OHCA

Prognostic value of lactate in out-of-hospital cardiac arrest: a prospective cohort study

A single-centre, prospective cohort study was conducted by North East Ambulance Service NHS Foundation Trust between 17 February 2020 and 31 March 2021..

Air ambulance outcomes of out-of-hospital cardiac arrest seen in the pandemic

Thames Valley Air Ambulance (TVAA) provides prehospital enhanced and critical care to patients in the counties of Buckinghamshire, Berkshire and Oxfordshire between 07:00 and 02:00, 365 days a year....

Spotlight on Research

It is known that survivors of an out-of-hospital cardiac arrest (OHCA) have a high probability of experiencing post-traumatic stress disorder, but less is known about the effects on bystanders and...

PaRamEDIc assessment of laCTate in OHCA and survival to hospital (PREDICT protocol)

Lactate is produced by most tissues in the human body, with the highest level of lactate production found in muscle (Consoli et al, 1990). In healthy subjects, lactate is the result of pyruvate...

Mechanical chest compressions and survival in the emergency setting

This systematic review will endeavour to demonstrate whether the use of a mechanical chest compression device will be a positive factor in improving survival in the cardiac arrest scenario. In...

Focused cardiac ultrasound in out-of-hospital cardiac arrest: a literature review

Although the use of ultrasound is well established in hospitals, it did not emerge in the prehospital environment until the 1990s in the United States. Furthermore, paramedic use of ultrasound has...

Improving post-resuscitation care after out-of-hospital cardiac arrest

With the aim of identifying literature and evidence relevant to OHCA and post-resuscitation care, online searches of PubMed, the National Institute for Health and Care Excellence (NICE) using NHS...

Paramedic views on clinical research in cardiac arrest

Of the paramedics who were eligible, 60% responded to the exit survey (n=101)..

Defibrillation: standard vs. double sequential in adult out-of-hospital cardiac arrest

As the most serious cardiac rhythm disturbance, VF causes disordered cardiac electrical activity resulting in rapid, unsynchronised ventricular contractions, reduced pumping-action, collapse and...

Paramedic management of out-of-hospital cardiac arrest secondary to hyperkalaemia

In this case study the author attended a 42-year-old male patient who complained of shortness of breath and fatigue. The patient's medical history was of intravenous drug use, myocardial infarction,...