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Mashup Score: 21The Fast and the Frivolous: Does Prehospital ECPR’s “need for speed” provide enough “bang for the buck”? - 5 month(s) ago
For patients in cardiac arrest, timing is everything. “No flow” before CPR commences and “low flow” during chest compressions directly diminishes survival1–2. Similarly, when ECPR is an option, the decay in benefit is exponentially related to the delay from arrest to ECMO initiation3. In the quest to shrink the time to ECMO initiation, could prehospital ECPR be the Holy Grail? For patients too young or too healthy to die, why not take ECMO to the patient instead of taking the patient to ECMO? If a system has 10-minute medic response time, 15-minute scene time, and 15-minute transport time, prehospital initiation may save up to 30 minutes of “low flow” time.
Source: www.resuscitationjournal.comCategories: General Medicine News, Hem/OncsTweet
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Mashup Score: 18The Fast and the Frivolous: Does Prehospital ECPR’s “need for speed” provide enough “bang for the buck”? - 5 month(s) ago
For patients in cardiac arrest, timing is everything. “No flow” before CPR commences and “low flow” during chest compressions directly diminishes survival1–2. Similarly, when ECPR is an option, the decay in benefit is exponentially related to the delay from arrest to ECMO initiation3. In the quest to shrink the time to ECMO initiation, could prehospital ECPR be the Holy Grail? For patients too young or too healthy to die, why not take ECMO to the patient instead of taking the patient to ECMO? If a system has 10-minute medic response time, 15-minute scene time, and 15-minute transport time, prehospital initiation may save up to 30 minutes of “low flow” time.
Source: www.resuscitationjournal.comCategories: General Medicine News, Hem/OncsTweet-
RT @drmamoun01: Many thanks to @ZackShinar & Chris Nickson for editorial on our @sub30study on #ECPR https://t.co/bei47sEbtS & @HaldenHB…
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Mashup Score: 23Temporal trends in organ donation among cardiac arrest patients treated with extracorporeal cardiopulmonary resuscitation - 9 month(s) ago
This study explores the evolution of organ donation from patients treated with extracorporeal-cardiopulmonary-resuscitation (ECPR) for refractory out-of-hospital-cardiac-arrest (OHCA) and evaluates the public health benefits of a mature ECPR program.
Source: www.resuscitationjournal.comCategories: General Medicine News, Critical CareTweet-
Organ donation after #ECPR for refractory #OHCA 🔍 single-center study (2016-2023) including 419 pts 🧠27.7% neuro intact survival 🔍36.8% cumulative health benefit (survivors with CPC 1-2 + non-survivors who donated at least 1 solid organ/total ECPR pts 🔗https://t.co/0O5VHoFcg6 https://t.co/xNt4CftgIm
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Mashup Score: 55
The cohort of patients in which cardiac arrest centres (CAC) in rural and suburban populations confer the greatest survival benefit remains unclear. The aim of this study was to assess whether the transfer of resuscitated Utstein-comparator out-of-hospital cardiac arrest (OHCA) patients direct to a CAC was associated with improved survival to hospital discharge compared to patients conveyed to non-specialist centres.
Source: www.resuscitationjournal.comCategories: General Medicine News, Cardiologists1Tweet-
More from the @EAAARAID team @EastAngliAirAmb - our paper on cardiac arrest outcomes in @ResusJournal - the impact of cardiac arrest centres on survival https://t.co/s4V2ycQCJt @BCIS_uk @NickCurzen @Ryvetsprog @BartsIntervGrp @blizard_inst @StAndMedicine https://t.co/Iaflv4aCM5
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Mashup Score: 8Association of EEG Characteristics with Outcomes Following Pediatric ICU Cardiac Arrest: A Secondary Analysis of the ICU-RESUScitation Trial - 12 month(s) ago
There are limited tools available following cardiac arrest to prognosticate neurologic outcomes. Prior retrospective and single center studies have demonstrated early EEG features are associated with neurologic outcome. This study aimed to evaluate the prognostic value of EEG for pediatric in-hospital cardiac arrest (IHCA) in a prospective, multicenter study.
Source: www.resuscitationjournal.comCategories: General Medicine News, PediatricsTweet-
https://t.co/XjXoPQ0M1m #PedsICU #NeuroPICU
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Mashup Score: 9Clinicians’ approach to predicting post-cardiac arrest outcomes for patients enrolled in a United States clinical trial - 12 month(s) ago
Perceived poor prognosis can lead to withdrawal of life-sustaining therapies (WLST) in patients who might otherwise recover. We characterized clinicians’ approach to post-arrest prognostication in a multicenter clinical trial.
Source: www.resuscitationjournal.comCategories: General Medicine News, Critical CareTweet-
RT @tinysteiny18: If clinicians are not using guidelines to prognosticate, then what are they using? https://t.co/DpNoPji4Vc @ResusJournal…
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Mashup Score: 31Historical Neighborhood Redlining and Bystander CPR Disparities in Out-of-Hospital Cardiac Arrest - 12 month(s) ago
Out-of-hospital cardiac arrest (OHCA) is associated with low survival rates. Bystander cardiopulmonary resuscitation (CPR) is essential for improving outcomes, but its utilization remains limited, particularly among racial and ethnic minorities. Historical redlining, a practice that classified neighborhoods for mortgage risk in 1930s, may have lasting implications for social and health outcomes. This study sought to investigate the influence of redlining on the provision of bystander CPR during witnessed OHCA.
Source: www.resuscitationjournal.comCategories: General Medicine News, CardiologistsTweet-
People living in #Redlined neighborhoods are significantly less likely to receive bystander #CPR after cardiac arrest. Analysis from @CARESRegistry led by @IMotairek @ResusJournal https://t.co/xqDjv7l1GW Implications for CPR awareness and training https://t.co/M2nYkdyXgM
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Mashup Score: 15
Extracorporeal cardiopulmonary resuscitation (ECPR) can improve survival for refractory out-of-hospital cardiac arrest (OHCA). We sought to assess the feasibility of a proposed ECPR programme in Scotland, considering both in-hospital and pre-hospital implementation scenarios.
Source: www.resuscitationjournal.comCategories: General Medicine News, Hem/OncsTweet-
RT @Hartos84: Could there be a role for prehospital ECPR in Scotland? Our data suggests so… #ECPR #OHCA https://t.co/BUkyODTpdD
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Mashup Score: 31Hypothermia in patients with cardiac arrest prior to ECMO-VA: Insight from the HYPO-ECMO trial - 1 year(s) ago
The initiation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) has emerged as an increasingly common intervention in patients with cardiogenic shock (CS), including cardiac arrest refractory to standard therapies.1
Source: www.resuscitationjournal.comCategories: General Medicine News, Critical CareTweet-
Hypothermia in patients with cardiac arrest prior to VA #ECMO, post hoc analysis of HYPO-ECMO trial ❄️favourable effects of moderate hypothermia likely: appears to be associated with potential reduction in mortality in pts with cardiogenic shock on #ECLS 🔓https://t.co/nvzhW9A3xC https://t.co/9AzLhdkDHq
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Mashup Score: 28
Cardiac arrest is the third leading cause of mortality in Europe.1 Survival after out-of-hospital cardiac arrest (OHCA) is dismal. The survival rate ranges from 8 to 14%.2 In selected cases of cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR), the use of extracorporeal CPR (ECPR) with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has recently shown conflicting results in randomised controlled trials (RCT).3–5 These conflicting results might be due to multiple differences in study design (single-centre [ARREST and Prague OHCA study] versus multi-centre [INCEPTION], enrolment period and study size (14 ECPR patients within one year [ARREST] versus 124 ECPR patients between 2013 and 2020 [Prague OHCA study] versus 70 ECPR patients between 2017 and 2021 [INCEPTION]), patient selection (initial ECG rhythm: shockable [ARREST and INCEPTION] versus any rhythm [Prague OHCA study], witnessed cardiac arrest [Prague OHCA study and INCEPTION]), ECPR organisa
Source: www.resuscitationjournal.comCategories: General Medicine News, Critical CareTweet-
Lactate & survival in #ECPR CA from 3 🇩🇪 & 4 🇩🇰 centers, 2011-2021 included Lactate easily accessible/quickly available POCT which might be considered as early prognostic marker when considering initiation or continuation of #ECLS in this population. 🔓 https://t.co/Z8JT5YZs3E https://t.co/MDsrYF6e4C
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RT @drmamoun01: Many thanks to @ZackShinar & Chris Nickson for editorial on our @sub30study on #ECPR https://t.co/bei47sEbtS & @HaldenHB…