Resuscitation
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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.
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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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There is no study regarding the influence of cardiopulmonary resuscitation (CPR) guideline renewal on citizen's attitude towards all basic life support (BLS) actions. ⋯ Future guidelines should emphasise the significance and benefit of early call in relation to telephone-assisted instruction of CPR or chest compression. The course instructors should be aware of the backgrounds of participants as to how this may relate to their willingness to participate.
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Comparative Study
Continuous chest compression resuscitation in arrested swine with upper airway inspiratory obstruction.
This study was designed to compare 24-h survival rates and neurological function of swine in cardiac arrest treated with one of three forms of simulated basic life support CPR. ⋯ There were no differences in 24-h survival with good neurological function among these three different CPR protocols.
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Ischaemia-modified albumin (IMA) has recently been shown to be an early and sensitive marker of ischaemia. It is generally accepted that cardiac arrest causes the most severe form of global ischaemia. The aim of the present study was to identify whether IMA is an independent predictor of return of spontaneous circulation (ROSC) in a swine model of cardiac arrest. ⋯ Until today, CPP has been found to be the only key determinant of successful resuscitation. Our study suggests that IMA can be a predictive index of ROSC even before the initiation of CPR.