Articles tagged with Resuscitation
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A new study published in CMAJ found that 1 in 20 patients experience critical events such as death or major resuscitation during urgent air-medical transport. Factors associated with these events include female sex, traumatic injuries, and cardiovascular disease.
A new study from Arizona suggests passive oxygen flow is more effective than assisted ventilation in treating patients experiencing cardiac arrest outside of a hospital setting. The modified protocol, called Cardiocerebral Resuscitation, resulted in higher survival rates compared to conventional bag-valve-mask ventilation.
Local laws and insurance reimbursement policies prevent EMS workers from implementing national guidelines on transporting cardiac arrest patients. Community misperceptions about hospital care also hinder efforts to terminate unsuccessful resuscitation efforts.
A University of Iowa study found that hospitalized patients overestimate their chances of surviving in-hospital cardiac arrest and often misinterpret CPR procedures. The study suggests that doctors should improve patient education on CPR and 'do not resuscitate' orders to ensure informed decision-making.
A study published in The Lancet found that whole-body CT scans improved survival rates for patients with severe injuries, with a relative risk reduction of 25% and 13%. The procedure was shown to be an independent predictor of survival.
The Life Sciences Discovery Fund awarded four Washington State-based research organizations over $18 million in grants to advance vaccine development, improve cardiac resuscitation technology, enhance rural mental health services, and develop targeted intracellular drug delivery mechanisms.
The Life Sciences Discovery Fund has awarded over $18 million in grants to four Washington State-based research organizations. These initiatives focus on advancing vaccine development, improving cardiac resuscitation technology, and delivering mental health and substance abuse services in rural communities. The awardees include Lawrenc...
Researchers validated criteria to identify out-of-hospital cardiac arrest patients with little or no chance of survival after resuscitation. The validation study used surveillance data from 8 U.S. cities and found that the BLS rule had a positive predictive value of 0.998 for predicting lack of survival.
A study of emergency medical services-treated cardiac arrest outcomes in 10 areas in North America found a five-fold difference in survival rates. The incidence and outcome of cardiac arrest varied significantly across geographic regions.
A recent study reviewed clinical data from 219 patients with large area burns to propose guidelines for preventing gastrointestinal dysfunction. Comprehensive fluid resuscitation, early excision of necrotic tissue, staged food ingestion, and administration of specific nutrients were found to be essential strategies in lowering mortality.
Researchers at LSU Health Sciences Center discovered that high-dose hyperbaric oxygen therapy can revive laboratory swine within 25 minutes of cardiac arrest, surpassing the previously thought limit of 16 minutes. This breakthrough may lead to improved survival rates and more definitive treatments for human patients.
A national education program improved sepsis guideline adherence and reduced hospital mortality rates. Compliance with resuscitation procedures declined after one year, but management bundle adherence remained stable.
Researchers at UC San Diego report improved resuscitation with a radically different approach combining hypertonic saline with viscosity enhancers that thicken blood. Dramatic increases in healthy blood flow through tissues and organs were observed in hamsters with severe blood loss.
Patients treated with minimally interrupted cardiac resuscitation (MICR) had higher survival rates than those receiving standard treatments. Implementing MICR, a new approach to limit interruptions of chest compressions, resulted in increased blood flow and reduced harm.
Patients experiencing in-hospital cardiac arrests at night or on weekends have a significantly lower chance of survival than those who arrest during weekday evenings. This is due to decreased detection and treatment effectiveness, potentially resulting from patient, staff, and hospital factors.
Researchers found that brief mock trauma drills and refreshers significantly improved ER staff's performance on crucial tasks for child resuscitation. Improvements were seen in weight estimation, head examinations, IV placement, antiseizure medication ordering, and preparation for transport.
A review of international research into resuscitation found that slow codes, where healthcare professionals resuscitate patients too slowly, are still an issue. Researchers agree that all decisions relating to cardiac resuscitation should be made in accordance with up-to-date clinical guidelines.
A 30-minute video-based training session is as effective as a three- to four-hour course in teaching laypersons basic life-saving techniques. At six months after training, those who took the shorter course performed CPR and used an AED just as well or better than those who took the traditional training.
A new animal study investigates three methods of treatment for severe internal injuries, with HBOC-201 resuscitation showing improved survival rates. The study's findings suggest targeting a Mean Arterial Pressure of 80 mmHg is more favorable than a target MAP of 100 mmHg.
A study published in The Lancet found that chest-compression-only resuscitation boosts survival rates for out-of-hospital cardiac arrest. The study analyzed 4,068 cases of witnessed collapse and found a 19.4% favorable neurological survival rate when bystanders administered chest compressions without mouth-to-mouth ventilations.
A study published in The Lancet found that cardiac-only resuscitation (chest compressions only) yields better outcomes than conventional CPR, especially for patients with apnea or shockable cardiac rhythms. This approach may increase bystander-initiated resuscitation efforts and improve survival rates.
A new resuscitation approach called Cardiocerebral Resuscitation has been shown to improve survival rates for out-of-hospital cardiac arrest victims. The technique, which eliminates mouth-to-mouth breathing, enhances the willingness of lay individuals to engage in resuscitation.
A new multicenter research consortium, called Protocolized Care for Early Septic Shock (ProCESS), is beginning a large-scale study to determine whether specific interventions can halt the progression to severe sepsis and septic shock. The project aims to establish standard procedures to diagnose and treat sepsis in emergency departments.
A national study led by Queen's University Professor Daren Heyland found that only one-third of patients have discussed cardiopulmonary resuscitation (CPR) with their physicians. Elderly patients are often ill-equipped to participate in such discussions and make decisions.
A study analyzed FDA recalls and safety alerts involving automated external defibrillators (AEDs) and accessories between 1996 and 2005. The findings show that AEDs were recalled in 9 of 10 years, with electrical or software problems being the most common cause.
A recent study published in Resuscitation found that confusion is a major obstacle for CPR volunteers when responding to medical emergencies, rather than stress. The researchers surveyed 1,243 laypeople trained in CPR and found that practical issues such as crowd control and skill performance were more concerning than emotions.
The study will enroll up to 20,000 patients in North America over two years, testing new saline solutions for trauma patients and a unique airway valve for cardiac arrest. The research aims to improve circulation and oxygenation in critically ill patients.
The lack of national guidelines in the UK poses a significant challenge for clinicians managing DNAR orders, which could lead to litigation and accusations of euthanasia. The Mental Capacity Act and European Convention on Human Rights have reinforced the need for clear guidance.
Researchers like Joseph Messina and Patrick Kochanek explore ways to improve survival rates for patients with trauma injuries using insulin-sensitizing agents and novel resuscitation fluids.
A randomized study found that victims of sudden cardiac arrest were more likely to survive manual CPR rather than mechanical chest compressions. The study, conducted in five North American cities, involved over 1,000 participants and showed a significant difference in survival rates between the two groups.
A multicenter study found no significant difference in survival rates between automated LDB-CPR and manual CPR after out-of-hospital cardiac arrest. However, another study showed improved outcomes with the use of an automated device, including higher survival rates to hospital discharge.
A study of 80 moderately obese patients found that laparoscopic gastric banding led to a significant average weight loss of 21.6 percent, compared to 5.5 percent in the nonsurgical group. Lifestyle modification can also achieve up to 10 percent weight loss.
A national pilot study by Medical College of Wisconsin researchers showed that the use of ResQ-Valve with CPR increases short-term survival in patients with cardiac arrest heart rhythm called 'pulseless electrical activity'. The device facilitates venous blood return to the chest, increasing forward blood flow during CPR.
A study by Keith Barrington and Annie Janvier found that hospital policies, staff training, and parent expectations significantly influence neonatal resuscitation decisions. The authors advocate for better documentation to ensure clear decision-making processes.
A new report outlines recommendations for reviewing advanced first-responder resuscitation fluids and adjunct therapies. The study identifies promising products with potential to improve treatment of life-threatening hemorrhage, and provides guidance on product investigations, data inclusion, and funding.
New guidelines suggest that bystanders performing CPR should focus on continuous chest compressions, even if they're not familiar with mouth-to-mouth procedures. This approach aims to increase the chances of saving lives by making CPR more accessible and easier to perform.
A study found that in-hospital CPR was often performed suboptimally, with many patients experiencing chest compression rates below 90 per minute and ventilation rates above 20/min. The researchers suggest that improving monitoring and feedback systems could help improve CPR quality.
A study found that chest compressions were given only 48% of the time without spontaneous circulation, with an average compression rate of 64/min. The researchers emphasize the importance of focusing on delivery of correct chest compressions during CPR to improve patient survival.
Researchers found that chest compressions during CPR are often too slow, shallow, and interrupted, while ventilation rates are usually too high. The study used an investigational monitor/defibrillator to measure CPR quality and compared the results to American Heart Association guidelines.
A new study suggests that providing air rather than 100% oxygen for newborn babies requiring ventilation after delivery can reduce infant mortality. The findings are based on a systematic review and meta-analysis of five trials, which found that 5% fewer babies given air died compared to those given 100% oxygen.
The POLST program has been widely adopted in Oregon nursing homes, with most residents receiving aggressive treatment despite 'do not resuscitate' orders. EMTs also report increased clarity on treatment options after using the form.
The aloe vera-derived fluid improved survival rates in rats with hemorrhagic shock, even without resuscitation, suggesting its potential to increase survival in trauma patients. The researchers believe the fluid could be administered before evacuation to medical units, reducing the need for blood transfusions.
According to Dr. George Lister, using high-dose epinephrine in children may impair organ function and survival after cardiac arrest. Limiting doses to recommended levels can reduce errors and improve outcomes.
A study of 404 sudden cardiac arrest victims found that almost half did not receive CPR before EMS arrival. The most common reasons for no CPR included physical limitations, victim location, and signs of life.
The study found that public access defibrillation increased from 0.82% to 2.05% between 1999 and 2002, with a 50% survival rate for those treated. Over 4,000 people were trained to use the devices, and 457 AEDs were registered.
A new wireless device called Vital Dust transmits patient data to hospital locations, enabling medical teams to monitor vital signs in real-time. This allows for faster triage and prioritization of critical patients during mass casualty events.
Researchers tested 'reverse CPR' on critically ill patients in intensive care units, improving average systolic and arterial blood pressure. The new approach could lead to better treatment outcomes in the community setting.
A study of 344 cardiac patients who experienced a near-death experience (NDE) after cardiac arrest found that younger patients were more likely to report NDEs, while deeper experiences were more common among women. Longitudinal follow-up revealed increased beliefs in an afterlife and reduced fear of death among those with NDEs.
A Canadian study found that only 11% of critically ill patients in ICUs have explicit directives guiding resuscitation. The study identified factors associated with DNR directives, including age and patient condition.
Family physicians face barriers to discussing resuscitation orders with patients, including personal discomfort and fear of damaging relationships. Despite being ideally situated for these discussions, recognizing these barriers is necessary to improve communication and self-awareness.
The American Heart Association has revised its cardiopulmonary resuscitation (CPR) guidelines, eliminating the need for a pulse check by bystanders before starting chest compressions. The new guidelines instead recommend looking for signs of circulation such as breathing, movement, and response to stimulation.
A systematic program implementing advance directives in six Ontario, Canada nursing homes reduced hospitalizations by an average of $1,200 per patient. Satisfaction levels with care were unchanged, while mortality rates remained similar between the treatment and control groups.
A UNC-CH study reveals that premature infants are resuscitated primarily based on parents' preferences and medical uncertainty, rather than solely on the prognosis of survival. The study found that resuscitation generally postpones death by only a few days but does not contribute substantially to over-treatment.