Background and Objectives: Despite advances in the treatment of heart diseases, outcome patients experiencing sudden cardiac arrest remains poor. The aim our study was to determine prehospital variables as predictors survival outcomes out-of-hospital (OHCA) victims. Materials Methods: This a retrospective observational cohort OHCA cases. EMS protocols created accordance with Utstein style repor...

BackgroundTraumatic cardiac arrest (TCA) is a severe and life-threatening situation that mandates urgent action. Outcomes after on-scene treatment of TCA in the Netherlands are currently unknown. The aim current study was to investigate rate survival discharge patients who suffered from traumatic were subsequently treated by Dutch Helicopter Emergency Medical Services (HEMS).MethodsA retrospect...

BACKGROUND The purpose of this study was to determine the effect of mild hypothermia therapy on gastric mucosa after cardiopulmonary resuscitation (CPR) and the underlying mechanism. MATERIAL AND METHODS Ventricular fibrillation was induced in pigs. After CPR, the surviving pigs were divided into mild hypothermia-treated and control groups. The changes in vital signs and hemodynamic parameters ...

OBJECTIVE In the last few years the genetic influence on health and disease outcome has become more apparent. The ACE genotype appears to play a significant role in the pathophysiology of several disease processes. This pilot study aims at showing the feasibility to examine the genetic influence of the ACE genotype on return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (O...

OBJECTIVES To identify variation in patient, event, and scene characteristics of out-of-hospital cardiac arrest (OOHCA) patients assessed by emergency medical services (EMS), and to investigate variation in transport practices in relation to documented prehospital return of spontaneous circulation (ROSC) within eight regional clinical centers participating in the Resuscitation Outcomes Consorti...

OBJECTIVE Advanced airway management is one of the fundamental skills of advanced cardiac life support (ACLS). A failed initial intubation attempt (FIIA) is common and has shown to be associated with adverse events. We analysed the association between FIIA and the overall effectiveness of ACLS. METHODS Using emergency department (ED) out-of-hospital cardiac arrest (OHCA) registry data from 20...

BACKGROUND In 156 patients with out-of-hospital cardiac arrest of cardiac cause, we analyzed the ability of 4 spectral features of ventricular fibrillation before a total of 868 shocks to discriminate or not between segments that correspond to return of spontaneous circulation (ROSC). METHODS AND RESULTS Centroid frequency, peak power frequency, spectral flatness, and energy were studied. A s...

Out-of-hospital cardiac arrest (OHCA) is estimated to afflict approximately 236 000 to 325 000 people in the United States annually,1 with wide regional1 and interhospital2 variation in the survival to discharge rates. The prospective, multicenter registry of OHCA in 8 US and 3 Canadian emergency medical service (EMS) agencies and receiving institutions (ROC Epistry–Cardiac Arrest) serving an a...

Despite the progresses made in the science of cardiopulmonary resuscitation, there is lack of published works on this area in the Malaysian context. This survey was done to look at the outcomes of all cardiopulmonary resuscitation performed in Emergency Department (ED), Hospital Universiti Sains Malaysia (HUSM). This is a one year cross-sectional study from March 2005-March 2006. All adult card...

Therapeutic hypothermia (TH) cardioprotection has recently been associated with increased Akt signaling in a rat model of cardiac arrest. However, it is not known whether Akt is required for this beneficial effect of TH. We used a mouse model of cardiac arrest demonstrating TH cardioprotection to study the response of mice deficient in an Akt1 allele. We hypothesized that Akt1 mediates TH cardi...