Resuscitation
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To describe the reasons for medical emergency team (MET) activation, and to verify the association of the MET score with 30-day mortality. ⋯ MET score presents a strong association with 30-day mortality in patients seen on the ward.
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Editorial Comment
Continuous chest compression CPR preferred for primary cardiac arrest.
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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.