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Advanced Cardiac Life Support
Lancet. 2020 Dec 5;396(10265):1807-1816. doi: 10.1016/S0140-6736(20)32338-2. Epub 2020 Nov 13. ABSTRACT BACKGROUND: Among patients with out-of-hospital cardiac arrest (OHCA) and ventricular fibrillation, more than half present with refractory ventricular fibrillation unresponsive to initial standard advanced cardiac life support (ACLS) treatment. We did the first randomised clinical trial in the USA of extracorporeal membrane oxygenation (ECMO)-facilitated...
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Am J Emerg Med. 2021 Jan;39:168-172. doi: 10.1016/j.ajem.2020.08.103. Epub 2020 Oct 21. ABSTRACT BACKGROUND: Epinephrine is recommended in contemporary educational efforts by the American Heart Association (AHA) as central to adult Advanced Cardiac Life Support (ACLS). However, the International Liaison Committee on Resuscitation (ILCOR) 2019 recommendations update describes large evidentiary gaps for epinephrine use in...
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PLoS One. 2020 Nov 6;15(11):e0241804. doi: 10.1371/journal.pone.0241804. eCollection 2020. ABSTRACT Improving outcomes after out-of-hospital cardiac arrests (OHCAs) requires an integrated approach by strengthening the chain of survival and emergency care systems. This study aimed to identify the change in outcomes over a decade and effect of citywide intervention on good neurologic outcomes after OHCAs in...
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Ann Thorac Surg. 2021 Jan;111(1):327-369. doi: 10.1016/j.athoracsur.2020.07.009. Epub 2020 Oct 6. ABSTRACT Post-cardiotomy extracorporeal life support (PC-ECLS) in adult patients has been used only rarely but recent data have shown a remarkable increase in its use, almost certainly due to improved technology, ease of management, growing familiarity with its capability and decreased costs. Trends in...
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Resuscitation. 2020 Aug;153:56-57. doi: 10.1016/j.resuscitation.2020.06.005. Epub 2020 Jun 12. NO ABSTRACT PMID:32540262 | PMC:PMC7292001 | DOI:10.1016/j.resuscitation.2020.06.005
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J Med Internet Res. 2020 Mar 12;22(3):e17425. doi: 10.2196/17425. ABSTRACT BACKGROUND: The incidence of cardiac arrests per year in the United States continues to increase, yet in-hospital cardiac arrest survival rates significantly vary between hospitals. Current methods of training are expensive, time consuming, and difficult to scale, which necessitates improvements in advanced cardiac life support...
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J Vis Exp. 2020 Jan 30;(155). doi: 10.3791/60707. ABSTRACT Cardiopulmonary resuscitation after cardiac arrest, independent of its origin, is a regularly encountered medical emergency in hospitals as well as preclinical settings. Prospective randomized trials in human subjects are difficult to design and ethically ambiguous, which results in a lack of evidence-based therapies. The model presented...
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Clin Ther. 2020 Jan;42(1):121-129. doi: 10.1016/j.clinthera.2019.11.001. Epub 2019 Dec 23. ABSTRACT PURPOSE: Cardiopulmonary resuscitation is common in the United States, with >200,000 people experiencing an in-hospital cardiac arrest (IHCA) annually. Recent medication shortages have raised the question of the frequency and type of medication used during cardiac arrest resuscitation. We sought to determine the frequency...
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Dimens Crit Care Nurs. 2020 Jan/Feb;39(1):33-38. doi: 10.1097/DCC.0000000000000394. ABSTRACT INTRODUCTION: Cardiac arrest is the most urgent type of emergency, and favorable outcomes are best achieved by early resuscitation. Advanced Cardiac Life Support (ACLS) certification enables nurses to provide care to patients who are at a high risk of life-threatening emergencies. OBJECTIVE: The objective of this...
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BMJ Open. 2019 Nov 26;9(11):e032967. doi: 10.1136/bmjopen-2019-032967. ABSTRACT OBJECTIVE: This study aimed to assess the benefits of adding a physician-staffed ambulance to bystander-witnessed out-of-hospital cardiac arrest using a community-based registry. DESIGN: Population-based, retrospective cohort study. SETTING: An urban city with approximately 800 000 residents. PARTICIPANTS: Patients aged ≥18 years with bystander-witnessed out-of-hospital cardiac arrests of...
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