Resuscitation
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To assess the possibility of heart rate variability (HRV) measures as predictors of 24-h mortality in successfully resuscitated patients with out-of-hospital cardiac arrest (OHCA). ⋯ HRV measures, especially the nLFP, may be used as predictors of 24-h mortality for successfully resuscitated patients with OHCA in the ED.
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Upregulation of pulmonary inflammatory molecules is crucial in mediating the development of acute lung injury induced by haemorrhagic shock. Dexmedetomidine and ketamine possess potent anti-inflammatory capacity. We sought to elucidate whether dexmedetomidine, ketamine, or dexmedetomidine-ketamine combination could mitigate acute lung injury in haemorrhagic shock rats. ⋯ Dexmedetomidine-ketamine combination mitigates acute lung injury in haemorrhagic shock rats.
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Quality of chest compressions (CC) is an important determinant of resuscitation outcome for cardiac arrest patients. ⋯ The quality of CC performed by personnel at US hospitals as judged by their performance on a manikin is often suboptimal. Quality of CC can be improved with use of CPR feedback technologies.
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An important predictor of outcomes from out-of-hospital cardiac arrest (OOHCA) is bystander resuscitation, but in industrialised nations this is undertaken only in 15-50%. To explore reasons for this low response rate we analysed bystander perceptions during the victim's collapse, and methods used to assess cardiac arrest. ⋯ In this sample of interviewed bystanders of OOHCA, almost half of the arrests were not detected. This might be a reason for the low rate of bystander resuscitation. Common bystander perceptions of arrest presence included "bluish skin colour" and abnormal breathing of the victim. These findings indicate that improvement of perception capabilities should be incorporated as a major learning objective into lay basic life support training. In addition, information regarding skin colour may be of value in dispatch protocols.
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Biography Historical Article
Resuscitation Great. Rudolf Juchems--a pioneer of cardiopulmonary resuscitation in Germany.