Sudden cardiac arrest after minor abdominal trauma: A successful resuscitation in a patient with haemorrhagic phaeochromocytoma

Resuscitation ◽  
2009 ◽  
Vol 80 (11) ◽  
pp. 1323-1324 ◽  
Author(s):  
Chun-Chieh Chiu ◽  
Ying-Cheng Chen ◽  
Tsung-Han Teng ◽  
Li-Heng Yang ◽  
Ya-Pei Chen ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Abdominal Trauma ◽  
Sudden Cardiac Arrest ◽  
Successful Resuscitation

scholarly journals The dependence of successful resuscitation on electrocardiographically documented cardiac rhythm in case of out-of-hospital cardiac arrest

Medicina ◽  
2007 ◽  
Vol 43 (10) ◽  
pp. 798 ◽  
Author(s):  
Nedas Jasinskas ◽  
Dinas Vaitkaitis ◽  
Vidas Pilvinis ◽  
Lina Jančaitytė ◽  
Gailutė Bernotienė ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Ventricular Fibrillation ◽  
Cardiac Rhythm ◽  
Sudden Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Consensus Conference ◽  
Successful Resuscitation ◽  
Initial Rhythm ◽  
Hospital Deaths ◽  
One Year

Objective. To determine the influence of electrocardiographically documented cardiac rhythm during sudden cardiac arrest on successful resuscitation among out-of-hospital deaths in Kaunas city. Material and methods. An observational prospective study was conducted between 1 January, 2005, and 30 December, 2005, in Kaunas city with a population of 360 627 inhabitants. In this period, all cases of cardiac arrest were analyzed according to the guidelines of the Utstein consensus conference. Cardiac arrest (both of cardiac and noncardiac etiology) was confirmed in 72 patients during one year. Effective cardiopulmonary resuscitation was performed in 18 patients. Results. The total number of deaths from all causes in Kaunas during 1-year study period was 6691. Sixty-two patients due to sudden death of cardiac etiology were resuscitated by emergency medical services personnel. Return of spontaneous circulation was achieved in 11 patients. Ventricular fibrillation was observed in 33 (53.2%) patients. Asystole was present in 11 (17.7%) and other rhythms in 18 (29.1%) cases. Patients with ventricular fibrillation as an initial rhythm were more likely to be successfully resuscitated than patients with asystole. Conclusions. Ventricular fibrillation was the most common electrocardiographically documented cardiac rhythm registered during cardiac arrest in out-of-hospital settings. Ventricular fibrillation as a mechanism of cardiac arrest was associated with major cases of successful resuscitation.

Abstract 252: Resuscitation in Prehospital Stage: Effectiveness and Influencing Factors

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Anita Abula ◽  
Aija Maca ◽  
Oskars Kalejs
Keyword(s):  
Cardiac Arrest ◽  
Influencing Factors ◽  
Sudden Cardiac Arrest ◽  
Heart Rhythm ◽  
Public Health Issue ◽  
Public Places ◽  
Successful Resuscitation ◽  
The Public ◽  
Significant Difference ◽  
Hospital Cardiac Arrest

Background: Sudden cardiac arrest or sudden cardiac death is one of the leading causes of death all over the world. Of particular importance is out-of-hospital cardiac arrest (OHCA) - an important overworld public health issue. In order to help these people and improve their chances of survival, it is necessary to provide assistance as soon as possible. Bystanders are usually non-medical persons why it is more complicated to implement. The objectives of the study were to research effectiveness and influencing factors of resuscitation in prehospital stage and create suggestions and methodical recommendations as possible. Materials and Methods: A retrospective study was developed, which summarizes and analyzes the electronic call cards (IEK) of the Emergency Medical service of Latvia (EMS) for 2018 and 2019. IEK were selected that identified “successful resuscitation” and “unsuccessful resuscitation” as a complication of diagnosis (classification developed and validated by EMS of Latvia). Results: Overall 2538 resuscitations were performed, of which 27,6% were successful resuscitation. About a quarter (24,2%) of all resuscitations happened in a public place. The increase in the number of successful resuscitations is observed for resuscitation events that happened in public places. In most of cardiac arrest cases, bystanders did not perform CPR (60,3%). Arrival time of EMS in 2018 was 7,52 - 8,44 minutes and in 2019 was 7,75 - 8,23 minutes. The research shows that approximately 23% of cases the first monitored rhythm by EMS were VF/pVT. There is a significant difference in the increase in successful resuscitations if EMS performed defibrillation during the call. Conclusions: The most important influencing factors in the outcome of resuscitation are the patient’s age, the location, the first aid provided by bystanders, the time until the arrival of EMS and the first observed heart rhythm in a patient with cardiac arrest. It is necessary to create a register of AED (automated external defibrillator) devices in Latvia and their locations, to ensure the availability of data to the EMS service and the public.

Cardiopulmonary resuscitation: the science behind the hands

Heart ◽  
2018 ◽  
Vol 104 (13) ◽  
pp. 1056-1061 ◽  
Author(s):  
Andrew W Harris ◽  
Peter J Kudenchuk
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Heart Association ◽  
Scientific Basis ◽  
Chest Compressions ◽  
High Quality ◽  
Physiological Basis ◽  
Successful Resuscitation ◽  
External Chest Compressions

Sudden cardiac arrest is a leading cause of death worldwide. Despite significant advances in resuscitation science since the initial use of external chest compressions in humans nearly 60 years ago, there continues to be wide variability in rates of successful resuscitation across communities. The American Heart Association (AHA) and European Resuscitation Council emphasise the importance of high-quality chest compressions as the foundation of resuscitation care. We review the physiological basis for the association between chest compression quality and clinical outcomes and the scientific basis for the AHA’s key metrics for high-quality cardiopulmonary resuscitation. Finally, we highlight that implementation of strategies that promote effective chest compressions can improve outcomes in all patients with cardiac arrest.

Sudden cardiac arrest in Israel: Factors associated with successful resuscitation

1988 ◽  
Vol 6 (4) ◽  
pp. 319-323 ◽  
Author(s):  
Mickey S. Eisenberg ◽  
Eli Hadas ◽  
Irit Nuri ◽  
David Applebaum ◽  
Arie Roth ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Successful Resuscitation ◽  
Factors Associated

scholarly journals Duchenne Muscular Dystrophy (DMD) with Severe Cardiomyopathy

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Ji Hyoung Park ◽  
Kwang Ho Lee ◽  
Wi Kwang Wang ◽  
Hyun Kyo Lim
Keyword(s):  
Heart Rate ◽  
Cardiac Arrest ◽  
Mental Retardation ◽  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Sudden Cardiac Arrest ◽  
Proper Function ◽  
Organ Perfusion ◽  
Severe Mental Retardation ◽  
Successful Resuscitation

Duchenne muscular dystrophy (DMD) is a progressive myopathy. The development of respiratory therapy has increased the life expectancy of DMD patients. This change has increased the chances of anesthesia administration in DMD patients with advanced cardiomyopathy. We report a severe cardiomyopathy case in a 14-year-old boy with DMD, adrenal insufficiency, and severe mental retardation, who experienced a sudden cardiac arrest with successful resuscitation. The patient underwent feeding gastrostomy surgery to relieve recurrent aspiration pneumonia, during which cardiac index and heart rate decreased. Cardiomyopathy has emerged as a new challenge in DMD patients; it is important to maintain end organ perfusion by proper function of the left ventricle.

scholarly journals Microglial Activation and Neurological Outcomes in a Murine Model of Cardiac Arrest

2021 ◽  
Author(s):  
Alaa Ousta ◽  
Lin Piao ◽  
Yong Hu Fang ◽  
Adrianna Vera ◽  
Thara Nallamothu ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Calcium Binding ◽  
Microglial Activation ◽  
Neuronal Degeneration ◽  
Treatment Options ◽  
Sudden Cardiac Arrest ◽  
Neurological Injury ◽  
Cell Integrity ◽  
Successful Resuscitation

Abstract Background Neurological injury following successful resuscitation from sudden cardiac arrest (CA) is common. The pathophysiological basis of this injury remains poorly understood, and treatment options are limited. Microglial activation and neuroinflammation are established contributors to many neuropathologies, such as Alzheimer disease and traumatic brain injury, but their potential role in post-CA injury has only recently been recognized. Here, we hypothesize that microglial activation that occurs following brief asystolic CA is associated with neurological injury and represents a potential therapeutic target. Methods Adult C57BL/6 male and female mice were randomly assigned to 12-min, KCl-induced asystolic CA, under anesthesia and ventilation, followed by successful cardiopulmonary resuscitation (n = 19) or sham intervention (n = 11). Neurological assessments of mice were performed using standardized neurological scoring, video motion tracking, and sensory/motor testing. Mice were killed at 72 h for histological studies; neuronal degeneration was assessed using Fluoro-Jade C staining. Microglial characteristics were assessed by immunohistochemistry using the marker of ionized calcium binding adaptor molecule 1, followed by ImageJ analyses for cell integrity density and skeletal analyses. Results Neurological injury in post-cardiopulmonary-resuscitation mice vs. sham mice was evident by poorer neurological scores (difference of 3.626 ± 0.4921, 95% confidence interval 2.618–4.634), sensory and motor functions (worsened by sixfold and sevenfold, respectively, compared with baseline), and locomotion (75% slower with a 76% decrease in total distance traveled). Post-CA brains demonstrated evidence of neurodegeneration and neuroinflammatory microglial activation. Conclusions Extensive microglial activation and neurodegeneration in the CA1 region and the dentate gyrus of the hippocampus are evident following brief asystolic CA and are associated with severe neurological injury.

scholarly journals Aldosterone-Secreting Adrenocortical Carcinoma Presenting With Cardiac Arrest

2019 ◽  
Vol 3 (9) ◽  
pp. 1678-1681 ◽  
Author(s):  
Nicole K Zern ◽  
Keith D Eaton ◽  
Mara Y Roth
Keyword(s):  
Cardiac Arrest ◽  
Adrenocortical Carcinoma ◽  
Histopathological Examination ◽  
Sudden Cardiac Arrest ◽  
Mass Effect ◽  
Low Grade ◽  
Rare Presentation ◽  
Successful Resuscitation ◽  
Rare Malignancy ◽  
Electrolyte Abnormalities

Abstract Adrenocortical carcinoma (ACC) is a rare malignancy that usually is detected as a result of symptoms of hormone excess or mass effect. We describe a rare presentation of ACC with primary aldosterone production leading to profound hypokalemia and cardiac arrest. The patient was previously asymptomatic with low-grade, untreated hypertension and no documented electrolyte abnormalities. She had sudden cardiac arrest, and potassium levels were undetectable. After successful resuscitation, imaging showed a 6-cm left adrenal mass highly suspicious for malignancy. Biochemical workup revealed aldosterone excess as well as cortisol excess, despite the absence of Cushingoid symptoms. Histopathological examination after surgical resection demonstrated high-grade ACC. This case illustrates that the workup of cardiac arrest as a result of electrolyte abnormalities should include evaluation for adrenal pathology.

scholarly journals Exploring the volunteer first aider’s experience post-resuscitation

2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Jamie Ranse ◽  
Brandon Burke
Keyword(s):  
Cardiac Arrest ◽  
Focus Group ◽  
Health Care Professionals ◽  
Critical Incident ◽  
Service Providers ◽  
Action Plan ◽  
Sudden Cardiac Arrest ◽  
First Aid ◽  
Critical Event ◽  
Successful Resuscitation

Introduction This study aims to identify themes associated with St John volunteer first aiders’ post-resuscitation experience following an out-of-hospital sudden cardiac arrest, and to make suggestions for future practice in education and research. Methods This study was exploratory and descriptive in design, utilising a single focus group as a means of data collection. All five participants from a single resuscitation event participated in the focus group. The focus group was electronically recorded and transcribed verbatim. The results were then thematically analysed. Results The focus group participants described four themes associated with successful resuscitation of a casualty following sudden cardiac arrest. These themes were: postresuscitation casualty management; interactions with health care professionals; critical incident stress management and learning about the casualty’s outcome. Discussion Education of first aid service providers should include post-resuscitation casualty management, this could be achieved by including the chain of survival in its entirety rather than the DRABCD (danger, response, airway, breathing, circulation and defibrillation) resuscitation action plan only. Similarly, ambulance paramedics require an understanding of semi-automatic external defibrillators as used by first aid service providers. In particular, the limitations of semi-automatic external defibrillators should be included in education programs for ambulance paramedics and emergency department staff. Finally, first aid service providers should implement formal mechanisms to provide feedback to participants regarding casualty outcomes following a critical event.

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