Exploring awareness in cardiac arrest studies: Methodological challenges
We read with interest the paper of Parniaet al. 1 which explores awareness and recall in cardiac arrest (CA) patients. We applaud the study's ambition, with its extensive collaboration across more than 20 sites and the use of diverse measurements like EEG in such critical situations. However, we have reservations about the study's methodological rigor, result interpretation, and instances of overstatement and inadequate conceptual clarity. (Source: Resuscitation)
Source: Resuscitation - January 1, 2024 Category: Emergency Medicine Authors: Charlotte Martial, Pauline Fritz, Nicolas Lejeune, Olivia Gosseries Tags: Correspondence Source Type: research
Stomach inflation during cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients: Where did the air go?
We read with great interest the article by Naito and colleagues1 which aimed to study the effect of stomach inflation during cardiopulmonary resuscitation on return of spontaneous circulation in out-of-hospital cardiac arrest patients. The authors used patients with a gastric volume ≥ the 75th percentile in their cohort as the cut-off value for defining the group with gastric distension. Gastric volumes for this group considered to have gastric distension ranged from 793 to 2673 ml. It is accepted in the literature that in an unprotected airway, about half of applied minu te ventilation usually enters the stomach. (S...
Source: Resuscitation - January 1, 2024 Category: Emergency Medicine Authors: Nicolas Cazes, Camille Martinet, Fran çois Topin Tags: Correspondence Source Type: research
The effect of thiamine and ascorbic acid on neurological outcomes after out-of-hospital cardiac arrest
We read with great interest the manuscript untitled “Effect of adjuvant thiamine and ascorbic acid administration on the neurologic outcome of out-of-hospital cardiac arrest patients: A before-and-after study” by Youn-Jung Kim et al.1, wherein the authors have retrospectively assessed the neurologic outcome of out-of-hospital cardiac arrest (OHCA ) patients treated with or without intravenous (IV) ascorbic acid (AA) and thiamine. The main result of this study was the lack of benefit for such post-cardiac arrest (CA) treatment regarding neurological outcome at one month after intensive care unit (ICU) admission, except ...
Source: Resuscitation - January 1, 2024 Category: Emergency Medicine Authors: Christophe Vinsonneau, Ghada Sboui, Noemie Peres, Jonathan Chelly Tags: Correspondence Source Type: research
Small ventilation bags and cardiac arrest outcomes – Not so fast
Recently, Snyder et al. reported their findings of a retrospective analysis of non-traumatic out-of-hospital cardiac arrest patients and the use of small ( “pediatric”) ventilation bags compared to standard adult ventilation bags.1 They found that over the course of six years, 1,331 out of 1,994 cardiac arrest patients were treated with a small ventilation bag. In this cohort, treatment with a small ventilation bag was associated with a 7% absolute reduction in the rate of return of spontaneous circulation (ROSC). (Source: Resuscitation)
Source: Resuscitation - January 1, 2024 Category: Emergency Medicine Authors: Torben K. Becker, David Lykens, Jason M. Jones, Brett T. Justice, Casey T. Carr, on behalf of the Florida Cardiac Arrest Research Team Tags: Correspondence Source Type: research
Editorial Board
(Source: Resuscitation)
Source: Resuscitation - January 1, 2024 Category: Emergency Medicine Source Type: research
Out-of-hospital cardiac arrest: Survival in children and young adults over 30 years, a nationwide registry-based cohort study
The impact of losing a child is an immeasurable tragedy affecting the family and the whole community. It is well known that etiologies of cardiac arrest in children differ from those in adults.1 –3 Pediatric cardiac arrests primarily stem from prolonged hypoxia or asphyxia caused by respiratory or circulatory failure, whereas cardiac arrests in adults generally are caused by ventricular tachycardia/ventricular fibrillation (VT/VF) due to coronary artery disease or heart failure.3,4 (Source: Resuscitation)
Source: Resuscitation - December 29, 2023 Category: Emergency Medicine Authors: Hannah Fovaeus, Johan Holmen, Zacharias Mandalenakis, Johan Herlitz, Araz Rawshani, Albert Gyllencreutz Castellheim Tags: Clinical paper Source Type: research
Out-of-hospital cardiac arrest: Survival in children and young adults over 30 years, a nationwide registry-based cohort study
The impact of losing a child is an immeasurable tragedy affecting the family and the whole community. It is well known that etiologies of cardiac arrest in children differ from those in adults.1 –3 Pediatric cardiac arrests primarily stem from prolonged hypoxia or asphyxia caused by respiratory or circulatory failure, whereas cardiac arrests in adults generally are caused by ventricular tachycardia/ventricular fibrillation (VT/VF) due to coronary artery disease or heart failure.3,4 (Source: Resuscitation)
Source: Resuscitation - December 29, 2023 Category: Emergency Medicine Authors: Hannah Fovaeus, Johan Holmen, Zacharias Mandalenakis, Johan Herlitz, Araz Rawshani, Albert Gyllencreutz Castellheim Tags: Clinical paper Source Type: research
Out-of-Hospital Cardiac Arrest: Survival in Children and Young Adults over 30 years, a Nationwide Registry-Based Cohort Study
The impact of losing a child is an immeasurable tragedy affecting the family and the whole community. It is well known that etiologies of cardiac arrest in children differ from those in adults1 –3. Pediatric cardiac arrests primarily stem from prolonged hypoxia or asphyxia caused by respiratory or circulatory failure, whereas cardiac arrests in adults generally are caused by ventricular tachycardia/ventricular fibrillation (VT/VF) due to coronary artery disease or heart failure3–4. (Source: Resuscitation)
Source: Resuscitation - December 29, 2023 Category: Emergency Medicine Authors: Hannah Fovaeus, Johan Holmen, Zacharias Mandalenakis, Johan Herlitz, Araz Rawshani, Albert Gyllencreutz Castellheim Tags: Clinical paper Source Type: research
Barriers to CPR initiation and continuation during the emergency call relating to out-of-hospital cardiac arrest: a descriptive cohort study
To describe the barriers to cardiopulmonary resuscitation (CPR) initiation and continuation in emergency calls for out-of-hospital cardiac arrest (OHCA). (Source: Resuscitation)
Source: Resuscitation - December 29, 2023 Category: Emergency Medicine Authors: Emogene S Aldridge, Nirukshi Perera, Stephen Ball, Tanya Birnie, Alani Morgan, Austin Whiteside, Janet Bray, Judith Finn Tags: Rapid response systems Source Type: research
GPT-4V Passes the BLS and ACLS Examinations: An Analysis of GPT-4V ’s Image Recognition Capabilities
To the Editor, (Source: Resuscitation)
Source: Resuscitation - December 29, 2023 Category: Emergency Medicine Authors: Ryan C. King, Vishnu Bharani, Kunal Shah, Yee Hui Yeo, Jamil S. Samaan Tags: Correspondence Source Type: research
Non-Prescription Drug-Associated Out-of-Hospital Cardiac Arrest: Changes in Incidence over Time and the Odds of Receiving Resuscitation
Multiple jurisdictions reported a significant increase in out-of-hospital cardiac arrest (OHCA) incidence over the past decade, however the reasons for this remain unclear. We investigated how drug-associated OHCA (DA-OHCA) contributed to overall OHCA incidence, and whether the likelihood of treatment by emergency medical services (EMS) was associated with DA-OHCA classification. (Source: Resuscitation)
Source: Resuscitation - December 29, 2023 Category: Emergency Medicine Authors: Valerie Mok, Callahan Brebner, Justin Yap, Michael Asamoah-Boaheng, Jacob Hutton, Morgan Haines, Frank Scheuermeyer, Takahisa Kawano, Jim Christenson, Brian Grunau Tags: Clinical paper Source Type: research
Cardiac power output: an old tool revisited as a new potential target for post-resuscitation care?
Management of post-cardiac arrest shock is an important area of care that must be provided to patients resuscitated from cardiac arrest (CA). Adequate hemodynamic management, based on precise monitoring, is one of the most important recommendations because it allows individualization of the treatments to be provided. In the current issue of the Journal, Magni and colleagues report the results a retrospective analysis of a cohort of CA patients investigating the association between the cardiac power output (CPO) and early mortality in this setting (Magni et al., 2023). (Source: Resuscitation)
Source: Resuscitation - December 26, 2023 Category: Emergency Medicine Authors: Guillaume Geri, Alain Cariou Tags: Editorial Source Type: research
Dissecting CPR
In 2014, a new technique consisting of elevating the head and thorax during cardiopulmonary resuscitation (head-up CPR) was introduced. 1 This idea initially seemed very simple; you just elevate the head and thorax while performing CPR. Not that complicated? (Source: Resuscitation)
Source: Resuscitation - December 22, 2023 Category: Emergency Medicine Authors: Nicolas Segal Tags: Editorial Source Type: research
Do Early DNACPR Decisions Prevent Inappropriate CPR Attempts
Do Not Attempt CPR (DNACPR) decisions are to prevent invasive resuscitation in patients unlikely to achieve a return of circulation and survive to leave hospital with a good quality of life. A 2012 UK report found that many CPR attempts occurred in patients deteriorating prior to arrest, with a failure to record treatment escalation plans (TEP), including CPR status(1), and recommended that all acute admissions should have CPR status decided within 24 hours of admission. We hypothesise that most deaths in patients with a DNACPR decision are from progressive deterioration, i.e. (Source: Resuscitation)
Source: Resuscitation - December 22, 2023 Category: Emergency Medicine Authors: Amy Coulden, Hugh Cairns Tags: Letter to the Editor Source Type: research
What does the COVID-19 pandemic reveal about out-of-hospital cardiac arrest? Insights from the Canadian EMS response
We would like to commend Armour and colleagues for their important contribution to the literature describing the impact of COVID-19 on acute medical care, specifically changes in out-of-hospital cardiac arrest (OHCA) management.1 Their work reporting on the response by the Canadian Emergency Medical System (EMS) to OHCA during the COVID-19 pandemic published in this issue of Resuscitation provides valuable insights into understanding the complex nature of the pandemic on emergency care. In this rich, high-quality dataset from the Canadian Resuscitation Outcome Consortium (CanROC) registry, the authors compared EMS manageme...
Source: Resuscitation - December 20, 2023 Category: Emergency Medicine Authors: Anna M. Johnson, Wayne D. Rosamond Tags: Editorial Source Type: research
