Automatic Identification of Return of Spontaneous Circulation During Cardiopulmonary Resuscitation
IEEE Transactions on Biomedical Engineering, 2008The main problem during pulse check in out-of-hospital cardiac arrest is the discrimination between normal pulse-generating rhythm (PR) and pulseless electrical activity (PEA). It has been suggested that circulatory information can be acquired by measuring the thoracic impedance via the defibrillator pads.
Martin, Risdal +3 more
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Prehospital Protocols for Post-Return of Spontaneous Circulation Are Highly Variable
Prehospital Emergency Care, 2020Up to 44% of out-of-hospital cardiac arrest (OHCA) patients will rearrest in the immediate post-return of spontaneous circulation (post-ROSC) period, and rearrest is associated with decreased survival. Cardiac arrest guidelines are often equivocal regarding what post-ROSC care should be provided in the prehospital setting and when hospital transport ...
M. F. Spigner +3 more
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Tenecteplase and Return of Spontaneous Circulation After Refractory Cardiopulmonary Arrest
Southern Medical Journal, 2004Even with the benefit of cardiopulmonary resuscitation, the prognosis of cardiac arrest remains poor. Multiple case series describe survival with the use of thrombolytic therapy for refractory cardiac arrest. Presumably thrombolysis treats that subset of cardiac arrest cases resulting from fulminant pulmonary embolism, or perhaps massive myocardial ...
Bruce D, Adams +2 more
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Mild induced hypothermia after return of spontaneous circulation
Emergency Nurse, 2015There is evidence to suggest that the use of mild induced hypothermia (MIH) in patients who have had cardiac arrest can improve neurological prognosis and long-term survival to discharge rates, although there is some debate in the literature on the efficacy of the procedure.
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Cardiac Arrest Survival Is Rare Without Prehospital Return of Spontaneous Circulation
Prehospital Emergency Care, 2012Emergency medical services (EMS) are crucial in the management of out-of-hospital cardiac arrest (OHCA). Despite accepted termination-of-resuscitation criteria, many patients are transported to the hospital without achieving field return of spontaneous circulation (ROSC).We examine field ROSC influence on OHCA survival to hospital discharge in two ...
David A, Wampler +4 more
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Hypoglycemic cardiac arrest and rapid return-of-spontaneous circulation (ROSC) with dextrose
The American Journal of Emergency Medicine, 2020Hypoglycemia was part of the "H's and T's" in the 2005 American Heart Association ACLS guidelines for reversible causes of cardiac arrest but was removed in subsequent editions. We present a case of return of spontaneous circulation in a patient with cardiac arrest after administration of dextrose for hypoglycemia. Routine administration of dextrose to
Joan Rui Shan, Fun +1 more
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Multiple Organ Dysfunction After Return of Spontaneous Circulation in Postcardiac Arrest Syndrome
Critical Care Medicine, 2013Recent guidelines for the treatment of postcardiac arrest syndrome recommend optimization of vital organ perfusion after return of spontaneous circulation to reduce the risk of postresuscitation multiple organ injury. However, the prevalence of extracerebral multiple organ dysfunction in postcardiac arrest patients and its association with in-hospital ...
Brian W, Roberts +6 more
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Recent scientific evidence has demonstrated the importance of good quality chest compressions without interruption to improve cardiac arrest resuscitation rates, and suggested that a de-emphasis on minute ventilation is needed. However, independent of ventilation, the role of oxygen and the optimal oxygen concentration during CPR is not known. Previous
Steve T, Yeh +3 more
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Focused cardiac ultrasound after return of spontaneous circulation in cardiac-arrest patients
Resuscitation, 2019Guidelines emphasize the clinician to consider the use of ultrasound to determine the cause of cardiac arrest. In this study we aimed to investigate how focused cardiac ultrasound (FOCUS) shortly after return of spontaneously circulation (ROSC) was associated with the use of further diagnostic measures and if the detection of pulmonary embolism ...
Ludvig, Elfwén +7 more
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Unexpected return of spontaneous circulation after cessation of resuscitation (Lazarus phenomenon)
Resuscitation, 1998Since 1982, more than 20 patients with return of spontaneous circulation after cessation of cardiopulmonary resuscitation (Lazarus phenomenon) have been published. We report on another case here. Such cases are probably underreported due to medicolegal concerns.
W H, Maleck +4 more
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