Resuscitation
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Multicenter Study Observational Study
Correlation between initial serum levels of lactate after return of spontaneous circulation and survival and neurological outcomes in patients who undergo therapeutic hypothermia after cardiac arrest.
We analysed the relationship between serum levels of lactate within 1h of return of spontaneous circulation (ROSC) and survival and neurological outcomes in patients who underwent therapeutic hypothermia (TH). ⋯ High levels of lactate in serum measured within 1h of ROSC are associated with hospital mortality and high CPC scores in cardiac arrest patients treated with TH.
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Multicenter Study
Shorter time to target temperature is associated with poor neurologic outcome in post-arrest patients treated with targeted temperature management.
Time to achieve target temperature varies substantially for patients who undergo targeted temperature management (TTM) after cardiac arrest. The association between arrival at target temperature and neurologic outcome is poorly understood. We hypothesized that shorter time from initiation of cooling to target temperature ("induction") will be associated with worse neurologic outcome, reflecting more profound underlying brain injury and impaired thermoregulatory control. ⋯ In this multicenter cohort of post-arrest TTM patients, shorter induction time was associated with poor neurologic outcome.
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Multicenter Study
Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: A multi-centre survey.
To identify factors underlying attitudes towards the medical emergency team (MET) and barriers to its utilisation among ward nurses and physicians. ⋯ The MET was well accepted in participating hospitals. Nurse referral to the covering physician was the major barrier to MET activation. Medical status, working in surgical vs. medical wards, seniority and participation in the METal educational programme were associated with lower likelihood of showing barriers to MET activation.
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Multicenter Study
Do early emergency calls before patient collapse improve survival after out-of-hospital cardiac arrests?
Some out-of-hospital cardiac arrests (OHCAs) are witnessed after emergency calls. This study aimed to confirm the benefit of early emergency calls before patient collapse on survival after OHCAs witnessed by bystanders and/or emergency medical technicians (EMTs). ⋯ Early emergency calls before patient collapse efficiently increases the proportion of EMT-witnessed cases and promotes survival after witnessed OHCAs. However, early emergency call before collapse may worsen the outcome when the patient's condition deteriorates to cardiac arrest before EMT arrival.
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Multicenter Study
Out-of-Hospital Cardiac Arrests in Children and Adolescents: Incidences, Outcomes, and Household Socioeconomic Status.
There is insufficient knowledge of out-of-hospital cardiac arrest (OHCA) in the very young. ⋯ OHCA incidences and survival rates varied significantly between age groups. High parental education was found to be associated with improved survival after OHCA.