| Cardiocerebral resuscitation for cardiac arrest. | |
| | |
MedLine Citation:
|
PMID: 16431175 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Survival rates from out-of-hospital cardiac arrest continue to be low despite periodic updates in the Guidelines for Emergency Medical Services and periodic improvements such as the addition of automatic external defibrillators (AEDs). The low incidence of bystander cardiopulmonary resuscitation (CPR), substantial time without chest compressions throughout the resuscitation effort, and a lack of response to initial defibrillation after prolonged ventricular fibrillation contribute to these unacceptably poor results. Resuscitation guidelines are only revised every 5 to 7 years and can be difficult to change because of the lack of randomized controlled trials in humans. Such trials are rare because of a number of logistical difficulties, including the problem of obtaining informed consent. An alternative approach to advancing resuscitation science is for evidence-based demonstration projects in areas that have adequate records, so that one may determine whether the new approach improves survival. This is reasonable because the current guidelines make provisions for deviations under certain local circumstances or as directed by the emergency medical services medical director. A wealth of experimental evidence indicates that interruption of chest compressions for any reason in patients with cardiac arrest is deleterious. Accordingly, a new approach to out-of-hospital cardiac arrest called cardiocerebral resuscitation (CCR) was developed that places more emphasis on chest compressions for witnessed cardiac arrest in adults and de-emphasizes ventilation. There is also emphasis on chest compressions before defibrillation in circulatory phase of cardiac arrest. CCR was initiated in Tucson, Arizona, in November 2003, and in two rural Wisconsin counties in early 2004. |
| | |
Authors:
|
Gordon A Ewy; Karl B Kern; Arthur B Sanders; Daniel Newburn; Terry D Valenzuela; Lani Clark; Ron W Hilwig; Charles W Otto; Melinda M Hayes; Pila Martinez; Robert A Berg |
Related Documents
:
|
15680525 - Localization of out-of-hospital cardiac arrest in goteborg 1994-2002 and implications f... 2112125 - Increases in coronary vein co2 during cardiac resuscitation. 1150735 - Cardioplegic cardiac arrest in aortic surgery. 8994445 - Survivors of out-of-hospital cardiac arrest with apparently normal heart. need for defi... 3805515 - Noninvasive evaluation of cardiac risk before elective vascular surgery. 15680525 - Localization of out-of-hospital cardiac arrest in goteborg 1994-2002 and implications f... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: The American journal of medicine Volume: 119 ISSN: 1555-7162 ISO Abbreviation: Am. J. Med. Publication Date: 2006 Jan |
Date Detail:
|
Created Date: 2006-01-24 Completed Date: 2006-03-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0267200 Medline TA: Am J Med Country: United States |
Other Details:
|
Languages: eng Pagination: 6-9 Citation Subset: AIM; IM |
Affiliation:
|
University of Arizona College of Medicine, Tucson, Ariz, USA. gaewy@aol.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiopulmonary Resuscitation
/
methods Cerebrovascular Circulation Electric Countershock Emergency Medical Services* Emergency Medical Technicians Heart Arrest / therapy* Heart Massage / methods* Humans Respiration Ventricular Fibrillation / complications, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cancellous bone adaptation to in vivo loading in a rabbit model.
Next Document: Transient left ventricular dysfunction under severe stress: brain-heart relationship revisited.