Manual pressure augmentation (MPA) involves an operator wearing gloves pushing down on the sternal and apical patches at the time of energy delivery using either a clenched fist or open palm Potential effects of MPA Reduction of transthoracic impedance Improve…
Out-of-hospital cardiac arrest (OHCA) is a leading cause of mortality and disability worldwide. Despite the progress in the field of resuscitation, survival in patients treated with conventional cardiopulmonary resuscitation (basic life support and advanced life support) remains very low (<10%).…
2500 articles were published in 2021 in the fields of cardiac arrest, CPR and resuscitation. I systematically searched and selected 10 RCTs that I considered the most relevant landmark trials of 2021 in the fields of Cardiac Arrest, CPR and…
Scquizzato T, Semeraro F. No more unwitnessed out-of-hospital cardiac arrests in the future thanks to technology. Resuscitation. 2021 Nov 22;170:79-81. doi: 10.1016 READ Nearly half of out-of-hospital cardiac arrest (OHCA) are unwitnessed. Most of these patients die because the chain…
The ideal group size for effective teaching of cardiopulmonary resuscitation is currently under debate. Medical students and nurses were recruited as simulated “BLS course participants”. Each was instructed to make three different errors randomly assigned from a list of 12…
In case of cardiac arrest, be sure to correctly place pads, in particular during shockable rhythms and above all if ventricular fibrillation is REFRACTORY. Incorrect position of defibrillator pads may reduce the chance of unsuccessful termination of ventricular fibrillation. Correct…
Maybe you’ve never considered the issue of performing cardiopulmonary resuscitation (CPR) in space but space agencies really have thought of everything. The likelihood of cardiac arrest occurring in space remains extremely low, and will most likely be nonsurvivable due to…
Al-Dury N, Ravn-Fischer A, Hollenberg J, et al. Identifying the relative importance of predictors of survival in out of hospital cardiac arrest: a machine learning study. Scand J Trauma Resusc Emerg Med. 2020;28(1):60. Published 2020 Jun 25. doi:10.1186/s13049-020-00742-9 Overall population The…
Post-resuscitation death contributes significantly to overall OHCA mortality Most patients who achieve ROSC, die after 24-72 hours of the post-resuscitation syndrome Post-resuscitation syndrome is characterized by cardiovascular dysfunction multi-organ failure failure of CNS recovery has similarity with sepsis syndrome compared…
COVID-19 may be responsible also for undirect death. Lockdown, movement restrictions, and fear of contamination in hospitals could have led to a reluctance to call EMS or present to EDs and may have detrimental effects on population health.Resuscitation of patients…