Fatal acute aortic dissection after back blows and chest thrusts delivered for choking episode

Guinane, John; Lee, Sook Meng

doi:10.1111/imj.14062

Cited by 4 publications

(1 citation statement)

References 6 publications

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“… Intervention Outcome Studies No. of Patients Results Back blows Survival 1 observational 277 13 All 13 patients survived Relief of obstruction 3 observational 277 , 278 , 279 75 All 75 patients had relief of obstruction Injury/harm 5 observational 280 , 281 , 282 4 3 vascular injuries, 1 thoracic injury Abdominal thrusts Survival 2 observational 283 , 284 189 All 189 patients survived Relief of obstruction 6 observational 277 , 278 , 279 , 283 , 284 , 285 417 All 417 patients had relief of obstruction Injury/harm 49 observational 281 , 282b , 286 , 287 , 288 , 289 , 290 , 291 , 292 , 293 , …”

Section: Special Circumstancesmentioning

confidence: 99%

Adult Basic Life Support

Berg¹,

Soar²,

Andersen³

et al. 2020

Resuscitation

101

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This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 20 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 3 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

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Section: Special Circumstancesmentioning

confidence: 99%

Adult Basic Life Support

Berg¹,

Soar²,

Andersen³

et al. 2020

Resuscitation

101

View full text Add to dashboard Cite

show abstract

Removal of foreign body airway obstruction: A systematic review of interventions

et al. 2020

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To summarise in a systematic review the effectiveness of interventions to treat foreign body airway obstructions (FBAO).Methods: We searched MEDLINE, EMBASE, and the Cochrane library from inception on 30 th September 2019 for studies that described the effectiveness of interventions to treat FBAO in adults and children.We included randomised controlled trials, observational studies and case series (≥5 cases) that described evidence of benefit. For evidence of harm/ complications, we included case reports. Two reviewers independently assessed study eligibility, extracted study data, and assessed risk of bias. Data are summarised in a narrative synthesis. The GRADE system is used to assess evidence certainty.Results: We included 69 publications, comprising three cross-sectional studies (557 patients); eight case series (755 patients), and 59 were case reports (64 patients). One paper was included as a case series and cross-sectional study. For all interventions and associated outcomes, evidence certainty was very low. Early removal of FBAO by bystanders was associated with improved neurological survival (odds ratio 6.0, 95% confidence interval 1.5 to 23.4).Identified evidence showed that key interventions (back blows, abdominal thrusts, chest thrusts/ compressions, Magill forceps, manual removal of obstructions from the mouth, suction-based airway clearance devices) are effective in relieving FBAO. We identified reports of harm in relation to back blows, abdominal thrusts, chest thrusts/ compressions, and blind finger sweeps.Conclusions: Key interventions successfully relieve FBAO, but may be associated with important harms. Guidelines for FBAO management should balance the benefits and harms of interventions.PROSPERO registration: CRD42019154784.

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Adult Basic Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Olasveengen¹,

Mancini²,

Perkins³

et al. 2020

Circulation

178

177

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This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 22 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 5 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

show abstract

Fatal acute aortic dissection after back blows and chest thrusts delivered for choking episode

Cited by 4 publications

References 6 publications

Adult Basic Life Support

Adult Basic Life Support

Removal of foreign body airway obstruction: A systematic review of interventions

Adult Basic Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

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