Resuscitation
-
Comparative Study
Post-resuscitation care at the emergency department with critical care facilities--a length-of-stay analysis.
An emergency department providing critical care will have an effect on outcome and intensive-care-units' resources by avoiding unnecessary or futile intensive-care admissions and thereby save hospital expenses. The study focussed on this result. ⋯ An emergency department with critical care prevents admissions to intensive care units in 28% of patients with out-of-hospital cardiac arrest. It saves intensive-care-unit resources and shortens length of stay for comatose out-of-hospital cardiac-arrest survivors, regardless of their outcome.
-
Comparative Study
Coagulopathy during cardiac arrest and resuscitation in a swine model of electrically induced ventricular fibrillation.
Coagulopathy is often present after resuscitation from cardiac arrest but plays an undefined role in the post cardiac arrest syndrome. The aim of this study was to characterize coagulation changes during cardiac arrest and post-resuscitation care in order to direct further focused study. ⋯ Whole blood coagulation was rapidly impaired during CPR after electrically induced VF in this swine model by impaired platelet aggregation/contractile function and clotting kinetics. Further platelet-specific study is indicated.
-
Comparative Study
Changing gas flow during neonatal resuscitation: a manikin study.
When using a T-piece device, resuscitators may try to improve airway pressures by increasing gas flow instead of correcting face mask position. ⋯ During PPV increasing gas flow dramatically increased PEEP and mask leak and in consequence reduced V(Te). Gas flow should rarely be changed during T-piece resuscitation.
-
Comparative Study
Cardiac arrest survivors with moderate elevated body mass index may have a better neurological outcome: a cohort study.
Body mass index (BMI) may influence the quality of cardiopulmonary resuscitation and may influence prognosis after cardiac arrest. To review the direct effect of obesity on outcome after cardiac arrest, the following cohort study was conducted. ⋯ Body mass index may have no direct influence on six-month survival after cardiac arrest, but patients with moderately elevated BMI may have a better neurological prognosis.
-
Comparative Study
Protective athletic equipment slows initiation of CPR in simulated cardiac arrest.
Standard protective athletic equipment used in collision sports such as American football poses a unique challenge to rescuers because they block access to both the airway and chest. The main objective of this investigation was to determine the effect of athletic equipment on the initiation of CPR. The feasibility of performing compressions over the chest protector as a potential time-saving step was also evaluated. ⋯ Although removal of the chest protector delays the initiation of chest compressions, keeping the chest protector on during CPR does not appear to be a feasible option.