| Bystander mouth-to-mouth ventilation and regurgitation during cardiopulmonary resuscitation. | |
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MedLine Citation:
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PMID: 16789977 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To determine whether there is an association between bystander mouth-to-mouth ventilation and regurgitation in prehospital cardiac arrest patients. DESIGN: Prospectively conducted observational study. SETTING: Data were collected from patients treated by the emergency medical service (EMS) systems in three middle-sized or large Finnish urban communities, the Tampere District EMS and the physician-staffed Helicopter EMSs in the Helsinki and Turku areas in southern Finland. SUBJECTS: The study population consisted of 529 consecutive prehospital cardiac arrest patients with attempted resuscitation. Exclusion criteria were cardiac arrest due to trauma or drug overdose. MAIN OUTCOME MEASURES: Regurgitation in prehospital cardiac arrest patients documented by EMS personnel on the scene. RESULTS: Regurgitation occurred in a fourth of patients. Bystander cardiopulmonary resuscitation (CPR) with mouth-to-mouth ventilation was associated with a significantly increased risk of regurgitation compared with no CPR (P < 0.013) and CPR without ventilations (P < 0.01). CONCLUSIONS: The mode and role of bystander CPR in cardiac arrest needs to be further evaluated. |
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Authors:
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I Virkkunen; S Kujala; S Ryynänen; A Vuori; V Pettilä; A Yli-Hankala; T Silfvast |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of internal medicine Volume: 260 ISSN: 0954-6820 ISO Abbreviation: J. Intern. Med. Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-06-22 Completed Date: 2006-07-31 Revised Date: 2008-10-09 |
Medline Journal Info:
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Nlm Unique ID: 8904841 Medline TA: J Intern Med Country: England |
Other Details:
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Languages: eng Pagination: 39-42 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia, Tampere University Hospital, Tampere, Finland. ilkka.virkkunen@uta.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Cardiopulmonary Resuscitation / adverse effects* Emergency Medical Services Female First Aid / adverse effects* Gastroesophageal Reflux / etiology* Heart Arrest / therapy* Humans Male Middle Aged Prospective Studies Survival Analysis |
| Comments/Corrections | |
Erratum In:
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J Intern Med. 2008 Nov;264(5):509 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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