Resuscitation
-
Editorial Comment
Anaphylaxis Management - why are guidelines inconsistent?
-
Letter Observational Study
Out-of-Hospital Cardiac arrest incidence in the different phases of COVID-19 outbreak.
-
Randomized Controlled Trial
Clinical Evaluation of Intravenous Alone versus Intravenous or Intraosseous Access for Treatment of Out-of-Hospital Cardiac Arrest.
Obtaining vascular access during out-of-hospital cardiac arrest (OHCA) is challenging. The aim of this study was to determine if using intraosseous (IO) access when intravenous (IV) access fails improves outcomes. ⋯ Using IO when IV failed led to a higher rate of vascular access, prehospital adrenaline administration and faster adrenaline administration. However, it was not associated with higher ROSC, survival to discharge, or good neurological outcome.
-
Multicenter Study
Cardiopulmonary resuscitation in quaternary neonatal intensive care units: a multicenter study.
The reported incidence of cardiopulmonary resuscitation (CPR) in quaternary NICU is approximately 10-times higher than in the delivery room. However, the etiologies and outcomes of CPR in quaternary NICUs are poorly understood. We hypothesized that demographic characteristics, diagnoses, interventions, and arrest etiologies would be associated with survival to discharge after CPR. ⋯ Approximately 1% of neonates admitted to quaternary NICUs require CPR. The most common etiology of arrest is acute respiratory compromise on a ventilator. CPR events with respiratory etiology have a favorable outcome as compared to non-respiratory causes.