Publications by authors named "E M Jorna"
Background: Early restoration of normal physiology when return of spontaneous circulation (ROSC) is obtained after an out-of-hospital cardiac arrest (OHCA) reduces the risk of developing post-cardiac arrest syndrome (PCAS). This study aims to investigate if (and to which extent) this can be achieved within the scope of practice of standard emergency medical services (EMS) crews.
Methods: A prospective mixed-methods quantitative and qualitative cohort study was performed including adult patients with a non-traumatic OHCA presented to a university hospital emergency department (ED) in the Netherlands after pre-hospital ROSC was obtained.
Aim: In this predictive modelling study we aimed to investigate how many patients with an out-of-hospital cardiac arrest (OHCA) would benefit from pre-hospital as opposed to in-hospital initiation of extracorporeal cardiopulmonary resuscitation (ECPR).
Methods: A temporal spatial analysis of Utstein data was performed for all adult patients with a non-traumatic OHCA attended by three emergency medical services (EMS) covering the north of the Netherlands during a one-year period. Patients were considered potentially eligible for ECPR if they had a witnessed arrest with immediate bystander CPR, an initial shockable rhythm (or signs of life during resuscitation) and could be presented in an ECPR-centre within 45 minutes of the arrest.
Article Synopsis
- The HEART Score is a decision support tool for emergency departments to assess low-risk chest pain patients, and this study explores its use by emergency medical services (EMS) in a prehospital environment.
- Researchers developed a modified prehospital version, called the preHEART Score, to improve decision-making regarding patient transport to hospitals.
- The preHEART Score showed better predictive value for adverse cardiac events compared to both the original HEART Score and individual troponin tests, indicating its effectiveness in assessing patient risk before hospital arrival.*
Inter-observer variability in APACHE II scoring: effect of strict guidelines and training.
Intensive Care Med
August 2001
Objective: To assess the effect of strict guidelines and a rigorous training program on variability in scoring the revised Acute Physiology and Chronic Health Evaluation (APACHE II).
Design And Setting: Prospective survey and intervention in the surgical ICU of a university teaching hospital.
Measurements: Seven experienced intensivists and nine residents determined APACHE II scores in one set of patients before and in another set 4 months after a rigorous training program, following strict guidelines for using the APACHE II.