Articles tagged with Resuscitation
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.
Researchers investigate consciousness and awareness during cardiac arrest, finding that memories of visual awareness may correspond with actual events. The study suggests a higher proportion of people have vivid death experiences but lose them due to brain injury or sedative drugs.
University of Alberta researchers have developed a new resuscitation method that combines oxygen flow and chest compressions, increasing survival rates for newborn babies. The technique has already helped save the lives of eight infants in a clinical trial.
A new study found that only 11.5% of available YouTube videos on CPR and basic life support are compatible with recent health guidelines. Early recognition and treatment of sudden cardiac arrest are crucial for improving survival rates, emphasizing the importance of hands-on instruction from qualified health practitioners.
A recent study found that vasopressin alone or in combination with epinephrine suppresses neuronal apoptosis and activates anti-apoptotic pathways during cardiopulmonary resuscitation. This suggests a potential benefit of vasopressin for improving CPR outcomes.
The study analyzed data from combat hospitals and found that damage control resuscitation policies led to a decrease in average crystalloid infusion volume and increased use of fresh frozen plasma. This shift resulted in better survival outcomes for severely injured patients, particularly those with severe head trauma.
Bystander cardiopulmonary resuscitation increases survival by 2-3 times but is delivered in only 1 in 5 out-of-hospital cardiac arrests across Europe. Improving education for schoolchildren and dispatchers could save thousands of lives.
Researchers aim to investigate the impact of stored blood 'microparticles' on inflammation and injury. Studies have shown that transfusion with aged red blood cells can worsen patient outcomes, including increased risk of organ failure.
Researchers at Stanford Medicine found a new way to boost survival of pediatric patients whose hearts stop while hospitalized. The new training approach, which includes everyone who responds to a pediatric code event, resulted in a 60% increase in survival rates compared to the national average.
A study found that rural, poorer counties in the US have lower CPR training rates, particularly among communities of color. The disparity is attributed to geographic, population, and healthcare characteristics. Researchers call for targeted training programs to narrow existing gaps.
A multicenter clinical trial compared mechanical chest compressions with manual CPR and found that neither approach improved 4-hour survival rates. However, patients receiving mechanical chest compressions had a higher proportion of survivors with good neurological outcomes, suggesting potential benefits in specific patient populations.
A nationwide study in Denmark found an increase in bystander cardiopulmonary resuscitation (CPR) and subsequent survival rates, with a significant rise in 30-day and 1-year survival rates. Bystander CPR was positively associated with improved outcomes.
A study of 2,589 patients found that mechanical chest compressions with defibrillation did not improve survival rates compared to manual CPR. However, the device was deemed safe and showed promise in increasing efficiency and safety for emergency personnel.
Research presented at ESC Congress 2013 found that out-of-hospital cardiac arrest survival rates are low, with only 7% of patients surviving. Therapeutic hypothermia and early coronary reperfusion were both linked to improved survival outcomes in patients.
A study found significant variability in pediatric DNR orders, with most clinicians limiting resuscitation to cardiopulmonary arrest, but actually varying their approach. Clinician attitudes and behaviors regarding DNR orders can impact patient care.
A French study found a significantly lower incidence of sports-related sudden death in women compared to men. The average age of sudden death was also lower for women. The study estimates an incidence rate of 0.51 per million female sports participants, highlighting the need for tailored screening strategies.
UPV/EHU researchers have developed an algorithm capable of diagnosing heart rhythm with just 3 seconds' worth of signal and a methodology to quantify how often massage is interrupted when applying interference-cutting systems. This allows for reliable diagnosis without stopping compressions, improving cardiac resuscitation procedures.
A study published in the Canadian Medical Association Journal found higher rates of complications in blood-based resuscitation compared to conventional resuscitation, with no difference in mortality rates. Researchers led by Dr. Sandro Rizoli recommend larger trials to confirm findings and explore alternatives.
Resuscitation efforts should be guided by expert advice, taking into account scenarios where CPR may not be beneficial. Key considerations include witness status, time elapsed since cardiac arrest, patient wishes expressed through living wills or proxies, and potential risks to medical personnel.
A European Society of Cardiology initiative aims to train bystanders in CPR to increase survival rates. Studies show that trained individuals are ten times more likely to respond than untrained ones, and training makes a big difference.
A clinical trial in Africa found that administering fluid to treat shock in children increases the risk of cardiovascular collapse and death at 48 hours. The study challenges the common practice of early fluid resuscitation, which was previously thought to improve survival rates.
A systematic review and meta-analysis of randomized controlled trials found that hydroxyethyl starch was associated with a significant increased risk of death, acute kidney injury, and renal replacement therapy. The study excluded studies conducted by an investigator whose research was retracted due to scientific misconduct.
Researchers found that patients at hospitals with longer resuscitation attempts have a higher likelihood of immediate survival and survival to discharge. However, the study does not recommend an optimal duration for resuscitation, emphasizing the need for careful clinical judgment.
A study examining the length of resuscitation efforts after in-hospital cardiac arrest found that hospitals attempting longer resuscitations had higher survival rates. The duration of resuscitation attempts varied widely between hospitals, with those attempting longer efforts having a greater chance of successful revival and discharge.
Simulation training improved ER residents' leadership, problem-solving, and situational awareness skills. The study showed a sharpened overall performance in real-life emergency procedures.
Research finds improved survival rates among patients with non-shockable cardiac arrests when given CPR based on updated guidelines. The likelihood of survival to discharge increased from 4.6% to 6.8%, and one-year survival doubled from 2.7% to 4.9%
A study found that single-pass whole-body computed tomography is effective at detecting injured tissue, but variable in excluding injuries. The scan's performance improves after 30 minutes of admission, allowing healthcare teams to prioritize treatment while minimizing missed injuries.
Two clinical trials launched by NIH aim to improve survival rates for out-of-hospital cardiac arrests. The trials compare different CPR approaches and treatments with medications, such as amiodarone or lidocaine, to determine which are most effective.
The Oregon Health & Science University's Physician Orders for Life Sustaining Treatment (POLST) program has expanded to 34 states and improved end-of-life care outcomes. The program provides a comprehensive set of medical orders based on patient preferences, ensuring accurate treatment with a high degree of accuracy.
A study from the University of Pennsylvania School of Medicine found that even trained individuals lack confidence in performing CPR due to inadequate hands-on practice time. Introducing 'hands-only' CPR techniques improved confidence among subjects.
A study published in CMAJ found that type of cardiac arrest and underlying medical condition predict long-term survival rate. Patients with pulseless electrical activity or asystolic arrest, longer resuscitation duration, and advanced age are at high risk of death.
A randomized double-blind placebo-controlled trial found that adrenaline increased the likelihood of restoring circulation following cardiac arrest, but no difference was seen in survival to hospital discharge. The study provides the best evidence to date supporting the use of adrenaline in treating cardiac arrest.
A three-year study of 668 adults found that surrogate decision-making significantly delays writing DNR orders, leading to shorter time frames between decision and cardiac arrest, reduced palliative care, and less time for families to cope with death. Surrogate decision-makers may struggle with complex ethical and communication issues.
Researchers at the University of Pittsburgh School of Medicine developed a new method for scoring illness severity in post-cardiac arrest patients, showing improved survival rates and neurologic outcomes. The study found that objective data available to clinicians during initial evaluation can better predict patient outcomes.
A University of Pennsylvania study reports that over 200,000 people are treated for cardiac arrest in US hospitals each year. The high rate underscores the need to identify preventable causes and implement effective resuscitation care strategies.
A new study found that using a defibrillator less than 10 seconds after CPR pause significantly increases survival rates. The study examined 815 patients who suffered cardiac arrest outside hospital and found a 53% drop in survival rate for pauses over 20 seconds.
A Swedish study found that lifeguards can perform cardiopulmonary resuscitation (CPR) effectively despite undergoing extreme exertion during a rescue. The study involved 40 surf lifeguards who carried out a simulated surf rescue and then performed CPR for 10 minutes on a manikin.
A new free iPhone app, iResus, has been shown to improve doctors' performance in simulated medical emergencies. The study found that doctors who used the app scored significantly higher than those who relied on memory alone.
Mayo Clinic researchers confirmed that patients who receive therapeutic hypothermia after resuscitation from cardiac arrest have favorable chances of surviving the event. High NSE levels in the blood were shown to predict poor outcomes in non-hypothermia cases, but elevated levels also occurred in some patients who recovered well.
A comprehensive NIH study found that cardiac arrests in public settings had a higher percentage of ventricular tachycardia or fibrillation, the types of abnormal heart rhythms treatable by electric shock. More than one-third of public cardiac arrests treated with an AED survived, compared to 12 percent at home.
A University of Pennsylvania School of Medicine study reveals that chest compression rates are lower and pauses longer during nighttime in-hospital cardiac arrests compared to daytime efforts. This disparity may be attributed to factors such as fatigue, lower staffing levels, and lack of supervision from supervising physicians.
The new guidelines, published by Elsevier, provide detailed advice for healthcare professionals on how to treat cardiac arrest and continue treatment after the heart has been restarted. In many cases, therapeutic hypothermia is recommended to increase survival rates.
A randomized controlled trial found no significant difference in 6-month neurologic outcome among patients with severe traumatic brain injury who received hypertonic fluids versus normal saline. The study involved 114 patients and found no improvement in survival or disability.
A study found that patients who received compression-only CPR had a higher survival rate compared to those receiving conventional CPR or no CPR. The use of COCPR increased significantly over time, resulting in improved odds of survival.
Researchers found that chest compressions first approach may be better in cases of long waits for EMS, with higher one-year survival rates and benefits for cardiac arrests with prolonged response times. The study suggests an emphasis should be placed on high-quality chest compressions.
A study found that trauma patients who received intraoperative cell salvage—a process collecting and re-infusing their own blood—had fewer allogeneic blood product units transfused compared to those without this procedure. This resulted in lower costs, with a cost difference of $968 per patient.
A study by University of Pittsburgh researchers found that traditional neurological exams are inadequate for predicting survival in cardiac arrest patients. Despite poor motor examination scores, 20% of patients survived and showed good outcomes.
A study found that patients with excessive oxygen levels in arterial blood following cardiac arrest have a higher rate of death in the hospital. Hyperoxia was associated with significantly higher in-hospital mortality compared to normoxia.
A randomized trial compared two resuscitation protocols targeting lactate clearance versus central venous oxygen saturation in patients with severe sepsis, showing similar short-term survival rates. The study supports the use of lactate measurements as a safe and efficacious alternative to traditional methods.
A UAB-led study found that training birth attendants in essential newborn-care techniques reduced stillbirths by over 30% globally. The train-the-trainer program improved perinatal mortality rates, particularly among low-cost interventions such as neonatal resuscitation and kangaroo care.
A study conducted in six countries showed that training birth attendants in newborn care and resuscitation significantly increases a baby's survival rate. The intervention resulted in a 30% reduction in stillbirths and a 15% decrease in perinatal mortality, potentially saving hundreds of thousands of lives worldwide each year.
Researchers found that 80% of rats survived cardiac arrest with chest compressions alone, but none survived without oxygen. Oxygen levels were essential for the animals to return to normal brain function at 72 hours.
Patients who received IV drug administration during cardiopulmonary resuscitation had higher short-term survival rates, but no significant improvement in long-term survival compared to those without IV drug administration. CPR quality was similar between the two groups.
The study found that real-time audio-feedback during EMS prehospital care improved clinical outcomes by better aligning CPR with AHA guidelines. However, it did not significantly impact survival to discharge or return of spontaneous circulation rates.
The VCU Medical Center and Richmond Ambulance Authority partnership has improved resuscitation and survival rates for cardiac arrest patients by training paramedics to lower body temperature in the field and using high-tech strategies. The strategy resulted in a two-fold improvement in return of spontaneous circulation and an increase ...
A recent study found that rapidly cooling a person in cardiac arrest can significantly improve survival rates and neurological outcomes. The early cooling method, known as RhinoChill, was shown to be safe and effective in minimizing brain damage during the critical period of cardiac arrest.
A multicenter clinical study found that maximizing chest compression time during CPR substantially improves survival rates. Interrupting chest compressions has a detrimental effect on patient survival, and researchers recommend relatively simple changes to CPR training and practice.
A study found that minimal training can significantly improve first responders' speed and effectiveness when inserting laryngeal masks during life-saving CPR or mouth-to-mouth. Regular refresher courses are recommended to maintain skills, as proficiency declines after six months of non-use.
A study found that black patients have lower survival rates after in-hospital cardiac arrests compared to white patients. The racial difference was largely associated with the quality of hospitals where black patients received care.