Publications by authors named "P Podsiadlo"
Hypothermic cardiac arrest: prognostic factors for successful resuscitation before rewarming.
Scand J Trauma Resusc Emerg Med
November 2024
Objective: To indicate factors predicting return of spontaneous circulation in patients with hypothermic cardiac arrest in the pre-rewarming period.
Methods: A multicenter retrospective study was conducted. We included patients who had suffered cardiac arrest caused by severe accidental hypothermia with a core body temperature of ≤ 28 °C.
Aim Of The Study: Predictive factors for poor outcomes in hypothermic cardiac arrest (HCA) differ from those in normothermic out-of-hospital cardiac arrest (OHCA). This study aimed to evaluate the outcomes of extracorporeal life support (ECLS) in HCA patients who may not be considered eligible based on the guidelines set by the Extracorporeal Life Support Organization (ELSO).
Methods: A retrospective multicentre study included 127 HCA patients, divided into two groups: those meeting the ELSO eligibility criteria for ECLS, and those with at least one of the following ELSO exclusion criteria: age over 70 years, unwitnessed cardiac arrest, or asystole.
Article Synopsis
- * This study aims to identify pre-rewarming predictors of death in these patients by analyzing data from multiple registries, focusing on systolic blood pressure (SBP) and base excess (BE) as key indicators.
- * The findings suggest that a systolic blood pressure below 90 mmHg is linked to an increased risk of death in hypothermic patients with preserved circulation, particularly among those who developed hypothermia at home.
Article Synopsis
- The study aimed to determine if thermal insulations affect injury diagnosis or radiation dose in trauma patients undergoing CT scans.
- Thermal scans of a body wrapped in 7 different covers were performed, evaluated by 22 radiologists, and the radiation levels were recorded.
- Results showed that while some insulations slightly altered radiation doses, none produced significant artifacts that would interfere with injury assessment, confirming that thermal insulation can remain during CT scans without concern.