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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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No One Is Dead Until Cold and Dead
- April 5, 2013
- Kristi L. Koenig, MD, FACEP, FIFEM
- Emergency Medicine
In a large, nationwide study, therapeutic hypothermia was initiated in only 2% of patients with return of spontaneous circulation after in-hospital cardiac arrest.- Reviewing:
- Mikkelsen ME et al., Crit Care Med 2013 Mar 20;:
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Safety of Mild Therapeutic Hypothermia after Cardiac Arrest Free
- March 1, 2013
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
This meta-analysis shows that cooling is associated with few serious adverse effects.- Reviewing:
- Xiao G et al., Emerg Med J 2013 Feb; 30:91.
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ECMO After Prolonged Cardiac Resuscitation
- February 22, 2013
- Kristi L. Koenig, MD, FACEP, FIFEM
- Emergency Medicine
A small study of adults with cardiac arrest fails to show benefit and suggests futility for patients with pupil diameter >6 mm.- Reviewing:
- Maekawa K et al., Crit Care Med 2013 Feb 5;:
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Is Prehospital Advanced Airway Management Harmful for Cardiac Arrest Patients? Free
- January 15, 2013
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Outcomes were better with bag-valve-mask ventilation than with advanced airway management.- Reviewing:
- Hasegawa K et al., JAMA 2013 Jan 16; 309:257.
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Diagnostic Imaging Algorithm for Out-of-Hospital Cardiac Arrest
- December 21, 2012
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Applying the algorithm for use of coronary angiography and chest and head computed tomography resulted in a diagnosis for nearly 60% of patients.- Reviewing:
- Chelly J et al., Resuscitation 2012 Dec; 83:1444.
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Lack of Cardiac Activity on Bedside Echo Does Not Always Predict Outcome in Cardiac Arrest
- October 12, 2012
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
A very small percentage of patients without demonstrable cardiac activity may still achieve return of spontaneous circulation.- Reviewing:
- Blyth L et al., Acad Emerg Med 2012 Oct 5;:
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Combining Extracorporeal Membrane Oxygenation and Percutaneous Coronary Intervention for Cardiac Arrest
- October 12, 2012
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
A nonrandomized study shows promising results.- Reviewing:
- Kagawa E et al., Circulation 2012 Sep 25; 126:1605.
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Cardiac Arrest in the Young Is More Frequent than Expected
- October 5, 2012
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
But the good news is that outcomes have markedly improved over the past 30 years.- Reviewing:
- Meyer L et al., Circulation 2012 Sep 11; 126:1363. Atkins DL., Circulation 2012 Sep 11; 126:1325.
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No Advantage of Vasopressin for Cardiac Arrest
- August 17, 2012
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Survival to hospital discharge was similar in patients treated with vasopressin or epinephrine.- Reviewing:
- Ong ME et al., Resuscitation 2012 Aug; 83:953.
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No Return of Pulses in the Field Portends Dismal Survival Free
- August 10, 2012
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
This study's findings support use of prehospital termination-of-resuscitation protocols.- Reviewing:
- Wampler DA et al., Prehosp Emerg Care 2012 Jul 26;:
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Compression Rate Matters for Out-of-Hospital Cardiac Arrest
- August 10, 2012
- J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
Faster is better, but only up to a point.- Reviewing:
- Idris AH et al., Circulation 2012 Jun 19; 125:3004. Nolan JP et al., Circulation 2012 Jun 19; 125:2968.
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Outcomes in Normothermic vs. Induced Hypothermic Post–Cardiac Arrest Patients
- June 15, 2012
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
This study supports a neurologic and survival benefit from therapeutic hypothermia, but selection bias might have skewed the results.- Reviewing:
- Hörburger D et al., Crit Care Med 2012 May 22;:
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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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