Resuscitation最新文献

{"title":"Reply to letter “Learn to drive, learn CPR: Advancing road safety and life-saving skills across Europe”","authors":"Alexander Fuchs, Robert Greif","doi":"10.1016/j.resuscitation.2025.110565","DOIUrl":"10.1016/j.resuscitation.2025.110565","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110565"},"PeriodicalIF":6.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531884","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":"Shot in the thigh or stab in the dark? Challenging the evidence for IM adrenaline in OHCA","authors":"Said Hachimi-Idrissi","doi":"10.1016/j.resuscitation.2025.110562","DOIUrl":"10.1016/j.resuscitation.2025.110562","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110562"},"PeriodicalIF":6.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531886","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":"Evaluating Artificial Intelligence Competency in Education: Performance evaluation of ChatGPT in the neonatal resuscitation program exam","authors":"Mehmet Semih Demirtas, Kamil Kokulu, Gaffari Tunc","doi":"10.1016/j.resuscitation.2025.110563","DOIUrl":"10.1016/j.resuscitation.2025.110563","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110563"},"PeriodicalIF":6.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524166","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":"Drone delivery of automated external defibrillators for out-of-hospital cardiac arrest: It’s all about location","authors":"Sheldon Cheskes","doi":"10.1016/j.resuscitation.2025.110561","DOIUrl":"10.1016/j.resuscitation.2025.110561","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110561"},"PeriodicalIF":6.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524162","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":"Intraosseous and intravenous vascular access during adult cardiac arrest: A systematic review update","authors":"Keith Couper, Ian R. Drennan, John S Garrett, Brian E. Grunau, Mikael Fink Vallentin","doi":"10.1016/j.resuscitation.2025.110564","DOIUrl":"10.1016/j.resuscitation.2025.110564","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110564"},"PeriodicalIF":6.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524247","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":"Time to bystander CPR and survival for witnessed out-of-hospital cardiac arrest","authors":"Evan L. O’Keefe ,&nbsp;Mohammad Abdel Jawad ,&nbsp;Kevin F. Kennedy ,&nbsp;Dan Nguyen ,&nbsp;Nobuhiro Ikemura ,&nbsp;Paul S. Chan","doi":"10.1016/j.resuscitation.2025.110566","DOIUrl":"10.1016/j.resuscitation.2025.110566","url":null,"abstract":"<div><h3>Background</h3><div>Cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) is associated with higher survival. The association between time to bystander CPR at different time thresholds, compared with those with no bystander CPR, is less clear.</div></div><div><h3>Methods</h3><div>Within the Cardiac Arrest Registry to Enhance Survival, we identified 194,807 witnessed OHCAs during 2013–2023. Multivariable hierarchical logistic regression was used to evaluate the association between each time interval for initiation of bystander CPR (0–1, 2–3, 4–5, 6–7, 8–9, 10 + minutes), compared with no bystander CPR, for survival to discharge and favorable neurological survival (i.e. without severe neurological deficits).</div></div><div><h3>Results</h3><div>The mean age was 64.4 ± 15.9 years, and 33.8% were female. Bystander CPR was provided in 48.4% of cases, with a median initiation time of 2 min (IQR: 1–5). Overall, 15.3% survived to discharge, and 12.9% had favorable neurological survival. Compared with no bystander CPR, survival to discharge was higher for patients with bystander CPR initiated at 0–1 min (OR 1.78 [95% CI: 1.73–1.84]), 2–3 min (OR 1.57 [1.51–1.64]), 4–5 min (OR 1.23 [1.17–1.30]), 6–7 min (OR 1.25 [1.15–1.35]), and 8–9 min (OR 1.13 [1.03–1.25]), but no survival association was seen at ≥ 10 min (OR 0.80 [0.74–0.86]). A similar pattern was observed for neurological survival.</div></div><div><h3>Conclusions</h3><div>Compared with no bystander CPR, bystander CPR was associated with improved survival even when started at 8 to 9 min. Given that there is a graded, inverse relationship between time to bystander CPR and survival, these findings underscore the urgency of immediate bystander CPR initiation to optimize OHCA survival.</div></div>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110566"},"PeriodicalIF":6.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524203","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":"Personalized treatment in out-of-hospital cardiac arrest. Is the pudding ready for eating?","authors":"Rudolph W. Koster","doi":"10.1016/j.resuscitation.2025.110559","DOIUrl":"10.1016/j.resuscitation.2025.110559","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110559"},"PeriodicalIF":6.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493437","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":"Clinical utility of the ‘Impact of Event Scale-Revised’ for identifying Acute Stress Disorder in survivors of sudden out-of-hospital cardiac arrest: Results from the multicenter REVIVAL cohort","authors":"M.K. Wagner ,&nbsp;L.F. Hirsch ,&nbsp;S.K. Berg ,&nbsp;C. Hassager ,&nbsp;B. Borregaard ,&nbsp;T.B. Rasmussen ,&nbsp;O. Ekholm ,&nbsp;D.S. Stenbæk","doi":"10.1016/j.resuscitation.2025.110558","DOIUrl":"10.1016/j.resuscitation.2025.110558","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the Danish patient-reported Impact of Event-Scale Revised (IES-R) as a screening tool for Acute Stress Disorder in a population of out-of-hospital cardiac arrest (OHCA) survivors.</div></div><div><h3>Methods</h3><div>The REVIVAL study was designed as a multicenter cohort study of OHCA survivors in which survivors self-reported the IES-R. A subset of survivors underwent the clinician-rated Acute Stress Disorder Interview during hospitalization. Psychometric evaluation of the IES-R included reliability and validity testing. Structural validity was assessed using factor analysis. The receiver operating characteristic curve and the area under the curve were used to evaluate the discriminative ability of different IES-R thresholds in classifying probable Acute Stress Disorder, as determined by interview. Sensitivity and specificity were calculated for each cut-off value. The best performing IES-R threshold was applied to the total population to examine prevalence of probable Acute Stress Disorder.</div></div><div><h3>Results</h3><div>Overall, 244 survivors completed the IES-R, out of which 106 completed the Acute Stress Disorder Interview. Good internal consistency and convergent validity of the IES-R were observed. Factor analysis supported the original three-factor structure of the IES-R. An IES-R total cut-off score of ≥30 showed the best sensitivity-to-specificity ratio; the scale correctly classified 77% of the survivors with a sensitivity rate of 100% and a specificity rate of 75% (<em>n</em> = 106). Using this IES-R cut-off score, the prevalence of probable Acute Stress Disorder was 23% (<em>n</em> = 244).</div></div><div><h3>Conclusion</h3><div>The IES-R appears to be a useful screening tool for Acute Stress Disorder during hospitalisation and helps clinicians make post-cardiac arrest diagnostic and treatment decisions.</div></div>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110558"},"PeriodicalIF":6.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482678","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":"Institutional experience and outcomes in patients receiving extracorporeal CPR for out-of-hospital cardiac arrest: Knowledge comes, does wisdom linger?","authors":"Ryan Ruiyang Ling,&nbsp;Shir Lynn Lim,&nbsp;Kollengode Ramanathan","doi":"10.1016/j.resuscitation.2025.110560","DOIUrl":"10.1016/j.resuscitation.2025.110560","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"209 ","pages":"Article 110560"},"PeriodicalIF":6.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483519","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":"The physiology and potential of spectral amplitude area (AMSA) as a guide for resuscitation.","authors":"Silvia Miette Pontremoli, Francesca Fumagalli, Elisabete Aramendi, Iraia Isasi, Clara Lopiano, Bianca Citterio, Enrico Baldi, Alessandro Fasolino, Francesca Romana Gentile, Giuseppe Ristagno, Simone Savastano","doi":"10.1016/j.resuscitation.2025.110557","DOIUrl":"10.1016/j.resuscitation.2025.110557","url":null,"abstract":"<p><p>Many studies aimed at understanding the electrophysiological mechanisms of ventricular fibrillation (VF) and defibrillation. Although many theories have been proposed about VF, we are still far from fully understanding it. Research has revealed significant insights provided by VF waveform, particularly through its amplitude of spectral area (AMSA). In fact, by potentially representing the energetic status of myocardial cells, AMSA has been shown in both animal and human studies to be a predictor of defibrillation success, return of spontaneous circulation (ROSC), early and long-term survival, and the presence of coronary artery disease underlying the cardiac arrest. The routine use of AMSA in the field could significantly improve resuscitation efforts and lead to a more advanced resuscitation technique by aiding in the selection of the appropriate timing and energy for defibrillation. The aim of this review is to explore what AMSA is and how real-time AMSA use could improve resuscitation directly from the field. If proven to improve patient outcomes, AMSA could significantly transform resuscitation practices, enabling more precise defibrillation strategies and enhanced patient survival.</p>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110557"},"PeriodicalIF":6.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483527","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}