Resuscitation
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Review Meta Analysis
Cardiac arrest in the workplace and its outcome: a systematic review and meta-analysis.
Out-of-hospital cardiac arrest (OHCA) in the workplace appears to be managed more effectively than OHCA occurring in other places. A systematic review and meta-analysis of the available epidemiological data was performed, comparing the rate of survival for OHCA in the workplace, versus survival in other locations. ⋯ There is sufficient evidence to support the view that there will be better outcomes for OHCA cases that occur in the workplace than for those occurring elsewhere. Requirements for occupational health and safety should include prevention of such major (albeit rare) events.
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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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Review Meta Analysis
Cerebral oximetry and return of spontaneous circulation after cardiac arrest: a systematic review and meta-analysis.
The prediction of return of spontaneous circulation (ROSC) during resuscitation of patients suffering of cardiac arrest (CA) is particularly challenging. Regional cerebral oxygen saturation (rSO2) monitoring through near-infrared spectrometry is feasible during CA and could provide guidance during resuscitation. ⋯ Higher initial and average regional cerebral oxygen saturation values are both associated with greater chances of achieving ROSC in patients suffering of CA. A note of caution should be made in interpreting these results due to the small number of patients and the heterogeneity in study design: larger studies are needed to clinically validate cut-offs for guiding cardiopulmonary resuscitation.
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Review Meta Analysis
Gender and Survival after Sudden Cardiac Arrest A Systematic Review and Meta-Analysis.
Conflicting results exist regarding the impact of gender on early survival after sudden cardiac arrest (SCA). We aimed to assess the association between female gender and early SCA survival. ⋯ This meta-analysis of observational studies demonstrates that women have increased odds of survival after SCA. Further studies are needed to address mechanisms explaining this discrepancy.
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Review Meta Analysis
The Use of High-Fidelity Manikins for Advanced Life Support Training-A Systematic Review and Meta-analysis.
The objective of this study was to evaluate the effectiveness of high versus low fidelity manikins in the context of advanced life support training for improving knowledge, skill performance at course conclusion, skill performance between course conclusion and one year, skill performance at one year, skill performance in actual resuscitations, and patient outcomes. ⋯ The use of high fidelity manikins for advanced life support training is associated with moderate benefits for improving skills performance at course conclusion. Future research should define the optimal means of tailoring fidelity to enhance short and long term educational goals and clinical outcomes.