Emergency medicine journal : EMJ
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Few studies have reported factors that result in a better neurological outcome in patients with postcardiac arrest syndrome (PCAS) following return of spontaneous circulation (ROSC). We investigated the factors affecting neurological outcome in terms of both prehospital care and treatments after arrival at hospital in patients with PCAS. ⋯ In the present study, shortening time interval from receipt of call to ROSC was the only important independent factor to achieve good neurological outcome in patients with PCAS.
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Comparative Study
Comparison of chest compressions in the standing position beside a bed at knee level and the kneeling position: a non-randomised, single-blind, cross-over trial.
When rescuers perform cardiopulmonary resuscitation (CPR) from a standing position, the height at which chest compressions are carried out is raised. ⋯ The results suggest that there may be no significant differences in compression rate and depth between CPR performed on manikins placed on the floor and those placed at a rescuer's knee height.
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A shortcut review was carried out to establish whether intraosseous administration of adenosine was an effective and safe way to terminate supraventricular tachycardia in the paediatric population. Five papers were yielded with the below described search strategies, of which two were directly relevant to the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of the papers are tabulated. It was concluded that there is contradicting evidence for the efficacy of intraosseous adenosine, and further studies are needed to answer this question.