Articles tagged with Cardiac Arrest
A new risk assessment tool has been developed by Cedars-Sinai researchers to predict and prevent sudden cardiac arrest. The score is calculated using widely available and inexpensive 12-lead electrocardiogram (EKG) technology, and patients with scores above 4 have a 20 times increased risk of sudden cardiac arrest.
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.
A study published in JAMA found that drones carrying automated external defibrillators arrived at simulated out-of-hospital cardiac arrest locations in less time than emergency medical services. The median response time for the drone was 5:21 minutes, significantly reducing the overall response time by 16 minutes.
The European Society of Anaesthesiology and Intensive Care proposes new guidelines for in-flight cardiac arrest, highlighting the importance of emergency equipment and crew training. The guidelines aim to improve treatment recommendations and reduce fatalities in such cases.
A new study published by the University of Southern California found that bystander CPR is associated with favorable neurological survival for drowning victims in cardiac arrest. The study showed that if bystanders initiate CPR, drowning victims are three times more likely to have a favorable neurological outcome.
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.
A new guideline developed by the American Academy of Neurology recommends that families ask if their loved one qualifies for body cooling to reduce brain injury. The guideline found strong evidence that therapeutic hypothermia is effective in improving brain function.
The study found significant variability in AED registration and maintenance, leading to unknown true risk for failure. Regions with high registration rates had significantly more operational AEDs.
A recent study from Harvard Medical School found that individuals experiencing heart attacks or cardiac arrests near major marathons are more likely to die within a month. The delays in transportation to nearby hospitals, often caused by widespread street closures during races, contribute to this increased mortality rate.
Research found that specialist heart centres improve survival by 45% compared to general hospitals, with procedures like coronary angiography and PCI linked to significant differences in survival. The study supports the establishment of few high-volume invasive heart centres for optimal post-resuscitation care.
The American College of Cardiology analysis found that over half of US states have no requirements for AEDs in schools, leaving nearly 35 million public elementary and secondary students at risk. Only 5 states offer funding for purchasing AEDs, highlighting the need for comprehensive implementation plans.
Researchers created a list of prime spots to place AEDs in high-risk businesses. Coffee shops and ATMs were found to be ideal locations due to their accessibility and universal recognition.
Research links common painkillers diclofenac and ibuprofen to increased risk of cardiac arrest, with diclofenac being the most hazardous. The study advises limiting ibuprofen to 1200mg per day and avoiding diclofenac in patients with cardiovascular disease or high-risk factors.
Researchers identified a genetic disorder, ARVC, caused by mutations in the CDH2 gene, leading to cardiac arrest and sudden death. The discovery provides a new understanding of the disease and paves the way for preventative interventions and genetic counseling.
A multicenter study of infants and children who suffered cardiac arrest found that body cooling had no significant benefits compared to maintaining a normal temperature. The study included 329 patients aged 2 days to 18 years old, but the results showed no difference in survival rates or brain function between the two groups.
A multicenter study found that therapeutic hypothermia and active temperature control have similar outcomes in young patients after in-hospital cardiac arrest. The study included 329 children between two days and 18 years old, who experienced cardiac arrest in the hospital setting.
A new study found that measuring neuron-specific enolase levels soon after cardiac arrest can help guide patient care decisions. The protein biomarker is a strong predictor of brain recovery in patients who are unconscious for three or more days.
The study found that almost 80% of elderly patients who received an implantable cardioverter-defibrillator survived two years after a sudden cardiac arrest or near-fatal arrhythmia. The researchers also noted substantial care needs among the oldest patients, with high hospitalization and skilled nursing facility admission rates.
A recent study published in JAMA found that patients on the same hospital ward are at increased risk of their own medical crises when a neighboring patient becomes critically ill. The odds of a second patient experiencing a comparable crisis increase by up to 53% if two critical-illness events occur within a six-hour period.
The American College of Cardiology and American Heart Association have released a new report outlining 10 quality and performance measures to help prevent sudden cardiac death. The measures focus on screening and treating at-risk patients, with the goal of improving patient care and outcomes.
A new study found that hospitals treating a high volume of cardiac arrest cases tend to administer epinephrine more quickly, leading to better survival rates for patients. Delays in giving epinephrine shots also had a negative effect on functional recovery.
A study found that prior statin use was associated with higher survival rates after out-of-hospital cardiac arrest. Patients with Type 2 diabetes showed the most significant improvement in survival rate. Statins were linked to increased survival to hospital discharge and beyond a year after the event.
A recent study published in JAMA Pediatrics found that receiving cardiopulmonary resuscitation (CPR) from a bystander improved overall and neurologically favorable survival for children with out-of-hospital cardiac arrest. The study analyzed data from over 3,900 cases and showed that conventional CPR provided better outcomes than compr...
Studies in the US and Denmark show that older adults are undertrained in CPR, with only 18% reporting current training. Higher education level and household income are linked to increased likelihood of CPR training, but there is a steep drop-off after age 50. The elderly often cite lack of knowledge and fear as barriers to performing CPR.
A study of over 3,900 US children who suffered cardiac arrest outside a hospital found that those receiving bystander CPR had better survival rates and neurological outcomes. Racial disparities in CPR provision were also noted, highlighting the need for education interventions to improve minority community access.
A new training model improved CPR skills among hospital staff by integrating low-dose-high frequency psychomotor simulation into their daily duties. Quarterly simulations resulted in significant improvements in chest compression fraction and overall clinical outcomes, leading to a 14% increase in effective compressions.
A survey found that older Americans, those with lower education levels and household incomes, are less likely to receive CPR training. This lack of training can lead to a higher risk of sudden cardiac arrest, as bystanders may not know how to intervene in an emergency situation.
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 review of medical literature found only 92 gold-standard clinical trials on immediate cardiac arrest treatment over the last 20 years, despite 535,000 annual cases in the US. The study highlights a significant lack of research on post-arrest care and long-term survival outcomes.
A nationwide CPR training event aims to improve cardiac arrest survival rates. The training has already been delivered to 31,000 children in the past two years and will reach over 100,000 this year. The initiative is part of a collaboration between leading organizations to create a Nation of Lifesavers.
The EPR-CAT study seeks to test whether rapid cooling of the body temperature can give surgeons extra time to find and repair injuries, improving patient outcomes. By decreasing oxygen demand, cooling may protect vital organs from permanent damage.
Research found that 21.5% of out-of-hospital cardiac arrests occurred near an AED, but it was inaccessible at the time of the arrest, resulting in coverage loss. Implementing models that account for both location and availability when determining AED placement could increase access to devices.
A study by U of T Engineering researchers found that up to 30% of AEDs are locked inside closed buildings, leading to a 21.5% coverage loss during evenings, nights, and weekends. The researchers propose a model to optimize AED placement considering location and availability, which could improve accessibility by an average 25%.
A new study by the University of Arizona suggests that physicians should not predict outcomes for comatose cardiac arrest patients too soon. The study found that many patients wake up longer than expected after being rewarmed from therapeutic hypothermia treatment, with some even regaining consciousness five or seven days after admission.
Research reveals significant disparities in cardiac arrest care between men and women, resulting in higher mortality rates for women. Women tend to receive fewer life-saving procedures, such as angioplasty and therapeutic hypothermia, due to various factors including age, health status, and underlying conditions.
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.
A University of Arizona study found that implementing a Telephone Cardiopulmonary Resuscitation (TCPR) program significantly increases survival rates and favorable outcomes for patients who experienced out-of-hospital cardiac arrests. The program, which includes guidelines-based protocols, TCPR training, and quality improvement, result...
Experts say pre-participation screening should be abandoned due to the lack of evidence confirming it saves lives. The harms of overdiagnosis, overtreatment, and false positives far outweigh any potential benefits in preventing sudden cardiac arrest among young athletes.
Two studies published in The BMJ question the effectiveness of delaying second heart shocks in hospital patients with cardiac arrest. Deferred second defibrillation attempts were not associated with improved survival rates.
Administering resuscitation drugs through an IV line can significantly improve survival rates for patients experiencing witnessed cardiac arrests. The study found that these drugs are only effective when given directly into a vein, rather than the commonly used intraosseous method.
The study found that amiodarone and lidocaine significantly improved survival rates among patients whose cardiac arrest was witnessed by a bystander, with a 5% greater chance of survival compared to placebo. However, the drugs showed no significant benefit for patients whose arrest was not witnessed.
A statewide program in North Carolina improved survival rates for cardiac arrests by increasing bystander CPR and AED use, both at home and in public places. The study found significant increases in patient survival and reduced brain injury over a five-year period.
A randomized clinical trial found that treatment with inhaled xenon gas combined with hypothermia resulted in less white matter damage compared to hypothermia alone. The study suggests potential benefits for comatose survivors of out-of-hospital cardiac arrest, but further evaluation is needed.
A study published in JAMA found that treatment with inhaled xenon gas combined with hypothermia resulted in less white matter damage among comatose survivors of out-of-hospital cardiac arrest. However, there was no significant difference in neurological outcomes or death at 6 months.
A study published in JAMA Cardiology found significant variations in US hospital cardiac arrest care quality. Hospitals with better adherence to recommended guidelines have higher survival rates for patients treated for in-hospital cardiac arrest. The researchers estimate that an additional 22,990 to 24,200 lives could be saved annuall...
Adherence to guideline-recommended care following in-hospital cardiac arrests (IHCA) varies significantly among US hospitals, affecting patient survival. Top-performing hospitals have higher survival rates due to timely and high-quality care.
A study published in the Canadian Medical Association Journal found that residents of high-rise buildings living on lower floors had better survival rates from cardiac arrests. Notably, survival was negligible for people living above the 16th floor. The researchers suggest several solutions to improve time to patient contact and increa...
A study found that people living in high-rise buildings have lower survival rates from cardiac arrest, attributed to delayed emergency response times. The researchers recommend improving accessibility of automated external defibrillators and streamlining building access for paramedics.
Researchers at Cedars-Sinai are working on a new risk assessment tool to identify patients susceptible to sudden cardiac arrest. The goal is to predict those at risk for the fatal heart rhythm malfunction, which claims 350,000 lives annually in the US.
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 study by Cedars-Sinai Medical Center found that more than half of patients who experience sudden cardiac arrest ignore key symptoms prior to the event. These symptoms often include chest pain, shortness of breath, and palpitations, occurring up to a month before the fatal heart rhythm malfunction.
A recent study published in Annals of Internal Medicine found that patients with sudden cardiac arrest who received medical attention shortly after exhibiting warning signs had a significantly higher chance of survival compared to those who ignored their symptoms. Researchers collected data from survivors, family members, and medical r...
Researchers found that therapeutic hypothermia significantly reduces damage to the brain after cardiac arrest, with patients who received treatment experiencing better neurological outcomes and higher survival rates. The therapy has been shown effective on both shockable and non-shockable heart rhythms.
Children with neuromuscular disorders such as cerebral palsy and muscular dystrophy are three times more likely to experience cardiac arrest during spine surgeries. The study found that the absolute risk of cardiac arrest is minuscule, but knowing who's at highest risk can improve preparedness and response time.
Researchers found that therapeutic hypothermia increased survival rates by 2.8 times and neurologic recovery by 3.5 times in comatose cardiac arrest patients. Therapeutic hypothermia may benefit comatose cardiac arrest patients with non-shockable heart rhythms, increasing their chances of survival and better brain function.
Researchers analyzed 2,176 children with cardiac arrest and found that just under half received bystander CPR, associated with an 11% likelihood of neurologically favorable survival. The majority of cardiac arrests occurred at home, but infants did not benefit from bystander CPR.
A study published in the New England Journal of Medicine found that continuous chest compressions during out-of-hospital CPR did not provide better outcomes for patients with cardiac arrest. In contrast, interrupting manual chest pumping to perform rescue breathing appeared to improve survival rates among those who received this approach.
A new Penn study finds that video-based CPR training can be just as effective as traditional hands-on training in teaching the basics of CPR. The study involved over 1,600 family members who received either video-only or VSI with manikin training and found that both groups performed similarly in a six-month retention test.
A new smartphone application called AED-SOS helps connect rescuers with lifesaving automated external defibrillators (AEDs) for people experiencing sudden cardiac arrest outside hospitals. Researchers found that the app can shorten the time from recognizing out-of-hospital cardiac arrests to delivering AEDs by an average of 69 seconds.
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.