Resuscitation plus最新文献

{"title":"Management and outcome of patients with cardiac arrest after avalanche accidents in the Swiss Alps: A retrospective analysis","authors":"Jürgen Knapp ,&nbsp;Daniel Höftmann ,&nbsp;Roland Albrecht ,&nbsp;Sven Straumann ,&nbsp;Mathieu Pasquier ,&nbsp;Urs Pietsch","doi":"10.1016/j.resplu.2025.100922","DOIUrl":"10.1016/j.resplu.2025.100922","url":null,"abstract":"<div><h3>Aim</h3><div>Our aim is to evaluate the management and outcome of avalanche victims in cardiac arrest (CA), focusing on the adherence to international management guidelines and to identify ways to improve the future care of avalanche victims through retrospective evaluation of the missions.</div></div><div><h3>Methods</h3><div>We analysed a retrospective cohort of all avalanche victims in CA treated by Swiss Air-Rescue Rega between 2010 and 2024. Data regarding the avalanche burial (type of burial, burial duration, presence of a patent airway) were evaluated, as were helicopter operational data, data on prehospital medical care [cardiopulmonary resuscitation (CPR) efforts, airway management, core temperature], transport destination, data from further in-hospital treatment if applicable [core temperature, type of rewarming, serum potassium levels, extracorporeal life support (ECLS)] as well as patient outcome.</div></div><div><h3>Results</h3><div>147 patients could be evaluated. 50 (34%) were declared dead without CPR efforts. CPR was started in 97 patients (66%), of whom 19 achieved ROSC (13%). Only 4 of these patients survived to hospital discharge (3%), 3 of whom had a good neurological outcome (2%). 34 patients (23%) were transported to hospital while CPR was ongoing, of whom in 11 (7%) ECLS was tried to initiate. None of these patients survived to hospital discharge. 27 patients (18%) were not treated in accordance with the guidelines. 22 of these (15%) were (potentially) undertreated (mainly in the sense of transport to a non-ECLS centre, although an ECLS centre would have been correct), 5 (3%) were overtreated (mainly in the sense of transport under ongoing CPR, although not indicated). 61% were tracheally intubated. On admission, core temperature was 1.9 °C (95% confidence interval 1.1–2.7) lower than the temperature measured on scene.</div></div><div><h3>Conclusions</h3><div>Patients who suffer a CA in avalanche accidents have a very poor outcome. A high proportion of patients were not tracheally intubated during transport, cooled down further during resuscitation and transport or were not transported to ECLS centres although indicated. On the other hand, the outcome of ECLS patients is extremely poor.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100922"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistence of atrial mechanical systole and arterial pulse during ventricular fibrillation: The atrial pulse","authors":"Federico Pappalardo,&nbsp;Nicoletta D’Ettore,&nbsp;Serena Ambrosi,&nbsp;Andrea Montisci","doi":"10.1016/j.resplu.2025.100920","DOIUrl":"10.1016/j.resplu.2025.100920","url":null,"abstract":"","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100920"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep disorders after cardiac arrest: Prevalence and relation with cognitive function","authors":"A.B. Glimmerveen ,&nbsp;J. Bos ,&nbsp;E.G.J. Zandbergen ,&nbsp;J. Hofmeijer ,&nbsp;H.M. Keijzer","doi":"10.1016/j.resplu.2025.100913","DOIUrl":"10.1016/j.resplu.2025.100913","url":null,"abstract":"<div><h3>Background</h3><div>Long term cognitive impairment affects about half of cardiac arrest survivors, typically attributed to postanoxic encephalopathy. Sleep disorders are common after acute brain injuries and may also impair cognition. We investigated the prevalence of sleep disorders in cardiac arrest survivors and their relation with cognitive function.</div></div><div><h3>Method</h3><div>Thirty survivors completed neuropsychological examination and questionnaires on mood (Hospital anxiety and depression scale), daytime sleepiness (Epworth sleepiness scale), and sleep quality (Pittsburgh sleep quality index), and underwent polysomnography one year after cardiac arrest. Questionnaire outcomes and objective sleep parameters (sleep-apnea, leg movements, cyclicity) were correlated with performance on neuropsychological tests using Pearson R, Kruskal-Wallis, or Mann-Whitney U tests.</div></div><div><h3>Results</h3><div>Thirty-six percent of participants had moderate to severe obstructive sleep apnea, and 43% moderate to severe periodic limb movements during sleep according to polysomnography. Obstructive sleep apnea was correlated with poorer executive functioning (<em>R</em> = −0.38; <em>p</em> &lt; 0.05) and memory (<em>R</em> = −0.50; <em>p</em> &lt; 0.05). Fewer sleep cycles were correlated with poorer attention (<em>R</em> = 0.36, <em>p</em> = 0.05). Questionnaire outcomes (mood, daytime sleepiness, sleep quality) were not related to cognition. Participants with moderate/severe obstructive sleep apnea had worse executive functioning than those with no/mild obstructive sleep apnea (<em>p</em> = 0.02).</div></div><div><h3>Conclusion</h3><div>This explorative study shows moderate to severe sleep disorders are common in cardiac arrest survivors and that moderate to severe obstructive sleep apnea relates to poorer cognitive function. This implies that diagnosis and treatment of obstructive sleep apnea may offer a treatment target for cardiac arrest survivors with cognitive impairment.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100913"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing crisis communication through visual CPR documentation","authors":"Pablo Hasbún,&nbsp;Javiera García,&nbsp;María José Galleguillos,&nbsp;Andres Ferre,&nbsp;Andres Giglio","doi":"10.1016/j.resplu.2025.100915","DOIUrl":"10.1016/j.resplu.2025.100915","url":null,"abstract":"","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100915"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining the terminology of first responders alerted for out-of-hospital cardiac arrest by medical dispatch centres: An international consensus study on nomenclature","authors":"Camilla Metelmann ,&nbsp;Bibiana Metelmann ,&nbsp;Michael P. Müller ,&nbsp;Tommaso Scquizzato ,&nbsp;Enrico Baldi ,&nbsp;Tomas Barry ,&nbsp;Bernd W. Böttiger ,&nbsp;Hans-Jörg Busch ,&nbsp;Maria Luce Caputo ,&nbsp;Sheldon Cheskes ,&nbsp;Ruggero Cresta ,&nbsp;Charles D. Deakin ,&nbsp;Eva Degraeuwe ,&nbsp;Ankur A. Doshi ,&nbsp;Mette M. Ekkel ,&nbsp;Daniel Elschenbroich ,&nbsp;David Fredman ,&nbsp;Lorenzo Gamberini ,&nbsp;Julian Ganter ,&nbsp;Finn L. Henriksen ,&nbsp;Robert Greif","doi":"10.1016/j.resplu.2025.100912","DOIUrl":"10.1016/j.resplu.2025.100912","url":null,"abstract":"<div><h3>Aim</h3><div>Emergency medical services target to reduce time to cardiopulmonary resuscitation and defibrillation by alerting additional individuals to out-of-hospital cardiac arrest (OHCA). Multiple terms are used to describe these individuals, potentially causing confusion and hindering comparisons. This international consensus study aimed to establish standardised terminology.</div></div><div><h3>Methods</h3><div>Forty-six interdisciplinary researchers from four continents participated in a symposium on “Community First Responders” with the objective of standardising relevant terminology. Initially, terms were proposed anonymously for individuals alerted during work hours and those alerted during leisure time. Each term was rated on a 5-point Likert scale. Terms receiving a high level of agreement were included in the final voting process.</div></div><div><h3>Results</h3><div>Seven terms were suggested for individuals alerted during work hours. In the first voting “first responder”, “professional first responder”, and “on-duty first responder” achieved high agreement. Ultimately, consensus was reached on the term “on-duty first responder”.</div><div>For individuals alerted during leisure time, ten terms were proposed. Among these, “first responder”, “citizen first responder”, “community emergency responder”, “community first responder”, “volunteer first responder”, “volunteer responder”, and “volunteer community first responder” reached high agreement. In the final vote “community first responder” was selected.</div><div>The consensus group agreed that the overarching term “first responder” should be used to describe all community-based individuals, who are alerted, regardless of whether they are on duty or off duty.</div></div><div><h3>Conclusion</h3><div>This consensus study recommends using the terms “on-duty first responder” and “community first responder” to describe individuals additionally alerted by medical dispatch centres to facilitate early intervention in OHCA.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100912"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid-associated cardiac arrest: A systematic review of intra-arrest naloxone and other opioid-specific advanced life-support therapies","authors":"Brian Grunau ,&nbsp;Brian J. O’Neil ,&nbsp;Dean Giustini ,&nbsp;Ian R. Drennan ,&nbsp;Eric J. Lavonas ,&nbsp;Advanced Life Support Task Force of the International Liaison Committee on Resuscitation","doi":"10.1016/j.resplu.2025.100906","DOIUrl":"10.1016/j.resplu.2025.100906","url":null,"abstract":"<div><h3>Aim</h3><div>Cardiac arrest due to opioid toxicity is a leading cause of life-years lost in many countries. Since the pathophysiology of cardiac arrest from opioid toxicity is different than primary cardiac etiologies, we sought to identify opioid-specific resuscitative interventions demonstrating benefit.</div></div><div><h3>Methods</h3><div>We searched Medline, EMBASE, CENTRAL, and the Web of Science (September 2024) for randomized or observational studies examining the benefit of opioid-specific advanced life support-level therapies for cardiac arrest. The primary and secondary outcomes were favourable neurological outcomes and survival at 30-days or hospital discharge, respectively. Risk of Bias and Certainty of Evidence were assessed with the ROBINS-I tool and GRADE methodology, respectively.</div></div><div><h3>Results</h3><div>We reviewed 1051 studies; six observational studies met criteria for analysis. Five studies examined the association of naloxone and outcomes (three included undifferentiated cases, one included non-shockable initial rhythm cases, and two included cases with “drug overdose”): two reported that naloxone was associated with improved outcomes, and three did not detect an association. One additional study examined the association of bicarbonate and outcomes, reporting that bicarbonate was associated with decreased survival at hospital discharge. All studies were limited by serious risk of bias and indirectness, with the certainty of evidence judged to be very low. No studies exclusively examined opioid-related cases.</div></div><div><h3>Conclusions</h3><div>There is currently no evidence demonstrating benefit for any advanced life support interventions specific to treating cardiac arrest from opioid toxicity. Data examining naloxone for undifferentiated or “drug-related” cardiac arrest are heterogenous with high risk of bias and low certainty of evidence.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100906"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“All sorts of colours of emotions”: Ambulance call-handlers’ perceptions of the barriers to CPR in out-of-hospital cardiac arrest","authors":"Barbara Farquharson ,&nbsp;Marie Johnston ,&nbsp;Rosaleen O’Brien ,&nbsp;Gareth Clegg","doi":"10.1016/j.resplu.2025.100904","DOIUrl":"10.1016/j.resplu.2025.100904","url":null,"abstract":"<div><h3>Aim</h3><div>To explore call-handlers’ perceptions of the main barriers to achieving CPR during emergency calls to the ambulance service.</div></div><div><h3>Methods</h3><div>Thirty purposively sampled call-handlers, working in seven UK ambulance dispatch centres, participated in semi-structured qualitative interviews designed to explore their experiences of providing CPR instructions and their perceptions of the most common barriers to initiation of CPR.</div></div><div><h3>Results</h3><div>Participants (20F 9 M 1non-binary), aged 21–57 years, with varied length of experience (6mths −25 yrs), self-reported confidence (3–10/10), experience of NHS Pathways and MPDS, described providing CPR calls typically once per shift, with most call-handlers reporting barriers to CPR in most calls.</div><div>The barriers to initiating CPR most commonly identified by call-handlers were the strong emotions experienced by callers; physical issues relating to the caller, patient and situation; uncertainty about whether CPR was required, particularly uncertainty about breathing and caller concerns about doing harm.</div><div>Participants described many overlapping issues, making each call a unique challenge. They also provided insights into the complexities of ambiguous situations such as those encountered by carers and care-homes, DNACPR issues, as well as facilitating factors.</div></div><div><h3>Conclusion</h3><div>Call-handlers identified barriers to CPR that echo those identified via other study methods plus provide additional insights into areas not readily addressed by current protocols. Call-handlers’ perspectives may be helpful in identifying priority areas for protocol refinement and ways to improve the efficacy of CPR instructions.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100904"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Counterfeit anti-choking suction devices: Prevalence and risks on online marketplaces","authors":"Špela Metličar,&nbsp;Nino Fijačko","doi":"10.1016/j.resplu.2025.100899","DOIUrl":"10.1016/j.resplu.2025.100899","url":null,"abstract":"","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100899"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, characteristics, and outcomes of suicide-related out-of-hospital cardiac arrest among patients committing self-harm and suicide-attempts in Japan: A nationwide registry study","authors":"Takashi Hongo ,&nbsp;Tetsuya Yumoto ,&nbsp;Shunta Jinno ,&nbsp;Yuka Yamamura ,&nbsp;Takafumi Obara ,&nbsp;Tsuyoshi Nojima ,&nbsp;Kohei Tsukahara ,&nbsp;Hiromichi Naito ,&nbsp;Takashi Yorifuji ,&nbsp;Atsunori Nakao","doi":"10.1016/j.resplu.2025.100923","DOIUrl":"10.1016/j.resplu.2025.100923","url":null,"abstract":"<div><h3>Background</h3><div>Suicide-related out-of-hospital cardiac arrest (OHCA) is characterized by extremely low survival rates and represents a considerable global public health concern. This study aimed to investigate the prevalence, characteristics, and outcomes of suicide-related OHCA.</div></div><div><h3>Methods</h3><div>This multicenter, retrospective cohort study is an analysis of data collected from the JAPAN Registry of Self-harm and Suicide Attempts. Patients were divided into two groups, the OHCA group and the non-OHCA group. The primary outcome was death at 30 days.</div></div><div><h3>Results</h3><div>Among 1,960 self-harm and suicide attempts patients, 213 patients (10.9 %) were assigned to the OHCA group and 1,747 (89.1%) were in the non-OHCA group.</div><div>Patients in the OHCA group were older (44 vs. 33 years old, <em>p</em> &lt; 0.001), and the OHCA group had a higher proportion of males compared to the non-OHCA group (122 [57.3%] vs. 604 [34.6%], <em>p</em> &lt; 0.001). Despite missing and unknown data, lower proportions of psychiatric consultation history (54 [30.8%] vs. 1177 [70.5%], <em>p</em> &lt; 0.001), psychiatric hospitalization history (9 [5.1%] vs. 386 [23.1%], <em>p</em> &lt; 0.001), and previous suicide attempts (16 [9.2%] vs. 807 [48.4%], <em>p</em> &lt; 0.001) were observed in the OHCA group. Risk of death at 30 days was significantly higher in the OHCA group (200 [93.9%] vs. 31 [1.8%], <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Suicide-related OHCA was rare and associated with poorer prognosis compared to patients without OHCA. It was more common in middle-aged men without a history of psychiatric care or prior suicide attempts, although the study was limited by missing data.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100923"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of patients requiring tracheostomy following extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest","authors":"Shutaro Isokawa ,&nbsp;Toru Hifumi ,&nbsp;Eiki Iida ,&nbsp;Sohma Miyamoto ,&nbsp;Kasumi Shirasaki ,&nbsp;Tasuku Hada ,&nbsp;Akihiko Inoue ,&nbsp;Tetsuya Sakamoto ,&nbsp;Yasuhiro Kuroda ,&nbsp;Norio Otani ,&nbsp;The SAVE-J II study group","doi":"10.1016/j.resplu.2025.100911","DOIUrl":"10.1016/j.resplu.2025.100911","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to describe the characteristics of patients requiring tracheostomy following extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA) using real-world data from a multicenter registry.</div></div><div><h3>Methods</h3><div>This was a secondary analysis of the SAVE-J II study, a retrospective multicenter registry study in Japan. Patients with OHCA aged ≥18 years who underwent ECPR between January 2013 and December 2018 were included. Participants were classified into the tracheostomy and non-tracheostomy groups, with the tracheostomy group further categorized into early (≤10 days) and late (&gt;10 days) subgroups. Survival and favorable neurological outcome at hospital discharge were the primary outcomes.</div></div><div><h3>Results</h3><div>Overall, this study included 1,910 patients with a median age of 61 (interquartile range [IQR], 49–69) years, of whom 1,610 (82.6%) were male. Of the participants, 276 (14.5%) underwent tracheostomy, with 224 (81.2%) and 44 (15.9%) surviving to discharge and achieving favorable neurological outcomes at hospital discharge, respectively. The median duration to tracheostomy was 10 (IQR, 8–14) days, with 98% of tracheostomies performed following extracorporeal membrane oxygenation (ECMO) weaning. The early tracheostomy group accounted for 145 patients (54.7%). The early and late tracheostomy subgroups showed no significant differences in survival or favorable neurological outcomes at discharge.</div></div><div><h3>Conclusions</h3><div>Following ECPR, 14.5% of the patients underwent tracheostomy, with the majority performed following ECMO weaning. Although the survival rate at discharge among these patients was 81.2%, only 15.9% exhibited favorable neurological outcomes. To explore the long-term outcomes of patients treated with ECPR for OHCA, future studies are needed.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100911"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}