Prehospital Cardiac Arrest

Prehospital Therapeutic Hypothermia for Cardiac Arrest

PREHOSPITAL CARE Witnessed arrest, but not delayed bystander cardiopulmonary resuscitation improves prehospital cardiac arrest survivial

Introduction: This study correlated the effect of witnessing a cardiac arrest and instituting bystander CPR (ByCPR), as a secondary end point in a study evaluating the effect of bicarbonate on survival. Methods: This prospective, randomised, double blinded clinical intervention trial enrolled 874 prehospital cardiopulmonary arrest patients encountered in a prehospital urban, suburban, and rural...

Prehospital resuscitated cardiac arrest patients: role for induced hypothermia.

This article is a support paper for the National Association of EMS Physicians' position paper on induced therapeutic hypothermia in resuscitated cardiac arrest patients. Induced hypothermia is one of the newest treatments aimed at increasing the dismal neurologically intact survival rate for out-of-hospital cardiac arrest patients. Two landmark studies published in 2002 by the New England Jour...

Prehospital cardiac arrest in Leicestershire: targeting areas for improvement.

OBJECTIVE To identify the impact of advanced life support skills on outcome for prehospital cardiac arrest in a defined population and to assess the value of certain physiological variables in predicting the outcome in those successfully resuscitated in the accident and emergency (A&E) department; to identify areas for improvement in the outcome of such patients. DESIGN Prospective 12 month s...

Prehospital intubation in cardiac arrest: the debate continues.

Advancedpre-hospital airwaymanagement is a rapidly evolving nd controversial area. The paper by Wang et al. published in this ssue of the journal further adds to that debate.1 Wang and colleagues are to be congratulated on reporting such large dataset, and adding significantly to the body of knowledge. hey have documented the prehospital use of tracheal intubation nd alternative airway devices ...