Publications by authors named "M Mion"

Background And Aims: Guidelines suggest non-traumatic out-of-hospital cardiac arrest (OHCA) be conveyed to cardiac arrest centres (CAC). We hypothesised that (a) a pre-hospital conveyance algorithm based on initial presenting rhythm following OHCA is feasible and (b) that would demonstrate survival advantage.

Methods: This observational pilot study included all consecutive patients with OHCA from suspected cardiac aetiology from the county of Essex, United Kingdom from April 2022-April 2023.

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This article aims to highlight high-quality observational and intervention studies focused on promoting psychological well-being among cardiac arrest (CA) survivors and their families. Following CA, many patients experience significant psychological distress, including depression, generalized anxiety, and post-traumatic stress. Recent studies indicate that this distress can narrow patients' focus, resulting in heightened awareness of cardiac signals-such as fluctuations in heart rate or blood pressure-that lead to constant monitoring and increased anxiety.

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Article Synopsis
  • Postoperative deterioration can be indicated by changes in vital signs, but many hospitals lack resources for continuous monitoring outside of ICUs, prompting the use of wearable devices (WDs) for patient monitoring.
  • A Scoping Review was conducted using various databases to analyze the effectiveness of WDs as part of Continuous Remote Early Warning Score (CREWS) systems in monitoring patients after cardiac and non-cardiac surgeries, resulting in 10 studies featuring 11 CE/FDA approved devices.
  • The findings suggest that WDs are not only feasible and safe for monitoring but also help reduce the length of hospital stays and ICU admissions, leading to lower healthcare costs and better identification of potential complications post-surgery
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Aim: To assess the merit of clinical assessment tools in a neurocognitive screening following out-of-hospital cardiac arrest (OHCA).

Methods: The neurocognitive screening that was evaluated included the performance-based Montreal Cognitive Assessment (MoCA) and Symbol Digit Modalities Test (SDMT), the patient-reported Two Simple Questions (TSQ) and the observer-reported Informant Questionnaire on Cognitive Decline in the Elderly-Cardiac Arrest (IQCODE-CA). These instruments were administered at 6-months in the Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial.

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