A new method to evaluate carotid blood flow by continuous Doppler monitoring during cardiopulmonary resuscitation in a porcine model of cardiac arrest
We used a wearable carotid Doppler patch to study carotid blood flow patterns in a porcine model of cardiac arrest to identify return of spontaneous circulation (ROSC) and hemodynamics associated with different arrhythmias and the quality of compressions. (Source: Resuscitation)
Source: Resuscitation - December 15, 2023 Category: Emergency Medicine Authors: Xiaoli Zhao, Shuo Wang, Wei Yuan, Junyuan Wu, Chunsheng Li Tags: Experimental paper Source Type: research

Prolonged follow-up after apparently unexplained sudden cardiac arrest: A retrospective study
We hypothesized that a prolonged follow-up of survivors of unexplained sudden cardiac arrest (USCA) would subsequently unmask electrical heart disorders in a significant proportion of cases. (Source: Resuscitation)
Source: Resuscitation - December 14, 2023 Category: Emergency Medicine Authors: Louis Giovachini, Driss Laghlam, Guillaume Geri, Fabien Picard, Olivier Varenne, Eloi Marijon, Florence Dumas, Alain Cariou Tags: Clinical paper Source Type: research

Impact of Blood Pressure Targets on Central Hemodynamics during intensive care after Out-of-Hospital Cardiac Arrest
Out-of-hospital cardiac arrest (OHCA) is a frequent cause of mortality and intensive care unit admission with an incidence in Europe of 40-80 patients per 100,000 inhabitants per year1 –3. Resuscitated patients that remain comatose require intensive care, with an expected in-hospital mortality of 30-50%4–6. Impaired hemodynamics may contribute to inadequate oxygen delivery in the form of hypotension, myocardial dysfunction, and systemic inflammation with sepsis-like vasodilati on7–11. Clinical evidence regarding intensive care treatment of post-resuscitation hypotension is sparse3. (Source: Resuscitation)
Source: Resuscitation - December 14, 2023 Category: Emergency Medicine Authors: Johannes Grand, Jacob E. M øller, Christian Hassager, Henrik Schmidt, Simon Mølstrøm, Søren Boesgaard, Martin Meyer, Jakob Josiassen, Henrik Frederiksen Højgaard, Martin Frydland, Jordi S. Dahl, Laust Obling, Mikkel Bak, Vibeke Lind Jørgensen, Jakob Tags: Clinical paper Source Type: research

Cardiac arrest centre accreditation in Germany: A game-changer for favourable neurological outcomes after cardiac arrest
A wide variation exists among hospitals in the type of post-resuscitation care and outcomes following out-of-hospital cardiac arrest (OHCA).1,2 Ideally, patients with OHCA should receive time-sensitive treatment and interdisciplinary care, including percutaneous coronary intervention (PCI), extracorporeal cardiopulmonary resuscitation (eCPR), and bundled critical care with targeted temperature management (TTM) at the nearest sophisticated hospital to achieve good long-term neurological outcomes. (Source: Resuscitation)
Source: Resuscitation - December 14, 2023 Category: Emergency Medicine Authors: Yoshikazu Goto Tags: Editorial Source Type: research

Prolonged follow-up after apparently unexplained sudden cardiac arrest : a retrospective study
We hypothesized that a prolonged follow-up of survivors of unexplained sudden cardiac arrest (USCA) would subsequently unmask electrical heart disorders in a significant proportion of cases. (Source: Resuscitation)
Source: Resuscitation - December 14, 2023 Category: Emergency Medicine Authors: Louis GIOVACHINI, Driss LAGHLAM, Guillaume GERI, Fabien PICARD, Olivier VARENNE, Eloi MARIJON, Florence DUMAS, Alain CARIOU Tags: Clinical paper Source Type: research

Empowering the Next Generation: An innovative “Kids Save Lives” blended learning programme for schoolchildren training
Guidelines recommend teaching resuscitation from school age; however, little is known about the best methods to provide it.We devised a blended learning program for primary and secondary students (Kids Save Lives - KSL) consisting of brief lectures, practical training with mannequins, and virtual reality. We aimed to evaluate its impact on students ’ attitudes towards intervening during cardiac arrest and their knowledge about basic life support. (Source: Resuscitation)
Source: Resuscitation - December 13, 2023 Category: Emergency Medicine Authors: Federico Semeraro, Guglielmo Imbriaco, Donatella Del Giudice, Marco Antognoli, Daniele Celin, Micaela Cuttitta, Vincenzo Lo Guasto, Gabriele Giulini, Tania Gnudi, Alessandro Monesi, Elisa Nava, Riccardo Tucci, Alessandra Carenzio, Sara Lo Jacono, Giovanni Tags: Simulation and education Source Type: research

Intra-Aortic Balloon Pump in Patients with Extracorporeal Cardiopulmonary Resuscitation after Cardiac Arrest Caused by Acute Coronary Syndrome
This study evaluated the association between intra-aortic balloon pump (IABP) use in patients with out-of-hospital cardiac arrest (OHCA) caused by acute coronary syndrome (ACS) who received extracorporeal cardiopulmonary resuscitation (ECPR) and 30-day outcomes. (Source: Resuscitation)
Source: Resuscitation - December 13, 2023 Category: Emergency Medicine Authors: Takeshi Nishimura, Akihiko Inoue, Takuya Taira, Masafumi Suga, Shinichi Ijuin, Toru Hifumi, Tetsuya Sakamoto, Yasuhiro Kuroda, Satoshi Ishihara, SAVE-J II study group Tags: Clinical paper Source Type: research

Pediatric Cardiac Arrest: A Review of Recovery and Survivorship
Over the last decade with improved survival from cardiac arrest, there has been a developing focus on the outcomes associated with favorable survivorship.1,2 Studies of children, evaluating long-term outcomes after critical illness, including cardiac arrest, highlight that survivors and their families may suffer from what is referred to as “post-intensive care syndrome in pediatrics” or PICS-p3,4 and that survivors remain medically vulnerable in the years after discharge.5,6 PICS-p encompasses the constellation of cognitive, physical, emotional, and social difficulties experienced by children and families during and af...
Source: Resuscitation - December 12, 2023 Category: Emergency Medicine Authors: Neethi P. Pinto, Barnaby R Scholefield, Alexis A. Topjian Tags: Review Source Type: research

Primary and secondary analyses of trials of extracorporeal membrane oxygenation in refractory cardiac arrest: A silk purse or a sow ’s ear?
Cardiac arrest treated by bystander cardiopulmonary resuscitation (CPR), early application of an automated external defibrillator, or high-quality emergency medical services (EMS) CPR is associated with a high likelihood of survival to discharge as well as good neurologic outcome.1 But patients who do not consistently respond to these initial attempts at resuscitation, who thereby have recurrent or refractory cardiac arrest, have a poorer prognosis.2,3 (Source: Resuscitation)
Source: Resuscitation - December 12, 2023 Category: Emergency Medicine Authors: Emily Goren, Antje Hoering, Graham Nichol Tags: Editorial Source Type: research

Reply to AWAreness during REsuscitation and EEG activity
To the editor, (Source: Resuscitation)
Source: Resuscitation - December 12, 2023 Category: Emergency Medicine Authors: Sam Parnia Tags: Letter to the Editor Source Type: research

Exerted force on the face mask in preterm infants at birth is associated with apnoea and bradycardia
This study investigated the amount of force exerted on the face mask during non-invasive ventilation of preterm infants at birth and whether the amount of exerted force is associated with apnoea and bradycardia. (Source: Resuscitation)
Source: Resuscitation - December 12, 2023 Category: Emergency Medicine Authors: KLAM Kuypers, SJE Cramer, J Dekker, R Visser, SB Hooper, AB te Pas Tags: Clinical paper Source Type: research

Reporting Standard for describing First Responder Systems, Smartphone Alerting Systems, and AED Networks
Standardized reporting of data is crucial for out-of-hospital cardiac arrest (OHCA) research. While the implementation of first responder systems dispatching volunteers to OHCA is encouraged, there is currently no uniform reporting standard for describing these systems.A steering committee established a literature search to identify experts in smartphone alerting systems. These international experts were invited to a conference held in Hinterzarten, Germany, with 40 researchers from 13 countries in attendance. (Source: Resuscitation)
Source: Resuscitation - December 12, 2023 Category: Emergency Medicine Authors: M.P. M üller, C. Metelmann, K.C. Thies, R. Greif, T. Scquizzato, C.D. Deakin, A. Auricchio, T. Barry, E. Berglund, B.W. Böttiger, R. Burkart, H.J. Busch, M.L. Caputo, S. Cheskes, R. Cresta, D. Damjanovic, E. Degraeuwe, M.M. Ekkel, D. Elschenbroich, D. F Tags: Clinical paper Source Type: research

The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest
Animal studies suggest the efficacy of double sequential external defibrillation (DSED) may depend on the interval between the two shocks, or “DSED interval”. No human studies have examined this concept. (Source: Resuscitation)
Source: Resuscitation - December 11, 2023 Category: Emergency Medicine Authors: Mahbod Rahimi, Ian R. Drennan, Linda Turner, Paul Dorian, Sheldon Cheskes Tags: Clinical paper Source Type: research

Exploring cardiac arrest in ‘at-home’ settings: concepts derived from a qualitative interview study with layperson bystanders
Two thirds of Out-of-Hospital Cardiac Arrests (OHCAs) occur at the patient ’s home (‘at-home-CA’), where bystander CPR (B-CPR) rates are significantly lower than in public locations. Knowledge about the circumstances of this specific setting has mainly been limited to quantitative data. To develop a more conceptual understanding of the circumstances and dynamics of ‘ at-home CA’, we conducted a qualitative interview study. (Source: Resuscitation)
Source: Resuscitation - December 11, 2023 Category: Emergency Medicine Authors: Stefanie Beck, Marc Phillipps, Antje Degel, Hans-Christian Mochmann, Jan Breckwoldt Tags: Clinical paper Source Type: research

The Impact of Double Sequential Shock Timing on Outcomes During Refractory Out –of-Hospital Cardiac Arrest
Animal studies suggest the efficacy of double sequential external defibrillation (DSED) may depend on the interval between the two shocks, or “DSED interval”. No human studies have examined this concept. (Source: Resuscitation)
Source: Resuscitation - December 11, 2023 Category: Emergency Medicine Authors: Mahbod Rahimi, Ian R. Drennan, Linda Turner, Paul Dorian, Sheldon Cheskes Tags: Clinical paper Source Type: research