An outcome study of adult in-hospital cardiac arrests in non-monitored areas with resuscitation attempted using AED

Moriwaki, Katsuyuki; Watanabe, Tomoyuki; Yasuda, Masako; Katagiri, T; Ueki, Masaya; Kurita, Seiichiro; Sanuki, Michiyoshi; Tsutsumi, Yasuo M.

doi:10.1016/j.ajem.2019.12.025

Cited by 4 publications

(1 citation statement)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of in-hospital cardiac arrest (IHCA) is expressed as 1–13.1/1000 admissions. [ 1 ] IHCA cases generally have a shorter time to reach medical care than out-of-hospital cardiac arrest (OHCA); however, IHCA cases are confronted with poor outcomes and high mortality rates. In large-scale studies, IHCA survival rates are expressed around 20%.…”

Section: Introductionmentioning

confidence: 99%

Manual versus mechanical chest compression in in-hospital cardiac arrest

Şener

Günaydın

Tanrıverdi

et al. 2022

Turkish Journal of Emergency Medicine

View full text Add to dashboard Cite

OBJECTIVE: Mechanical chest compression (CC) devices are frequently used in in-hospital and out-of-hospital settings. In this study, mechanical and manual CC in in-hospital cardiac arrest was compared in terms of survival. METHODS: Adult patients who were admitted to the emergency department (ED) for 2 years period and had cardiac arrest in the ED were included in this retrospective, observational study. Return of spontaneous circulation (ROSC), 7-day and 30-day survival and hospital discharge data were compared between the two groups of patients who underwent manual CC and those who had mechanical CC with the Lund University Cardiac Assist System-2 device. RESULTS: Although the rate of ROSC in the mechanical CC group was lower than in the manual CC group, this difference was not statistically significant (41.7% vs. 50.4%; P = 0.133). The 7-day survival rate was found to be statistically significantly higher in the mechanical CC group (19.4% vs. 8.9%; P = 0.012). The 30-day survival rate was also found to be high in the mechanical CC group, but this difference was not statistically significant (10.6% vs. 7.3%; P = 0.339). CONCLUSION: In the light of these results, we can say that the use of piston-based mechanical CC devices in ED may be beneficial. More reliable results can be obtained with a prospective study to be performed in the ED.

show abstract

Section: Introductionmentioning

confidence: 99%

Manual versus mechanical chest compression in in-hospital cardiac arrest

Şener

Günaydın

Tanrıverdi

et al. 2022

Turkish Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

A review on initiatives for the management of daily medical emergencies prior to the arrival of emergency medical services

Matinrad

Reuter-Oppermann

2021

Cent Eur J Oper Res

View full text Add to dashboard Cite

Emergency services worldwide face increasing cost pressure that potentially limits their existing resources. In many countries, emergency services also face the issues of staff shortage–creating extra challenges and constraints, especially during crisis times such as the COVID-19 pandemic–as well as long distances to sparsely populated areas resulting in longer response times. To overcome these issues and potentially reduce consequences of daily (medical) emergencies, several countries, such as Sweden, Germany, and the Netherlands, have started initiatives using new types of human resources as well as equipment, which have not been part of the existing emergency systems before. These resources are employed in response to medical emergency cases if they can arrive earlier than emergency medical services (EMS). A good number of studies have investigated the use of these new types of resources in EMS systems, from medical, technical, and logistical perspectives as their study domains. Several review papers in the literature exist that focus on one or several of these new types of resources. However, to the best of our knowledge, no review paper that comprehensively considers all new types of resources in emergency medical response systems exists. We try to fill this gap by presenting a broad literature review of the studies focused on the different new types of resources, which are used prior to the arrival of EMS. Our objective is to present an application-based and methodological overview of these papers, to provide insights to this important field and to bring it to the attention of researchers as well as emergency managers and administrators.

show abstract