scholarly journals The incidence of “load&go” out-of-hospital cardiac arrest candidates for emergency department utilization of emergency extracorporeal life support: A one-year review

Resuscitation ◽  
2015 ◽  
Vol 91 ◽  
pp. 131-136 ◽  
Author(s):  
Michael Poppe ◽  
Christoph Weiser ◽  
Michael Holzer ◽  
Patrick Sulzgruber ◽  
Philip Datler ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Emergency Department Utilization ◽  
One Year ◽  
Hospital Cardiac Arrest

Profile and outcomes of in-hospital cardiac arrest in a paediatric emergency department

2021 ◽  
Author(s):  
Muhammad Irfan Habib ◽  
Murtaza Gova ◽  
Huba Atiq
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Critical Conditions ◽  
Emergency Department Utilization ◽  
Age Group ◽  
Number Of Children ◽  
One Year ◽  
High Level ◽  
Hospital Cardiac Arrest

Abstract Objective: To determine the profile and outcome of patients for in-hospital cardiac arrest (IHCA) in an emergency department (ED). Methods: It is a retrospective study of one year from Jan – Dec’ 2017 for patients who suffered cardiac arrest during their stay in emergency department of National Institute of Child Health (NICH), Karachi, Pakistan. Data was seen for IHCA only and their outcomes including rate of ROSC (Return of Spontaneous Circulation). Patients with out of hospital cardiac arrest were excluded. Results: Total number of children landed in critical conditions were 19,385. In-Hospital Cardiac Arrest were noted in 935 (5%) cases during the study period. ROSC was achieved in 568 (61%). Males were 556 (59%). Infants (<12 months of age) were among the top who suffered in-hospital cardiac arrest they were 719 (77%). The outcome of those who suffered cardiac arrest that 505 (54%) of them survived till emergency room management before disposal to the high level of care. Just 140 cases (15%) landed in emergency department through ambulance and the outcomes were better who landed through ambulance. Conclusion: More than half of the patients achieved ROSC after in-hospital cardiac arrest and half of them stabilized till final disposal from Emergency department. Utilization of ambulance service seems very low. Most common age group was infant. Continuous...

scholarly journals Early initiation of extracorporeal life support in refractory out-of-hospital cardiac arrest: Design and rationale of the INCEPTION trial

2019 ◽  
Vol 210 ◽  
pp. 58-68 ◽  
Author(s):  
Martine E. Bol ◽  
Martje M. Suverein ◽  
Roberto Lorusso ◽  
Thijs S.R. Delnoij ◽  
George J. Brandon Bravo Bruinsma ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Early Initiation ◽  
Hospital Cardiac Arrest

scholarly journals Strengthening Links in the “Chain of Survival”: A Singapore Perspective

2002 ◽  
Vol 9 (3) ◽  
pp. 121-125 ◽  
Author(s):  
Ra Charles ◽  
F Lateef ◽  
V Anantharaman
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Life Support ◽  
Advanced Cardiac Life Support ◽  
Basic Cardiac Life Support ◽  
Chain Of Survival ◽  
Bystander Cpr ◽  
Mean Time ◽  
Hospital Cardiac Arrest ◽  
Ambulance Crew

Introduction The concept of the chain of survival is widely accepted. The four links viz. early access, early cardiopulmonary resuscitation (CPR), early defibrillation and early Advanced Cardiac Life Support (ACLS) are related to survival after pre-hospital cardiac arrest. Owing to the dismal survival-to-discharge figures locally, we conducted this study to identify any weaknesses in the chain, looking in particular at bystander CPR rates and times to Basic Cardiac Life Support (BCLS) and ACLS. Methods and materials A retrospective cohort study was conducted in the Emergency Department of an urban tertiary 1500-bed hospital. Over a 12-month period, all cases of non-trauma out-of-hospital cardiac arrest were evaluated. Results A total of 142 cases of non-trauma out-of-hospital cardiac arrest were identified; the majority being Chinese (103/142, 72.5%) and male (71.8%) with a mean age of 64.3±7.8 years (range 23–89 yrs). Most patients (111/142, 78.2%) did not receive any form of life support until arrival of the ambulance crew. Mean time from collapse to arrival of the ambulance crew and initiation of BCLS and defibrillation was 9.2±3.5 minutes. Mean time from collapse to arrival in the Emergency Department (and thus ACLS) was 16.8±7.1 minutes. Three patients (2.11%) survived to discharge. Conclusion There is a need to (i) facilitate layperson training in bystander CPR, and (ii) enhance paramedic training to include ACLS, in order to improve the current dismal survival outcomes from out-of-hospital cardiac arrest in Singapore.

Extracorporeal life support as rescue strategy for out-of-hospital and emergency department cardiac arrest

Resuscitation ◽  
2014 ◽  
Vol 85 (11) ◽  
pp. 1527-1532 ◽  
Author(s):  
Nicholas J. Johnson ◽  
Michael Acker ◽  
Cindy H. Hsu ◽  
Nimesh Desai ◽  
Prashanth Vallabhajosyula ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support

Extracorporeal life support for refractory out-of-hospital cardiac arrest: Should we still fight for? A single-centre, 5-year experience

2016 ◽  
Vol 204 ◽  
pp. 70-76 ◽  
Author(s):  
Matteo Pozzi ◽  
Catherine Koffel ◽  
Xavier Armoiry ◽  
Isabelle Pavlakovic ◽  
Jean Neidecker ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Single Centre ◽  
Hospital Cardiac Arrest

Emergency Extracorporeal Life Support After Prolonged Out-of-Hospital Cardiac Arrest

2014 ◽  
Vol 28 (4) ◽  
pp. 1024-1026 ◽  
Author(s):  
Gabriel Putzer ◽  
Birgit Mair ◽  
Herbert Hangler ◽  
Mathias Ströhle ◽  
Peter Mair
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Hospital Cardiac Arrest

scholarly journals Comparison of Mechanical Support with Impella or Extracorporeal Life Support in Post-Cardiac Arrest Cardiogenic Shock: A Propensity Scoring Matching Analysis

2021 ◽  
Vol 10 (16) ◽  
pp. 3583
Author(s):  
Styliani Syntila ◽  
Georgios Chatzis ◽  
Birgit Markus ◽  
Holger Ahrens ◽  
Christian Waechter ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiogenic Shock ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Survival Rates ◽  
Limb Ischemia ◽  
Spontaneous Circulation ◽  
Access Site ◽  
Baseline Characteristics ◽  
Hospital Cardiac Arrest

Our aim was to compare the outcomes of Impella with extracorporeal life support (ECLS) in patients with post-cardiac arrest cardiogenic shock (CS) complicating acute myocardial infarction (AMI). This was a retrospective study of patients resuscitated from out of hospital cardiac arrest (OHCA) with post-cardiac arrest CS following AMI (May 2015 to May 2020). Patients were supported either with Impella 2.5/CP or ECLS. Outcomes were compared using propensity score-matched analysis to account for differences in baseline characteristics between groups. 159 patients were included (Impella, n = 105; ECLS, n = 54). Hospital and 12-month survival rates were comparable in the Impella and the ECLS groups (p = 0.16 and p = 0.3, respectively). After adjustment for baseline differences, both groups demonstrated comparable hospital and 12-month survival (p = 0.36 and p = 0.64, respectively). Impella patients had a significantly greater left ventricle ejection-fraction (LVEF) improvement at 96 h (p < 0.01 vs. p = 0.44 in ECLS) and significantly fewer device-associated complications than ECLS patients (15.2% versus 35.2%, p < 0.01 for relevant access site bleeding, 7.6% versus 20.4%, p = 0.04 for limb ischemia needing intervention). In subgroup analyses, Impella was associated with better survival in patients with lower-risk features (lactate < 8.6 mmol/L, time from collapse to return of spontaneous circulation < 28 min, vasoactive score < 46 and Horowitz index > 182). In conclusion, the use of Impella 2.5/CP or ECLS in post-cardiac arrest CS after AMI was associated with comparable adjusted hospital and 12-month survival. Impella patients had a greater LVEF improvement than ECLS patients. Device-related access-site complications occurred more frequently in patients with ECLS than Impella support.

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