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Eligibility for eCPR Warming in Hypothermic Cardiac Arrest: Lack of Guidelines and the Current Constraints of Artificial Intelligence in Clinical Decision-Making.
Artif Organs
March 2025
Mountain Medicine Laboratory, Jagiellonian University Medical College, Krakow, Poland.
Aim Of The Study: Artificial intelligence (AI) such as large language models (LLMs) tools are potential sources of information on hypothermic cardiac arrest (HCA). The aim of our study was to determine whether, for patients with HCA, LLMs provide information consistent with expert consensus on criteria that would usually contraindicate extracorporeal cardiopulmonary resuscitation (eCRP) in patients with normothermic cardiac arrest (NCA), but not HCA.
Methods: Based on Extracorporeal Life Support Organization guidelines, selected factors were identified that may be contraindications to eCPR in NCA but not in HCA.
Trends in Cardiac Arrest Outcomes & Management in Children with Cardiac Illness Category Compared to Non-Cardiac Illness Category: An Analysis from the AHA Get With The Guidelines®-Resuscitation Registry.
Resuscitation
December 2024
Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Introduction: Contemporary rates of survival after pediatric in-hospital CPR events and trends in survival over the last 20 years have not been compared based on illness category. We hypothesized that survival to hospital discharge for surgical-cardiac category is higher than the non-cardiac category, and rates of survival after in-hospital CPR increased over time in all categories.
Methods: The AHA Get With The Guidelines®-Resuscitation registry was queried for index CPR events in children < 18 years of age from 2000 to 2021.
Acute Ethanol-Disulfiram Reaction Presenting With Hemodynamic Instability: A Case Report.
Cureus
February 2025
Internal Medicine, Unidade Local de Saúde Gaia Espinho, Vila Nova de Gaia, PRT.
Ethanol-disulfiram reaction (EDR) is a rare but potentially life-threatening condition characterized by a constellation of symptoms, including flushing, hypotension, tachycardia, nausea, and vomiting. We report the case of a 52-year-old male patient who presented with acute hemodynamic instability after inadvertent alcohol consumption while on disulfiram therapy for alcohol dependence. The patient exhibited signs of shock, including hypotension and hyperlactatemia, but responded promptly to fluid resuscitation and transient vasopressor support.
View Article and Find Full Text PDFOutcomes for people experiencing homelessness with COVID-19 presenting to emergency departments in Canada, compared with housed patients.
CMAJ
March 2025
Department of Emergency Medicine, Faculty of Medicine (Li, Hohl) and School of Population and Public Health (Li, McGrail, Law), University of British Columbia, Vancouver, BC; Departments of Pediatrics, Faculty of Medicine & Dentistry (Rosychuk) and of Mathematical and Statistical Sciences, Faculty of Science (Rosychuk), University of Alberta, Edmonton, Alta.
Background: Whether people experiencing homelessness (PEH) have different COVID-19 outcomes than housed patients in Canada remains unclear. We sought to ascertain whether rates of in-hospital mortality, hospital admission, critical care admission, and mechanical ventilation differed between PEH and housed people with symptomatic SARS-CoV-2 infection.
Methods: We conducted a propensity score-matched cohort study to compare the outcomes of PEH and housed patients presenting to emergency departments for acute symptomatic COVID-19.
Superior Vena Cava Stenting Complicated by Perforation and Cardiac Tamponade.
Cureus
February 2025
Anesthesiology, Baylor College of Medicine, Houston, USA.
Superior vena cava (SVC) syndrome is a clinical condition characterized by impaired venous return from the upper body due to intrinsic or extrinsic obstruction of the SVC. Endovascular stenting has become an effective intervention for symptomatic relief. However, the procedure carries a rare risk of life-threatening complications, including SVC perforation and cardiac tamponade.
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