Out-of-hospital cardiac arrest termination of resuscitation with ongoing CPR: An observational study

Yates, E J; Smyth, Michael A.; Ward, Matthew; Dorrian, Susan; Siriwardena, Aloysius Niroshan; Friberg, Hans; Perkins, Gavin D.

doi:10.1016/j.resuscitation.2018.06.021

Cited by 23 publications

(26 citation statements)

References 27 publications

(40 reference statements)

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“…We identified very low-certainty evidence (downgraded for risk of bias, inconsistency, indirectness, and imprecision) from 6 nonrandomized studies 55,59,62,68,79,80 reporting the accuracy of the universal TOR rule to predict in-hospital death. There was considerable heterogeneity across patient populations, clinician populations, and EMS systems; thus, meta-analysis was not appropriate.…”

Section: Studies Reporting External Validation Of a Tor Rule To Predictmentioning

confidence: 99%

Education, Implementation, and Teams

Greif¹,

Bhanji²,

Bigham³

et al. 2020

Resuscitation

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Section: Studies Reporting External Validation Of a Tor Rule To Predictmentioning

confidence: 99%

Education, Implementation, and Teams

Greif¹,

Bhanji²,

Bigham³

et al. 2020

Resuscitation

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“…Finally, 57% of patients admitted to the hospital had ongoing CPR, which is akin to previous reporting. [26,27] Importantly, our numbers exclude those already confirmed dead in the prehospital setting and include those with resuscitation terminated in the emergency room.…”

Section: 17] a Charlson Comorbiditymentioning

confidence: 99%

Out-of-hospital cardiac arrest: 30-day survival and 1-year risk of anoxic brain damage or nursing home admission according to consciousness status at hospital arrival

et al. 2020

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“…Many medical professionals therefore support equipping HEMS with MCDs. However, this could result in frequent transport of patients in persistent CA with dismal prognoses, thereby not only producing direct costs for transport and treatment but also harming other patients indirectly by blocking valuable emergency medical care resources [13].…”

Section: Introductionmentioning

confidence: 99%

Mechanical chest compression devices in the helicopter emergency medical service in Switzerland

Pietsch

Reiser

Wenzel

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background: Over the past years, several emergency medical service providers have introduced mechanical chest compression devices (MCDs) in their protocols for cardiopulmonary resuscitation (CPR). Especially in helicopter emergency medical systems (HEMS), which have limitations regarding loading weight and space and typically operate in rural and remote areas, whether MCDs have benefits for patients is still unknown. The aim of this study was to evaluate the use of MCDs in a large Swiss HEMS system. Materials and methods: We conducted a retrospective observational study of all HEMS missions of Swiss Air rescue Rega between January 2014 and June 2016 with the use of an MCD (Autopulse®). Details of MCD use and patient outcome are reported from the medical operation journals and the hospitals' discharge letters. Results: MCDs were used in 626 HEMS missions, and 590 patients (94%) could be included. 478 (81%) were primary missions and 112 (19%) were interhospital transfers. Forty-nine of the patients in primary missions were loaded under ongoing CPR with MCDs. Of the patients loaded after return of spontaneous circulation (ROSC), 20 (7%) experienced a second CA during the flight. In interhospital transfers, 102 (91%) only needed standby use of the MCD. Five (5%) patients were loaded into the helicopter with ongoing CPR. Five (5%) patients went into CA during flight and the MCD had to be activated. A shockable cardiac arrhythmia was the only factor significantly associated with better survival in resuscitation missions using MCD (OR 0.176, 95% confidence interval 0.084 to 0.372, p < 0.001). Conclusion: We conclude that equipping HEMS with MCDs may be beneficial, with non-trauma patients potentially benefitting more than trauma patients.

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Out-of-hospital cardiac arrest termination of resuscitation with ongoing CPR: An observational study

Cited by 23 publications

References 27 publications

Education, Implementation, and Teams

Education, Implementation, and Teams

Out-of-hospital cardiac arrest: 30-day survival and 1-year risk of anoxic brain damage or nursing home admission according to consciousness status at hospital arrival

Mechanical chest compression devices in the helicopter emergency medical service in Switzerland

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