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Search for Cardiac Arrest in Emergency Medicine
Physician-authored summaries on the latest research on cardiac arrest, editorials on cardiac arrest, and perspectives on cardiac arrest - drawn from the top medical journals.
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You searched for: cardiac arrest in Emergency Medicine
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Post-Arrest Troponin I Level Is a Poor Predictor of Recent Occlusion
- April 27, 2012
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Troponin I level at admission cannot be used to predict which patients need immediate cardiac catheterization.- Reviewing:
- Dumas F et al., Crit Care Med 2012 Apr 6;:
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Prehospital Epinephrine for Cardiac Arrest Reduces Survival and Worsens Neurological Outcomes at 1 Month Free
- March 23, 2012
- John A. Marx, MD, FAAEM
- Emergency Medicine
A large observational study places added scrutiny on the use of epinephrine for out-of-hospital cardiac arrest.- Reviewing:
- Hagihara A et al., JAMA 2012 Mar 21; 307:1161. Callaway CW., JAMA 2012 Mar 21; 307:1198.
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Therapeutic Hypothermia for Cardiac Arrest in the Prehospital Setting
- March 9, 2012
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Prehospital initiation of cooling for patients with nonventricular fibrillation cardiac arrest did not improve outcomes compared with in-hospital cooling.- Reviewing:
- Bernard SA et al., Crit Care Med 2012 Mar; 40:747. Behringer W and Arrich J., Crit Care Med 2012 Mar; 40:984.
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Focused Echocardiography in the Field Is Feasible in Cardiac Arrest
- January 27, 2012
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Cardiac standstill predicted 100% mortality.- Reviewing:
- Aichinger G et al., Prehosp Emerg Care 2012 Jan 11;:
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Intraosseous vs. Intravenous Access for Adults with Out-of-Hospital Cardiac Arrest Free
- January 6, 2012
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Tibial intraosseous access is clearly the best.- Reviewing:
- Reades R et al., Ann Emerg Med 2011 Dec; 58:509.
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Survival After Use of Dispatched vs. On-Site Automated External Defibrillators
- December 16, 2011
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
On-site AEDs allowed earlier defibrillation and significantly better outcomes.- Reviewing:
- Berdowski J et al., Circulation 2011 Nov 15; 124:2225.
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Use of Mobile Phones Helps Dispatch Laypersons to Cardiac Arrests
- December 16, 2011
- John A. Marx, MD, FAAEM
- Emergency Medicine
Lay responders trained in CPR arrived before EMS in more than half of nontraumatic out-of-hospital cardiac arrests.- Reviewing:
- Ringh M et al., Resuscitation 2011 Dec; 82:1514. Arntz HR., Resuscitation 2011 Dec; 82:1479.
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Most Long-Term Survivors of Out-of-Hospital Cardiac Arrest Have Positive Neurological Outcomes Free
- October 28, 2011
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Although some suffer long-term memory deficits- Reviewing:
- Mateen FJ et al., Neurology 2011 Oct 11; 77:1438.
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Finally, Scientific Support for Adrenaline in Cardiac Arrest Free
- October 14, 2011
- John A. Marx, MD, FAAEM
- Emergency Medicine
Adrenaline improves chance of return of spontaneous circulation but not survival to discharge.- Reviewing:
- Jacobs IG et al., Resuscitation 2011 Sep; 82:1138.
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How Much CPR Before Defibrillation Shock? Free
- September 9, 2011
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
Administering more cardiopulmonary resuscitation before defibrillation and rhythm analysis does not improve outcomes.- Reviewing:
- Stiell IG et al., N Engl J Med 2011 Sep 1; 365:787.
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Does Use of an Impedance Threshold Device During CPR Make a Difference?
- September 9, 2011
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
In a randomized study, the device provided no survival benefit during out-of-hospital cardiac arrest.- Reviewing:
- Aufderheide TP et al., N Engl J Med 2011 Sep 1; 365:798.
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Advanced Cooling After Cardiac Arrest: Does the Method Matter?
- March 18, 2011
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Outcomes were similar with core cooling and surface cooling in a single-center observational study.- Reviewing:
- Tømte Ø et al., Crit Care Med 2011 Mar; 39:443.
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Prehospital Active Compression-Decompression CPR Free
- February 11, 2011
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
ACD cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure during decompression was associated with a higher rate of neurologically functional survival than was standard CPR.- Reviewing:
- Aufderheide TP et al., Lancet 2011 Jan 22; 377:301.
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Cardiac Arrest in Homes vs. in Public Settings Free
- January 26, 2011
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
Shockable rhythms are more common in public settings.- Reviewing:
- Weisfeldt ML et al., N Engl J Med 2011 Jan 27; 364:313.
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Prehospital Intubation Might Worsen Outcomes in Adults with Cardiac Arrest Free
- January 14, 2011
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Prehospital intubation decreased survival to discharge in patients with ventricular fibrillation/ventricular tachycardia.- Reviewing:
- Egly J et al., Prehosp Emerg Care 2011 Jan; 15:44.
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ECMO May Improve In-Hospital Cardiac Arrest Outcomes Free
- December 29, 2010
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Cardiopulmonary resuscitation using extracorporeal membrane oxygenation improved survival compared with conventional CPR alone.- Reviewing:
- Shin TG et al., Crit Care Med 2011 Jan; 39:1.
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Adverse Events After Therapeutic Hypothermia for Cardiac Arrest
- December 29, 2010
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
The authors identified adverse events after resuscitation and hypothermia, but were not able to determine whether adverse events were caused by the treatment or by other factors.- Reviewing:
- Nielsen N et al., Crit Care Med 2011 Jan; 39:57.
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Prehospital Intubation Results in Worse Outcomes in Adult Cardiac Arrest Patients Free
- November 19, 2010
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
Prehospital intubation was negatively associated with return of spontaneous circulation and survival to discharge.- Reviewing:
- Studnek JR et al., Acad Emerg Med 2010 Sep; 17:918.
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Chest Compression-Only CPR by Lay Rescuers Increases Survival Free
- October 22, 2010
- John A. Marx, MD, FAAEM
- Emergency Medicine
A statewide public education and training program in Arizona yielded impressive results.- Reviewing:
- Bobrow BJ et al., JAMA 2010 Oct 6; 304:1447.
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Do Chest Compression Devices Interrupt Resuscitation? Free
- October 1, 2010
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Use of a load-distributing band was associated with a higher no-flow rate than manual compression during the first 5 minutes of CPR in patients with out-of-hospital cardiac arrest.- Reviewing:
- Ong MEH et al., Ann Emerg Med 2010 Sep; 56:233.
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