Scand J Trauma Resus
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Scand J Trauma Resus · Nov 2019
Multicenter Study Observational StudyImpact of rewarming rate on the mortality of patients with accidental hypothermia: analysis of data from the J-Point registry.
Accidental hypothermia (AH) is defined as an involuntary decrease in core body temperature to < 35 °C. The management of AH has been progressing over the last few decades, and numerous techniques for rewarming have been validated. However, little is known about the association between rewarming rate (RR) and mortality in patients with AH. ⋯ This study showed that slower RR is independently associated with in-hospital mortality.
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Scand J Trauma Resus · Nov 2019
Multicenter StudyPrognostic ability of the sequential organ failure assessment score in accidental hypothermia: a multi-institutional retrospective cohort study.
Severe accidental hypothermia (AH) is life threatening. Thus, prognostic prediction in AH is essential to rapidly initiate intensive care. Several studies on prognostic factors for AH are known, but none have been established. We clarified the prognostic ability of the Sequential Organ Failure Assessment (SOFA) score in comparison with previously reported prognostic factors among patients with AH. ⋯ The SOFA score demonstrated better discrimination ability as a mortality predictor among all known prognostic factors in patients with AH.
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Scand J Trauma Resus · Nov 2019
Multicenter StudyDispatcher-assisted cardiopulmonary resuscitation for traumatic patients with out-of-hospital cardiac arrest.
Resuscitation efforts for traumatic patients with out-of-hospital cardiac arrest (OHCA) are not always futile. Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) during emergency calls could increase the rate of bystander cardiopulmonary resuscitation (CPR) and thus may enhance survival and neurologic outcomes of non-traumatic OHCA. This study aimed to examine the effectiveness of DA-CPR for traumatic OHCA. ⋯ DA-CPR was not associated with better outcomes for traumatic OHCA in achieving a sustained ROSC. The DA-CPR program for traumatic OHCAs needs further studies to validate its effectiveness and practicability, especially in the communities where rules for the termination of resuscitation in prehospital settings do not exist.