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Abstract Background Patients with traumatic cardiac arrest have been found to have poor prognoses. Failure cardiopulmonary resuscitation continued for more than 15 minutes after TCA, according to the Joint Committee of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma in 2003. To show the survival curve of TCA, we set out to determine the relationship between emergency medical services transportation time and survival. According to transportation time for all patients, estimates of the survival rate and risk ratio for survival were determined. Overall survival after TCA was 4. 5 percent, but in patients with sustained TCA at arrival, it was just 2. 2%. After 15 min of travel time, the estimated survival rate and risk ratio for sustained TCA rapidly decreased, with estimated survival falling below 1%. Conclusions The chances of surviving TCA are decreasing rapidly, but the patient is being transported with CPR assistance.
Source link: https://doi.org/10.1186/s12873-021-00499-z
Object: Out-of-hospital cardiac arrest is a common cause of death around the world. Multiple deaths from coronavirus disease 2019 atat home and being counted as OHCA may have resulted in multiple deaths, as shown by the high percentage of COVID-19 suspicion or diagnosis among patients with OHCA. OHCA and mortality rates increased dramatically during the COVID-19 pandemic in comparison to the previous year's similar period. The community's response to OHCA during the pandemic changed, with less bystander cardiopulmonary resuscitations, longer emergency medical service response times, and lower OHCA survival rates. If the chain of survival is maintained and emergency ambulance services with a licensed emergency medical team are available, the outcomes for OHCA survivors can be even greater.
Source link: https://doi.org/10.3390/healthcare11020189
METHODS 65 patients who received adenosine for decompression of aneurysms after microsurgical clipping were identified and randomly matched with 65 random patients who underwent clipping but no one was enrolled in adenosine during surgery. RESULTS IN Group A, 40 patients underwent clipping with AiCA alone, 25 patients underwent AiCA mixed with TC, and 25 patients underwent surgical intervention under the protection of TC; in Group B, 60 patients underwent aneurysm clipping under the protection of TC.
Source link: https://doi.org/10.3171/2017.5.jns162469
OBJECTIVE The authors of the paper The authors hoped to analyze a large, publicly accessible, national hospital registry to better clarify the effects of cardiopulmonary arrest in association with subarachnoid hemorrhage, both in association with subarachnoid hemorrhage, on short-term mortality and discharge disposition. SAH was a patient in association with SAH, and it resulted in the hospitalization of 5415 patients with an admission diagnosis of CA. Patients with SAH and not CA had a higher mean NIS Subarachnoid Severity Score u00b1 SD and a significantly higher mortality rate than those with SAH and not CA. About 18% of patients with CA-SAH survived and were discharged to a hospital or home with health care, the most predicted by chronic disease processes and large teaching hospital status, were both expected by persistent disease processes and large teaching hospital status. CONCLUSIONS CA at onset was discovered to complicate approximately 3% of spontaneous SAH cases and was associated with high mortality in the largest study of its kind.
Source link: https://doi.org/10.3171/2021.12.focus21650
The Bern University Hospital in Switzerland is a tertiary medical center in Switzerland with a cardiac arrest team that is open 24 h per day, 7 days a week. The prevalence, incidence, outcomes, and survival rates of cardiac arrest team interventions in the hospital are uncertain due to a lack of centrally based evidence of cardiac arrest team operations. We wanted to capture all cardiac arrest team interventions over the past one year, as well as investigate adult patients surviving and recovery rates following in-hospital cardiac arrests. Methods We conducted a prospective single-centre observational study that collected all adult in-hospital cardiac arrest team activities over a year, using an Utstein-style case report form. Following a 30 days with a positive neurological outcome, over one-third of the cardiac arrest patients were still alive. Conclusions The incidence of in-hospital cardiac arrest on a large tertiary Swiss university hospital in Zürich was 1. 56 percent per 1000 patient admissions.
Source link: https://doi.org/10.1186/s13049-021-00931-0
Aneurysmal subarachnoid hemorrhage in adults is a potentially lethal cause of sudden cardiogenic dysfunction due to an acute medical disorder. NSM has been identified in only two pediatric cases of hydrocephalus-induced NSM. The authors explore a third case in a 14-year-old boy who presented with severe headaches, reduced motivation, and shock in the context of acute hydrocephalus secondary to fourth ventricular outlet obstruction 3 years after standard-risk medulloblastoma therapy. His ventricles grew in size over the past week, and his heart function returned to normal. All other causes of heart failure were ruled out, except for his remarkable response to CSF diversion, which clarified the diagnosis of NSM secondary to hydrocephalus. This case illustrates the importance of prompt CSF diversion and cardiac care for acute hemocephalus in the pediatric population.
Source link: https://doi.org/10.3171/2019.2.peds18711
After OHCA, the aim of this research was to describe the time course of coagulation abnormalities in patients undergoing targeted temperature control. Methods This prospective, multicenter, observational cohort study was conducted in eight emergency departments in Korea between September 2018 and September 2019. Patients with poor neurological outcomes at admission and 24 hours after ROSC were higher in patients with partial thrombin time, international normalized ratio, and D-dimer levels were higher in patients with poor neurological outcomes at admission and 24 h after ROSC. As time, the lactic acid and D-dimer levels decreased, though fibrinogen increased with time. At hospital discharge, neurological events were associated with hospital discharge. The PT at admission and D-dimer levels were both 24 h after ROSC, and D-dimer levels were 24 h after ROSC were correlated with neurological disorders. Patients with TTM-treated neurological problems at hospital discharge in patients with poor neurological results at 24 h after ROSC were blamed for poor neurological results at hospital discharge in patients with TTM. Among coagulation-related causes, PT at admission, and D-dimer levels 24 hours after the ROSC were reported with poor neurological outcomes at hospital discharge.
Source link: https://doi.org/10.1371/journal.pone.0279653
During the CPR, we obtained arterial blood gas samples every 5 min, analyzed air quality during the CPR by electrical impedance tomography, and analyzed post-mortem computed lung aeration results for differences in lung aeration status. Conclusions The CCC group had a 30 mmHg partial pressure of oxygen at 30 min, and the CCC group had 70 mmHg. For the 30:2 group and the CCC group, the median partial pressure of carbon dioxide at 30 min was 70 mmHg, while the CCC group had 68 mmHg. No statistically significant differences were found between the groups in PaO 2, PaCO 2, lactate, mean arterial pressure, or EtCO 2 measured with a linear mixed model, according to a linear mixed model. There were no differences between the two groups in the delivery of air in the EIT results or post-mortem CT findings.
Source link: https://doi.org/10.1186/s40635-022-00485-0
Dr. Harvey Cushing's important part in medicine goes much beyond the neurosurgery's role. This paper explores Cushing's decision with the controversial case of HW, an adolescent boy with a craniopharyngioma involving the third ventricle. Cushingu2019s previous inability to successfully remove two similar lesions warned him of the closeness of HW's tumor and the hypothalamus. During the operation, HW suffered a cardiac arrest during the procedure, but Cushing did not give up.
Source link: https://doi.org/10.3171/2019.11.jns192487
Abstract Background: Prior to the Emergency Medical Services arrival, citizen volunteers in nearby out-of-hospital cardiac arrests began to resuscite in nearby out-of-hospital cardiac arrests. During the resuscitation attempt, little is known about the collaboration between citizen responders and EMS personnel. During resuscitation attempts, emergency physicians analyzed how emergency physicians perceived the cooperation with citizen responders. The questionnaire asked how emergency physicians perceive the contact with citizen responders on the scene of OHCA. When citizen responders arrived before EMS, 75% of the physicians continued to use citizen responders to assist with CPR or carrying equipment. Conclusion Emergency physicians found the partnership with citizen responders to be extremely useful, not only for the delivery of CPR, but also for providing non-CPR related services such as directing the ambulance to the arrest site, carrying equipment, and caring for relatives.
Source link: https://doi.org/10.1186/s13049-021-00927-w
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