Supplementary Appendix
|
|
- Jacob Stevens
- 6 years ago
- Views:
Transcription
1 Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Girotra S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS. Trends in survival after inhospital cardiac arrest. N Engl J Med 2012;367: DOI: /NEJMoa
2 Supplementary Appendix Trends in Survival After In-Hospital Cardiac Arrest Saket Girotra M.D., S.M.; Brahmajee K. Nallamothu M.D., M.P.H.; John A. Spertus M.D., M.P.H.; Yan Li, Ph.D; Harlan M. Krumholz M.D., S.M.; Paul S. Chan M.D. 1
3 TABLE OF CONTENTS 1. American Heart Association Get With the Guidelines-Resuscitation Investigators Figure S1. Proportion of Cardiac Arrests Due to Asystole or Pulseless Electrical Activity and Ventricular Fibrillation or Pulseless Ventricular Tachycardia by Calendar Year Figure S2. Time to Defibrillation in Patients with Ventricular Fibrillation or Pulseless Ventricular Tachycardia by Calendar Year Table S1. Characteristics of Study Hospitals Table S2. Variables Included in the Multivariable Models Table S3. Observed Rates of Survival & Neurological Outcomes by Calendar Year Table S4. Independent Predictors of Survival to Hospital Discharge for In-hospital Cardiac Arrest Table S5. Calendar-Year Trends in Risk-adjusted Rates of Survival and Neurological Outcomes by Rhythm type Table S6. Calendar-Year Trends in Risk-Adjusted Rates of Survival to Discharge among Patients at Hospitals Participating for at least 8 years in Get With The Guidelines-Resuscitation..20 2
4 American Heart Association Get With the Guidelines Resuscitation (formerly National Registry of Cardiopulmonary Resuscitation) Investigators Besides the author Paul S. Chan MD, MSc, members of Get With The Guidelines- Resuscitation include: Robert A. Berg, MD, Children's Hospital of Philadelphia; Emilie Allen, MSN, RN, Parkland Health & Hospital System; Michael W. Donnino, MD, Beth Israel Deaconess Medical Center; Dana P. Edelson, MD, MS, University of Chicago Medical Center; Kathy Duncan, Institute for Healthcare Improvement; Brian Eigel, PhD and Lana Gent, PhD, American Heart Association; Robert T. Faillace, MD, St. Joseph's Regional Medical Center; Romergryko G. Geocadin, MD, Johns Hopkins School of Medicine; Elizabeth A. Hunt, MD, MPH, PhD, Johns Hopkins Medicine Simulation Center; Lynda Knight, RN, Lucile Packard Children's Hospital at Stanford; Kenneth LaBresh, MD, RTI International; Mary E. Mancini, RN, PhD, University of Texas at Arlington; Vinay M. Nadkarni, MD, University of Pennsylvania School of Medicine; Graham Nichol, MD, MPH and Samuel A. Warren, MD, University of Washington; Mary Ann Peberdy, MD and Joseph P. Ornato, MD, Virginia Commonwealth University Health System; Comilla Sasson, MD, MS, University of Colorado; and Mindy Smyth, MSN, RN. 3
5 Figure S1. Proportion of Cardiac Arrests Due to Asystole or Pulseless Electrical Activity and Ventricular Fibrillation or Pulseless Ventricular Tachycardia by Calendar Year.* Over the past decade, the proportion of cardiac arrests treatable by defibrillation (ventricular fibrillation and pulseless ventricular tachycardia) has decreased (P for trend <0.001). * PEA denotes pulseless electrical activity; VF, ventricular fibrillation; and VT, ventricular tachycardia. Girotra et al 4
6 Figure S2. Time to Defibrillation in Patients with Ventricular Fibrillation or Pulselsess Ventricular Tachycardia by Calendar Year. Over the past decade, mean time to defibrillation among patients with ventricular fibrillation and pulseless ventricular tachycardia has not changed (P for trend = 0.08). Girotra et al 5
7 Table S1. Characteristics of Study Hospitals Hospital Characteristic no./total no. (%) N=374 Geographic Region* Northeast 52/359 (14.5) Southeast 91/359 (25.3) Midwest 80/359 (22.3) Southwest 68/359 (18.9) West 68/359 (18.9) Location* Urban 322/359 (89.7) Rural 37/359 (10.3) Ownership* Private 47/359 (13.1) Government 55/359 (15.3) Non-profit 257/359 (71.6) Hospital Bed Size < /361 (39.0) /361 (39.9) > /361 (21.1) Academic Status Hospital with fellowship program (Major) 76/361 (21.1) Hospital with residency program (Minor) 116/361 (32.1) Non-teaching hospital 169/361 (46.8) * Geographic Region, location and ownership data were missing for 15 (4.0%) hospitals. Hospital bed size and academic status data were missing for 13 (3.5%) hospitals. Girotra et al 6
8 Table S2. Variables Included in the Multivariable Models* Variable Demographics Age Sex Race Definition Age in years Self reported (male or female) Self reported (white, black or other) Cardiac arrest characteristics Initial cardiac arrest rhythm Hospital location Time of cardiac arrest Day of cardiac arrest Use of a hospital-wide cardiopulmonary arrest alert ( Code Blue ) Assessed with AED First documented rhythm at the time of cardiac arrest (asystole, PEA, VF, or pulseless VT) Location of patient in the hospital at the time of cardiac arrest (ICU, monitored unit [telemetry], or non-monitored unit) Time of day when cardiac arrest occurred (working hours [7:00 AM 10:59] or after hours [11:00 PM 6:59 AM] Day of the week when cardiac arrest occurred (weekday [Monday-Friday] or weekend [Saturday, Sunday]) Use of a general hospital broadcast method for cardiac arrest notification (e.g., overhead pagers or audio alert) Use of an AED for automated rhythm analysis and defibrillation when appropriate during resuscitation Amiodarone use during resuscitation Use of amiodarone during resuscitation Time to defibrillation Time to first defibrillation shock in minutes (only for patients with VF or pulseless VT) Co-morbidities Heart failure, this admission Prior heart failure Documented diagnosis of congestive heart failure during this admission Documented diagnosis of congestive heart failure prior to this admission Girotra et al 7
9 Variable Myocardial infarction, this admission Prior myocardial infarction Arrhythmia Definition Documented diagnosis of myocardial ischemia (acute coronary syndrome) or myocardial infarction during this admission Documented diagnosis of myocardial ischemia (acute coronary syndrome) or myocardial infarction prior to this admission Documented diagnosis of a cardiac arrhythmia Evidence of hypotension within 4 hours up to the time of the event, defined by ANY of the following Hypotension 1. SBP < 90 or MAP < 60 mmhg 2. Vasopressor or inotropic requirement after volume expansion (except for dopamine 3 mcg/kg/min) 3. Intra-aortic balloon pump Evidence of acute or chronic respiratory insufficiency within 4 hours up to the time of the event, defined by ANY of the following Respiratory insufficiency 1. PaO2/FiO2 ratio < 300 (in the absence of pre-existing documented cyanotic heart disease) 2. PaO2 < 60 mm Hg (in the absence of pre-existing documented cyanotic heart disease) 3. SaO2 < 90 %, (in the absence of pre-existing documented cyanotic heart disease) 4. PaCO2, EtCO2 or TcCO2 > 50 mm Hg 5. Spontaneous respiratory rate > 40/min or < 5/min 6. Need for non-invasive ventilation (e.g., Bag-Valve- Mask, Mask CPAP or BiPAP, Nasal CPAP or BiPAP, negative pressure ventilation) 7. Need for ventilation via invasive airway (e.g., T-piece, assist control, IMV, pressure support, high frequency) Girotra et al 8
10 Variable Definition Evidence of renal insufficiency prior to the event, defined by ANY of the following Renal insufficiency 1. Requiring ongoing dialysis or extracorporeal filtration therapies 2. Creatinine > 2 mg/dl within 24 hours up to the time of the event Hepatic insufficiency Evidence of hepatic insufficiency within 24 hours up to the time of the event, defined by ANY of the following 1. Total bilirubin > 2 mg/dl and AST > 2x normal 2. Cirrhosis Evidence of metabolic/electrolyte abnormality within 4 hours up to the time of the event, defined by ANY of the following Metabolic or electrolyte abnormality 1. Sodium < 125 or > 150 meq/l 2. Potassium < 2.5 or > 6 meq/l 3. Arterial ph < 7.3 or > Lactate > 2.5 mmol/l 5. Blood glucose < 60 mg/dl Diabetes mellitus Baseline evidence of motor, cognitive, or functional deficits (CNS depression) Acute stroke Pre-arrest CPC score Documented diagnosis of Type I or Type II diabetes mellitus Evidence of a motor, cognitive, or functional baseline deficit (at time of system entry) Documented diagnosis of an intracranial or intraventricular hemorrhage or thrombosis during this admission CPC score at the time of cardiac arrest Girotra et al 9
11 Variable Pneumonia Septicemia Major Trauma Metastatic Cancer Definition Documented diagnosis of active pneumonia, where antibiotics have not yet been started or the pneumonia is still being treated with antibiotics Bloodstream infection where antibiotics have not yet been started or the infection is still being treated with antibiotics Evidence of multi-system injury or single system injury associated with shock or altered mental status (during this hospitalization) Any solid tissue malignancy with evidence of metastasis, or any blood borne malignancy Therapeutic interventions in place at the time of cardiac arrest Mechanical ventilation Anti-arrhythmic drugs Including use of ventilation via invasive airway or noninvasive ventilation (CPAP or BiPAP) Use of amiodarone, lidocaine, procainamide, or other antiarrhythmic agents ongoing at the time of the event Intravenous vasopressors Use of dobutamine, dopamine > 3 mcg/kg/min, epinephrine, norepinephrine, phenylephrine, other vasoactive agent ongoing at the time of the event Dialysis Pulmonary artery catheter Intra-aortic balloon pump Use of hemodialysis, peritoneal dialysis, continuous arteriovenous or veno-venous hemofiltration/dialysis ongoing at time of the event Use of invasive hemodynamic monitoring with a pulmonary artery catheter ongoing at the time of the event Use of intra-aortic balloon pump counterpulsation ongoing at the time of the event Girotra et al 10
12 Variable Length of a hospital s participation in Get With The Guidelines-Resuscitation Definition Number of years a hospital had participated in Get With The Guidelines-Resuscitation for each cardiac arrest Hospital characteristics (Source: American Hospital Association Data Year 2009) Geographic region Hospital ownership Hospital location Hospital bed size Categorized as northeast, southeast, midwest, southwest, and west census regions based on the United States Census 2000 Categorized as for-profit, government, and not-profit Categorized as urban and rural location Categorized as less than 250, , and 500 or more Teaching status Categorized as major teaching (hospitals with a residency and a fellowship program), minor teaching (hospitals with a residency program but no fellowship program), and non-teaching (hospitals without a residency or fellowship program) * AED denotes automated external defibrillator; AST, aspartate amiotransferase; BiPAP, bilevel positive airway pressure; CNS, central nervous system; CPAP, continuous positive airway pressure; CPC, cerebral performance category; EtCO2, end-tidal CO2; FiO2, fraction of oxygen in the inspired air; ICU, intensive care unit; MAP, mean arterial pressure; PaCO2, partial pressure of carbon dioxide; PaO2, partial pressure of oxygen; PEA, pulseless electrical activity; SBP: systolic blood pressure; SaO2, saturation of oxygen; TcCO2, transcutaneous CO2; VF, ventricular fibrillation; and VT, ventricular tachycardia. Girotra et al 11
13 Table S3. Observed Rates of Survival and Neurological Outcomes by Calendar Year* OVERALL no./total no. (%) Survival to Discharge 192/1405 (13.7) 712/4524 (15.7) 1219/7687 (15.9) 1516/10017 (15.1) 1741/10794 (16.1) 1870/10999 (17.0) 1859/10810 (17.2) 1862/10665 (17.5) 2128/10959 (19.4) 1258/6765 (18.6) Acute Resuscitation 600/ / / / / / / / / /6765 Survival (42.7) (44.4) (45.2) (46.7) (48.3) (49.7) (51.3) (54.2) (57.8) (57.3) Post-Resuscitation 192/ / / / / / / / / /3875 Survival (32.0) (35.4) (35.1) (32.4) (33.4) (34.2) (33.5) (32.2) (33.6) (32.5) Neurological Outcome in Survivors Clinical Significant 49/ / / / / / / / / /1120 Disability (32.9) (46.9) (42.3) (51.4) (54.1) (51.5) (52.7) (52.8) (49.8) (40.8) (CPC > 1) Severe Disability 15/149 (10.1) 84/524 (16.0) 139/953 (14.6) 225/1296 (17.4) 286/1447 (19.8) 324/1684 (19.2) 298/1692 (17.6) 350/1620 (21.6) 367/1881 (19.5) 184/1120 (16.4) Asystole and PEA no./total no. (%) Survival to Discharge 66/965 (6.8) 331/3315 (10.0) 629/5940 (10.6) 786/7866 (10.0) 958/8510 (11.3) 1058/8725 (12.1) 1108/8684 (12.8) 1140/8578 (13.3) 1370/8978 (15.3) 782/5574 (14.0) Acute Resuscitation 344/ / / / / / / / / /5574 Survival (35.7) (38.6) (40.5) (42.3) (44.0) (45.7) (47.9) (50.8) (55.1) (54.2) Post-Resuscitation 66/ / / / / / / / / /3019 Survival (19.2) (25.9) (26.2) (23.6) (25.6) (26.6) (26.6) (26.2) (27.7) (25.9) Girotra et al 12
14 Neurological Outcome in Survivors Clinical Significant 16/47 137/ / / / / / / / /691 Disability (34.0) (56.6) (50.8) (58.4) (61.5) (61.0) (59.3) (56.7) (54.7) (48.3) (CPC > 1) Severe Disability 7/47 (14.9) 55/242 (22.7) 95/480 (19.8) 149/666 (22.4) 205/779 (26.3) 240/940 (25.5) 235/999 (23.5) 232/974 (23.8) 277/1204 (23.0) 149/691 (21.6) VF and Pulseless VT no./total no. (%) Survival to Discharge, 126/440 (28.6) 381/1209 (31.5) 590/1747 (33.8) 730/2151 (33.9) 783/2284 (34.3) 812/2274 (35.7) 751/2126 (35.3) 722/2087 (34.6) 758/1981 (38.3) 476/1191 (40.0) Acute Resuscitation Survival Post-Resuscitation Survival Neurological Outcome in Survivors Clinical Significant Disability (CPC > 1) Severe Disability 256/440 (58.2) 126/256 (49.2) 33/102 (32.4) 8/102 (7.8) 731/1209 (60.5) 381/731 (52.1) 109/282 (38.7) 29/282 (10.3) 1074/1747 (61.5) 590/1074 (54.9) 159/473 (33.6) 44/473 (9.3) 1347/2151 (62.6) 730/1347 (54.2) 277/630 (44.0) 76/630 (12.1) 1472/2284 (64.5) 783/1472 (53.2) 304/668 (45.5) 1484/2274 (65.3) 812/1484 (54.7) 295/744 (39.7) 1388/2126 (65.3) 751/1388 (54.1) 299/693 (43.1) 1429/2087 (68.5) 722/1429 (50.5) 303/646 (46.9) 1388/1981 (70.1) 758/1388 * CPC, denotes cerebral performance category; PEA, pulseless electrical activity; VF, ventricular fibrillation; VT, ventricular tachycardia. Acute Resuscitation Survival was determined by the number of patients with return of spontaneous circulation for at least 20 minutes divided by the number of patients with a cardiac arrest. Post-resuscitation Survival was determined by the number surviving to hospital discharge divided by the number surviving the acute resuscitation. Clinically Significant Disability was defined as a CPC score of more than 1 in patients surviving to hospital discharge. Severe Disability was defined as a CPC score of more than 2 in patients surviving to hospital discharge. 81/668 (12.1) 84/744 (11.3) 63/693 (9.1) 118/646 (18.3) (54.6) 277/677 (40.9) 90/677 (13.3) 856/1191 (71.9) 476/856 (55.6) 123/429 (28.7) 35/429 (8.2) Girotra et al 13
15 Table S4. Independent Predictors of Survival to Hospital Discharge for In-hospital Cardiac Arrest* Variable Risk Ratio 95% CI P value Calendar Year 2001 vs vs < vs < vs < vs < vs < vs < vs < vs <0.001 Age (per 1-year) <0.001 Sex (Female vs. Male) <0.001 Race Black vs. White <0.001 Other vs. White Initial Cardiac Arrest Rhythm PEA vs. Asystole VF vs. Asystole <0.001 Girotra et al 14
16 Variable Risk Ratio 95% CI P value VT vs. Asystole <0.001 Hospital Location Monitored unit vs. ICU Non-monitored Unit vs. ICU <0.001 Arrest after-hours <0.001 Arrest on weekend <0.001 Use of a hospital-wide cardiopulmonary arrest alert Code Blue Assessed with automated external defibrillator Amiodarone use during resuscitation <0.001 Heart failure, this admission Prior heart failure Myocardial infarction, this admission <0.001 Prior myocardial infarction Arrhythmia <0.001 Hypotension <0.001 Respiratory insufficiency Renal insufficiency <0.001 Hepatic insufficiency <0.001 Metabolic or electrolyte abnormality <0.001 Diabetes mellitus <0.001 Girotra et al 15
17 Variable Risk Ratio 95% CI P value Baseline depression in CNS function Acute stroke Pre-arrest CPC score CPC 2 vs. CPC CPC 3 vs. CPC <0.001 CPC 4 vs. CPC <0.001 Pneumonia Septicemia <0.001 Major trauma Metastatic Cancer <0.001 Mechanical ventilation <0.001 Intravenous antiarrhythmic therapy <0.001 Intravenous vasopressor medication <0.001 Dialysis <0.001 Intra-aortic balloon pump Pulmonary artery catheter <0.001 Length of participation in Get With The Guidelines- Resuscitation Geographic Region Southeast vs. Northeast Midwest vs. Northeast <0.001 Girotra et al 16
18 Variable Risk Ratio 95% CI P value Southwest vs. Northeast West vs. Northeast Ownership status Government vs. Private Non-profit vs. Private Location (Rural vs. Urban) Hospital Bed Size vs. < > 500 vs. < Teaching status Minor teaching vs. Major Non-teaching vs. Major * CI, confidence interval; CNS, central nervous system; CPC, cerebral performance category; ICU, Intensive Care Unit; PEA, pulseless electrical activity; VF, ventricular fibrillation; and VT, ventricular tachycardia. Adjusted risk ratio, 95% confidence intervals and P values are provided for all model covariates included in the multivariable model for survival to discharge in the overall cohort. Girotra et al 17
19 Table S5. Trends in Risk-Adjusted Rates of Survival and Neurological Outcomes by Rhythm Type* Risk-Adjusted Rates Adjusted RR P for Asystole and PEA per year (95% CI) Trend Survival to Discharge (1.04, 1.08) < Acute Resuscitation Survival (1.03, 1.05) < Post-Resuscitation Survival (1.01, 1.04) Neurological Outcome in Survivors Clinically Significant Disability (0.98, 1.01) 0.21 Severe Disability** (0.98, 1.04) 0.63 VF and Pulseless VT Survival to Discharge ( ) < Acute Resuscitation Survival (1.01, 1.03) < Post-Resuscitation Survival (1.00, 1.02) 0.05 Neurological Outcome in Survivors Clinically Significant Disability (0.96, 0.99) 0.01 Severe Disability** (0.96, 1.07) 0.57 * CI denotes confidence interval; CPC, cerebral performance category; PEA, pulseless electrical activity; RR, rate ratio; VF, ventricular fibrillation; and VT, ventricular tachycardia. Risk-adjusted rates of survival to discharge, acute resuscitation survival, post-resuscitation survival, and neurological disability for each calendar year are reported separately for patients with non-shockable rhythms (asystole and PEA) and shockable rhythms (VF and pulseless VT). Rates are adjusted for temporal changes in patient and hospital characteristics. Risk-adjusted rates for each calendar year were obtained by multiplying the observed rate for the reference year (2000) by the corresponding rate-ratios for 2001 through 2009 from a model evaluating calendar year as a categorical variable. Determined from a model evaluating calendar year as a continuous variable. Girotra et al 18
20 Acute Resuscitation Survival was determined by the number of patients with return of spontaneous circulation for at least 20 minutes divided by the number of patients with a cardiac arrest. Post-resuscitation Survival was determined by the number surviving to hospital discharge divided by the number surviving the acute resuscitation. Clinically Significant Disability was defined as a CPC score of more than 1 in patients surviving to hospital discharge ** Severe Disability was defined as a CPC score of more than 2 in patients surviving to hospital discharge. Girotra et al 19
21 Table S6. Trends in Risk-Adjusted Rates of Survival to Discharge by Calendar Year Among Patients at Hospitals Participating for at least 8 years in Get With The Guidelines-Resuscitation* Risk-Adjusted Rates OVERALL N=563 N=1690 N=3202 N=4206 N=4085 N=4439 N=4409 N=3987 N=4121 N=2762 Adjusted RR per year (95% CI) P for Trend Survival to Discharge (1.04, 1.07) <0.001 Asystole and PEA N=396 N=1231 N=2473 N=3296 N=3212 N=3550 N=3602 N=3261 N=3418 N=2293 Survival to Discharge (1.04, 1.08) <0.001 VF and Pulseless VT N=167 N=459 N=729 N=910 N=873 N=889 N=807 N=726 N=703 N=469 Survival to Discharge (1.02, 1.05) <0.001 * CI denotes confidence interval; PEA, pulseless electrical activity; RR, rate ratio; VF, ventricular fibrillation; and VT, ventricular tachycardia. Risk-adjusted rates of survival to discharge by calendar year are reported for the overall cohort and by rhythm type for 33,464 patients at 85 hospitals that participated in the registry for at least 8 years during Risk-adjusted rates for each calendar year were determined by multiplying the observed rate for the reference year (2000) by the corresponding rate-ratios for 2001 through 2009 from a model evaluating calendar year as a categorical variable. Determined from a model evaluating calendar year as a continuous variable Girotra et al 20
Supplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Chan PS, Nallamothu BK, Krumholz HM, et al. Long-term outcomes
More informationTrends in Survival after In-Hospital Cardiac Arrest
T h e n e w e ngl a nd j o u r na l o f m e dic i n e original article Trends in Survival after In-Hospital Cardiac Arrest Saket Girotra, M.D., Brahmajee K. Nallamothu, M.D., M.P.H., John A. Spertus, M.D.,
More informationThe ARREST Trial: Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation
The ARREST Trial: Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation Introduction The ARREST (Amiodarone in out-of-hospital Resuscitation of REfractory Sustained
More informationA bs tr ac t. Conclusions Delayed defibrillation is common and is associated with lower rates of survival after in-hospital cardiac arrest.
The new england journal of medicine established in 1812 january 3, 2008 vol. 358 no. 1 Delayed Time after In-Hospital Cardiac Arrest Paul S. Chan, M.D., Harlan M. Krumholz, M.D., Graham Nichol, M.D., M.P.H.,
More informationStayin Alive: Pediatric Advanced Life Support (PALS) Updated Guidelines
Stayin Alive: Pediatric Advanced Life Support (PALS) Updated Guidelines Margaret Oates, PharmD, BCPPS Pediatric Critical Care Specialist GSHP Summer Meeting July 16, 2016 Disclosures I have nothing to
More informationPERIOPERATIVE cardiopulmonary arrests are
Predictors of Survival from Perioperative Cardiopulmonary Arrests A Retrospective Analysis of 2,524 Events from the Get With The Guidelines-Resuscitation Registry Satya Krishna Ramachandran, M.D., F.R.C.A.,*
More informationManagement of Cardiac Arrest Based on : 2010 American Heart Association Guidelines
Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines www.circ.ahajournals.org Elham Pishbin. M.D Assistant Professor of Emergency Medicine MUMS C H E S Advanced Life Support
More informationSupplementary Online Content
Supplementary Online Content Hasegawa K, Hiraide A, Chang Y, Brown DFM. Association of prehospital advancied airway management with neurologic outcome and survival in patients with out-of-hospital cardiac
More informationPost Cardiac Arrest Care 2015 American Heart Association Guideline Update for CPR and Emergency Cardiovascular Care
Post Cardiac Arrest Care 2015 American Heart Association Guideline Update for CPR and Emergency Cardiovascular Care รศ.ดร.พญ.ต นหยง พ พานเมฆาภรณ ภาคว ชาว ส ญญ ว ทยา คณะแพทยศาสตร มหาว ทยาล ยเช ยงใหม System
More informationSECTION 1: INCLUSION/EXCLUSION CRITERIA INCLUSION CRITERIA Please put a cross in the Yes or No box for each question
Site Number Patient s Initials SECTION 1: INCLUSION/EXCLUSION CRITERIA INCLUSION CRITERIA Please put a cross in the Yes or No box for each question Yes No 1.1 Is the patient receiving invasive mechanical
More informationResuscitation Patient Management Tool January 2017 CPA Event
OPTIONAL: Local Event ID: Did pt. receive chest compressions and/or defibrillation during this event? criteria) (does NOT meet inclusion Date/Time the need for chest compressions (or defibrillation when
More informationKey statistics from the National Cardiac Arrest Audit: Paediatric arrests April 2012 to March 2017
Key statistics from the National Cardiac Arrest Audit: Paediatric arrests April 12 to March 17 Supported by Resuscitation Council (UK) and Intensive Care National Audit & Research Centre (ICNARC) Data
More informationUpdate on Sudden Cardiac Death and Resuscitation
Update on Sudden Cardiac Death and Resuscitation Ashish R. Panchal, MD, PhD Medical Director Center for Emergency Medical Services Assistant Professor Clinical Department of Emergency Medicine The Ohio
More informationOutcomes of Therapeutic Hypothermia in Cardiac Arrest. Saad Mohammed Shariff, MBBS Aravind Herle, MD, FACC
Outcomes of Therapeutic Hypothermia in Cardiac Arrest Saad Mohammed Shariff, MBBS Aravind Herle, MD, FACC https://my.americanheart.org/idc/groups/ahamah-public/@wcm/@sop/@scon/documents/downloadable/ucm_427331.pdf
More information1. Normal sinus rhythm 2. SINUS BRADYCARDIA
1. Normal sinus rhythm 2. SINUS BRADYCARDIA No signs and symptoms observe There are severe signs or symptoms o What are the signs and symptom Hypotension
More informationPost-Cardiac Arrest Syndrome. MICU Lecture Series
Post-Cardiac Arrest Syndrome MICU Lecture Series Case 58 y/o female collapses at home, family attempts CPR, EMS arrives and notes VF, defibrillation x 3 with return of spontaneous circulation, brought
More informationLong-Term Outcomes in Elderly Survivors of In-Hospital Cardiac Arrest
T h e n e w e ngl a nd j o u r na l o f m e dic i n e original article Long-Term Outcomes in Elderly Survivors of In-Hospital Cardiac Arrest Paul S. Chan, M.D., Brahmajee K. Nallamothu, M.D., M.P.H., Harlan
More informationDepartment of Surgery, Division of Cardiothoracic Surgery
Review of In-Hospital and Out-of-Hospital Cardiac Arrests at a Tertiary Community Hospital for Potential ECPR Rescue Amanda Broderick 1, Jordan Williams 1, Alexandra Maryashina 1, & James Wu, MD 1 1 Department
More informationManual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A
ROC AMIODARONE, LIDOCAINE OR PLACEBO FOR OUT OF HOSPITAL CARDIAC ARREST DUE TO VENTRICULAR FIBRILLATION OR TACHYCARDIA (ALPS) STUDY: MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic
More informationOriginal Article. Survival Trends in Pediatric In-Hospital Cardiac Arrests An Analysis From Get With The Guidelines Resuscitation
Original Article Survival Trends in Pediatric In-Hospital Cardiac Arrests An Analysis From Get With The Guidelines Resuscitation Saket Girotra, MD, SM; John A. Spertus, MD, MPH; Yan Li, PhD; Robert A.
More informationManagement of Post Cardiac Arrest Syndrome
Management of Post Cardiac Arrest Syndrome Wilhelm Behringer Associated Professor of Emergency Medicine Medical University of Vienna, Austria Patients % What happens after ROSC? 35 30 25 20 15 10 5 ROSC
More informationGIVEN THAT IN-HOSPITAL
ORIGINAL INVESTIGATION Hospital Variation in Time to Defibrillation After In-Hospital Cardiac Arrest Paul S. Chan, MD, MSc; Graham Nichol, MD, MPH; Harlan M. Krumholz, MD, SM; John A. Spertus, MD, MPH;
More informationSUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC
SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC The following is a summary of the key issues and changes in the AHA 2010 Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac
More informationEvidence for Lidocaine and Amiodarone in Cardiac Arrest Due to VF/Pulseless VT
Evidence for Lidocaine and Amiodarone in Cardiac Arrest Due to VF/Pulseless VT Introduction Evidence supporting the use of lidocaine and amiodarone for advanced cardiac life support was considered by international
More informationUniversity of Wisconsin - Madison Cardiovascular Medicine Fellowship Program UW CICU Rotation Goals and Objectives
Background: The field of critical care cardiology has evolved considerably over the past 2 decades. Contemporary critical care cardiology is increasingly focused on the management of patients with advanced
More informationChapter 9. Learning Objectives. Learning Objectives 9/11/2012. Cardiac Arrhythmias. Define electrical therapy
Chapter 9 Cardiac Arrhythmias Learning Objectives Define electrical therapy Explain why electrical therapy is preferred initial therapy over drug administration for cardiac arrest and some arrhythmias
More informationACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death
ACLS Review BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. After establishing unresponsiveness and calling for a code, check for a pulse less than 10 seconds then begin
More informationIDENTIFYING SEPSIS IN THE PREHOSPITAL SETTING
IDENTIFYING SEPSIS IN THE PREHOSPITAL SETTING Christopher Hunter, MD, PhD, FACEP Director, Health Services Department Associate Medical Director, Orange County EMS System Medical Director, Orlando Health
More informationEvidence-Based. Management of Severe Sepsis. What is the BP Target?
Evidence-Based Management of Severe Sepsis Michael A. Gropper, MD, PhD Professor and Vice Chair of Anesthesia Director, Critical Care Medicine Chair, Quality Improvment University of California San Francisco
More informationMedical Management of Acute Heart Failure
Critical Care Medicine and Trauma Medical Management of Acute Heart Failure Mary O. Gray, MD, FAHA Associate Professor of Medicine University of California, San Francisco Staff Cardiologist and Training
More informationPost-Resuscitation Care. Prof. Wilhelm Behringer Center of Emergency Medicine University of Jena
Post-Resuscitation Care Prof. Wilhelm Behringer Center of Emergency Medicine University of Jena Conflict of interest Emcools Shareholder and founder, honoraria Zoll: honoraria Bard: honoraria, nephew works
More informationAcute heart failure: ECMO Cardiology & Vascular Medicine 2012
Acute heart failure: ECMO Cardiology & Vascular Medicine 2012 Lucia Jewbali cardiologist-intensivist 14 beds/8 ICU beds Acute coronary syndromes Heart failure/ Cardiogenic shock Post cardiotomy Heart
More informationIn-hospital Care of the Post-Cardiac Arrest Patient. David A. Pearson, MD, FACEP, FAAEM Associate Program Director Department of Emergency Medicine
In-hospital Care of the Post-Cardiac Arrest Patient David A. Pearson, MD, FACEP, FAAEM Associate Program Director Department of Emergency Medicine Disclosures I have no financial interest, arrangement,
More informationAppendix. Supplementary figures and tables
This appendix was part of the submitted manuscript and has been peer reviewed. It is posted as supplied by the authors. Appendix. Supplementary figures and tables Figure A1. Flowchart describing patient
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Sprung CL, Annane D, Keh D, et al. Hydrocortisone therapy for
More informationAre You Stopping Too Soon? OUTCOMES OF PEDIATRIC CPR
Are You Stopping Too Soon? OUTCOMES OF PEDIATRIC CPR Renée I. Matos, MD, MPH, FAAP Maj, USAF, MC Pediatric Critical Care Medicine San Antonio Military Medical Center Disclosure I have no significant financial
More informationThe ALS Algorithm and Post Resuscitation Care
The ALS Algorithm and Post Resuscitation Care CET - Ballarat Health Services Valid from 1 st July 2018 to 30 th June 2020 2 Defibrillation Produces simultaneous mass depolarisation of myocardial cells
More informationUpdate on Sudden Cardiac Death and Resuscitation
Update on Sudden Cardiac Death and Resuscitation Ashish R. Panchal, MD, PhD Medical Director Center for Emergency Medical Services Assistant Professor Clinical Department of Emergency Medicine The Ohio
More informationAdvanced Resuscitation - Adult
C02A Resuscitation 2017-03-23 17 years & older Office of the Medical Director Advanced Resuscitation - Adult Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
More informationACLS. Advanced Cardiac Life Support Practice Test Questions. 1. The following is included in the ACLS Survey?
1. The following is included in the ACLS Survey? a. Airway, Breathing, Circulation, Differential Diagnosis b. Airway, Breathing, Circulation, Defibrillation c. Assessment, Breathing, Circulation, Defibrillation
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: CARDIOVASCULAR INTENSIVE Job Title of Reviewer: Director, CVICU EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY
More informationECG Changes in Patients Treated with Mild Hypothermia after Cardio-pulmonary Resuscitation for Out-of-hospital Cardiac Arrest
ECG Changes in Patients Treated with Mild Hypothermia after Cardio-pulmonary Resuscitation for Out-of-hospital Cardiac Arrest R. Schneider, S. Zimmermann, W.G. Daniel, S. Achenbach Department of Internal
More informationCardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition
Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition Table of Contents Volume 1 Chapter 1: Cardiovascular Anatomy and Physiology Basic Cardiac
More informationAdvanced Resuscitation - Child
C02C Resuscitation 2017-03-23 1 up to 10 years Office of the Medical Director Advanced Resuscitation - Child Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
More informationObjectives. Design: Setting &Patients: Patients. Measurements and Main Results: Common. Adverse events VS Mortality
ADVERSE EVENTS AND THEIR RELATION TO MORTALITY IN OUT-OF-HOSPITAL CARDIAC ARREST PATIENTS TREATED WITH THERAPEUTIC HYPOTHERMIA Reporter R1 吳志華 Supervisor VS 王瑞芳 100.04.02 Niklas Nielsen, MD, PhD; Kjetil
More informationPost Arrest Ventilation/Oxygenation Management
Post Arrest Ventilation/Oxygenation Management Richard Branson MSc RRT Professor of Surgery University of Cincinnati Editor-In-Chief Respiratory Care 0 Presenter Disclosure Information Richard Branson
More informationIntroduction. Invasive Hemodynamic Monitoring. Determinants of Cardiovascular Function. Cardiovascular System. Hemodynamic Monitoring
Introduction Invasive Hemodynamic Monitoring Audis Bethea, Pharm.D. Assistant Professor Therapeutics IV January 21, 2004 Hemodynamic monitoring is necessary to assess and manage shock Information obtained
More informationBut unfortunately, the first sign of cardiovascular disease is often the last. Chest-Compression-Only Resuscitation Gordon A.
THE UNIVERSITY OF ARIZONA Sarver Heart Center 1 THE UNIVERSITY OF ARIZONA Sarver Heart Center 2 But unfortunately, the first sign of cardiovascular disease is often the last 3 4 1 5 6 7 8 2 Risk of Cardiac
More informationAdvanced Cardiac Life Support (ACLS) Science Update 2015
1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other
More informationThe Artificial Intelligence Clinician learns optimal treatment strategies for sepsis in intensive care
SUPPLEMENTARY INFORMATION Articles https://doi.org/10.1038/s41591-018-0213-5 In the format provided by the authors and unedited. The Artificial Intelligence Clinician learns optimal treatment strategies
More informationEFFECT OF EARLY VASOPRESSIN VS NOREPINEPHRINE ON KIDNEY FAILURE IN PATIENTS WITH SEPTIC SHOCK. Alexandria Rydz
EFFECT OF EARLY VASOPRESSIN VS NOREPINEPHRINE ON KIDNEY FAILURE IN PATIENTS WITH SEPTIC SHOCK Alexandria Rydz BACKGROUND- SEPSIS Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated
More informationPreparing for your upcoming PALS course
IU Health PALS Study Guide Preparing for your upcoming PALS course UPDATED November 2016 Course Curriculum: 2015 American Heart Association (AHA) Guidelines for Pediatric Advanced Life Support (PALS) AHA
More informationUnstable: Hypotension/Shock, Fever, Altered Mental Status, Chest discomfort, Acute Heart Failure Saturation <94%, Systolic BP < 90mmHg
Bradycardia Heart Rate less than 50/min Stable: Monitor Seek expert help Treat Reversible Causes Unstable Signs and Symptoms: chest pain, shortness of breath, altered mental status, weak, Hypotension,
More informationCardiopulmonary Resuscitation in Adults
Cardiopulmonary Resuscitation in Adults Fatma Özdemir, MD Emergency Deparment of Uludag University Faculty of Medicine OVERVIEW Introduction Pathophysiology BLS algorithm ALS algorithm Post resuscitation
More informationKiehl EL, 1,2 Parker AM, 1 Matar RM, 2 Gottbrecht M, 1 Johansen MC, 1 Adams MP, 1 Griffiths LA, 2 Bidwell KL, 1 Menon V, 2 Enfield KB, 1 Gimple LW 1
C-GRApH: A Validated Scoring System For The Early Risk Stratification Of Neurologic Outcomes After Out-of-hospital Cardiac Arrest Treated With Therapeutic Hypothermia Kiehl EL, 1,2 Parker AM, 1 Matar RM,
More informationNeurologic Recovery Following Prolonged Out-of-Hospital Cardiac Arrest With Resuscitation Guided by Continuous Capnography
CASE REPORT FULL RECOVERY AFTER PROLONGED CARDIAC ARREST AND RESUSCITATION WITH CAPNOGRAPHY GUIDANCE Neurologic Recovery Following Prolonged Out-of-Hospital Cardiac Arrest With Resuscitation Guided by
More informationSurviving Sepsis Campaign. Guidelines for Management of Severe Sepsis/Septic Shock. An Overview
Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis/Septic Shock An Overview Mechanical Ventilation of Sepsis-Induced ALI/ARDS ARDSnet Mechanical Ventilation Protocol Results: Mortality
More informationVeno-Venous ECMO Support. Chris Cropsey, MD Sept. 21, 2015
Veno-Venous ECMO Support Chris Cropsey, MD Sept. 21, 2015 Objectives List indications and contraindications for ECMO Describe hemodynamics and oxygenation on ECMO Discuss evidence for ECMO outcomes Identify
More informationStaging Sepsis for the Emergency Department: Physician
Staging Sepsis for the Emergency Department: Physician Sepsis Continuum 1 Sepsis Continuum SIRS = 2 or more clinical criteria, resulting in Systemic Inflammatory Response Syndrome Sepsis = SIRS + proven/suspected
More informationObjectives: This presentation will help you to:
emergency Drugs Objectives: This presentation will help you to: Five rights for medication administration Recognize different cardiac arrhythmias and determine the common drugs used for each one List the
More informationACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.
November, 2013 ACLS Prep Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep. ACLS Prep Preparation is key to a successful ACLS experience.
More informationUpdate of CPR AHA Guidelines
Update of CPR AHA Guidelines Donald Hal Shaffner Course objective is to have an updated understanding of the American Heart Association s treatment algorithms for the management of cardiac decompensation
More informationCPR What Works, What Doesn t
Resuscitation 2017 ECMO and ECLS April 1, 2017 Corey M. Slovis, M.D. Vanderbilt University Medical Center Metro Nashville Fire Department Nashville International Airport Nashville, TN Circulation 2013;128:417-35
More informationAllinaHealthSystem 1
: Definition End-organ hypoperfusion secondary to cardiac failure Venoarterial ECMO: Patient Selection Michael A. Samara, MD FACC Advanced Heart Failure, Cardiac Transplant & Mechanical Circulatory Support
More informationPrehospital Care Monograph
Prehospital Care Monograph Amiodarone (Cordarone) City of Pittsburgh Bureau of Emergency Medical Services And Medical Direction Committee Center for Emergency Medicine Of Western Pennsylvania 1 This monograph
More informationEACTS Adult Cardiac Database
EACTS Adult Cardiac Database Quality Improvement Programme List of changes to Version 2.0, 13 th Dec 2018, compared to version 1.0, 1 st May 2014. INTRODUCTORY NOTES This document s purpose is to list
More informationDrs. Rottman, Salloum, Campbell, Muldowney, Hong, Bagai, Kronenberg
Rotation: or: Faculty: Coronary Care Unit (CVICU) Dr. Jeff Rottman Drs. Rottman, Salloum, Campbell, Muldowney, Hong, Bagai, Kronenberg Duty Hours: Mon Fri, 7 AM to 7 PM, weekend call shared with consult
More informationSupplementary Online Content
Supplementary Online Content Gershengorn HB, Scales DC, Kramer A, Wunsch H. Association between overnight extubations and outcomes in the intensive care unit. JAMA Intern Med. Published online September
More informationSUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Table S1: Number and percentage of patients by age category Distribution of age Age
More informationMASTER SYLLABUS
A. Academic Division: Health Sciences B. Discipline: Respiratory Care MASTER SYLLABUS 2018-2019 C. Course Number and Title: RESP 2330 Advanced Life Support Procedures D. Course Coordinator: Tricia Winters,
More informationJUST SAY NO? THE LATEST LOOK AT ACLS MEDICATIONS BRIDGETTE SVANCAREK, MD
JUST SAY NO? THE LATEST LOOK AT ACLS MEDICATIONS BRIDGETTE SVANCAREK, MD OBJECTIVES Review the progression of the American Heart Association s ACLS cardiac arrest medication guidelines Identify the latest
More informationSupplementary Online Content
Supplementary Online Content Hocker SE, Britton JW, Mandrekar JN, Wijdicks EFM, Rabinstein AA. Predictors of outcome in refractory status epilepticus. Arch Neurol. Published online October 8, 2012. doi:10.1001/archneurol.2012.1697.
More informationSurvival Trends in Pediatric In-Hospital Cardiac Arrests An Analysis From Get With The Guidelines Resuscitation
Survival Trends in Pediatric In-Hospital Cardiac Arrests An Analysis From Get With The Guidelines Resuscitation Saket Girotra, MD, SM; John A. Spertus, MD, MPH; Yan Li, PhD; Robert A. Berg, MD; Vinay M.
More informationDon t let your patients turn blue! Isn t it about time you used etco 2?
Don t let your patients turn blue! Isn t it about time you used etco 2? American Association of Critical Care Nurses National Teaching Institute Expo Ed 2013 Susan Thibeault MS, CRNA, APRN, CCRN, EMT-P
More informationPROBLEM: Shock refractory VF/pVT BACKGROUND: Both in 2015 CoSTR. Amiodarone favoured.
Question Should AMIODARONE vs LIDOCAINE be used for adults with shock refractory VF/pVT PROBLEM: Shock refractory VF/pVT BACKGROUND: Both in 2015 CoSTR. Amiodarone favoured. OPTION: AMIODARONE plus standard
More informationDevelopments in Cardiopulmonary Resuscitation Guidelines
Developments in Cardiopulmonary Resuscitation Guidelines Bernd W. Böttiger Seite 1 To preserve human life by making high quality resuscitation available to all Outcome after CPR in Germany ROSC ( Return
More informationE-CPR National Trends & Local Plans
E-CPR National Trends & Local Plans Objectives What is E-CPR? Jon Marinaro MD FCCM Chief, Surgical Critical Care UNM Associate Director UNM Adult ECMO Program Why would one do it? Evidence behind E-CPR?
More informationE-CPR National Trends & Local Plans
E-CPR National Trends & Local Plans Jon Marinaro MD FCCM Chief, Surgical Critical Care UNM Associate Director UNM Adult ECMO Program Objectives What is E-CPR? Why would one do it? Evidence behind E-CPR?
More informationYolo County Health & Human Services Agency
Yolo County Health & Human Services Agency Kristin Weivoda EMS Administrator John S. Rose, MD, FACEP Medical Director DATE: December 28, 2017 TO: Yolo County Providers and Agencies FROM: Yolo County EMS
More informationAdvanced Resuscitation - Adolescent
C02B Resuscitation 2017-03-23 10 up to 17 years Office of the Medical Director Advanced Resuscitation - Adolescent Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia
More informationPatient Safety Safe Table Webcast: Sepsis (Part III and IV) December 17, 2014
Patient Safety Safe Table Webcast: Sepsis (Part III and IV) December 17, 2014 Presenters Mark Blaney, RN Regional Nurse Educator CHI Franciscan Health Karen Lautermilch Director, Quality & Performance
More informationMoving Codes Upstairs - How the ratio of PICU arrests is increasing and why it s a good thing
Moving Codes Upstairs - How the ratio of PICU arrests is increasing and why it s a good thing Robert A. Berg, MD, FCCM, FAHA, FAAP Division Chief, Critical Care Medicine The Children s Hospital of Philadelphia
More informationPrehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole
Prehospital Resuscitation for the 21 st Century Simulation Case VF/Asystole Case History 1 (hypovolemic cardiac arrest secondary to massive upper GI bleed) 56 year-old male patient who fainted in the presence
More informationOutcomes From Severe ARDS Managed Without ECMO. Roy Brower, MD Johns Hopkins University Critical Care Canada Forum Toronto November 1, 2016
Outcomes From Severe ARDS Managed Without ECMO Roy Brower, MD Johns Hopkins University Critical Care Canada Forum Toronto November 1, 2016 Severe ARDS Berlin Definition 2012 P:F ratio 100 mm Hg Prevalence:
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abdomen, and aorta, as causes of shock, point-of-care ultrasonography in assessment of, 915 917 Abdominal compartment syndrome, trauma patient
More informationHypothermia: The Science and Recommendations (In-hospital and Out)
Hypothermia: The Science and Recommendations (In-hospital and Out) L. Kristin Newby, MD, MHS Professor of Medicine Duke University Medical Center Chair, Council on Clinical Cardiology, AHA President, Society
More informationTHE INSTITUTE OF MEDICINE REports
ORIGINAL CONTRIBUTION Survival From In-Hospital Cardiac Arrest During Nights and Weekends Mary Ann Peberdy, MD Joseph P. Ornato, MD G. Luke Larkin, MD, MSPH, MS R. Scott Braithwaite, MD T. Michael Kashner,
More informationPALS Case Scenario Testing Checklist Respiratory Case Scenario 1 Upper Airway Obstruction
Respiratory Case Scenario 1 Upper Airway Obstruction Directs administration of 100% oxygen or supplementary oxygen as needed to support oxygenation Identifies signs and symptoms of upper airway obstruction
More informationPediatric advanced life support. Management of decreased conscious level in children. Virgi ija Žili skaitė 2017
Pediatric advanced life support. Management of decreased conscious level in children Virgi ija Žili skaitė 2017 Life threatening conditions: primary assessment, differential diagnostics and emergency care.
More informationFirst Documented Rhythm and Clinical Outcome From In-Hospital Cardiac Arrest Among Children and Adults
ORIGINAL CONTRIBUTION First Documented Rhythm and Clinical Outcome From In-Hospital Among Children and s Vinay M. Nadkarni, MD Gregory Luke Larkin, MD Mary Ann Peberdy, MD Scott M. Carey William Kaye,
More informationEarly-goal-directed therapy and protocolised treatment in septic shock
CAT reviews Early-goal-directed therapy and protocolised treatment in septic shock Journal of the Intensive Care Society 2015, Vol. 16(2) 164 168! The Intensive Care Society 2014 Reprints and permissions:
More informationACP Recertification Pre-Course: Pediatric Manual Defibrillation
2010-2011 ACP Recertification Pre-Course: Pediatric Manual Defibrillation Pediatric Defibrillation - Overview Objectives Overview of Pediatric Defibrillation Etiology and Pathophysiology of Pediatric Defibrillation
More informationHanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist
Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist Introduction. Basic Life Support (BLS). Advanced Cardiac Life Support (ACLS). Cardiovascular diseases (CVDs) are the number one cause of death
More informationRoutine Patient Care Guidelines - Adult
Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures
More informationResuscitation in infants and children
Resuscitation in infants and children The importance of respiratory support Dr. Simon Erickson Paediatric Intensive Care Princess Margaret Hospital for Children Paediatric cardiac arrests uncommon (~20/100,000)
More informationCSI Skills Lab #5: Arrhythmia Interpretation and Treatment
CSI 202 - Skills Lab #5: Arrhythmia Interpretation and Treatment Origins of the ACLS Approach: CSI 202 - Skills Lab 5 Notes ACLS training originated in Nebraska in the early 1970 s. Its purpose was to
More informationFinal Written Exam ASHI ACLS
Final Written Exam ASHI ACLS Instructions: Identify the choice that best completes the statement or answers the question. Questions 1 and 2 pertain to the following scenario: A 54-year-old man has experienced
More informationCardiothoracic Fellow Expectations Division of Cardiac Anesthesia, Beth Israel Deaconess Medical Center
The fellowship in Cardiothoracic Anesthesia at the Beth Israel Deaconess Medical Center is intended to provide the foundation for a career as either an academic cardiothoracic anesthesiologist or clinical
More informationAutomated external defibrillators and survival after in-hospital cardiac arrest: early experience at an Australian teaching hospital
Automated external defibrillators and survival after in-hospital cardiac arrest: early experience at an Australian teaching hospital Roger J Smith, Bernadette B Hickey and John D Santamaria Early defibrillation
More informationHospital Variation in Time to Epinephrine for Non-Shockable. In-Hospital Cardiac Arrest
Hospital Variation in Time to Epinephrine for Non-Shockable In-Hospital Cardiac Arrest Running Title: Khera et al.; Hospital Epinephrine Use Variation Rohan Khera, MD 1 ; Paul S. Chan, MD, MSc 2 ; Michael
More information