Resuscitation
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Emergency Medical Services (EMS) are often the first medical providers to begin resuscitation of out-of-hospital cardiac arrest (OHCA) victims. The universal Basic Life Support Termination of Resuscitation (BLS-TOR) rule is a validated clinical prediction tool used to identify patients in which continued resuscitation efforts are futile. ⋯ Rural EMS systems may benefit from implementation and utilization of the universal BLS-TOR rule.
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To determine whether neurologic consultation influences the use of therapeutic hypothermia. ⋯ The involvement of a neurologist in cardiac arrest patients is associated with increased use of therapeutic hypothermia, though therapeutic hypothermia for cardiac arrest likely remains underutilized.
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Observational Study
Major Regional Differences in Automated External Defibrillator Placement and Basic Life Support Training Exposure in France: Further Needs for Coordinated Implementation.
Public Access Defibrillation (PAD) programs have emerged since mid-1990s with the aim of improving survival from Out-of-Hospital Cardiac Arrest (OHCA). The extent to which their implementation in the community differs among different areas has not been evaluated. ⋯ Major heterogeneities in PAD programs exist, with significant room for better coordination in implementation. Population education in BLS provides an important benefit, regardless of the density of AEDs deployed, which should be taken into account in planning public health policies for improving OHCA survival.
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To investigate whether prolonged compared with standard duration of targeted temperature management (TTM) compromises coagulation. ⋯ Prolonged TTM in post-cardiac arrest patients impairs thrombin generation. ClinicalTrials.gov identifier: NCT02258360.