Articles tagged with Cardiac Arrest
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.
Research presented at American Heart Association's Scientific Sessions 2013 found hospitalized children under 18 have lower survival rates during night shifts. Thirty-four percent of children survived after cardiac arrest on day or evening shifts, compared to 11 p.m.-6:59 a.m. where only 34% survived.
A study found that CPR for 38 minutes or longer can improve a patient's chances of surviving cardiac arrest. Sustaining CPR for this extended period also reduces the risk of severe brain damage and preserves normal brain function.
Researchers in the UK found that organs from selected DCD donors with pre-hospital cardiac arrest had no significant impact on graft or transplant recipient survival compared to other deceased donors. The study suggests using these organs could boost the donor pool without adverse outcomes for liver transplant recipients.
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 new study found that only 12 out of 92 eligible patients received an implantable cardiac defibrillator after being medically evaluated. The majority who qualified did not receive the treatment, highlighting a need for further analysis to determine why this occurs.
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 University of Michigan study reveals that rats display brain activity patterns characteristic of conscious perception shortly after clinical death. The findings suggest that the brain is capable of well-organized electrical activity during the early stage of clinical death.
A new study found that people experiencing sudden cardiac arrest at exercise facilities have a higher chance of survival than at other indoor locations. The study looked at 849 cases in Seattle and King County, Wash., and found that traditional exercise facilities had the highest survival rates.
A randomized clinical trial found that combination therapy using vasopressin-epinephrine during cardiopulmonary resuscitation and corticosteroid supplementation improved survival to hospital discharge with a favorable neurological score. This study suggests increased efficacy of the combination therapy compared to epinephrine alone dur...
A study found that only 2% of hospital cardiac arrest patients received therapeutic hypothermia, despite its proven potential to improve survival and neurological function. The lack of data and guidelines may contribute to the low use of this treatment.
A new study published in the American Heart Association journal Circulation found that elderly patients can benefit from implantable cardioverter defibrillators (ICDs) just like younger individuals. The study of 5,399 patients revealed that older patients were as likely to experience life-threatening electrical shocks but had higher ra...
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 study published in JAMA Internal Medicine found that hospitals with higher case-survival rates for cardiac arrests also had lower incident rates. The research analyzed data from 358 hospitals and identified a correlation between preventing cardiac arrests and survival rates.
A new study by University of Michigan researchers found that hospitals with the highest rates of cardiac arrests tend to have the poorest survival rates for those cases. Conversely, hospitals that do a better job preventing cardiac arrest among patients also tend to save more patients who experience an arrest.
Researchers at the University of Pennsylvania School of Medicine found promising results in using Extracorporeal Membrane Oxygenation (ECMO) to treat select patients with refractory cardiac arrest and profound shock. The study, which included 33 patients, showed a survival rate of 21% and five patients were neurologically intact.
A new mathematical formula developed by researchers at St. Michael's Hospital and the University of Toronto identifies high-risk areas for cardiac arrests and suggests optimal locations for automated external defibrillators (AEDs) to maximize survival rates.
A new mathematical model developed by researchers at the University of Toronto can pinpoint high-risk areas for cardiac arrests and recommend optimal placement of defibrillators. According to the study, nearly three times as many public cardiac arrests occurred in downtown Toronto than in the rest of the city.
A University of Michigan study found that survival from cardiac arrest is higher when it occurs in the operating room (O.R.) or post-anesthesia care unit (PACU) compared to other hospital locations. The presence of anesthesia providers in these areas may improve outcomes for certain patients.
A recent study by Beaumont doctors highlights the importance of training and emergency response planning in K-12 schools to reduce sudden cardiac arrest fatalities. The study found that bystander use of automated external defibrillators (AEDs) increases survival rates threefold, emphasizing the need for standardized training and drills.
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 Japanese study found that lactated Ringer's solution, commonly used as a pre-hospital treatment for cardiac arrest, is associated with a decreased chance of survival with minimal neurological or physical impairment. The study analyzed data from over half a million patients and suggested that alternative fluids may be more beneficial.
Researchers found a positive correlation between out-of-hospital cardiac arrests and exposure to both fine particulate matter and ozone in Houston. Daily average increases in particulate matter raised OHCA risk by 4.6 percent, while short-term increases in ozone level increased risk by 4.4 percent.
A recent study published in Circulation found that longer CPR durations can extend survival in children and adults after hospital cardiac arrests. The research team analyzed data from thousands of patients and discovered that more children than expected survived prolonged CPR, with over 60% having good neurologic outcomes.
A crowdsourcing contest led to the identification of over 1,400 automated external defibrillators in public places, providing crucial data for quick bystander response to out-of-hospital cardiac arrests. Public education remains a key priority to improve use of AEDs.
A Japanese study presented at the American Heart Association's Scientific Sessions 2012 found that family members were least likely to administer CPR after a cardiac arrest, but most likely to receive telephone instructions. Researchers attributed this to cultural and demographic issues in Japan, including a large gender gap.
A study by Dr. Paul Dorian found that the risk of cardiac arrest depends on where you live, with neighborhoods having higher rates experiencing three to five times more cases than those with lower rates. Wealth, education, and social inclusion are important factors in determining cardiac arrest risk, but only explain part of the puzzle.
A study found 174 cases of sudden cardiac death in Ontario between ages 2-40, with heart disease present in 72% of cases. The majority of events occurred at home, not during sports or exercise. Researchers advocate for screening and education to detect warning signs like fainting.
Researchers found a direct relationship between neighborhood income and racial composition and the probability of receiving bystander-initiated CPR. The study suggests that targeted, low-cost CPR training efforts are needed to address disparities in life-saving interventions.
Researchers found that residents in high-income white and integrated neighborhoods were more likely to receive bystander CPR during out-of-hospital cardiac arrests compared to those in low-income black neighborhoods. The study suggests a targeted approach in these areas may be more efficient than nationwide CPR training programs.
The study found that urgent coronary angiography and PCI improved hospital survival rates in patients with STEMI and NSTEMI. Successful treatment increased survival rates from 51% to 83% for STEMI and 55% to 81% for NSTEMI.
The study found that patients treated in states with public reporting of PCI outcomes were less likely to receive a PCI compared to those in non-reporting states. However, there was no difference in overall heart attack survival rates between the two groups.
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.
Research presented at the ESC Congress 2012 found that patients who experience a cardiac arrest during or shortly after exercise are three times more likely to survive than those who experience an exercise-unrelated cardiac arrest. The study also showed that exercise-related cardiac arrests tend to occur in younger, male individuals an...
Penn and Cornell researchers have created evidence-based guidelines for veterinary CPR, aiming to standardize treatment of cardiac arrest in pets. The guidelines recommend 100-120 chest compressions per minute, intubated ventilation at a rate of 10 breaths per minute, and administration of vasopressors every 3 minutes.
Researchers at Trinity College Dublin developed a patented technology to reduce cerebral oedema by safely manipulating blood vessels in the brain. The technique, 'Neuronal Barrier Modulation,' has shown promising results in animal models and is planned for Phase I clinical trials.
A Penn study found that more than 75% of cardiac arrests occur outside the range of nearby automated external defibrillators (AEDs), highlighting the need for strategic placement and easy location. The study suggests innovative ways to help the public find AEDs in emergencies.
Research reveals racial disparities in pre-hospital care for black cardiac arrest victims, with lower rates of bystander CPR and defibrillation. The study also found that black patients were less likely to have regained their pulse before arrival at the hospital.
Researchers have identified a new way to predict the risk of sudden cardiac arrest by imaging nerve function in the heart. A study involving 204 patients with advanced heart disease found that those with at least 38% denervated myocardium were at highest risk of sudden cardiac arrest.
A Mayo Clinic study found that therapeutic hypothermia, also known as body cooling, has reduced in-hospital deaths among sudden cardiac arrest patients. The research analyzed over 1 million patients and found mortality rates dropped from 69.6% to 57.8% between 2001 and 2009.
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%
Paramedics can administer a mixture of glucose, insulin and potassium (GIK) to patients having a heart attack, reducing the rate of cardiac arrest and death by 50 percent. The treatment also reduces the severity of heart tissue damage from the heart attack.
A study found that intravenous glucose-insulin-potassium (GIK) solution did not reduce the rate of progression to heart attack or improve 30-day survival in patients with chest pain. The treatment was associated with a lower risk of cardiac arrest or in-hospital death.
A nationwide CPR training effort in Denmark led to a significant increase in bystander CPR, from 20% in 2001 to 44% in 2010, resulting in improved cardiac arrest survival rates. The study found patients treated with CPR or AEDs by bystanders were about four times more likely to survive 30 days after the cardiac event.
A newly published study found that over a quarter of unexplained cardiac arrests occurred after patients experienced fainting, known as syncope. Patients also exhibited frequent chest pain and palpitations. The research suggests that fainting may be an opportunity to diagnose genetic disorders and prevent future sudden death.
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.
Most cardiac events during races are attributed to underlying heart disease; bystander-initiated CPR significantly improves survival rates. The study found that the risk of cardiac arrest for marathon and half-marathon runners is comparable to other athletes, providing reassurance about the activity's safety.
A study of over 26,000 patients found that therapeutic hypothermia was used in only 0.35% of out-of-hospital cardiac arrest cases in the US. Despite its proven benefits in reducing mortality and improving neurologic outcomes after a heart attack, hypothermic therapy is not being widely adopted in clinical practice.
A new study reveals that only 30% of US state police agencies have automated external defibrillators in their vehicles, despite the lifesaving devices being available for nearly $1,000 each. Training for officers in AED use is common, but equipment availability remains a significant issue.
A study published at the American Heart Association scientific sessions found that delays in therapeutic hypothermia and return of spontaneous circulation significantly worsen neurologic outcomes. Caregivers with a thorough understanding of post-cardiac arrest neurologic states can better manage patients at discharge.
Research from the University of Pennsylvania School of Medicine found that 57% of cardiac arrest patients' treatment with hypothermia involved documentation of poor prognosis, with 25% of patients having their care withdrawn within 72 hours after arrest. Despite this, over 20% of patients survived to discharge with good neurological ou...
A new study found that therapeutic hypothermia confers similar neurologic and survival benefits in cardiac arrest patients with preexisting cardiomyopathy as those without the condition. However, cardiogenic shock was more prevalent in patients with cardiomyopathy, leading to lower survival rates with favorable neurologic outcomes.
A wearable defibrillator can prevent sudden death in people with dangerous heart arrhythmias, saving up to 91.6% of those experiencing ventricular fibrillation or tachycardia. The device delivers an electric shock if needed and alerts bystanders for help.
A new study from the University of Pennsylvania School of Medicine reveals that discussions about cardiac arrest on Twitter can provide valuable opportunities for public health education. The researchers found that users frequently share information about CPR and AEDs, as well as discuss resuscitation topics in the news.
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 Mayo Clinic study provides guidance for treating sudden cardiac arrest patients with therapeutic cooling, which slows metabolism and preserves cell health. The study found that both patient groups awoke within three days, supporting the use of hypothermia when indicated.
A new study found that 38% of patients with chronic conditions changed their preferences for CPR and mechanical ventilation over a year. Patients' decisions are influenced by factors such as health status, mobility, anxiety, and depression, highlighting the need for regular re-evaluation of advance care planning.
A study published in the Canadian Medical Association Journal found that people living in poorer neighborhoods are at a higher risk of sudden cardiac arrest. The disparity was particularly pronounced among individuals under 65 years old, with those in lower socioeconomic groups experiencing rates two- to fourfold higher than those in h...