Resuscitation
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Randomized Controlled Trial Multicenter Study
Younger age is associated with higher levels of self-reported affective and cognitive sequelae six months post-cardiac arrest.
Affective and cognitive sequelae are frequently reported in cardiac arrest survivors; however, little is known about the risk factors. We assessed the hypothesis that self-reported affective and cognitive sequelae six months after OHCA may be associated with demography, acute care and cerebral outcome. ⋯ Younger age was associated with higher levels of self-reported affective and cognitive sequelae six months post OHCA. Female gender may be associated with self-reported anxiety. A higher CPC score may be a proxy for self-reported affective sequelae.
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Although guidelines recommend use of short acting sedation after cardiac arrest, there is significant practice variation. We examined whether benzodiazepine use is associated with delayed awakening in this population. ⋯ High-dose benzodiazepine exposure is independently associated with delayed awakening in comatose survivors of cardiac arrest.
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Randomized Controlled Trial
The effective group size for teaching cardiopulmonary resuscitation skills - a randomized controlled simulation trial.
The ideal group size for effective teaching of cardiopulmonary resuscitation is currently under debate. The upper limit is reached when instructors are unable to correct participants' errors during skills practice. This simulation study aimed to define this limit during cardiopulmonary resuscitation teaching. ⋯ This randomized controlled simulation trial reveals decreased ability of instructors to detect Basic Life Support performance errors with increased group size. The maximum group size enabling Basic Life Support instructors to correct more than 80% of errors is six. We therefore recommend a maximum instructor-to-participant ratio of 1:6 for cardiopulmonary resuscitation courses.
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Traumatic cardiac arrest (TCA) guidelines emphasize specific actions that aim to treat the potential reversible causes of the arrest. The aim of this study was to measure the impact of these recommendations on specific rescue measures carried out in the field, and their influence on short-term outcomes in the resuscitation of TCA patients. ⋯ Reversible measures were applied but to a varying degree, and may not adequately capture pre-hospital performance on overall TCA survival.
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No data are available on the quality of targeted temperature management (TTM) provided to out-of-hospital cardiac arrest (OHCA) patients and its association with outcome. ⋯ In this study, high quality of TTM was provided to a small proportion of patients. However, quality of TTM was not associated with patients' outcome.