Resuscitation
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Review Meta Analysis
Adrenaline for out-of-hospital cardiac arrest resuscitation: A systematic review and meta-analysis of randomised controlled trials.
The evidence for adrenaline in out-of-hospital cardiac arrest (OHCA) resuscitation is inconclusive. We systematically reviewed the efficacy of adrenaline for adult OHCA. ⋯ There was no benefit of adrenaline in survival to discharge or neurological outcomes. There were improved rates of survival to admission and ROSC with SDA over placebo and HDA over SDA.
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Observational Study
Effect of mattress and bed frame deflection on real chest compression depth measured with two CPR sensors.
Implementation of chest compression (CC) feedback devices with a single force and deflection sensor (FDS) may improve the quality of CPR. However, CC depth may be overestimated if the patient is on a compliant surface. We have measured the true CC depth during in-hospital CPR using two FDSs on different bed and mattress types. ⋯ The use of FDS without real-time correction for deflection may result in CC depth not reaching the recommended depth of 50 mm.
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Accidental hypothermic cardiac arrest is associated with unfortunate prognosis and large studies are rare. We therefore have performed an outcome analysis in patients that were admitted to Vienna University Hospital with the diagnosis of accidental hypothermic cardiac arrest. ⋯ Accidental hypothermic cardiac arrest in a central European urban area is rare. Prognosis was excellent in patients where hypothermic cardiac arrest was caused by intoxication.