scholarly journals Management following resuscitation from cardiac arrest: Recommendations from the 2003 Rocky mountain critical care conference

2005 ◽  
Vol 52 (3) ◽  
pp. 309-322 ◽  
Author(s):  
Dean D. Bell ◽  
Peter G. Brindley ◽  
David Forrest ◽  
Osama Al Muslim ◽  
David Zygun
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Rocky Mountain ◽  
Care Conference

Critical Care of the Post–Cardiac Arrest Patient

2018 ◽  
Vol 36 (3) ◽  
pp. 419-428 ◽  
Author(s):  
Amy C. Walker ◽  
Nicholas J. Johnson
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Cardiac Arrest Patient

Abstract 48: Neurological Outcomes of Inpatient Cardiopulmonary Resuscitation in a University Hospital

2013 ◽  
Vol 6 (suppl_1) ◽  
Author(s):  
Lia M Thomas ◽  
Miguel Benavides ◽  
Pierre Kory ◽  
Samuel Acquah ◽  
Steven Bergmann
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Cardiopulmonary Resuscitation ◽  
Therapeutic Hypothermia ◽  
Cardiopulmonary Arrest ◽  
University Hospital ◽  
Neurological Dysfunction ◽  
Neurological Outcomes ◽  
Shockable Rhythm ◽  
Neurologically Intact

Background: Despite advances in out- of- hospital resuscitation practices, the prognosis of most patients after a cardiac arrest remains poor. The long term outcomes of patients successfully resuscitated from cardiac arrest are often complicated by neurological dysfunction. Therapeutic hypothermia has significantly improved neurological outcomes in patients successfully resuscitated from out- of- hospital cardiac arrests. The objective of this study was to look into the neurological outcomes in inpatients after successful cardiopulmonary resuscitation (CPR) in a university hospital setting. Methods: This was a retrospective observational study of 68 adult patients who experienced cardiac or respiratory arrest over an 18 month period at a metropolitan teaching hospital with dedicated, trained code teams. Arrests that occurred in the Emergency Department, Critical Care Units or Operating Rooms were excluded. Results: Of the 68 consecutive patients included in this study, 53% were resuscitated successfully. However, only 12 (18%) survived to discharge from the hospital and only 6 (10%) were discharged with intact neurological status. The initial survival was better in patients who received prompt CPR and in those with less co - morbidities. Pulseless electrical activity (PEA) or asystole were the most common rhythms (47% of the arrests). Most patients who survived and were neurologically intact had PEA (67%). We believe that most PEA arrests were more likely severe hypotension with the inability to palpate a pulse rather than true PEA. The mean time to defibrillation for all patients with an initial shockable rhythm (n=5) was 8.2 minutes. Patients who had an initial shockable rhythm and survived to discharge were shocked within 1 minute (n=2). Conclusion: Despite advances in critical care, survival from inpatient cardiopulmonary arrest to neurologically intact discharge remains poor. Therapeutic hypothermia should be expanded to those resuscitated from in - hospital cardiopulmonary arrest to determine if neurological outcomes would improve.

Abstract 301: Identifying Critical Care Unit Organizational Factors That Impact Cardiac Arrest Incidence and Outcomes: A Report From the Pediatric Cardiac Critical Care Consortium

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Javier J Lasa ◽  
Jeffrey A Alten ◽  
Mousumi Banerjee ◽  
Wenying Zhang ◽  
Kurt Schumacher ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Critical Care Unit ◽  
Organizational Factors ◽  
Full Time ◽  
Provider Education ◽  
Multinomial Regression ◽  
Clinical Registry ◽  
The Impact ◽  
Cardiac Critical Care

Introduction: Patient factors leading to cardiac arrest (CA) in the pediatric cardiac critical care unit (CICU) are well understood, but may be unmodifiable. Our understanding of the impact of CICU organizational factors (OFs) such as staffing models, health care provider education, and CICU bed management is limited. The association between these potentially modifiable CICU OFs on CA prevention and rescue outcomes is unknown. Hypothesis: CICU OFs associate with CA prevention and rescue. Methods: Retrospective analysis of Pediatric Cardiac Critical Care Consortium (PC4) clinical registry including data for all patients admitted to CICUs from August 2014 to March 2019. Prevention was defined as the prevalence of subjects not suffering CA. Rescue was defined as survival after CA. CICU OFs were captured via questionnaire distributed to PC4 participants in 2017 (100% response). Stratified, multivariable regression was used to evaluate associations between OFs and outcome in medical and surgical admission subgroups: competing time-to-events framework (to assess prevention) and multinomial regression (to assess rescue), accounting for clustering of patients within hospitals. Results: We analyzed 54,521 CICU admissions (59% surgical, 41% medical) from 29 hospitals with 1398 CA events (2.5%). We studied 12 OFs that varied across centers after accounting for collinearity. For both surgical and medical admissions, lower average daily occupancy (<80%) was associated with better arrest prevention for all admissions, and better rescue in the surgical cohort. Increased proportion of nurses with >2 years experience, increased proportion of nurses with critical care certification, % of full-time intensivists, % of intensivists with critical care training, dedicated respiratory therapists, quality/safety resources, and annual CICU admission volume were not associated with improved prevention or rescue. Conclusion: Our multi-institutional analysis suggests that lower average CICU occupancy was the only consistent OF evaluated that was associated with CA prevention and rescue. CICUs that have average daily occupancy >80% may need specific strategies to mitigate the risks of CA.

Should critical care doctors be part of the cardiac arrest call team?

2020 ◽  
Vol 81 (2) ◽  
pp. 1-2
Author(s):  
Maxime T Rigaudy ◽  
Feras Tomalieh ◽  
Sanya Caratella
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Financial Constraints ◽  
The World ◽  
The Uk ◽  
Cardiac Arrest Team ◽  
Resuscitation Team

The composition of the cardiac arrest team varies widely both throughout the UK and the world. There are no agreed standards regarding the composition of the resuscitation team, and variety in teams is often dictated by availability of staff and financial constraints. This article discusses the evidence for and against the inclusion of critical care doctors on the cardiac arrest call team.

scholarly journals Social media in critical care: Fad or a new standard in medical education? An analysis of international critical care conferences between 2014 and 2017

2019 ◽  
Vol 20 (4) ◽  
pp. 341-346 ◽  
Author(s):  
Adrian Wong ◽  
Ifor Capel ◽  
Manu Malbrain
Keyword(s):  
Social Media ◽  
Medical Education ◽  
Critical Care ◽  
Healthcare Professionals ◽  
Professional Societies ◽  
Considerable Debate ◽  
Twitter Account ◽  
Potential Benefits ◽  
Use Of Social Media ◽  
Care Conference

Medical conference organisers have increasingly used social media to improve interaction and learning amongst healthcare professionals. Despite the increasing use of Twitter at critical care conferences, there remains considerable debate as to its impact and ability to generate meaningful discussions beyond the duration of the conference itself. We aim to analyse the trend in Twitter use at international critical care conferences between 2014 and 2017. Fifteen major, international critical care conferences were identified spanning 2014–2017. They represented the annual congresses of the leading critical care professional societies including the first critical care conference to incorporate social media, Social Media and Critical Care. There has been an increased utilisation of social media at all the conferences analysed. This is reflected both in the number of users and the number of tweets. Tweets from the official conference twitter account contribute only a small proportion to the overall number with the exception of the International Fluid Academy. The potential benefits of social media have resulted in a sustained increased in its use at critical care conference between 2014 and 2017. Our analysis provides a better understanding on the use of social media at critical care conference. Further studies are needed to ascertain if this increase in use translates to enhance learning and patient care amongst colleagues.

scholarly journals The use of critical care echocardiography in peri-arrest and cardiac arrest scenarios: Pros, cons and what the future holds

2020 ◽  
pp. 175114372093699 ◽  
Author(s):  
Luke Flower ◽  
Olusegun Olusanya ◽  
Pradeep R Madhivathanan
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Intensive Care ◽  
Patient Care ◽  
Core Competence ◽  
Point Of Care ◽  
Response To Treatment ◽  
Monitoring Tool ◽  
Critical Care Echocardiography ◽  
Focused Echocardiography

Echocardiography is being increasingly deployed as a diagnostic and monitoring tool in the critically ill. This rise in popularity has led to its recommendation as a core competence in intensive care, with several training routes available. In the peri-arrest and cardiac arrest population, point of care focused echocardiography has the potential to transform patient care and improve outcomes. Be it via diagnosis of shock aetiology and reversibility or assessing response to treatment and prognostication. This narrative review discusses current and future applications of echocardiography in this patient group and provides a structure with which one can approach such patients.

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