Temporal Utilization Trends in Prehospital Mechanical CPR Devices

Temporal Utilization Trends in Prehospital Mechanical CPR Devices

Chest compressions have remained one of the most visible and effective components of prehospital resuscitation, dating back to the inception of modern emergency medical services (EMS). Although the idea and technique... read more

Can Cooling Patients Help After a Cardiac Arrest?

Can Cooling Patients Help After a Cardiac Arrest?

The cooling trial, involving nine UK hospitals, is being led by researchers at the University Hospital of Wales, Cardiff. Altogether, 1,900 patients worldwide are part of the trial, called TTM2. Half of patients were... read more

Assessment of Variability in End-of-Life Care Delivery in ICUs in the United States

Assessment of Variability in End-of-Life Care Delivery in ICUs in the United States

This study suggests most decedents in the ICU avoid CPR at EOL, have family present at their bedside, and are closely assessed for pain. However, the delivery of EOL care varies widely among units in the United States, including... read more

Left Ventricular Wall Findings in Non-electrocardiography-gated CE-CT After ECPR

Left Ventricular Wall Findings in Non-electrocardiography-gated CE-CT After ECPR

Few studies have reported left ventricular wall findings in contrast-enhanced computed tomography (CE-CT) after extracorporeal cardiopulmonary resuscitation (ECPR). This study examined left ventricular wall CE-CT findings... read more

Dispatcher-assisted Cardiopulmonary Resuscitation for Traumatic Patients with OHCA

Dispatcher-assisted Cardiopulmonary Resuscitation for Traumatic Patients with OHCA

Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) was not associated with better outcomes for traumatic out-of-hospital cardiac arrests (OHCA) in achieving a short-term sustained return of spontaneous circulation... read more

ECMO in Out-of-Hospital Cardiac Arrest

ECMO in Out-of-Hospital Cardiac Arrest

In a population-based registry, 4% of out-of-hospital cardiac arrests (OHCA) were treated with extracorporeal-CPR, which was not associated with increased hospital survival. Early extracorporeal membrane oxygenation (ECMO)... read more

When Patients Die in the ICU, Should Their Family Be Allowed to Watch?

When Patients Die in the ICU, Should Their Family Be Allowed to Watch?

In most ICUs, it's standard practice to send relatives out of the room when a patient codes, but a growing body of research—and one doctor's personal experience—suggests relatives should be allowed to witness the medical... read more

Healthcare Provider Perceptions of Cardiopulmonary Resuscitation Quality During Simulation Training

Healthcare Provider Perceptions of Cardiopulmonary Resuscitation Quality During Simulation Training

Cardiopulmonary resuscitation performance during mock codes does not meet the American Heart Association's quality recommendations. Healthcare providers have poor insight into the quality of cardiopulmonary resuscitation... read more

Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest

Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest

A longer prehospital EMS CPR duration is independently associated with a lower proportion of patients with a favorable neurological outcome. The association between prehospital EMS CPR duration and neurological outcome... read more

Sex-specific Differences in Survival After Out-of-hospital Cardiac Arrest

Sex-specific Differences in Survival After Out-of-hospital Cardiac Arrest

This nationwide, population-based observational study in Japan included 386,535 adult patients aged ≥ 18 years with out-of-hospital cardiac arrest (OHCA). In all these patients, resuscitation was attempted by EMS personnel... read more

Outcomes of Critically Ill Patients Who Received Cardiopulmonary Resuscitation

Outcomes of Critically Ill Patients Who Received Cardiopulmonary Resuscitation

Although overall survival of ICU patients was 15.9%, patients requiring pressors and who experienced a CPA in an ICU were half as likely to survive to discharge and to be discharged home than patients not taking pressors.... read more

Hyperinvasive approach to out-of hospital cardiac arrest using mechanical chest compression device

Hyperinvasive approach to out-of hospital cardiac arrest using mechanical chest compression device

Authors introduce and offer a protocol of a proposed randomized study enrolling patients with witnessed OHCA presumably of cardiac origin planned to be initiated in Prague in 2012. Study will compare hyperinvasive approach... read more

Critical Care Controversies: The REBEL vs The SKEPTIC at #SMACC 2019

Critical Care Controversies: The REBEL vs The SKEPTIC at #SMACC 2019

On the last day of the last SMACC conference, Dr. Ken Milne (The SGEM) and I had a cage match debating four critical care controversies. It was all done in good fun with both of us taking our opportunities to poke a little... read more

Secrets of an Intensive Care Doctor

Secrets of an Intensive Care Doctor

There are few jobs that place you on the frontiers of human existence: midwives see lives into the world, undertakers oversee their departure. In between these beginnings and endings, surgeons, doctors and nurses interact... read more