Resuscitation
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Comparative Study
Extra corporeal life support makes advanced radiologic examinations and cardiac interventions possible in patients with cardiac arrest.
Extra corporeal life support (ECLS) with a mobile system is an option in the treatment of cardiac arrest often of unknown reason. After commencing ECLS the search for a provoking origin may include advanced radiologic examinations before deciding further treatment. ⋯ It is possible to make radiological examinations i.e., CT scans, pulmonary and coronary angiography in patients suffering heart arrest of unknown origin with the use of ECLS in order to improve patient treatment in this very high-risk population.
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Intravenous (IV) infusion of ice cold saline is an effective method to initiate induction of mild therapeutic hypothermia (MTH) following resuscitation from out-of-hospital cardiac arrest (OOHCA). Intraosseous (IO) infusion of cold saline may be an alternative method to induce MTH. ⋯ IV infusion of ice cold saline is an efficacious method to achieve MTH in this swine model of cardiac arrest. Furthermore, IO infusion of cold saline is not sufficient to induce MTH in the time routinely available in the prehospital setting following OOHCA.
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Randomized Controlled Trial Multicenter Study Comparative Study
Morbidity related to emergency endotracheal intubation--a substudy of the KETAmine SEDation trial.
To evaluate the association between emergency tracheal intubation difficulty and the occurrence of immediate complications and mortality, when standardised airway management is performed by emergency physicians. ⋯ Difficult intubation, measured by the IDS score, is associated with increased morbidity and mortality in patients managed under emergent conditions.