Resuscitation
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Comparative Study
Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest.
Post-resuscitation care has emerged as an important predictor of survival from out-of-hospital cardiac arrest (OHCA). In Japan, selected hospitals are certified as Critical Care Medical Centers (CCMCs) based on their ability and expertise. ⋯ Survival after OHCA of presumed cardiac etiology transported to CCMCs was better than those transported to NCCHs. For OHCA patients without field ROSC, transport to a CCMC was an independent predictor for a good neurological outcome.
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Randomized Controlled Trial Comparative Study
Rapid sequence airway vs rapid sequence intubation in a simulated trauma airway by flight crew.
Rapid sequence airway (RSA) utilizes rapid sequence intubation (RSI) pharmacology followed by the placement of an extraglottic airway without direct laryngoscopy. ⋯ In a simulated moderately difficult trauma airway managed by FC, RSA results in a significantly shorter time to secure the airway and less hypoxemia compared to RSI.
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Comparative Study
Pediatric out-of-hospital cardiac arrest in Korea: A nationwide population-based study.
Our objective was to describe the incidence and demographics of pediatric out-of-hospital cardiac arrest (OHCA) in Korea. ⋯ Incidence and hospital outcomes in pediatric OHCA in Korea were comparable to other population-based nationwide reports.
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Survival after out-of-hospital cardiac arrest (OOHCA) varies between regions, but the contribution of different factors to this variability is unknown. This study examined whether survival to hospital discharge was related to receiving hospital characteristics, including bed number, capability of performing cardiac catheterization and hospital volume of OOHCA cases. ⋯ Some subsets of hospitals displayed higher survival and shorter LOS for OOHCA subjects but there was no independent association between hospital characteristics and outcome.
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Comparative Study
Evaluation of the Neonatal Resuscitation Program's recommended chest compression depth using computerized tomography imaging.
Neonatal Resuscitation Program (NRP) guidelines recommend chest compression depths of 1/3 the anterior-posterior (AP) chest depth. Appropriateness of this recommendation has not been rigorously assessed. ⋯ Mathematical modeling based upon neonatal chest CT scan dimensions suggests that current NRP chest compression recommendations of 1/3 AP chest depth should be more effective than 1/4 compression depth, and safer than 1/2 AP compression depth.