Cardiac arrest

Therapeutic hypothermia in cardiac arrest

It is important to understand how the body is affected at the time of cardiac arrest and during the reperfusion that occurs following successful resuscitation. While achieving a ROSC in OHCA is not a...

Sticking the knife in: Time to review management of tension pneumothorax

Tension pneumothorax is a build up of air between the lung and the pleura lining the chest wall. It occurs when a defect in the lung, chest wall or airways operates as a one-way valve, allowing air...

They think it’s all over-managing post cardiac arrest syndrome

Following ROSC the patient undergoes a number of pathophysiological processes not dissimilar to those suffered during severe sepsis (Adrie et al, 2004). This has been termed Post Cardiac Arrest...

Guideline alert: British thoracic society emergency oxygen use in adult patients

Historically, the belief has generally been that where oxygen is concerned ‘more is better’. The guideline highlights situations where this is not the case, and indeed may even be dangerous, while...

PaRAMeDIC: a randomized controlled trial of a mechanical compression device

CPR is defined as the combination of chest compression with or without ventilations. The combination of CPR and defibrillation form the foundations of intervention in cardiac arrest. There is good...

A review of the pre-ROSC intranasal cooling effectiveness study

With the publication of the 2010 European Resuscitation Council Guidelines (Nolan et al, 2010) late last year, the use of therapeutic hypothermia was recommended for the first time as part of the...

Resuscitation from out-of-hospital cardiac arrest in an under-resourced environment

South Africa is a developing country with an upper-middle-income and advanced emerging market economy (The World Bank, 2010; FTSE, 2010). In 2009, inflation-adjusted income per person in South Africa...

New cardiac arrest guidelines: implications for paramedic practice

Despite much media hype, compression-only CPR is only effective for short periods in individuals who suffer a sudden primary cardiac arrest. Recent studies suggest conventional CPR has better overall...

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