Posts Tagged ‘cardiac arrest’

In-Flight Medical Emergencies

Posted by Carla Rothaus • September 4th, 2015

When a medical emergency occurs during a commercial flight, health care providers should be prepared to respond. A new review article offers guidance on how to respond to the more common emergencies and on roles and liabilities in offering medical assistance aboard an airplane. Estimating the frequency of in-flight medical events is challenging because no mandatory… Read More…

Early CPR in Out-of-Hospital Cardiac Arrests — Outcomes and Evaluation of a Mobile-Dispatch System

Posted by Andrea Merrill • June 10th, 2015

The first time I ever performed CPR was on my 19th birthday.  My official title was “summer employee,” a minimum wage job that encompassed a variety of menial but necessary tasks in the emergency department of a busy rural hospital.  One of the accompanying benefits of my job was the chance to learn CPR, and… Read More…

The Cold Truth: Rethinking Temperature Management after Cardiac Arrest

Posted by Rena Xu • December 4th, 2013

Over a decade ago, two pivotal trials altered the standard of care for unconscious patients after cardiac arrest.  Many of these patients suffer severe neurologic injury and death; researchers sought a treatment that could reduce global brain ischemia and prevent neurologic damage even when initiated after cardiopulmonary resuscitation and the restoration of circulation. The trial results,… Read More…

Cardiac Arrest after MI

Posted by Sara Fazio • September 13th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 52-year-old man was brought to the emergency department with chest pain and ST-segment elevation. Seconds after his arrival, cardiac arrest occurred. CPR was begun, and nine external countershocks were administered, without resolution. Management decisions were made. The 2013 STEMI guidelines indicate that primary percutaneous coronary… Read More…

Cardiac Arrest after a Cesarean Section

Posted by Sara Fazio • December 28th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 43-year-old woman had bradycardia, hypotension, and apnea after cesarean section for placenta previa. Examination revealed pulseless electrical activity. Diagnostic procedures were performed, and management decisions were made. There are three varieties of emboli to be considered in an obstetrical emergency. A thrombotic pulmonary embolus belongs… Read More…

Cardiac Arrest during Long-Distance Running Races

Posted by Lisa Rosenbaum • January 11th, 2012

As legend has it, in 490 BC, when the Greeks defeated the Persians at the battlefield known as Marathon, the Greek messenger Pheidippides was sent to Athens to announce the victory. He ran the entire 26.22 miles. The marathon was born. But Pheidippides dropped dead. More than two millennia later, in the US, about two… Read More…

Arrest: When To Check The Rhythm?

Posted by Daniela Lamas • August 31st, 2011

The woman slumps to the floor beside her office desk… No one sees her go down… A colleague hears a thud and rushes in… He calls her name… No response… He checks for a pulse: nothing… “Call 911!” he yells. EMS arrives quickly, and finds the co-worker panicked, but performing good quality chest compressions he learned… Read More…

Resuscitation

Posted by Graham McMahon • July 30th, 2010

Out-of-hospital cardiac arrest claims hundreds of thousands of lives each year worldwide. Successful resuscitation is challenging but achievable, requiring an interdependent set of actions that consist of early arrest recognition, early cardiopulmonary resuscitation (CPR), early defibrillation, expert advanced life support, and timely postresuscitation care. In a multicenter, randomized trial, Rea et al. compared survival rates between… Read More…

Every Breath You Shouldn’t Take

Posted by Rena Xu • July 28th, 2010

Cardiopulmonary resuscitation (CPR) was developed over 50 years ago as a rapid intervention in patients with cardiac or respiratory arrest. The combination of both external chest compressions and mouth-to-mouth rescue breathing is intended to maintain oxygenation of the brain and the heart. Since its inception, CPR has undergone only minimal revision in method. Decades of… Read More…

Every Breath You Shouldn't Take

Posted by Rena Xu • July 28th, 2010

Cardiopulmonary resuscitation (CPR) was developed over 50 years ago as a rapid intervention in patients with cardiac or respiratory arrest. The combination of both external chest compressions and mouth-to-mouth rescue breathing is intended to maintain oxygenation of the brain and the heart. Since its inception, CPR has undergone only minimal revision in method. Decades of… Read More…