Resuscitation
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Review Meta Analysis
Mechanical chest compression for out of hospital cardiac arrest: Systematic review and meta-analysis.
This review of five trials investigating the efficacy of mechanical CPR devices (the LUCAS & AutoPulse) concluded that the devices demonstrate no outcome advantage compared with manual CPR, in terms of 30 day survival, survival to discharge, or neurological outcome.
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Multicenter Study Observational Study
Time on the scene and interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest.
Survival is less than 10% for pediatric patients following out-of-hospital cardiac arrest. It is not known if more time on the scene of the cardiac arrest and advanced life support interventions by emergency services personnel are associated with improved survival. ⋯ In this observational study, a scene time of 10 to 35 min was associated with the highest survival, especially among adolescents. Access for fluid resuscitation was associated with increased survival but advanced airway and resuscitation drugs were not.
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Multicenter Study
Out-of-hospital cardiac arrest in the elderly: A large-scale population-based study.
There is little information on elderly people who suffer from out-of-hospital cardiac arrest (OHCA). ⋯ Advanced age is an independent predictor of mortality in OHCA patients over 70 years of age. However, even in patients above 90 years of age, defined subsets with a survival rate of more than 10% exist. In survivors, the neurological outcome remains similar regardless of age.
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Observational Study
Impact of urgent coronary angiography on mid-term clinical outcome of comatose out-of-hospital cardiac arrest survivors presenting without ST-segment elevation.
Timing of coronary angiography (CAG) is still controversial in the out-of-hospital cardiac arrest survivors who present without ST-segment elevation. ⋯ Performing an urgent CAG in comatose cardiac arrest survivors without ST-segment elevation was not associated with better clinical and neurological outcome as compared to the initially conservative approach.