Resuscitation最新文献

{"title":"Can ChatGPT-4o Live Vision in Advanced Voice Mode Detect Incorrect Cardiopulmonary Resuscitation Technique?","authors":"Rick Kye Gan, Carlos Alsua, José Antonio Cernuda Martínez, Pedro Arcos González","doi":"10.1016/j.resuscitation.2025.110718","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110718","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110718"},"PeriodicalIF":6.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatal foreign body airway obstruction in Japanese schools: A nationwide retrospective study","authors":"Hatsumi Nakanishi, Yutaka Igarashi, Hiroto Iha, Shoji Yokobori, Tatsuya Norii","doi":"10.1016/j.resuscitation.2025.110713","DOIUrl":"10.1016/j.resuscitation.2025.110713","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"215 ","pages":"Article 110713"},"PeriodicalIF":6.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transthoracic impedance waveform to distinguish pseudo-PEA from true-PEA","authors":"Giuseppe Davide Caggegi ,&nbsp;Alberto Peratoner ,&nbsp;Michele Contadini ,&nbsp;Moreno Musian ,&nbsp;Giuseppe Ristagno","doi":"10.1016/j.resuscitation.2025.110714","DOIUrl":"10.1016/j.resuscitation.2025.110714","url":null,"abstract":"<div><div>Pulseless electrical activity (PEA) presents with electrical cardiac activity without a pulse and often carries a poor prognosis. Pseudo-PEA mimics true-PEA but has residual cardiac motion detectable by ultrasound. This pilot study suggests thoracic transthoracic impedance (TTI), a defibrillator-based measure, may help differentiate pseudo-PEA from true-PEA. Among 10 reviewed cases, TTI showed waveform fluctuations only in pseudo-PEA, indicating potential for improved identification and targeted resuscitation strategies.</div></div>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"215 ","pages":"Article 110714"},"PeriodicalIF":6.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the correspondence, \"Hemodynamic augmentation through abdominal counterpulsation in pediatric resuscitation\" by Peng An et al.","authors":"Daniel Stromberg, Daniel Howsmon","doi":"10.1016/j.resuscitation.2025.110712","DOIUrl":"10.1016/j.resuscitation.2025.110712","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110712"},"PeriodicalIF":6.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prehospital management of supraventricular tachycardia: a multicentre study of current practices with a subgroup propensity score-based comparison of adenosine and electrical cardioversion in unstable patients","authors":"Lorenzo Gamberini ,&nbsp;Valeria Carinci ,&nbsp;Paolo Pallavicini ,&nbsp;Matteo Rovera ,&nbsp;Marco Tartaglione ,&nbsp;Roberto Gioachin ,&nbsp;Annapaola D’ambrosio ,&nbsp;Riccardo Fiameni ,&nbsp;Simone Baroncini ,&nbsp;Davide Allegri ,&nbsp;Carlo Coniglio ,&nbsp;Federico Semeraro ,&nbsp;Giuseppe Ristagno","doi":"10.1016/j.resuscitation.2025.110707","DOIUrl":"10.1016/j.resuscitation.2025.110707","url":null,"abstract":"<div><h3>Background</h3><div>Supraventricular tachycardia (SVT) is a common prehospital arrhythmia that can cause life-threatening instability. Adenosine is the first-line treatment for stable SVT, but guidelines differ for unstable cases with hypotension, syncope, myocardial ischaemia, or severe heart failure. The European Resuscitation Council recommends electrical cardioversion (ECV), while the American Heart Association allows for an adenosine trial. This multicentre observational retrospective study evaluated global prehospital management strategies for SVT, subsequently focusing on adenosine vs ECV in unstable patients.</div></div><div><h3>Methods</h3><div>Data from 2019 to 2024 were collected from three Italian physician-staffed Emergency Medical Services. Primary outcome was the rate of successful cardioversion; secondary outcomes included the presence of life-threatening complications following cardioversion. Finally, the diagnostic accuracy of available ECG traces was evaluated. Propensity score-weighted analysis was employed to control for potential cofounding variables.</div></div><div><h3>Results</h3><div>Among 1234 SVT events, 819 (66.3 %) underwent prehospital cardioversion. Of these, 763 (93.2 %) received adenosine and 56 (6.8 %) underwent ECV. Unweighted cardioversion success rates were 80.1 % for adenosine and 83.9 % for ECV. In unstable patients, ECV had a weighted odds ratio of 2.41 (95 % CI: 1.01–7.14) for successful conversion. ECV was associated with more frequent sedative use compared to adenosine. No complications were observed in either groups. ECG diagnostic accuracy was 90.7 %, with dangerous misdiagnosis, such as ventricular tachycardia, occurring in fewer than 2 % of available ECG readings.</div></div><div><h3>Conclusions</h3><div>In patients with prehospital SVT, adenosine is the preferred cardioversion strategy. In unstable cases, adenosine may be a safe first-line attempt before ECV, potentially reducing sedation-related risks.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier: NCT06077799.</div></div>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"215 ","pages":"Article 110707"},"PeriodicalIF":6.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemodynamic augmentation through abdominal counterpulsation in pediatric resuscitation.","authors":"Jinsong Wang, Fen Chen, Yu Shang, Yuhan Zhou, Peng An","doi":"10.1016/j.resuscitation.2025.110710","DOIUrl":"10.1016/j.resuscitation.2025.110710","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110710"},"PeriodicalIF":6.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"European registry of cardiac arrest study THREE (EuReCa- THREE) - EMS response time influence on outcome in Europe.","authors":"Jan-Thorsten Gräsner, Jan Wnent, Rolf Lefering, Johan Herlitz, Siobhan Masterson, Holger Maurer, Gavin D Perkins, Fernando Rosell Ortiz, Ingvild B M Tjelmeland, Drilon Kamishi, Maximilian Moertl, Pierre Mols, Hajriz Alihodzic, Marios Ioannides, Anatolij Truhlář, Valentine Baert, Nikolaos Nikolaou, Noemi Molnar, Bergthor Steinn Jonsson, Federico Semeraro, Asta Krikscionaitiene, Carlo Clarens, Christopher Giordimaina, Remy Stieglis, Anna Zadlo, Vitor Hugo Correia, Diana Cimpoesu, Violetta Raffay, Stefan Trenkler, Matej Strnad, Jose Ignacio Ruiz, Anneli Strømsøe, André Wilmes, Scott Booth, Leo Bossaert","doi":"10.1016/j.resuscitation.2025.110704","DOIUrl":"10.1016/j.resuscitation.2025.110704","url":null,"abstract":"<p><strong>Background: </strong>Throughout Europe there are important differences in the structure and characteristics of Emergency Medical Services (EMS) and their response to out-of-hospital cardiac arrest (OHCA). The primary aim of EuReCa-THREE was to examine the epidemiology of cardiac arrest in Europe and explore the association between EMS response time and survival.</p><p><strong>Methods: </strong>EuReCa-THREE was an international, prospective, registry-based, cohort study, for which data were collected from 1 September to 30 November 2022 from 28 countries. Primary research questions were focused on assessing time intervals and their impact on outcomes.</p><p><strong>Results: </strong>Of the 45,251 confirmed OHCA cases, 32,033 were treated by the EMS i.e. resuscitation started or continued. The mean response time was 12.2 min (range 6.4-22.8), with 25% of patients were reached within 7 min. For all cases where resuscitation was started or continued by EMS, the rate of any ROSC was 31.2% (range 17.0-42.7), ROSC sustained until arrival at the emergency department and transfer of care (survived event) was 22.5%(range 12.3-25.5) and overall survival was 7.5% (range 3.1-35.0), (incidence 4.0 per 100,000 inhabitants, range 1.7-24.6).</p><p><strong>Conclusion: </strong>The results of EuReCa-THREE highlight continuing variation in the incidence, management and outcomes from OHCA across Europe. For patients who were EMS-treated, results indicate clear associations between response times and the likelihood of survival.</p>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110704"},"PeriodicalIF":6.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Beyond the chest: hemodynamic promise of interposed abdominal compression in paediatric CPR”","authors":"Jimena del Castillo,&nbsp;Sophie Skellett","doi":"10.1016/j.resuscitation.2025.110709","DOIUrl":"10.1016/j.resuscitation.2025.110709","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"215 ","pages":"Article 110709"},"PeriodicalIF":6.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CPR coaches may help teams play by the rules, but do they help them win?","authors":"Eliza Firn,&nbsp;Amanda O’Halloran","doi":"10.1016/j.resuscitation.2025.110711","DOIUrl":"10.1016/j.resuscitation.2025.110711","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"215 ","pages":"Article 110711"},"PeriodicalIF":6.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compression only CPR and mortality in pediatric out-of-hospital cardiac arrest during COVID-19 pandemic","authors":"Takafumi Obara ,&nbsp;Hiromichi Naito ,&nbsp;Naomi Matsumoto ,&nbsp;Kohei Tsukahara ,&nbsp;Takashi Hongo ,&nbsp;Tsuyoshi Nojima ,&nbsp;Tetsuya Yumoto ,&nbsp;Takashi Yorifuji ,&nbsp;Atsunori Nakao","doi":"10.1016/j.resuscitation.2025.110706","DOIUrl":"10.1016/j.resuscitation.2025.110706","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic influenced resuscitation practices worldwide, leading to a notable decline in rescue breathing cardiopulmonary resuscitation (RB-CPR), even in pediatric out-of-hospital cardiac arrest (OHCA). Understanding the impact of this decline is important to assess the role of rescue breathing in pediatric resuscitation. This study aimed to evaluate the impact of the reduced RB-CPR during the COVID-19 pandemic on mortality and neurological outcomes among pediatric OHCA patients in Japan.</div></div><div><h3>Methods</h3><div>This retrospective cohort study utilized data from the nationwide All-Japan Utstein Registry for pediatric OHCA patients (≤17 years) who received bystander CPR between January 2017 and December 2021. Data were compared in pre-COVID-19 (2017–2019) versus pandemic (2020–2021) periods. Bystander CPR were classified as RB-CPR or chest compression-only CPR (CO-CPR). The primary outcome was 30-day mortality, with secondary outcomes including the absence of return of spontaneous circulation and unfavorable neurological outcomes (Cerebral Performance Category scores of 3–5). Adjusted risk ratios (aRR) with 95 % confidence intervals (CI) were estimated using Poisson regression.</div></div><div><h3>Results</h3><div>Of 7,162 pediatric OHCA cases, 3,352 (46.8 %) received bystander CPR. RB-CPR decreased from 33.0 % pre-pandemic to 21.1 % during the pandemic. CO-CPR was associated with higher 30-day mortality (aRR: 1.16; 95 % CI: 1.08–1.24) and unfavorable neurological outcomes (aRR: 1.10; 95 % CI: 1.05–1.16). These trends were consistent across age groups and arrest etiologies, particularly for non-cardiac causes. More significantly, the decrease in RB-CPR was estimated to contribute to 10.7 excess deaths annually during the pandemic.</div></div><div><h3>Conclusions</h3><div>The findings highlight the importance of rescue breathing in pediatric OHCA. CO-CPR, while suitable for adults, may compromise outcomes in children. Emphasizing rescue breathing in pediatric resuscitation training and integrating infection control measures is essential for future public health emergencies.</div></div>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"215 ","pages":"Article 110706"},"PeriodicalIF":6.5,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}