Resuscitation
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Multicenter Study
Epinephrine Use in Older Patients with Anaphylaxis: Clinical Outcomes and Cardiovascular Complications.
There is little data describing the differences in epinephrine (epi) administration and cardiac complications among older and younger patients with anaphylaxis. ⋯ Older patients with anaphylaxis were less likely to receive epi injection. Intramuscular epi appears safe in this population; however, the use of intravenous epi should be avoided in older patients due to the potential of developing serious cardiac complications.
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Multicenter Study
ECMO Cardio-Pulmonary Resuscitation (ECPR), trends in survival from an international multicentre cohort study over 12-years.
Use of Extracorporeal Membrane Oxygenation during cardiopulmonary resuscitation (ECPR) is increasingly being deployed as an adjunct to conventional CPR. It is unknown if this has been associated with improved outcomes. ⋯ Over the period 2003-2014, survival to hospital discharge was 29% for patients who require ECPR. Despite advances in provision of ECMO care and increasing co-morbidities of patients, there has been no change in risk-adjusted survival over time.