Resuscitation
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Multicenter Study Observational Study
Time on the scene and interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest.
Survival is less than 10% for pediatric patients following out-of-hospital cardiac arrest. It is not known if more time on the scene of the cardiac arrest and advanced life support interventions by emergency services personnel are associated with improved survival. ⋯ In this observational study, a scene time of 10 to 35 min was associated with the highest survival, especially among adolescents. Access for fluid resuscitation was associated with increased survival but advanced airway and resuscitation drugs were not.
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Review Meta Analysis
Mechanical chest compression for out of hospital cardiac arrest: Systematic review and meta-analysis.
This review of five trials investigating the efficacy of mechanical CPR devices (the LUCAS & AutoPulse) concluded that the devices demonstrate no outcome advantage compared with manual CPR, in terms of 30 day survival, survival to discharge, or neurological outcome.
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Multicenter Study
Availability and use of capnography for in-hospital cardiac arrests in the United Kingdom.
Airway complications occur more frequently outside the operating theatre and in emergency situations. Capnography remains the gold standard for confirming correct endotracheal tube placement, retaining high sensitivity and specificity in cardiac arrest. The 2010 European Resuscitation Council guidelines for adult advanced life support recommended waveform capnography in this setting. We investigated current UK practice relating to the availability and use of this technology during cardiac arrest. ⋯ We believe this is the first study of its kind to fully investigate the availability and use of capnography during cardiac arrest throughout the hospital. Whilst equipment provision appears adequate in critical care areas, it is insufficient in general wards.