Resuscitation
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Randomized Controlled Trial
Umbilical cord milking in preterm neonates requiring resuscitation: A randomized controlled trial.
To evaluate the effect of cord milking on short term morbidity and hematologic parameters at 6 weeks in preterm neonates requiring resuscitation. ⋯ Clinical trials registry -India CTRI/2015/01/005436, www.ctri.nic.in.
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Observational Study
Medical facilities in the neighborhood and incidence of sudden cardiac arrest.
Medical establishments in the neighborhood, such as pharmacies and primary care clinics, may play a role in improving access to preventive care and treatment and could explain previously reported neighborhood variations in sudden cardiac arrest (SCA) incidence and survival. ⋯ We did not observe a protective association between medical facilities in the home census tract and SCA risk, orbetween major medical centers in the event census tract and survival.
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Measurement of chest velocity has been proposed as an alternative method to identify responder leaning during cardiopulmonary resuscitation (CPR). Leaning is defined in terms of force, but no study has tested the utility of chest velocity in the presence of force measurements that directly measure leaning. ⋯ Leaning cannot be reliably identified from vrecoil or ʋrelease, alone or in combination with currently recommended chest compression metrics in out-of-hospital CPR.
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The study aimed to determine the effect of community implementation of a bundles of cardiopulmonary resuscitation (CPR) programs on outcomes in out-of-hospital cardiac arrest (OHCA). ⋯ The citywide implementation of a bundle of UTIS CPR programs was associated with significantly better OHCA outcomes.
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While S-100B protein and Neuron-Specific Enolase (NSE) dosages have been extensively investigated for neurological prognostication after cardiac arrest (CA), there is no data about their ability to detect a cerebrovascular cause of CA. We assessed the utility of plasma S-100B protein and NSE measurements for early diagnosis of primary neurological cause in resuscitated CA patients. ⋯ Even if S-100B protein dosage performs slightly better than NSE, early dosages of these biomarkers are poorly predictive of a cerebrovascular etiology of CA. Our results suggest that early measurement of brain biomarkers should not be recommended to tailor the imaging strategy employed to investigate the CA cause.