The researchers recommend continuing CPR for at least 35 minutes in out-of-hospital cardiac arrest cases to achieve maximum survival and favorable neurological outcomes.
A USC study reveals inaccuracies in CPR depictions on TV, including lower survival rates and incorrect patient demographics. The findings highlight the need for improved physician-patient communication and discussions around advance care planning decisions.
A study published in Resuscitation found that paramedic care delivered on-scene for 10-35 minutes is associated with improved survival rates in pediatric patients. The optimal time range for this benefit was found to be between 10 and 35 minutes, with longer times not resulting in better outcomes.
Two studies found increased use of cardiopulmonary resuscitation, automated external defibrillators, and improved survival rates among patients with out-of-hospital cardiac arrests. Neurologically intact survival increased significantly with bystander defibrillation and chest compressions.
The American Red Cross supports increased public education and training opportunities for bystander CPR and defibrillation to reduce barriers. The report calls for national accreditation standards, a national registry, and enhanced EMS capabilities to improve cardiac arrest survival rates.
Researchers at Karolinska Institutet found that cardiopulmonary resuscitation performed before ambulance arrival increases survival rate by over two-fold. A new SMS Lifesavers system has also caused a 30% increase in CPR, highlighting the effectiveness of mobile technology in emergency response.
The 2013 guidelines recommend delivering universal donor plasma to critically injured patients as part of optimized treatment with red blood cell transfusions. This approach can be consistently implemented and rapidly delivered in high-volume trauma centers without excessive wastage.
A study of 41,568 patients found that allowing family presence during cardiac arrest resuscitation has no impact on patient outcomes. Family members who witness the process experience benefits such as reduced depression and PTSD.
Studies found significant confusion among emergency physicians and prehospital care providers in interpreting POLST orders. Only when specifying CPR and full treatment did consensus rates reach 95%. The studies call for continued research, standards, and education to ensure patient autonomy and appropriate care.
A study found that watching a video explaining CPR and intubation procedures improved patient understanding, with 72% opting against intubation and 64% refusing CPR. Videos helped patients express their choices to doctors, promoting patient-centered care.
A study published in The BMJ found that children who drowned and suffered cardiac arrest with hypothermia have poor outcomes if resuscitation continues for more than 30 minutes. Most children (89%) died, while only 11% survived with severe neurological damage.
Research by UT Southwestern Medical Center Emergency Medicine physicians found that deeper chest compressions result in decreased survival due to collateral damage, while faster compression rates are crucial for survival. The ideal compression rate is between 100-120 beats per minute.
The Life Sciences Discovery Fund has awarded $1.2 million in Proof of Concept grants to five Washington-based organizations, focusing on new therapies for cancer, diabetic macular edema, hepatitis B, and severe epilepsy. Additionally, the fund has announced two commercialization-focused awards totaling $600,000.
A study found that fear of police, language barriers, and lack of knowledge about cardiac arrest symptoms hinder Latinos from seeking emergency medical help. The participants also expressed strong reticence about performing CPR due to cultural fears and misconceptions.
A new study found that public lay bystanders in higher-income Pennsylvania counties are more likely to perform CPR during cardiac arrests, with a ROSC rate of 23.3% compared to 1.5% in lower-income areas. The research suggests targeting CPR education efforts in lower-income counties to improve cardiac arrest survival rates.
The Surgical Trauma Series examines the biological mechanisms and clinical implications of large-scale trauma. Researchers discuss the systemic immune response to trauma, its association with reduced resistance to infection, and the role of ageing in influencing survival rates.