Abstract:
:The pre-hospital care provided by emergency response systems will have an effect on the outcome of patients who have sustained an out of hospital cardiac arrest. This study compares the results of resuscitation in two centres, one in the UK (Edinburgh) and the other in the USA (Milwaukee), and examines the demographics in both centres. An overall greater proportion of patients survived to hospital discharge in Edinburgh, 12.4%, compared with 7.2% in Milwaukee (P < 0.01). However patients were more likely to have a witnessed collapse in Edinburgh 65.7%, compared with 25% (P < 0.001) and significantly more of those patients received bystander cardiopulmonary resuscitation (CPR) 42.3%, compared with 27.1% (P < 0.005). When these two effects are accounted for there is no difference in outcome. The importance of early alerting of emergency services and early bystander CPR should not be underestimated.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Mitchell RG,Brady W,Guly UM,Pirrallo RG,Robertson CEdoi
10.1016/s0300-9572(97)00072-5keywords:
subject
Has Abstractpub_date
1997-11-01 00:00:00pages
225-9issue
3eissn
0300-9572issn
1873-1570pii
S0300957297000725journal_volume
35pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract::S(p)O(2) is routinely used to assess the well-being of patients, but it is difficult to find an evidence-based description of its normal range. The British Thoracic Society (BTS) has published guidance for oxygen administration and recommends a target S(p)O(2) of 94-98% for most adult patients. These recommendations r...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.06.002
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Postresuscitation myocardial dysfunction (PRMD) can develop after successful resuscitation from cardiac arrest. However, echocardiographic patterns of PRMD remain unknown. This study aimed to investigate PRMD manifestations with serial echocardiography during the post-cardiac arrest period. METHODS:We enrol...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2018.01.019
更新日期:2018-03-01 00:00:00
abstract:IMPORTANCE:Assessment of morbidity is an important component of evaluating interventions for patients with out-of-hospital cardiac arrest (OHCA). OBJECTIVE:We evaluated among survivors of OHCA cognition, functional status, health-related quality of life and depression as functions of patient and emergency medical serv...
journal_title:Resuscitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.resuscitation.2015.05.011
更新日期:2015-08-01 00:00:00
abstract:AIMS:Out of Hospital Cardiac Arrest (OHCA) is frequently attributed to coronary artery disease, thus guidelines recommend coronary angiography (CAG) for survivors of OHCA. However, the real-world application of these guidelines is unknown, and we sought to evaluate CAG practices in the contemporary OHCA population. ME...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2018.10.007
更新日期:2018-12-01 00:00:00
abstract:UNLABELLED:Older people are trained infrequently in cardiopulmonary resuscitation (CPR), yet are more likely to witness a cardiac arrest. Older people who are CPR trained perform CPR when witnessing a cardiac arrest. OBJECTIVE:To assess whether elderly adults (>55 years) who receive chest-compression only cardiopulmon...
journal_title:Resuscitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0300-9572(03)00123-0
更新日期:2003-08-01 00:00:00
abstract::Open-chest cardiac massage appears beneficial in improving hemodynamics during resuscitation efforts and in improving resuscitation success. The time between cardiac arrest and the initiation of open-chest cardiac massage is crucial. It would appear that if initiation of open chest cardiac massage is delayed for more ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(87)90097-9
更新日期:1987-03-01 00:00:00
abstract::Measures of CO2 have been shown to correlate with coronary perfusion pressure and cardiac output during cardiac arrest. We evaluated arterial pH (pHa) relative to blood flow during cardiac arrest in a canine electromechanical dissociation (EMD) model of cardiac arrest using different resuscitation techniques. Followin...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(92)90195-i
更新日期:1992-04-01 00:00:00
abstract::Most survival outcomes in out-of-hospital cardiac arrest (OHCA) are provided by emergency medical services (EMS) without a doctor on board. Our objective was to determine such outcomes in a whole country with public physician-led EMS. METHODS:We analyzed data from a nationwide prospective registry of OHCA cases atten...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2017.01.029
更新日期:2017-04-01 00:00:00
abstract:INTRODUCTION:Reports about the efficacy of precordial thump (PT) in the termination of ventricular arrhythmias (VA) vary widely. Very little recent data about the mechanical termination of VA induced during programmed ventricular stimulation are available. METHODS:We prospectively studied 485 consecutive patients (May...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2008.07.022
更新日期:2009-01-01 00:00:00
abstract:CONTEXT:Extracorporeal cardiopulmonary resuscitation (ECPR) refers to emergent percutaneous veno-arterial cardiopulmonary bypass to stabilize and provide temporary support of patients who suffer cardiopulmonary arrest. Initiation of ECPR by emergency physicians with meaningful long-term patient survival has not been de...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.01.027
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to investigate the neuroprotective effects of intraperitoneal injection of hydrogen (H2) in rabbits with cardiac arrest (CA). METHODS:A rabbit model of CA was established by the delivery of alternating current between the esophagus and chest wall to induce ventricular fibrillati...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.10.018
更新日期:2013-05-01 00:00:00
abstract::During the many emergency situations in which venous access is difficult or impossible, endotracheal drug administration is an effective alternative means of delivering life-saving medications. Shock is a commonly encountered emergency situation in which endotracheal drug therapy can and is often used. Yet whether a d...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(90)90108-q
更新日期:1990-06-01 00:00:00
abstract:AIM OF THE STUDY:Regionalization of care for out-of-hospital cardiac arrests (OHCA) may improve patient outcomes. We evaluated inter-hospital variations in post-arrest care provision and the relation between hospital case volume and survival in Pennsylvania. METHODS:This retrospective study (2013-2017) used data from ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2019.02.004
更新日期:2019-04-01 00:00:00
abstract::The effects of spontaneous respiration and mechanical ventilation were examined by investigating the interaction between elevated intracranial pressure and alcohol intoxication. Ethanol (200 ml 48%) was infused in 11 young pigs with elevated cerebral pressure during mechanical ventilation (group 1), 7 young pigs with ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(87)90023-2
更新日期:1987-06-01 00:00:00
abstract:INTRODUCTION:We studied how effectively a mixed group of helpers could ventilate a manikin with a new rescue breathing device after a short period of instruction. The device consists of a mouthcap, a "glossopalatinal tube" (GPT) reaching between tongue and palate and a connector for a bag, ventilator or the rescuers mo...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(03)00205-3
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:A key component of out-of-hospital emergency care is the rapid response of trained providers with appropriate medical equipment. In some communities, law enforcement agents function as first responders to accomplish this goal. The purpose of this national survey was to assess the proportion of law enforcemen...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2006.07.021
更新日期:2007-03-01 00:00:00
abstract:INTRODUCTION:In trauma patients with chest injuries, traumatic pericardial effusion is an important scenario to consider because of its close linkage to cardiac injury. Even with advances in imaging, diagnosis remains a challenge and use of which surgical approach is controversial. This study reviews the treatment algo...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2010.06.026
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:This study investigated sustained abdominal compression as a means to improve coronary perfusion pressure (CPP) during cardiopulmonary resuscitation (CPR) and compared the resulting CPP augmentation with that achieved using vasopressor drugs. METHOD:During electrically induced ventricular fibrillation in an...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2007.05.012
更新日期:2007-12-01 00:00:00
abstract:AIMS:The cerebellum is among the brain regions most vulnerable to damage caused by cardiac arrest, and cerebellar Purkinje cell loss may contribute to neurologic dysfunction, including post-hypoxic myoclonus. However, it remains unknown whether cerebellar Purkinje cells are protected by post-cardiac arrest therapeutic ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.05.022
更新日期:2012-12-01 00:00:00
abstract:INTRODUCTION:Quality chest compressions (CC) are the most important factor in successful cardiopulmonary resuscitation. Adjustment of CC based upon an invasive arterial blood pressure (ABP) display would be theoretically beneficial. Additionally, having one compressor present for longer than a 2-min cycle with an ABP d...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2013.06.014
更新日期:2013-11-01 00:00:00
abstract::This study evaluated the competence of students of the healthcare professions to locate the carotid pulse using a computerised manikin, within 10 s. A sample of 105 students from physiotherapy, radiography, midwifery and nursing participated in measuring diagnostic accuracy in a single attempt at pulse check using a c...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(00)00139-8
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:It has been shown that a computer-based audible feedback system can improve acquisition and retention of basic life support (BLS) skills. This system is being developed to work in association with an automated external defibrillator (AED). AIM:To determine if such a feedback system is likely to improve the ...
journal_title:Resuscitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0300-9572(02)00400-8
更新日期:2003-04-01 00:00:00
abstract:INTRODUCTION:After cardiac arrest due to acute coronary syndromes (ACS) therapeutic hypothermia (HT) is the standard care to reduce neurologic damage. Additionally, the concomitant medical treatment with aspirin and a P2Y12 receptor inhibitor like clopidogrel (Cl), prasugrel (Pr) or ticagrelor (Ti) is mandatory. The pl...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2014.02.004
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:Defibrillation of patients connected to medical equipment that is not defibrillation proof risks ineffective defibrillation and harm to the operator as a result of aberrant electrical pathways taken by the defibrillation current. Many renal dialysis systems are not currently defibrillation proof. Although ...
journal_title:Resuscitation
pub_type: 杂志文章,评审
doi:10.1016/j.resuscitation.2006.10.012
更新日期:2007-06-01 00:00:00
abstract::The Guidelines 2000 for cardiopulmonary resuscitation recommend shock delivery to victims in ventricular fibrillation within 5 min of call receipt by the Emergency Medical Services. In an effort to achieve this goal, in some parts of the United States, police officers have been trained to use automated external defibr...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(01)00343-4
更新日期:2001-08-01 00:00:00
abstract:INTRODUCTION:Clinical teams struggle on general wards with acute management of deteriorating patients. We hypothesized that the Crisis Checklist App, a mobile application containing checklists tailored to crisis-management, can improve teamwork and acute care management. METHODS:A before-and-after study was undertaken...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2020.09.031
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To compare the two-finger versus the two-thumb method of chest compression on an infant model. METHOD: STUDY:an unblinded, prospective, cross-over experimental study. SETTING:the metropolitan area of a city with a population of greater than 260,000. PARTICIPANTS:pediatric medical personnel and emergency w...
journal_title:Resuscitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0300-9572(99)00145-8
更新日期:2000-02-01 00:00:00
abstract:PURPOSE:To evaluate, in a hospital setting, the influence of different, common mattresses, with and without a backboard, on chest movement during CPR. DESIGN AND SETTING:Sixty CPR sessions (140s each, 30:2, C:R ratio 1:1) were performed using a manikin on standard hospital mattresses, with or without a backboard in co...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2009.03.023
更新日期:2009-05-01 00:00:00
abstract::The purpose of this study was to compare the rewarming effectiveness of a radio frequency coil (13.56 MHz) at a specific absorption rate (SAR) of 2.5 W/kg (RF) with warm water immersion (40 degrees C) (WW) and an insulated mummy-type insulating sack (IS) under simulated field conditions. Four male subjects, ages 24-35...
journal_title:Resuscitation
pub_type: 临床试验,杂志文章
doi:10.1016/0300-9572(94)00845-7
更新日期:1995-06-01 00:00:00
abstract::To study the hemodynamic effects of graded doses of epinephrine (EPI) in a newborn animal model of hemodynamically significant bradycardia, we performed the following study. Ten newborn lambs were chronically instrumented with catheters and flow transducers so that systemic, pulmonary arterial, left atrial and right a...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(93)90120-f
更新日期:1993-06-01 00:00:00