BACKGROUND Little is known about the effects of geographic variation on outcomes of out-of-hospital cardiac arrest (OHCA). The present study investigated the relationship between population density, time between emergency call and ambulance arrival, and survival of OHCA, using the All-Japan Utstein-style registry database, coupled with geographic information system (GIS) data. METHODS We exam...

INTRODUCTION Ischemia-reperfusion injury following cardiopulmonary resuscitation (CPR) is associated with a systemic inflammatory response, resulting in post-resuscitation disease. In the present study we investigated the response of the pleiotropic inflammatory cytokine macrophage migration inhibitory factor (MIF) to CPR in patients admitted to the hospital after out-of-hospital cardiac arrest...

Members: W.F. Dick (Co-Chairman) (Germany); P.J.F. Baskett (Co-Chairman) (UK); C.M. Grande (USA); H. Delooz (Belgium); W. Kloeck (South Africa); C. Lackner (Austria); M. Lipp (Germany); W. Mauritz (Austria); M. Nerlich (Germany); J. Nicholl (UK); J.P. Nolan (UK); P. Oakley (UK); M.J.A. Parr (UK), A. Seekamp (Belgium); E. Soreide (Norway); P.A. Steen (Norway); Luc van Camp (Belgium); B. Wolcke (...

BACKGROUND Despite numerous studies on prehospital airway management, results are difficult to compare due to inconsistent or heterogeneous data. The objective of this study was to assess advanced airway management from international physician-staffed helicopter emergency medical services. METHODS We collected airway data from 21 helicopter emergency medical services in Australia, England, Fi...

INTRODUCTION We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. MATERIALS AND METHODS Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospita...

BACKGROUND The outcome of cardiopulmonary resuscitation (CPR) may depend on a variety of factors related to patient status or resuscitation management. To evaluate the factors influencing the outcome of CPR after cardiac arrest (CA) will be conducive to improve the effectiveness of resuscitation. Therefore, a study was designed to assess these factors in the emergency department (ED) of a city ...

AIM To examine indicators that may assist in the diagnosis of cardiac etiology using simple tests in witnessed cardiac etiology out-of-hospital cardiac arrest cases, which is emphasized in the Utstein Style. METHOD The subjects were 165 witnessed cardiac etiology out-of-hospital cardiac arrest cases, which were transported to Kobe University Hospital during the five-year period between Januar...

BACKGROUND Previous investigations of out-of-hospital cardiac arrest (OHCA) have shown that the waveform characteristic amplitude spectral area (AMSA) can predict successful defibrillation and return of spontaneous circulation (ROSC) but has not been studied previously for survival. OBJECTIVES To determine whether AMSA computed from the ventricular fibrillation (VF) waveform is associated wit...

BACKGROUND Bystanders make a critical difference in the survival of drowning victims. Little information on their role before arrival of the Emergency Medical Services (EMS) is available in the scientific literature. In a descriptive study, this role is investigated. METHODS AND RESULTS We studied 289 rescue reports (1999-2004) available from the Dutch Maatschappij tot Redding van Drenkelinge...