Cardiac arrest can be defined as the heart’s inability to effectively eject blood out due to either an electrical or mechanical failure. This condition poses an immediate threat to life and is always considered to be a medical emergency. In Western countries, cardiac arrest is continuously highlighted as one of the leading causes of in-hospital death and the latest research suggests that surviv...

Cardiac arrest outcomes in Brunei Darussalam have not been previously reported. The mean (SD) time of to cardiopulmonary resuscitation hospital was 1.6 min (2.31 min; range 0–6 min) compared the first out 19 (23.91 0–87 min). majority (71.2%) were out-of-hospital cardiac arrests (OHCA) (versus in-hospital (IHCA)). One-year median survival for 1.4% which is below rates reported by other groups p...

OBJECTIVES To evaluate the effectiveness of the local emergency medical services system in resuscitation of out-of-hospital cardiac arrest and identify areas for improvement. METHODS This was a prospective descriptive study of adults with nontraumatic out-of-hospital cardiac arrest treated in the three accident & emergency departments that serve the whole of Hong Kong Island from March 15, 19...

Cardiac arrest, a deadly condition caused by a sudden failure of the heart, is synonymous with clinical death (in-hospital mortality rate of ∼ 80%). Early and accurate estimation of patients at high risk of cardiac arrest is crucial for improving the survival rate. Existing research generally fails to utilize a patient’s temporal dynamics and/or leverage ordinal measurements. This paper present...

All studies of post-cardiac arrest therapeutic hypothermia have included only patients in coma. One trial defined coma as “not responding to verbal commands”. The other trials defined coma similarly, used GCS 8, or did not provide a clear definition. One randomized trial and a pseudo-randomised trial demonstrated improved neurological outcome at hospital discharge or at 6 months after hospital ...

BACKGROUND Mild therapeutic hypothermia (TH), or targeted temperature management, improves survival and neurological outcomes in patients after out-of-hospital cardiac arrest (OHCA). International guidelines strongly support initiating TH for all eligible individuals presenting with OHCA; however, the timing of cooling initiation remains uncertain. This systematic review and meta-analysis was c...

BACKGROUND Despite the publication and dissemination of the Advanced Cardiac Life Support guidelines, variability in the use of drugs during resuscitation from out-of-hospital cardiac arrest may exist between different Emergency Medical Services throughout North America. The purpose of this study was to characterize the use of such drugs and evaluate their relationship to cardiac arrest outcome...

INTRODUCTION In 2007, Nicosia General Hospital implemented a resuscitation policy. 378 nurses and 120 doctors were successfully trained in advanced life support (ALS) in order to staff cardiac arrest teams. The aim of this study was to assess the frequency of cardiac arrest and resuscitation outcomes in Nicosia General Hospital and assess any associations between the survival rate and the patie...

Survival from out-of-hospital cardiac arrest in Denmark has increased significantly since 2001, and important improvements have been made in the post-resuscitation care. The aim of this article is to summarize the most recent international guidelines for post-resuscitation care in a Danish perspective. The main aspects concern securing haemodynamic and respiratory functions and performing urgen...

BACKGROUND There have been few studies on the effectiveness of bystander automated external defibrillator (AED) use in out-of-hospital cardiac arrest. The objective of this study was to determine whether actual use of onsite or dispatched AED reduces the time to first shock compared with no AED use and thereby improves survival. METHODS AND RESULTS We performed a population-based cohort study...