Publications by authors named "M PEBERDY"
Article Synopsis
- - The management of critical care for patients post-cardiac arrest suffers from insufficient high-quality clinical studies, leading to vague guidelines and inconsistent treatment practices.
- - Key areas like temperature control and neurological prognosis have better research backed by clinical studies, but many critical subjects lack sufficient evidence, creating gaps in guidelines.
- - An expert panel, consisting of 24 practitioners from diverse medical fields, was convened to create consensus statements on various aspects of post-arrest management, aiming to provide guidance until more definitive studies are conducted.
Article Synopsis
- The management of patients post-cardiac arrest lacks strong clinical studies, leading to uncertainty and inconsistent treatment practices.
- While some guidelines exist for critical aspects like temperature control and neurological prognosis, many important topics remain under-researched, resulting in low-quality evidence.
- To address these gaps, an expert panel was formed to reach consensus on critical care management topics, producing statements that can help guide clinicians until higher-quality studies emerge.
Aims: A rapid heart rate (HR) that occurs after cardiopulmonary resuscitation (CPR) is a short-term compensatory mechanism preserving cardiac output. However, if of long duration, it is unfavorable for myocardial function postresuscitation because of disrupted balance between myocardial oxygen supply and demand. This raises the assumption that such a sustained fast HR should be regulated.
View Article and Find Full Text PDFAssociation of Rapid Response Teams With Hospital Mortality in Medicare Patients.
Circ Cardiovasc Qual Outcomes
September 2022
Background: Although rapid response teams have been widely promoted as a strategy to reduce unexpected hospital deaths, most studies of rapid response teams have not adjusted for secular trends in mortality before their implementation. We examined whether implementation of a rapid response team was associated with a reduction in hospital mortality after accounting for preimplementation mortality trends.
Methods: Among 56 hospitals in Get With The Guidelines-Resuscitation linked to Medicare, we calculated the annual rates of case mix-adjusted mortality for each hospital during 2000 to 2014.
Importance of Analyzing Intervals to Emergency Medical Service Treatments.
Prehosp Emerg Care
October 2023
Background: Although most US emergency medical services (EMS) systems collect time-to-treatment data in their electronic prehospital patient care reports (PCRs), analysis of these data seldom appears in publications. We believe EMS agencies should routinely analyze the initial time-to-treatment data for various potentially life-threatening conditions. This not only assures that protocol-required treatments have been provided but can discover avoidable delays and drive protocol/treatment priority change.
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