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Intraosseous and intravenous vascular access during adult cardiac arrest: a systematic review and meta-analysis.
Resuscitation
December 2024
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Objective: To summarise evidence on the clinical effectiveness of initial vascular attempts via the intraosseous route compared to the intravenous route in adult cardiac arrest.
Methods: We searched MEDLINE and Embase (OVID platform), the Cochrane library, and the International Clinical Trials Registry Platform from inception to September 4 2024 for randomised clinical trials comparing the intraosseous route with the intravenous route in adult cardiac arrest. Our primary outcome was 30-day survival.
Pre-hospital Associated Factors of Survival in Traumatic Out-of-hospital Cardiac Arrests: An 11-Year Retrospective Cohort Study.
Arch Acad Emerg Med
December 2024
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Article Synopsis
- Traumatic out-of-hospital cardiac arrest (TOHCA) is a significant public health issue in Thailand, heavily influenced by high accident rates and inconsistent prehospital care.
- A study analyzed data from the Emergency Medicine System over 11 years, finding that of 35,724 TOHCA patients, about 18.5% survived to hospital admission, with key factors influencing survival including stopping bleeding, intubation, and defibrillation.
- The research suggests that improving prehospital management—such as fluid administration and timely intervention—can enhance survival rates for TOHCA victims.
Pre-hospital management of traumatic cardiac arrest 2024 position statement: Faculty of Prehospital Care, Royal College of Surgeons of Edinburgh.
Scand J Trauma Resusc Emerg Med
December 2024
Faculty of Pre-Hospital Care, Royal College of Surgeons of Edinburgh, Edinburgh, UK.
Back to life - defining long term outcomes after prehospital extracorporeal cardiopulmonary resuscitation.
Resuscitation
December 2024
Department of Cardiology, Paracelsus Medical University, Prof.-Ernst-Nathan-Str. 1, 90419 Nuremberg, Germany.
Factors Associated with Pediatric Drowning-Associated Lung Injury.
J Pediatr
December 2024
Division of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.
Objective: To identify risk factors for clinically-important drowning-associated lung injury (ciDALI) in children.
Study Design: This was a cross-sectional study of children (0 through18 years) who presented to 32 pediatric emergency departments (EDs) from 2010 through 2017. We reviewed demographics, comorbidities, prehospital data, chest radiographs reports, and ED course from emergency medical services, medical, and fatality records.
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