Monthly Archives: December 2013
The association between systolic blood pressure on arrival at hospital and outcome in adults surviving from out-of-hospital cardiac arrests of presumed cardiac aetiology
The association between systolic blood pressure on arrival at hospital and outcome in adults surviving from out-of-hospital cardiac arrests of presumed cardiac aetiology Resuscitation. Available online 12 December 2013 The optimal blood pressure target following successful resuscitation from out-of-hospital cardiac arrest (OHCA) is uncertain. This study aimed to explore the association between level of systolic blood […]
Dextrose gel for neonatal hypoglycaemia
Dextrose gel for neonatal hypoglycaemia (the Sugar Babies Study): a randomised, double-blind, placebo-controlled trial The Lancet, Volume 382, Issue 9910, Pages 2077 – 2083, 21 December 2013 Neonatal hypoglycaemia is common, and a preventable cause of brain damage. Dextrose gel is used to reverse hypoglycaemia in individuals with diabetes; however, little evidence exists for its use […]
Cognitive appraisals, objectivity and coping in ambulance workers: a pilot study
Cognitive appraisals, objectivity and coping in ambulance workers: a pilot study Emerg Med J 2014;31:41-44 Ambulance workers are regularly exposed to call-outs, which are potentially psychologically traumatic. The ability to remain objective and make adaptive appraisals during call-outs may be beneficial to this at-risk population. This pilot study investigated the links between cognitive appraisals, objectivity and […]
Comparison of Bag-Valve-Mask Hand-Sealing Techniques in a Simulated Model
Comparison of Bag-Valve-Mask Hand-Sealing Techniques in a Simulated Model Annals of Emergency Medicine. Volume 63, Issue 1 , Pages 6-12.e3, January 2014 Bag-valve-mask ventilation remains an essential component of airway management. Rescuers continue to use both traditional 1- or 2-handed mask-face sealing techniques, as well as a newer modified 2-handed technique. We compare the efficacy of […]
Early cardiac catheterization is associated with improved survival in comatose survivors of cardiac arrest without STEMI
Early cardiac catheterization is associated with improved survival in comatose survivors of cardiac arrest without STEMI Resuscitation. Volume 85, Issue 1, January 2014, Pages 88–95 To determine if early cardiac catheterisation (CC) is associated with improved survival in comatose patients who are resuscitated after cardiac arrest when electrocardiographic evidence of ST-elevation myocardial infarction (STEMI) is absent. […]
Survival of resuscitated cardiac arrest patients with STEMI conveyed directly to a Heart Attack Centre
Survival of resuscitated cardiac arrest patients with ST-elevation myocardial infarction (STEMI) conveyed directly to a Heart Attack Centre by ambulance clinicians Resuscitation. Available online 19 September 2013 This study reports survival outcomes for patients resuscitated from out-of-hospital cardiac arrest (OHCA) subsequent to ST-elevation myocardial infarction (STEMI), and who were conveyed directly by ambulance clinicians to a […]
Evaluation of pre-hospital administration of adrenaline (epinephrine) by EMS for patients with out of hospital cardiac arrest in Japan
Evaluation of pre-hospital administration of adrenaline (epinephrine) by emergency medical services for patients with out of hospital cardiac arrest in Japan: controlled propensity matched retrospective cohort study BMJ 2013; 347 To evaluate the effectiveness of pre-hospital adrenaline (epinephrine) administered by emergency medical services to patients with out of hospital cardiac arrest. Design Controlled propensity matched […]
Exercise-related out-of-hospital cardiac arrest in the general population: incidence and prognosis
Exercise-related out-of-hospital cardiac arrest in the general population: incidence and prognosis Eur Heart J (2013) 34 (47): 3616-3623. Although regular physical activity has beneficial cardiovascular effects, exercise can trigger an acute cardiac event. We aimed to determine the incidence and prognosis of exercise-related out-of-hospital cardiac arrest (OHCA) in the general population. Methods and results The authors prospectively collected all OHCAs […]
Effect of prehospital cardiac catheterisation lab activation
Effect of Prehospital Cardiac Catheterization Lab Activation on Door-to-Balloon Time, Mortality, and False-Positive Activation Prehospital Emergency Care January-March 2014, Vol. 18, No. 1 , Pages 68-75 Reperfusion of ST elevation myocardial infarction (STEMI) is most effective when performed early. Notification of the cardiac catheterization laboratory (cath lab) prior to hospital arrival based on paramedic-performed ECGs […]
The utility of the prehospital 12-lead ECG to change patient management in the ED
A Prospective Evaluation of the Utility of the Prehospital 12-lead Electrocardiogram to Change Patient Management in the Emergency Department Prehospital Emergency Care January-March 2014, Vol. 18, No. 1 , Pages 9-14 Retrospective research has shown that 19% of 12-lead prehospital electrocardiograms (prehospital ECGs) had clinically significant abnormalities that were not captured on the initial emergency […]
Pre-hospital Research Forum 