Resuscitation
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The design and implementation of a wearable training device to improve cardiopulmonary resuscitation (CPR) is presented. ⋯ The system allows for portable, real-time feedback for use in training and in the field, and shows promise toward classifying and improving the administration of CPR.
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Aortic stenosis is an independent predictor for outcome in patients with in-hospital cardiac arrest.
Prognostic tools for decision-making whether to continue advanced life support or limit life sustaining interventions in In-Hospital Cardiac Arrest (IHCA), remain scarce and inconclusive. In this regard it seems intuitive that the presence of aortic stenosis (AS) impacts on both central and peripheral perfusion during resuscitative attempts and might worsen outcome. Therefore, we aimed to investigate the prognostic value of AS on outcome after IHCA. ⋯ AS proved to be a strong and independent predictor for mortality and poor outcome after IHCA. Therefore, the presence of AS mirrors an easily available predictive tool for risk stratification and decision-making.
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To evaluate volume-outcome relationship in paediatric out-of-hospital cardiac arrest (OHCA). ⋯ There may be a relationship between institutional case volume and survival outcomes in paediatric OHCA.
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Observational Study
Impact of right ventricular dysfunction on mortality in adults with cardiac arrest undergoing coronary angiogram.
We sought to identify the impact of echocardiographic right ventricular (RV) systolic dysfunction on mortality in adults with cardiac arrest (CA). ⋯ In this observational contemporary study, RV dysfunction was independently associated with higher mortality in adults with CA undergoing coronary angiogram. RV dysfunction may be useful for risk stratification and management in this high-mortality population.
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Cardiac arrest related to accidental hypothermia may occur at temperatures below 32 °C. Our goal was to describe the clinical characteristics and outcomes of patients who suffered from witnessed hypothermic cardiac arrest (CA) and assess the occurrence of hypothermic CA as a function of patient body temperature. ⋯ CA that is solely caused by hypothermia did not occurs for patients with a body temperature >30 °C. Our findings provide valuable new information that can be incorporated into the international clinical management guidelines of accidental hypothermia.