131 results on '"Giuseppe Ristagno"'
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2. 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces
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Myra H. Wyckoff, Robert Greif, Peter T. Morley, Kee-Chong Ng, Theresa M. Olasveengen, Eunice M. Singletary, Jasmeet Soar, Adam Cheng, Ian R. Drennan, Helen G. Liley, Barnaby R. Scholefield, Michael A. Smyth, Michelle Welsford, David A. Zideman, Jason Acworth, Richard Aickin, Lars W. Andersen, Diane Atkins, David C. Berry, Farhan Bhanji, Joost Bierens, Vere Borra, Bernd W. Böttiger, Richard N. Bradley, Janet E. Bray, Jan Breckwoldt, Clifton W. Callaway, Jestin N. Carlson, Pascal Cassan, Maaret Castrén, Wei-Tien Chang, Nathan P. Charlton, Sung Phil Chung, Julie Considine, Daniela T. Costa-Nobre, Keith Couper, Thomaz Bittencourt Couto, Katie N. Dainty, Peter G. Davis, Maria Fernanda de Almeida, Allan R. de Caen, Charles D. Deakin, Therese Djärv, Michael W. Donnino, Matthew J. Douma, Jonathan P. Duff, Cody L. Dunne, Kathryn Eastwood, Walid El-Naggar, Jorge G. Fabres, Joe Fawke, Judith Finn, Elizabeth E. Foglia, Fredrik Folke, Elaine Gilfoyle, Craig A. Goolsby, Asger Granfeldt, Anne-Marie Guerguerian, Ruth Guinsburg, Karen G. Hirsch, Mathias J. Holmberg, Shigeharu Hosono, Ming-Ju Hsieh, Cindy H. Hsu, Takanari Ikeyama, Tetsuya Isayama, Nicholas J. Johnson, Vishal S. Kapadia, Mandira Daripa Kawakami, Han-Suk Kim, Monica Kleinman, David A. Kloeck, Peter J. Kudenchuk, Anthony T. Lagina, Kasper G. Lauridsen, Eric J. Lavonas, Henry C. Lee, Yiqun (Jeffrey) Lin, Andrew S. Lockey, Ian K. Maconochie, R. John Madar, Carolina Malta Hansen, Siobhan Masterson, Tasuku Matsuyama, Christopher J.D. McKinlay, Daniel Meyran, Patrick Morgan, Laurie J. Morrison, Vinay Nadkarni, Firdose L. Nakwa, Kevin J. Nation, Ziad Nehme, Michael Nemeth, Robert W. Neumar, Tonia Nicholson, Nikolaos Nikolaou, Chika Nishiyama, Tatsuya Norii, Gabrielle A. Nuthall, Brian J. O’Neill, Yong-Kwang Gene Ong, Aaron M. Orkin, Edison F. Paiva, Michael J. Parr, Catherine Patocka, Jeffrey L. Pellegrino, Gavin D. Perkins, Jeffrey M. Perlman, Yacov Rabi, Amelia G. Reis, Joshua C. Reynolds, Giuseppe Ristagno, Antonio Rodriguez-Nunez, Charles C. Roehr, Mario Rüdiger, Tetsuya Sakamoto, Claudio Sandroni, Taylor L. Sawyer, Steve M. Schexnayder, Georg M. Schmölzer, Sebastian Schnaubelt, Federico Semeraro, Markus B. Skrifvars, Christopher M. Smith, Takahiro Sugiura, Janice A. Tijssen, Daniele Trevisanuto, Patrick Van de Voorde, Tzong-Luen Wang, Gary M. Weiner, Jonathan P. Wyllie, Chih-Wei Yang, Joyce Yeung, Jerry P. Nolan, Katherine M. Berg, Madeline C. Burdick, Susie Cartledge, Jennifer A. Dawson, Moustafa M. Elgohary, Hege L. Ersdal, Emer Finan, Hilde I. Flaatten, Gustavo E. Flores, Janene Fuerch, Rakesh Garg, Callum Gately, Mark Goh, Louis P. Halamek, Anthony J. Handley, Tetsuo Hatanaka, Amber Hoover, Mohmoud Issa, Samantha Johnson, C. Omar Kamlin, Ying-Chih Ko, Amy Kule, Tina A. Leone, Ella MacKenzie, Finlay Macneil, William Montgomery, Domhnall O’Dochartaigh, Shinichiro Ohshimo, Francesco Stefano Palazzo, Christopher Picard, Bin Huey Quek, James Raitt, Viraraghavan V. Ramaswamy, Andrea Scapigliati, Birju A. Shah, Craig Stewart, Marya L. Strand, Edgardo Szyld, Marta Thio, Alexis A. Topjian, Enrique Udaeta, Christian Vaillancourt, Wolfgang A. Wetsch, Jane Wigginton, Nicole K. Yamada, Sarah Yao, Drieda Zace, and Carolyn M. Zelop
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Emergency Medical Services ,Consensus ,pediatrics ,resuscitation ,cardiac arrest ,first aid ,Emergency Nursing ,infant ,Cardiopulmonary Resuscitation ,Out-of-Hospital Cardiac Arrest/therapy ,AHA Scientific Statements ,infant, newborn ,basic life support ,newborn ,Physiology (medical) ,Pediatrics, Perinatology and Child Health ,Settore MED/41 - ANESTESIOLOGIA ,Emergency Medicine ,advanced life support ,Humans ,Child ,Cardiology and Cardiovascular Medicine ,Emergency Treatment - Abstract
his is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. Topics covered by systematic reviews include cardiopulmonary resuscitation during transport; approach to resuscitation after drowning; passive ventilation; minimizing pauses during cardiopulmonary resuscitation; temperature management after cardiac arrest; use of diagnostic point-of-care ultrasound during cardiac arrest; use of vasopressin and corticosteroids during cardiac arrest; coronary angiography after cardiac arrest; public-access defibrillation devices for children; pediatric early warning systems; maintaining normal temperature immediately after birth; suctioning of amniotic fluid at birth; tactile stimulation for resuscitation immediately after birth; use of continuous positive airway pressure for respiratory distress at term birth; respiratory and heart rate monitoring in the delivery room; supraglottic airway use in neonates; prearrest prediction of in-hospital cardiac arrest mortality; basic life support training for likely rescuers of high-risk populations; effect of resuscitation team training; blended learning for life support training; training and recertification for resuscitation instructors; and recovery position for maintenance of breathing and prevention of cardiac arrest. Members from 6 task forces have assessed, discussed, and debated the quality of the evidence using Grading of Recommendations Assessment, Development, and Evaluation criteria and generated consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections, and priority knowledge gaps for future research are listed. This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. Topics covered by systematic reviews include cardiopulmonary resuscitation during transport; approach to resuscitation after drowning; passive ventilation; minimizing pauses during cardiopulmonary resuscitation; temperature management after cardiac arrest; use of diagnostic point-of-care ultrasound during cardiac arrest; use of vasopressin and corticosteroids during cardiac arrest; coronary angiography after cardiac arrest; public-access defibrillation devices for children; pediatric early warning systems; maintaining normal temperature immediately after birth; suctioning of amniotic fluid at birth; tactile stimulation for resuscitation immediately after birth; use of continuous positive airway pressure for respiratory distress at term birth; respiratory and heart rate monitoring in the delivery room; supraglottic airway use in neonates; prearrest prediction of in-hospital cardiac arrest mortality; basic life support training for likely rescuers of high-risk populations; effect of resuscitation team training; blended learning for life support training; training and recertification for resuscitation instructors; and recovery position for maintenance of breathing and prevention of cardiac arrest. Members from 6 task forces have assessed, discussed, and debated the quality of the evidence using Grading of Recommendations Assessment, Development, and Evaluation criteria and generated consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections, and priority knowledge gaps for future research are listed.
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- 2022
3. Specific theorical and practical education on mechanical chest compression during advanced life support training courses - Results from a local experience
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Fausto D'Agostino, Felice Eugenio Agrò, Pierfrancesco Fusco, Claudio Ferri, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Abstract
Specific training modules focusing on mechanical chest compression and device use might be considered in a structured manner during the standard advanced life support (ALS) courses. The aim of this study was to evaluate the impact of a specific brief 15 min training on the use of a specific mechanical CPR device during Advanced Cardiac Life Support courses on its correct use and on attendees' satisfaction.
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- 2022
4. OR07 Conventional and Speckle-Tracking Echocardiography (STE) and Cardiac Circulating Biomarkers in a rat model of Cardiac Arrest
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Daria De Giorgio, Davide Olivari, Francesca Fumagalli, Francesca Motta, Carlo Perego, Lidia Irene Staszewsky, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2022
5. 'De trop' meta-analyses and systematic reviews in cardiopulmonary resuscitation – A way to rapidly improve authors’ citation index at a price of real science
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Giulia Merigo, Ivan Silvestri, Aurora Magliocca, Francesca Fumagalli, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2023
6. Kurzfassung
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Silvija Hunyadi Anticevic, Dominique Hendrickx, Pierre Carli, Christian Hassager, Leo Bossaert, Spyridon Mentzelopoulos, Martijn Maas, Anatolij Truhlar, Artem Kuzovlev, Annick De Roovere, Luis Sanchez Santos, Adriana Boccuzzi, Carlo Clarens, Jasmeet Soar, Gamal Eldin, Sule Akin, David Zideman, Robert Greif, Saloua Safri, Primoz Gradisek, Jon-Kenneth Heltne, Jonathan Wyllie, Ian Maconochie, Jozef Koppl, Theodoros Christophides, Pascal Cassan, Diana Cimpoesu, Simon Attard Montalto, Nikolaos Nikolaou, Gabbas Khalifa, Roman Burkart, Wilhem Behringer, Theresa M. Olasveengen, Walter Renier, Mahmoud Tageldin Mustafa, Koen Monsieurs, John Madar, Michael Baubin, Federico Semeraro, Bernd W. Böttiger, Jacques Delchef, Heleen Van Grootven, Nicolas Mpotos, B. Dirks, U. Kreimeier, Jukka Vaahersalo, Suzanne Schilder, Carsten Lott, Patrick Van de Voorde, Els Goemans, Georg Trummer, Kathleen Pitches, Giuseppe Ristagno, Gavin D. Perkins, Janusz Andres, Jan-Thorsten Gräsner, Hildigunnur Svavarsdóttir, Hans Friberg, Jerry P. Nolan, and Violetta Raffay
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business.industry ,Emergency Medicine ,Medicine ,business - Published
- 2021
7. Basismaßnahmen zur Wiederbelebung Erwachsener (Basic Life Support)
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Giuseppe Ristagno, Gavin D. Perkins, Violetta Raffay, Hildigunnur Svavarsdóttir, Artem Kuzovlev, Anthony J. Handley, Federico Semeraro, Koenraad G. Monsieurs, Maaret Castrén, Jasmeet Soar, Michael Smyth, and Theresa M. Olasveengen
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Resuscitation ,business.industry ,Defibrillation ,medicine.medical_treatment ,education ,Basic life support ,030208 emergency & critical care medicine ,030204 cardiovascular system & hematology ,Airway obstruction ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Emergency Medicine ,Emergency medical services ,medicine ,Emergency medical dispatch ,Cardiopulmonary resuscitation ,Medical emergency ,business ,Automated external defibrillator - Abstract
The European Resuscitation Council has produced these basic life support guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics covered include cardiac arrest recognition, alerting emergency services, chest compressions, rescue breaths, automated external defibrillation (AED), cardiopulmonary resuscitation (CPR) quality measurement, new technologies, safety, and foreign body airway obstruction.
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- 2021
8. Lebensrettende Systeme
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Robert Greif, Sebastian Schnaubelt, Joyce Yeung, Joachim Schlieber, Giuseppe Ristagno, Theresa M. Olasveengen, Marios Georgiou, Freddy Lippert, Andrew Lockey, Diana Cimpoesu, Federico Semeraro, Bernd W. Böttiger, Andrea Scapigliati, Roman Burkart, and Koenraad G. Monsieurs
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business.industry ,Emergency Medicine ,Medicine ,Chain of survival ,Medical emergency ,business ,medicine.disease - Published
- 2021
9. European Resuscitation Council Guidelines 2021: Executive summary
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J. Schlieber, P. Druwe, Fernando Rosell-Ortiz, D. Meyran, N. De Lucas, A.B. te Pas, Robert Greif, J. Madar, A. Boccuzzi, Kirstie L. Haywood, Jana Djakow, E. Goemans, Jonathan Wyllie, W. Renier, Patrick Van de Voorde, Carsten Lott, Tobias Cronberg, Koenraad G. Monsieurs, A. Cariou, Pierre Carli, Therese Djärv, V. Borra, Siobhán Masterson, L. Sanchez Santos, I. Lulic, E. Oliver, Theresa M. Olasveengen, David Zideman, G. Eldin, Giuseppe Ristagno, S. Akin, C. D. Cimpoesu, E. M. Singletary, Spyridon Mentzelopoulos, Joyce Yeung, A. Barelli, D. Hendrickx, G. D. Perkins, Berndt Urlesberger, Lucas Pflanzl-Knizacek, J. K. Heltne, Leo Bossaert, Andrea Scapigliati, L. Bossaert, H. van Grootven, Gavin D. Perkins, Sean Ainsworth, Ferenc Sari, Tomasz Szczapa, K. Pitches, Gamal Eldin Abbas Khalifa, B. Dirks, Dominic Wilkinson, P. Cassan, Jan Wnent, Charles Christoph Roehr, Johan Herlitz, A. de Roovere, Abel Martinez-Mejias, J. Delchef, Florian Hoffmann, M. Blom, J. Koppl, J. Soar, Keith Couper, Artem Kuzovlev, Marios Georgiou, A. Truhlar, Federico Semeraro, G. Trummer, R. Burkart, Mario Rüdiger, V. R. M. Moulaert, John Madar, Jan-Thorsen Gräsner, W. Behringer, R. Greif, C. Clarens, Spyros D. Mentzelopoulos, Torsten Lauritsen, A. Alfonzo, Freddy Lippert, Hildigunnur Svavarsdóttir, Markus B. Skrifvars, Koen Monsieurs, B. Bein, Tommaso Pellis, Maaret Castren, H. Friberg, Jan Breckwoldt, U. Kreimeier, Charles D. Deakin, Christiane Skåre, Nikolaos I. Nikolaou, S. Hunyadi Anticevic, J. P. Nolan, Anthony J. Handley, F. Taccone, S. Schilder, Jerry P. Nolan, Janusz Andres, A. Safri, O. Brissaud, Hege Langli Ersdal, Peter Paal, B. Klaassen, Karl-Christian Thies, Dominique Biarent, D. A. Zideman, Gisela Lilja, J.T. Graesner, Sebastian Schnaubelt, P. Van de Voorde, Ian Maconochie, Violetta Raffay, Michael Smyth, P. Gradisek, C. Lott, C. Genbrugge, Salma Shammet, Daniele Trevisanuto, Violeta González-Salvado, H. Svavarsdottir, N. M. Turner, M. Tageldin Mustafa, Ingvild Tjelmeland, Patricia Conaghan, T. Christophides, Colin J Morley, J. Vaahersalo, M. Baubin, Kurtis Poole, Claudio Sandroni, N. Mpotos, Jasmeet Soar, Bernd W. Böttiger, S. Attard Montalto, Jochen Hinkelbein, M. Maas, Robert Bingham, C. Hassager, T. M. Olasveengen, Francesc Carmona, Groa Bjork Johannesdottir, Andy Lockey, E. De Buck, and European Resuscitation Council Gui
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Adult ,Resuscitation ,medicine.medical_treatment ,education ,030204 cardiovascular system & hematology ,Emergency Nursing ,03 medical and health sciences ,0302 clinical medicine ,resuscitation ,guidelines ,summary ,Nursing ,First Aid ,Humans ,Medicine ,Cardiopulmonary resuscitation ,610 Medicine & health ,Child ,Executive summary ,business.industry ,Infant, Newborn ,Basic life support ,030208 emergency & critical care medicine ,Cardiopulmonary Resuscitation ,Heart Arrest ,Advanced life support ,Europe ,Systematic review ,Life support ,Emergency Medicine ,Human medicine ,Cardiology and Cardiovascular Medicine ,business ,Systematic Reviews as Topic ,First aid - Abstract
Informed by a series of systematic reviews, scoping reviews and evidence updates from the International Liaison Committee on Resuscitation, the 2021 European Resuscitation Council Guidelines present the most up to date evidence-based guidelines for the practice of resuscitation across Europe. The guidelines cover the epidemiology of cardiac arrest; the role that systems play in saving lives, adult basic life support, adult advanced life support, resuscitation in special circumstances, post resuscitation care, first aid, neonatal life support, paediatric life support, ethics and education.
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- 2021
10. Adult Basic Life Support
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Mathias J Holmberg, Wolfgang A. Wetsch, Gustavo E. Flores, Tonia Nicholson, Barnaby R. Scholefield, Clifton W. Callaway, Peter T. Morley, Monica E. Kleinman, Edison F. Paiva, Joshua C. Reynolds, Tzong-Luen Wang, Markus B. Skrifvars, Szymon Musiol, Robert W. Neumar, Cornelia W. E. Hoedemaekers, Justin L. Benoit, Tobias Cronberg, Issa Mahmoud, Maureen Chase, Katherine Berg, Michelle Welsford, Comilla Sasson, Giuseppe Ristagno, Ian R. Drennan, Charles D. Deakin, Asger Granfeldt, Michael W. Donnino, Bernd W. Böttiger, Jasmeet Soar, Joyce Yeung, Carolyn M. Zelop, Jerry P. Nolan, Michael Parr, Claudio Sandroni, Cindy H. Hsu, Lars W. Andersen, Julie M.R. Arafeh, Brian J. O'Neil, Quentin Otto, Joseph P. Ornato, Keith Couper, Mark S. Link, Kevin Nation, Bryan L Fischberg, Sofia Cacciola, Laurie J. Morrison, Sarah M. Perman, Sonia D'Arrigo, Mary Fran Hazinski, and Marlijn Kamps
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Resuscitation ,Defibrillation ,health care facilities, manpower, and services ,medicine.medical_treatment ,education ,030204 cardiovascular system & hematology ,Emergency Nursing ,03 medical and health sciences ,0302 clinical medicine ,health services administration ,medicine ,Cardiopulmonary resuscitation ,health care economics and organizations ,Automated external defibrillator ,business.industry ,Basic life support ,030208 emergency & critical care medicine ,Sudden cardiac arrest ,medicine.disease ,Systematic review ,Emergency Medicine ,Emergency medical dispatch ,Medical emergency ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 20 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 3 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.
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- 2020
11. Adult Advanced Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations
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Jasmeet Soar, Katherine M. Berg, Lars W. Andersen, Bernd W. Böttiger, Sofia Cacciola, Clifton W. Callaway, Keith Couper, Tobias Cronberg, Sonia D’Arrigo, Charles D. Deakin, Michael W. Donnino, Ian R. Drennan, Asger Granfeldt, Cornelia W.E. Hoedemaekers, Mathias J. Holmberg, Cindy H. Hsu, Marlijn Kamps, Szymon Musiol, Kevin J. Nation, Robert W. Neumar, Tonia Nicholson, Brian J. O’Neil, Quentin Otto, Edison Ferreira de Paiva, Michael J.A. Parr, Joshua C. Reynolds, Claudio Sandroni, Barnaby R. Scholefield, Markus B. Skrifvars, Tzong-Luen Wang, Wolfgang A. Wetsch, Joyce Yeung, Peter T. Morley, Laurie J. Morrison, Michelle Welsford, Mary Fran Hazinski, Jerry P. Nolan, Issa Mahmoud, Monica E. Kleinman, Giuseppe Ristagno, Julie Arafeh, Justin L. Benoit, Maureen Chase, Bryan L. Fischberg, Gustavo E. Flores, Mark S. Link, Joseph P. Ornato, Sarah M. Perman, Comilla Sasson, Carolyn M. Zelop, HUS Emergency Medicine and Services, Department of Diagnostics and Therapeutics, University of Helsinki, and Helsinki University Hospital Area
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Emergency Medical Services ,Resuscitation ,NEURON-SPECIFIC ENOLASE ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Emergency Nursing ,FIBRILLATION WAVE-FORM ,TARGETED TEMPERATURE MANAGEMENT ,0302 clinical medicine ,Emergency medical services ,Vasoconstrictor Agents ,echocardiography ,FOCUSED ECHOCARDIOGRAPHIC EVALUATION ,3. Good health ,AHA Scientific Statements ,Systematic review ,Cardiovascular Diseases ,Emergency Medicine ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,arrhythmias ,Adult ,medicine.medical_specialty ,Consensus ,cardiopulmonary arrest ,postresuscitation care ,cardiopulmonary resuscitation and emergency cardiac care ,Article ,post–cardiac arrest care ,03 medical and health sciences ,Physiology (medical) ,sudden cardiac arrest ,Settore MED/41 - ANESTESIOLOGIA ,medicine ,Humans ,SEQUENTIAL EXTERNAL DEFIBRILLATION ,Cardiopulmonary resuscitation ,Intensive care medicine ,TIDAL CARBON-DIOXIDE ,REFRACTORY VENTRICULAR-FIBRILLATION ,business.industry ,HOSPITAL CARDIAC-ARREST ,Basic life support ,030208 emergency & critical care medicine ,Sudden cardiac arrest ,3126 Surgery, anesthesiology, intensive care, radiology ,ventricular fibrillation ,Cardiopulmonary Resuscitation ,Heart Arrest ,Advanced life support ,Life Support Care ,post-cardiac arrest care ,3121 General medicine, internal medicine and other clinical medicine ,BRAIN COMPUTED-TOMOGRAPHY ,MULTIMODAL OUTCOME PREDICTION ,prognostication ,business ,Out-of-Hospital Cardiac Arrest ,Neonatal resuscitation ,Systematic Reviews as Topic ,Defibrillators - Abstract
This2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendationsfor advanced life support includes updates on multiple advanced life support topics addressed with 3 different types of reviews. Topics were prioritized on the basis of both recent interest within the resuscitation community and the amount of new evidence available since any previous review. Systematic reviews addressed higher-priority topics, and included double-sequential defibrillation, intravenous versus intraosseous route for drug administration during cardiac arrest, point-of-care echocardiography for intra-arrest prognostication, cardiac arrest caused by pulmonary embolism, postresuscitation oxygenation and ventilation, prophylactic antibiotics after resuscitation, postresuscitation seizure prophylaxis and treatment, and neuroprognostication. New or updated treatment recommendations on these topics are presented. Scoping reviews were conducted for anticipatory charging and monitoring of physiological parameters during cardiopulmonary resuscitation. Topics for which systematic reviews and new Consensuses on Science With Treatment Recommendations were completed since 2015 are also summarized here. All remaining topics reviewed were addressed with evidence updates to identify any new evidence and to help determine which topics should be the highest priority for systematic reviews in the next 1 to 2 years.
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- 2020
12. BIG FIVE strategies for survival following out-of-hospital cardiac arrest
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Karl B. Kern, Freddy Lippert, Bernd W. Böttiger, Sabine Wingen, Giuseppe Ristagno, Federico Semeraro, Lance B Becker, and Andrew Lockey
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Emergency Medical Services ,medicine.medical_specialty ,Editorial ,Anesthesiology and Pain Medicine ,business.industry ,Emergency medicine ,medicine ,Humans ,business ,Cardiopulmonary Resuscitation ,Out-of-Hospital Cardiac Arrest ,Out of hospital cardiac arrest - Published
- 2020
13. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Template for In-Hospital Cardiac Arrest
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Jerry P. Nolan, Robert A. Berg, Lars W. Andersen, Farhan Bhanji, Paul S. Chan, Michael W. Donnino, Swee Han Lim, Matthew Huei-Ming Ma, Vinay M. Nadkarni, Monique A. Starks, Gavin D. Perkins, Peter T. Morley, Jasmeet Soar, Richard Aickin, Dianne L. Atkins, Katherine M. Berg, Robert Bingham, Bernd W. Böttiger, Steven C. Brooks, Clifton W. Callaway, Maaret Castrén, Sung Phil Chung, Julie Considine, Thomaz Bittencourt Couto, Allan R. de Caen, Charles D. Deakin, Ian R. Drennan, Raffo Escalante, Raúl J. Gazmuri, Anne-Marie Guerguerian, Mary Fran Hazinski, Peter J. Kudenchuk, Bo Løfgren, Ian Maconochie, Mary E. Mancini, Peter A. Meaney, Robert W. Neumar, Kee-Chong Ng, Tonia C. Nicholson, Chika Nishiyama, Gabrielle A. Nuthall, Theresa M. Olasveengen, Edison F. Paiva, Michael J. Parr, Amelia G. Reis, Joshua C. Reynolds, Giuseppe Ristagno, Claudio Sandroni, Stephen M. Schexnayder, Barnaby R. Scholefield, Michael A. Smyth, David Stanton, Janice A. Tijssen, Christian Vaillancourt, Patrick Van de Voorde, Tzong-Luen Wang, and Michelle Welsford
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Liaison committee ,medicine.medical_specialty ,Resuscitation ,Task force ,business.industry ,medicine.medical_treatment ,030208 emergency & critical care medicine ,030204 cardiovascular system & hematology ,Emergency Nursing ,03 medical and health sciences ,0302 clinical medicine ,Emergency medicine ,Emergency Medicine ,medicine ,Cardiopulmonary resuscitation ,Cardiology and Cardiovascular Medicine ,Death sudden cardiac ,business - Published
- 2019
14. Incidence, characteristics, and outcome of out-of-hospital cardiac arrest in Italy: A systematic review and meta-analysis
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Tommaso Scquizzato, Lorenzo Gamberini, Sonia D'Arrigo, Alessandro Galazzi, Giovanni Babini, Rosario Losiggio, Guglielmo Imbriaco, Francesca Fumagalli, Alberto Cucino, Giovanni Landoni, Andrea Scapigliati, Giuseppe Ristagno, Federico Semeraro, Francesco Bertoncello, Alberto Canalini, Stefano Colelli, Giuseppe Conti, Maurizio Giacometti, Giovanni Giuliani, Alessandro Graziano, Andrea Mina, Silvia Orazio, Andrea Paoli, Alberto Peratoner, Carlo Pegani, Andrea Roncarati, Cesare Sabetta, Simone Savastano, Federica Stella, Rosanna Varutti, Francesca Verginella, and Michele Zuliani
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Abstract
Data on out-of-hospital cardiac arrest (OHCA) is limited in Italy, and there has never been a comprehensive systematic appraisal of the available evidence. Therefore, this review aims to explore the incidence, characteristics, and outcome of OHCA in Italy.We systematically searched PubMed, Embase, Google Scholar, ResearchGate, and conference proceedings up to September 23, 2022. Studies investigating OHCA in Italy and reporting at least one outcome related to cardiac arrest were considered eligible. The primary outcome was survival at the longest follow-up available. Risk of bias was assessed using the Joanna Briggs Institute critical appraisal tool. A random-effects model proportion meta-analysis was performed to calculate the pooled outcomes with 95% confidence interval (CI).We included 42 studies (43,042 patients) from 13 of the 20 Italian regions published between 1995 and 2022. Only five studies were deemed to be at low risk of bias. The overall average incidences of OHCA attended by emergency medical services and with resuscitation attempted were 86 (range: 10-190) and 55 (range: 6-108) per 100,000 populations per year, respectively. Survival at the longest follow-up available was 9.0% (95% CI, 6.7-12%; 30 studies and 15,195 patients) in the overall population, 25% (95% CI, 21-30%; 16 studies and 2,863 patients) among patients with shockable rhythms, 28% (95% CI, 20-37%; 8 studies and 1,292 patients) among the Utstein comparator group. Favourable neurological outcome was 5.0% (95% CI, 3.6-6.6%; 16 studies and 9,675 patients). Return of spontaneous circulation was achieved in 19% (95% CI, 16-23%; 40 studies and 30,875 patients) of cases. Bystanders initiated cardiopulmonary resuscitation in 26% (95% CI, 21-32%; 33 studies and 23,491 patients) of cases but only in 3.2% (95% CI, 1.9-4.9%; 9 studies and 8,508 patients) with an automated external defibrillator. The mean response time was 10.2 (95% CI, 8.9-11.4; 25 studies and 23,997 patients) minutes.Survival after OHCA in Italy occurred in one of every ten patients. Bystanders initiated cardiopulmonary resuscitation in only one-third of cases, rarely with a defibrillator. Different areas of the country collected data, but an essential part of the population was not included. There was high heterogeneity and large variation in outcomes results and reporting, limiting the confidence in the estimates of incidence and outcome. Creating and maintaining a nationwide registry is a priority.
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- 2022
15. OR25 Mitochondrial integrity alteration in brain injury after cardiac arrest and cardiopulmonary resuscitation (CA/CPR)
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Francesca Fumagalli, Davide Olivari, Marianna Cerrato, Francesca Motta, Daria De Giorgio, Alessandro Corbelli, Carlo Perego, Fabio Fiordaliso, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2022
16. B03 Preclinical feasibility of real time AMSA measurement during CPR using a modified clinical defibrillator
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Davide Olivari, Daria De Giorgio, Francesca Fumagalli, Aurora Magliocca, Laura Ruggeri, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2022
17. OR26 Effects of no-flow time on the pathophysiology of Cardiopulmonary resuscitation-associated lung edema (CRALE) in a porcine model of cardiac arrest
- Author
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Aurora Magliocca, Valentina Castagna, Francesca Fumagalli, Davide Olivari, Daria De Giorgio, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2022
18. European Resuscitation Council Guidelines 2021 Basic Life Support
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Jasmeet Soar, Artem Kuzovlev, Hildigunnur Svavarsdóttir, Koenraad G. Monsieurs, Theresa M. Olasveengen, Giuseppe Ristagno, Anthony J. Handley, Gavin D. Perkins, Federico Semeraro, Violetta Raffay, Michael Smyth, Maaret Castrén, HUS Emergency Medicine and Services, Department of Diagnostics and Therapeutics, Clinicum, and Helsinki University Hospital Area
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Resuscitation ,Emergency Medical Services ,Defibrillation ,Rescue breaths ,medicine.medical_treatment ,education ,030204 cardiovascular system & hematology ,Emergency Nursing ,Guidelines ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Cardiopulmonary resuscitation ,Basic Life support ,business.industry ,Basic life support ,030208 emergency & critical care medicine ,Emergency Medical Dispatch ,Airway obstruction ,medicine.disease ,3126 Surgery, anesthesiology, intensive care, radiology ,Cardiopulmonary Resuscitation ,Ventilation ,3. Good health ,Emergency Medicine ,Chest compression ,Cpr quality ,Medical emergency ,Human medicine ,Cardiology and Cardiovascular Medicine ,business ,Automated External Defibrillator - Abstract
The European Resuscitation Council has produced these basic life support guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics covered include cardiac arrest recognition, alerting emergency services, chest compressions, rescue breaths, automated external defibrillation (AED), CPR quality measurement, new technologies, safety, and foreign body airway obstruction.
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- 2021
19. A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children
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Vinay M. Nadkarni, Giuseppe Ristagno, Peter A. Meaney, Gavin D. Perkins, Sung Phil Chung, Peter T. Morley, Ian Maconachie, Steve Schexnayder, Steven C. Brooks, Bo Løfgren, Anne-Marie Guerguerian, Julie-Anne Considine, Keith Couper, Mary Beth Mancini, Raffo Escalante, Amelia G. Reis, Janice A. Tijssen, Theresa Olasveegen, Christian Vaillancourt, Chika Nishiyama, Maaret Castrén, Yong-Kwang Gene Ong, David Stanton, Patrick Van de Voorde, Gabrielle Nuthall, Peter J. Kudenchuk, Naoki Shimizu, Robert Bingham, Tetsuo Hatanaka, Andrew H. Travers, Raúl J. Gazmuri, Allan R. de Caen, Richard Aickin, Katie N. Dainty, Thomaz Bittencourt Couto, Kee-Chong Ng, Michael Smyth, Dianne L. Atkins, and Nikolaos I. Nikolaou
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Adult ,medicine.medical_specialty ,RJ ,medicine.medical_treatment ,education ,MEDLINE ,CINAHL ,030204 cardiovascular system & hematology ,Emergency Nursing ,03 medical and health sciences ,Professional Role ,0302 clinical medicine ,health services administration ,Health care ,medicine ,Humans ,cardiovascular diseases ,Cardiopulmonary resuscitation ,Child ,health care economics and organizations ,business.industry ,030208 emergency & critical care medicine ,Sudden cardiac arrest ,Cardiopulmonary Resuscitation ,Emergency Medical Dispatcher ,Outcome and Process Assessment, Health Care ,Meta-analysis ,Emergency medicine ,Emergency Medicine ,Bystander cpr ,Observational study ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,therapeutics ,Out-of-Hospital Cardiac Arrest ,RC - Abstract
Background\ud \ud Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) has been reported in individual studies to significantly increase the rate of bystander CPR and survival from cardiac arrest.\ud \ud Methods \ud \ud We undertook a systematic review and meta-analysis to evaluate the impact of DA-CPR programs on key clinical outcomes following out-of-hospital cardiac arrest. We searched the PubMED, EMBASE, CINAHL, ERIC and Cochrane Central Register of Controlled Trials databases from inception until July 2018. Eligible studies compared systems with and without dispatcher-assisted CPR programs. Included studies were divided into three groups: comparison of outcomes in systems providing DA-CPR; comparison of cases where DA-CPR was provided to cases where bystander CPR was ongoing, and DA-CPR was not provided; and comparison of cases where DA-CPR was provided to cases where no bystander CPR was provided (patient level comparisons). The GRADE system was used to assess certainty of evidence at an outcome level. We used random-effects models to produce summary effect sizes across all outcomes.\ud \ud Results \ud \ud Of 5,531 citations screened, 33 studies were eligible for inclusion. All included studies were observational. Evidence certainty across all outcomes was assessed as low or very low. In system-level and patient-level comparisons, the provision of DA-CPR compared with no DA-CPR was consistently associated with improved outcome across all analyses. Comparison of DA-CPR to bystander CPR produced conflicting results. Findings were consistent across sensitivity analyses and the pediatric sub-group.\ud \ud Conclusion \ud \ud These results support the recommendation that dispatchers provide CPR instructions to callers for adults and children with suspected OHCA.\ud
- Published
- 2019
20. Point-of-care laboratory analyses of intraosseous, arterial and central venous samples during experimental cardiopulmonary resuscitation
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Giuseppe Ristagno, Annika Nelskylä, Markus B. Skrifvars, Milla Jousi, Alexey Schramko, Jouni Nurmi, HUS Emergency Medicine and Services, Anestesiologian yksikkö, Department of Diagnostics and Therapeutics, Clinicum, University of Helsinki, and HUS Perioperative, Intensive Care and Pain Medicine
- Subjects
Resuscitation ,Swine ,medicine.medical_treatment ,Acid-Base Imbalance ,030204 cardiovascular system & hematology ,Emergency Nursing ,Electrolytes ,0302 clinical medicine ,Intra-osseous access ,CARDIAC-ARREST ,SITES ,Blood Specimen Collection ,Venous blood ,medicine.anatomical_structure ,Ventricular Fibrillation ,Lactates ,Emergency Medicine ,Cardiology ,Cardiology and Cardiovascular Medicine ,Artery ,medicine.medical_specialty ,BLOOD-GASES ,Point-of-Care Systems ,education ,Acid–base homeostasis ,Blood gas analysis ,03 medical and health sciences ,Laboratory analysis ,COUNCIL GUIDELINES ,Internal medicine ,VASCULAR ACCESS ,medicine ,Animals ,Cardiopulmonary resuscitation ,Vein ,business.industry ,Sodium ,030208 emergency & critical care medicine ,3126 Surgery, anesthesiology, intensive care, radiology ,medicine.disease ,ACID-BASE STATUS ,Cardiopulmonary Resuscitation ,Heart Arrest ,Disease Models, Animal ,Point-of-care ,Ventricular fibrillation ,Potassium ,Calcium ,Base excess ,business ,Blood Chemical Analysis - Abstract
Introduction Screening and correcting reversible causes of cardiac arrest (CA) are an essential part of cardiopulmonary resuscitation (CPR). Point-of-care (POC) laboratory analyses are used for screening pre-arrest pathologies, such as electrolyte disorders and acid–base balance disturbances. The aims of this study were to compare the intraosseous (IO), arterial and central venous POC values during CA and CPR and to see how the CPR values reflect the pre-arrest state. Methods We performed an experimental study on 23 anaesthetised pigs. After induction of ventricular fibrillation (VF), we obtained POC samples from the IO space, artery and central vein simultaneously at three consecutive time points. We observed the development of the values during CA and CPR and compared the CPR values to the pre-arrest values. Results The IO, arterial and venous values changed differently from one another during the course of CA and CPR. Base excess and pH decreased in the venous and IO samples during untreated VF, but in the arterial samples, this only occurred after the onset of CPR. The IO, arterial and venous potassium values were higher during CPR compared to the pre-arrest arterial values (mean elevations 4.4 mmol/l (SD 0.72), 3.3 mmol/l (0.78) and 2.8 mmol/l (0.94), respectively). Conclusions A dynamic change occurs in the common laboratory values during CA and CPR. POC analyses of lactate, pH, sodium and calcium within IO samples are not different from analyses of arterial or venous blood. Potassium values in IO, arterial and venous samples during CPR are higher than the pre-arrest arterial values.
- Published
- 2019
21. The new Italian law 'A systems saving lives' the first European former application of ERC 2021 guidelines
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Andrea Scapigliati, Federico Semeraro, Samantha Di Marco, Giuseppe Ristagno, Carlo Coniglio, Alberto Spella, Gabriella Arlotta, Niccolò Grieco, Rosanna Viacava, Tommaso Pellis, and Luigi Langella
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Italy ,business.industry ,Law ,Emergency Medicine ,Humans ,Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine ,business ,Cardiopulmonary Resuscitation - Published
- 2021
22. P071 Over-optimistic narration of out-of-hospital cardiac arrests in online newspapers in Italy
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Tommaso Scquizzato, Luisa Zaraca, Arianna Gazzato, Alessandra Bonaccorso, Alberto Cucino, Olivia Belloni, Alessandro Pruna, Andrea Scapigliati, Federico Semeraro, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2022
23. P073 Temporal pattern of brain injury and inflammation following cardiac arrest in rats
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Francesca Motta, Carlo Perego, Davide Olivari, Daria De Giorgio, Francesca Fumagalli, Giulia Merigo, Marianna Cerrato, Edoardo Micotti, and Giuseppe Ristagno
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Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2022
24. Effectiveness of antiarrhythmic drugs for shockable cardiac arrest: A systematic review
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Jasmeet Soar, Diana Sherifali, Jerry P. Nolan, Parminder Raina, Muhammad Usman Ali, Dianne L. Atkins, Giuseppe Ristagno, Donna Fitzpatrick-Lewis, and Meghan Kenny
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Adult ,Male ,medicine.medical_specialty ,Lidocaine ,MEDLINE ,Amiodarone ,030204 cardiovascular system & hematology ,Emergency Nursing ,Cochrane Library ,Return of spontaneous circulation ,Placebo ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,medicine ,Humans ,Child ,Randomized Controlled Trials as Topic ,business.industry ,030208 emergency & critical care medicine ,Cardiopulmonary Resuscitation ,Observational Studies as Topic ,Treatment Outcome ,Emergency medicine ,Emergency Medicine ,Female ,Observational study ,Cardiology and Cardiovascular Medicine ,business ,Anti-Arrhythmia Agents ,Out-of-Hospital Cardiac Arrest ,RC ,medicine.drug - Abstract
Purpose\ud \ud The purpose of this systematic review is to provide up-to-date evidence on effectiveness of antiarrhythmic drugs for shockable cardiac arrest to help inform the 2018 International Liaison Committee on Resuscitation Consensus on Science with Treatment Recommendations.\ud \ud Methods\ud \ud A search was conducted in electronic databases Medline, Embase, and Cochrane Library from inception to August 15, 2017.\ud \ud Results\ud \ud Of the 9371 citations reviewed, a total of 14 RCTs and 17 observational studies met our inclusion criteria for adult population and only 1 observational study for pediatric population. Based on RCT level evidence for adult population, none of the anti-arrhythmic drugs showed any difference in effect compared with placebo, or with other anti-arrhythmic drugs for the critical outcomes of survival to hospital discharge and discharge with good neurological function. For the outcome of return of spontaneous circulation, the results showed a significant increase for lidocaine compared with placebo (RR = 1.16; 95% CI, 1.03–1.29, p = 0.01).\ud \ud Conclusion\ud \ud The high level evidence supporting the use of antiarrhythmic drugs during CPR for shockable cardiac arrest is limited and showed no benefit for critical outcomes of survival at hospital discharge, survival with favorable neurological function and long-term survival. Future high quality research is needed to confirm these findings and also to evaluate the role of administering antiarrhythmic drugs in children with shockable cardiac arrest, and in adults immediately after ROSC.
- Published
- 2018
25. European Resuscitation Council Guidelines 2021: Systems saving lives
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Theresa M. Olasveengen, Marios Georgiou, Freddy Lippert, Joyce Yeung, Giuseppe Ristagno, Joachim Schlieber, Federico Semeraro, Robert Greif, Koenraad G. Monsieurs, Sebastian Schnaubelt, Diana Cimpoesu, Bernd W. Böttiger, Andrew Lockey, Roman Burkart, and Andrea Scapigliati
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Resuscitation ,medicine.medical_treatment ,education ,MEDLINE ,Settore MED/41 - Anestesiologia ,030204 cardiovascular system & hematology ,Emergency Nursing ,Hospital ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Research Letter ,Chain of survival ,Humans ,Social media ,Emergency Service, Hospital ,Cardiopulmonary Resuscitation ,Heart Arrest ,Cardiopulmonary resuscitation ,Rapid response ,Emergency Service ,Warning system ,business.industry ,030208 emergency & critical care medicine ,medicine.disease ,3. Good health ,Alliance ,Emergency Medicine ,Human medicine ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business - Abstract
The European Resuscitation Council (ERC) has produced these Systems Saving Lives guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics covered include chain of survival, measuring performance of resuscitation, social media and smartphones apps for engaging community, European Restart a Heart Day, World Restart a Heart, KIDS SAVE LIVES campaign, lower-resource setting, European Resuscitation Academy and Global Resuscitation Alliance, early warning scores, rapid response systems, and medical emergency team, cardiac arrest centres and role of dispatcher.
- Published
- 2021
26. Cardiac arrest reported in newspapers: A new, yet missed, opportunity to increase cardiopulmonary resuscitation awareness
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Andrea Scapigliati, Arianna Gazzato, Giuseppe Ristagno, Tommaso Scquizzato, Giovanni Landoni, Federico Semeraro, Scquizzato, T., Gazzato, A., Semeraro, F., Landoni, G., Ristagno, G., and Scapigliati, A.
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Emergency Nursing ,Cardiopulmonary Resuscitation ,Newspaper ,Heart Arrest ,Emergency Medicine ,Medicine ,Humans ,Cardiopulmonary resuscitation ,Cardiology and Cardiovascular Medicine ,business ,Intensive care medicine ,Missed opportunity - Published
- 2021
27. Noninvasive ventilatory support of patients with covid-19 outside the intensive care units (ward-covid)
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Emanuela Rossi, Ferdinando Luca Lorini, Nicola Petrucci, Giovanni Marino, Danilo Radrizzani, Marta M. Bizzarri, Angela Faletti, Giuseppe Citerio, Emanuele Rezoagli, Gianluca Cappelleri, Andrea Beindorf, Maria Grazia Valsecchi, Matteo Subert, Giacomo Grasselli, Andrea Pradella, Gian Paolo Castelli, Giuseppe Ristagno, Paolo Severgnini, Simone Maria Zerbi, Giancarlo Bosio, Maurizio Cecconi, Antonio Pesenti, Marco Gemma, Giacomo Bellani, Federica De Giacomi, Nicola Latronico, B. Antonini, Massimo Borelli, Filippo Serra, Marta Da Macallè, Francesco Mojoli, Stefano Aliberti, Matteo Filippini, Giuseppe Foti, Laura Antolini, Remo Daniel Covello, Andrea Albertin, V. Marco Ranieri, Stefano Greco, Claudia Giannotti, Giovanni Vitale, Teresa S. Mediani, Aurora Magliocca, Paolo Maniglia, Filippo Russo, and Mattia Docci
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Pulmonary and Respiratory Medicine ,Male ,medicine.medical_specialty ,Critical Care ,medicine.medical_treatment ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Fraction of inspired oxygen ,Intensive care ,Oxygen therapy ,Patients' Rooms ,medicine ,Intubation, Intratracheal ,Intubation ,Cannula ,Humans ,030212 general & internal medicine ,Continuous positive airway pressure ,Letters ,Prospective Studies ,Treatment Failure ,Hospital Mortality ,Prospective cohort study ,Hypoxia ,Original Research ,Aged ,Noninvasive Ventilation ,Continuous Positive Airway Pressure ,business.industry ,SARS-CoV-2 ,Oxygen Inhalation Therapy ,COVID-19 ,Middle Aged ,Intensive care unit ,Coronavirus ,Intensive Care Units ,Intratracheal ,030228 respiratory system ,Respiratory failure ,Italy ,Emergency medicine ,Noninvasive ventilatory support ,Female ,Respiratory Insufficiency ,business - Abstract
Rationale: Treatment with noninvasive ventilation (NIV) in coronavirus disease (COVID-19) is frequent. Shortage of intensive care unit (ICU) beds led clinicians to deliver NIV also outside ICUs. Data about the use of NIV in COVID-19 is limited. Objectives: To describe the prevalence and clinical characteristics of patients with COVID-19 treated with NIV outside the ICUs. To investigate the factors associated with NIV failure (need for intubation or death). Methods: In this prospective, single-day observational study, we enrolled adult patients with COVID-19 who were treated with NIV outside the ICU from 31 hospitals in Lombardy, Italy. Results: We collected data on demographic and clinical characteristics, ventilatory management, and patient outcomes. Of 8,753 patients with COVID-19 present in the hospitals on the study day, 909 (10%) were receiving NIV outside the ICU. A majority of patients (778/909; 85%) patients were treated with continuous positive airway pressure (CPAP), which was delivered by helmet in 617 (68%) patients. NIV failed in 300 patients (37.6%), whereas 498 (62.4%) patients were discharged alive without intubation. Overall mortality was 25%. NIV failure occurred in 152/284 (53%) patients with an arterial oxygen pressure (PaO2)/fraction of inspired oxygen (Fi O2) ratio 60% and close to 75% in full-treatment patients. C-reactive protein, PaO2/Fi O2, and platelet counts were independently associated with increased risk of NIV failure. Clinical trial registered with ClinicalTrials.gov (NCT04382235).
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- 2021
28. Cerebral regional oxygen saturation during cardiopulmonary resuscitation and return of spontaneous circulation: a systematic review and meta-analysis
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Antonio Messina, Diana Busalacchi, Veronica Dezio, Giuseppe Ristagno, Marinella Astuto, Filippo Sanfilippo, Paolo Murabito, and Maurizio Cecconi
- Subjects
medicine.medical_specialty ,Resuscitation ,medicine.medical_treatment ,Near-Infrared Spectrometry ,030204 cardiovascular system & hematology ,Emergency Nursing ,Return of spontaneous circulation ,near infrared spectrometry ,03 medical and health sciences ,0302 clinical medicine ,Regional oxygen saturation ,Internal medicine ,medicine ,Humans ,Oximetry ,Cardiopulmonary resuscitation ,cardiopulmonary resuscitation ,Spectroscopy, Near-Infrared ,business.industry ,Advanced cardiac life support ,030208 emergency & critical care medicine ,Confidence interval ,Europe ,Oxygen ,Cerebrovascular Circulation ,Meta-analysis ,Emergency Medicine ,Cardiology ,advanced cardiac life support ,Return of Spontaneous Circulation ,Cardiology and Cardiovascular Medicine ,business ,resuscitation order ,Out-of-Hospital Cardiac Arrest - Abstract
Aim Predicting the return of spontaneous circulation (ROSC) during cardiopulmonary resuscitation in victims of cardiac arrest (CA) remains challenging. Cerebral regional oxygen saturation (rSO2) measured during resuscitation is feasible, and higher initial and overall values seem associated with ROSC. However, these observations were limited to the analysis of few small single-centre studies. There is a growing number of studies evaluating the role of cerebral rSO2 in the prediction of ROSC. Methods We conducted an updated meta-analysis aimed at investigating the association of initial and overall values of cerebral rSO2 with ROSC after CA. We performed subgroups analyses according to the location of CA and conducted a secondary analysis according to the country where the study was conducted (resuscitation practice varies greatly for out-of-hospital CA). Results We included 17 studies. Higher initial rSO2 values (11 studies, n = 2870, 16.6% achieved ROSC) were associated with ROSC: Mean Difference (MD) -11.54 [95%Confidence Interval (CI)-20.96, -2.12]; p = 0.02 (I2 = 97%). The secondary analysis confirmed this finding when pooling together European and USA studies, but did not for Japanese studies (p = 0.06). One multi-centre Japanese study was an outlier with large influence on 95%CI. Higher overall rSO2 values during resuscitation (9 studies, n = 894, 33.7% achieving ROSC) were associated with ROSC: MD-10.38; [-13.73, -7.03]; p Conclusions This updated meta-analysis confirmed the association between higher initial and overall values of cerebral rSO2 and ROSC after CA. However, we found geographical differences, since this association was not present when Japanese studies were analysed separately. Keywords near infrared spectrometry; advanced cardiac life support; resuscitation order; cardiopulmonary resuscitation.
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- 2021
29. Basic life support training courses safety and infection risk in Italy during the COVID-19 pandemics
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Claudio Ferri, Andrea Scapigliati, Fausto D'Agostino, Giuseppe Ristagno, Pasqualino Rossi, Massimo Ciccozzi, Felice Eugenio Agrò, and Pierfrancesco Fusco
- Subjects
2019-20 coronavirus outbreak ,Infection risk ,Coronavirus disease 2019 (COVID-19) ,business.industry ,SARS-CoV-2 ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Basic life support ,COVID-19 ,Emergency Nursing ,medicine.disease ,Article ,Italy ,Pandemic ,Emergency Medicine ,Medicine ,Humans ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business ,Pandemics - Published
- 2021
30. Corrigendum to 'European Resuscitation Council Guidelines 2021: Executive summary' [Resuscitation (2021) 1–60]
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C. Lott, Maaret Castren, H. Friberg, Gamal Eldin Abbas Khalifa, C. Genbrugge, Salma Shammet, Daniele Trevisanuto, D. Meyran, N. De Lucas, R. Greif, J. T. Gräsner, Sebastian Schnaubelt, Lucas Pflanzl-Knizacek, L. Sanchez Santos, G. Eldin, Keith Couper, Colin J Morley, John Madar, A. Barelli, B. Klaassen, B. Bein, Abel Martinez-Mejias, J. Koppl, Karl-Christian Thies, Spyridon Mentzelopoulos, Sean Ainsworth, Torsten Lauritsen, Hildigunnur Svavarsdóttir, Kirstie L. Haywood, Jana Djakow, Dominique Biarent, A.B. te Pas, Violeta González-Salvado, H. Svavarsdottir, P. Van de Voorde, Artem Kuzovlev, Johan Herlitz, Nikolaos I. Nikolaou, C. Hassager, Mario Rüdiger, Ingvild Tjelmeland, D. A. Zideman, Robert Bingham, J. Delchef, S. Hunyadi Anticevic, Federico Semeraro, Bernd W. Böttiger, P. Druwe, J. Schlieber, A. de Roovere, Michael Smyth, I. Lulic, S. Attard Montalto, A. Truhlar, Jasmeet Soar, G. Trummer, Anthony J. Handley, Florian Hoffmann, Fernando Rosell-Ortiz, Koenraad G. Monsieurs, Christiane Skåre, Dominic Wilkinson, Jan Wnent, David Zideman, Jochen Hinkelbein, T. M. Olasveengen, K. Pitches, V. R. M. Moulaert, T. Christophides, P. Gradisek, W. Behringer, Jerry P. Nolan, D. Hendrickx, Patrick Van de Voorde, Joyce Yeung, R. Burkart, Hege Langli Ersdal, C. D. Cimpoesu, E. M. Singletary, Tommaso Pellis, Marios Georgiou, E. Goemans, Charles Christoph Roehr, C. Clarens, A. Safri, J. Vaahersalo, Pierre Carli, M. Baubin, H. van Grootven, O. Brissaud, Peter Paal, Francesc Carmona, Kurtis Poole, A. Alfonzo, Tobias Cronberg, Siobhán Masterson, Carsten Lott, Ian Maconochie, Jan Breckwoldt, U. Kreimeier, M. Maas, Claudio Sandroni, Groa Bjork Johannesdottir, Andy Lockey, Giuseppe Ristagno, Leo Bossaert, Andrea Scapigliati, Gavin D. Perkins, Violetta Raffay, Janusz Andres, Jan-Thortsen Gräsner, L. Bossaert, J. Madar, Gisela Lilja, N. M. Turner, J. K. Heltne, N. Mpotos, E. De Buck, J. P. Nolan, M. Tageldin Mustafa, S. Schilder, Patricia Conaghan, Freddy Lippert, Therese Djärv, A. Cariou, V. Borra, M. Blom, J. Soar, Koen Monsieurs, Spyros D. Mentzelopoulos, Markus B. Skrifvars, Charles D. Deakin, F. Taccone, G. D. Perkins, Berndt Urlesberger, Robert Greif, A. Boccuzzi, Jonathan Wyllie, W. Renier, Theresa M. Olasveengen, Ferenc Sari, P. Cassan, Tomasz Szczapa, B. Dirks, E. Oliver, and S. Akin
- Subjects
Resuscitation ,Executive summary ,business.industry ,Published Erratum ,Emergency Medicine ,medicine ,MEDLINE ,Medical emergency ,Emergency Nursing ,Cardiology and Cardiovascular Medicine ,medicine.disease ,business - Published
- 2021
31. New Early Warning Score: off-label approach for Covid-19 outbreak patient deterioration in the community
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Federico Semeraro, Tommaso Scquizzato, Donatella Del Giudice, Andrea Scapigliati, Fabio Mora, Giuseppe Ristagno, Cosimo Picoco, Oscar Dell'Arciprete, Lorenzo Gamberini, Marco Tartaglione, Giovanni Gordini, and Fiorella Cordenons
- Subjects
Male ,2019-20 coronavirus outbreak ,medicine.medical_specialty ,China ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Pneumonia, Viral ,Emergency Nursing ,Off-label use ,Disease Outbreaks ,Betacoronavirus ,Residence Characteristics ,Medicine ,Humans ,Pandemics ,Clinical Deterioration ,business.industry ,SARS-CoV-2 ,Outbreak ,COVID-19 ,Early warning score ,Early Warning Score ,Emergency medicine ,Emergency ,Emergency Medicine ,Female ,business ,Coronavirus Infections ,Cardiology and Cardiovascular Medicine - Published
- 2020
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32. How to ventilate during CPR in time of Covid-19?
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Antonio Gullì, Gabriella Arlotta, A. Barelli, Federico Semeraro, Giuseppe Ristagno, A. Scapigliati, and Francesca Bevilacqua
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Adult ,medicine.medical_specialty ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Critical Care ,medicine.medical_treatment ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Pneumonia, Viral ,Emergency Nursing ,Pediatrics ,Betacoronavirus ,Pandemic ,medicine ,Humans ,Cardiopulmonary resuscitation ,Child ,Pandemics ,Letter to the Editor ,biology ,business.industry ,SARS-CoV-2 ,Infant, Newborn ,COVID-19 ,American Heart Association ,biology.organism_classification ,Infant newborn ,Cardiopulmonary Resuscitation ,United States ,Anesthesiologists ,Emergency ,Emergency medicine ,Emergency Medicine ,Cardiology and Cardiovascular Medicine ,business ,Coronavirus Infections - Published
- 2020
33. Preparedness for telephone dispatch-assisted cardiopulmonary resuscitation in Italy. A National survey
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Federico Semeraro, Riccardo Tucci, Samantha Di Marco, Giulia Frione, Giuseppe Ristagno, Andrea Scapigliati, and Giulia Tonelli
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business.industry ,medicine.medical_treatment ,Emergency Medical Service Communication Systems ,MEDLINE ,Emergency Nursing ,medicine.disease ,Cardiopulmonary Resuscitation ,Telephone ,Italy ,Preparedness ,Emergency Medicine ,medicine ,Humans ,Cardiopulmonary resuscitation ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business ,Out-of-Hospital Cardiac Arrest - Published
- 2020
34. Determinants of occurrence and survival after sudden cardiac arrest–A European perspective: The ESCAPE-NET project
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Martin Jonsson, Thomas Meitinger, Peter J. Schwartz, Hanno L. Tan, Marieke T. Blom, Jean Philippe Empana, Bernd W. Bӧttiger, Anatolij Truhlar, Jacob Tfelt-Hansen, Xavier Jouven, Gunnar Gislason, Giuseppe Ristagno, Nikolaos Dagres, Jacqueline M. Dekker, ACS - Heart failure & arrhythmias, Cardiology, APH - Methodology, and APH - Health Behaviors & Chronic Diseases
- Subjects
Emergency Medical Services ,Databases, Factual ,Automated external defibrillator ,Resuscitation ,Population ,Single-nucleotide polymorphism ,Genome-wide association study ,Comorbidity ,030204 cardiovascular system & hematology ,Emergency Nursing ,Risk Assessment ,Europe/epidemiology ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Sudden cardiac arrest ,Risk Factors ,Genetics ,Humans ,Medicine ,media_common.cataloged_instance ,030212 general & internal medicine ,European union ,education ,Death, Sudden, Cardiac/epidemiology ,media_common ,Out-of-Hospital Cardiac Arrest/etiology ,education.field_of_study ,business.industry ,Emergency Medical Services/statistics & numerical data ,3. Good health ,Europe ,Population Surveillance/methods ,Death, Sudden, Cardiac ,Population Surveillance ,Emergency Medicine ,Observational study ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Out-of-Hospital Cardiac Arrest ,Imputation (genetics) ,Demography - Abstract
Aims: The ESCAPE-NET project (“European Sudden Cardiac Arrest network– towards Prevention, Education and New Effective Treatments”) aims to study: (1) risk factors and mechanisms for the occurrence of sudden cardiac arrest (SCA) in the population, and (2) risk factors and treatment strategies for survival after SCA on a European scale. Methods: This is an Horizon2020 funded program of the European Union, performed by a European publicprivate consortium of 16 partners across 10 EU countries. There are 11 deep-phenotyped SCA cohorts for the study of risk factors and treatment strategies for survival after SCA, and 5 deep-phenotyped observational prospective population cohorts for the study of risk factors for occurrence of SCA. Personalized risk scores for predicting SCA onset and for predicting survival after SCA will be derived and validated. Results: The 11 clinical studies with SCA cases comprise 85,790 SCA cases; the 5 observational prospective population cohorts include 53,060 subjects. A total of 15,000 SCA samples will be genotyped for common and rare variants at the Helmholtz Zentrum München (Germany) using the Illumina Global Screening Array which contains > 770,000 SNPs, and after imputation, a database of an estimated > 9 million variants will be available for genome wide association studies. Standardization of risk factors definition and outcomes is ongoing. An Executive Committee has been created along with a Collaboration Policy document. Conclusion: ESCAPE-NET will complement ongoing efforts on SCA outside Europe and within Europe including the EuReCa project.
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- 2018
35. Duration of Untreated Cardiac Arrest and Clinical Relevance of Animal Experiments: The Relationship Between the 'No-Flow' Duration and the Severity of Post-Cardiac Arrest Syndrome in a Porcine Model
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Luigi Grassi, Anita Luciani, D. De Zani, Mario Luini, Eugenio Scanziani, Teresa Letizia, Francesca Fumagalli, A. Boccardo, Davide Pravettoni, Fabio Fiordaliso, Giuseppe Ristagno, Gioanni Babini, Marcella De Maglie, Monica Salio, Ilaria Russo, Lidia Staszewsky, Serge Masson, Roberto Latini, and Deborah Novelli
- Subjects
Male ,medicine.medical_specialty ,Cardiac output ,Swine ,medicine.medical_treatment ,Enolase ,030204 cardiovascular system & hematology ,Critical Care and Intensive Care Medicine ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Animals ,Clinical significance ,Cardiopulmonary resuscitation ,Myocardial infarction ,Ejection fraction ,business.industry ,030208 emergency & critical care medicine ,medicine.disease ,Cardiopulmonary Resuscitation ,Heart Arrest ,Disease Models, Animal ,Duration (music) ,Emergency Medicine ,Cardiology ,Histopathology ,business - Abstract
INTRODUCTION The study investigated the effect of untreated cardiac arrest (CA), that is, "no-flow" time, on postresuscitation myocardial and neurological injury, and survival in a pig model to identify an optimal duration that adequately reflects the most frequent clinical scenario. METHODS An established model of myocardial infarction followed by CA and cardiopulmonary resuscitation was used. Twenty-two pigs were subjected to three no-flow durations: short (8-10 min), intermediate (12-13 min), and long (14-15 min). Left ventricular ejection fraction (LVEF) was assessed together with thermodilution cardiac output (CO) and high sensitivity cardiac troponin T (hs-cTnT). Neurological impairment was evaluated by neurological scores, serum neuron specific enolase (NSE), and histopathology. RESULTS More than 60% of animals survived when the duration of CA was ≤13 min, compared to only 20% for a duration ≥14 min. Neuronal degeneration and neurological scores showed a trend toward a worse recovery for longer no-flow durations. No animals achieved a good neurological recovery for a no-flow ≥14 min, in comparison to a 56% for a duration ≤13 min (P = 0.043). Serum NSE levels significantly correlated with the no-flow duration (r = 0.892). Longer durations of CA were characterized by lower LVEF and CO compared to shorter durations (P
- Published
- 2018
36. Incidence and outcome of in-hospital cardiac arrest in Italy: a multicentre observational study in the Piedmont Region
- Author
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Paola Berchialla, Agostino Roasio, Roberto Penso, Felice Urso, Ugo Zummo, Andrea Fassiola, Giacomo Berta, Giuseppe Ristagno, Giulio Radeschi, Andrea Mina, and Claudio Sandroni
- Subjects
Male ,medicine.medical_specialty ,Resuscitation ,Epidemiology ,medicine.medical_treatment ,Cardiopulmonary resuscitation ,In-hospital cardiac arrest ,Outcome ,Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine ,Comorbidity ,030204 cardiovascular system & hematology ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Interquartile range ,Settore MED/41 - ANESTESIOLOGIA ,Outcome Assessment, Health Care ,medicine ,Humans ,Survival rate ,Aged ,Proportional Hazards Models ,Aged, 80 and over ,Inpatients ,business.industry ,Incidence ,Incidence (epidemiology) ,030208 emergency & critical care medicine ,Middle Aged ,medicine.disease ,Survival Analysis ,Cardiopulmonary Resuscitation ,Heart Arrest ,Surgery ,Hospitalization ,Italy ,Ventricular fibrillation ,Emergency medicine ,Female ,business ,Cohort study - Abstract
Aims to report the incidence, characteristics, and outcome of in-hospital cardiac arrest (IHCA) in a large Italian region. Setting all hospitals participating in the IHCA Registry Initiative of Piedmont. Methods observational cohort study in adult (>18 year old) inpatients resuscitated from IHCA during three consecutive years (2012–2014). The main outcome measures were IHCA incidence and survival to hospital discharge. Results A total of1539 arrests in adult inpatients were recorded in the study period, yielding an overall incidence of 1.51 arrests/1000 admissions. The incidence was highest at day 1 after hospital admission and in the morning hours, with a peak at 9.00 a.m. Median age was 77 (interquartile range 68–83) years. The presenting rhythm was ventricular fibrillation/pulseless ventricular tachycardia in 291/1539 (18.9%) cases. A total of 549/1539 (35.7%) patients achieved recovery of spontaneous circulation (ROSC) and 228/1539(14.8%) survived hospital discharge, with 207 (90.8%) of the latter having good neurological outcome (Cerebral Performance Categories [CPC] 1 or 2).After adjustment for major confounders, a pre-arrest CPC = 1, a cardiac cause of arrest, a shockable presenting rhythm, and a shorter duration of resuscitation were independently associated with a higher likelihood of survival to discharge. Conclusions in this Italian registry the incidence of IHCA and its circadian distribution were comparable to those in the NCAA registry in the UK. Patients were older and had a lower ROSC rate than these observed in other large IHCA registries, but post-ROSC survival rate and factors affecting survival to discharge were similar.
- Published
- 2017
37. Oxygen and carbon dioxide targets during and after resuscitation of cardiac arrest patients
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Giuseppe Ristagno, Theresa M. Olasveengen, and Markus B. Skrifvars
- Subjects
medicine.medical_specialty ,Resuscitation ,Pain medicine ,medicine.medical_treatment ,chemistry.chemical_element ,030204 cardiovascular system & hematology ,Critical Care and Intensive Care Medicine ,Oxygen ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Anesthesiology ,medicine ,Humans ,Cardiopulmonary resuscitation ,business.industry ,030208 emergency & critical care medicine ,Carbon Dioxide ,Heart Arrest ,chemistry ,Emergency medicine ,Carbon dioxide ,Blood Gas Analysis ,business - Published
- 2018
38. 2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary
- Author
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Theresa M, Olasveengen, Allan R, de Caen, Mary E, Mancini, Ian K, Maconochie, Richard, Aickin, Dianne L, Atkins, Robert A, Berg, Robert M, Bingham, Steven C, Brooks, Maaret, Castrén, Sung Phil, Chung, Julie, Considine, Thomaz Bittencourt, Couto, Raffo, Escalante, Raúl J, Gazmuri, Anne-Marie, Guerguerian, Tetsuo, Hatanaka, Rudolph W, Koster, Peter J, Kudenchuk, Eddy, Lang, Swee Han, Lim, Bo, Løfgren, Peter A, Meaney, William H, Montgomery, Peter T, Morley, Laurie J, Morrison, Kevin J, Nation, Kee-Chong, Ng, Vinay M, Nadkarni, Chika, Nishiyama, Gabrielle, Nuthall, Gene Yong-Kwang, Ong, Gavin D, Perkins, Amelia G, Reis, Giuseppe, Ristagno, Tetsuya, Sakamoto, Michael R, Sayre, Stephen M, Schexnayder, Alfredo F, Sierra, Eunice M, Singletary, Naoki, Shimizu, Michael A, Smyth, David, Stanton, Janice A, Tijssen, Andrew, Travers, Christian, Vaillancourt, Patrick, Van de Voorde, Mary Fran, Hazinski, Jerry P, Nolan, Tzong-Luen, Wang, Monsieurs, Koen, ILCOR Collaborators, Amsterdam Cardiovascular Sciences, Cardiology, ACS - Heart failure & arrhythmias, Department of Diagnostics and Therapeutics, Clinicum, Anestesiologian yksikkö, and HUS Emergency Medicine and Services
- Subjects
Liaison committee ,Resuscitation ,Emergency Medical Services ,medicine.medical_treatment ,Review ,Heart Massage ,030204 cardiovascular system & hematology ,Emergency Nursing ,GUIDELINES ,Evidence-Based Emergency Medicine ,0302 clinical medicine ,Emergency medical services ,Medicine ,education.field_of_study ,Evidence-Based Medicine ,IMPROVED SURVIVAL ,Age Factors ,ASSOCIATION ,3. Good health ,AHA Scientific Statements ,Treatment Outcome ,Practice Guideline ,Emergency Medicine ,Medical emergency ,Cardiology and Cardiovascular Medicine ,medicine.medical_specialty ,Consensus ,Population ,education ,Cardiology ,Cardiovascular care ,CONTINUOUS CHEST COMPRESSIONS ,03 medical and health sciences ,Physiology (medical) ,Journal Article ,QUALITY ,Humans ,Cardiopulmonary resuscitation ,Intensive care medicine ,ONLY CPR ,business.industry ,LAY RESCUERS ,HOSPITAL CARDIAC-ARREST ,Basic life support ,030208 emergency & critical care medicine ,Evidence-based medicine ,medicine.disease ,Cardiopulmonary Resuscitation ,Heart Arrest ,VENTILATION ,3121 General medicine, internal medicine and other clinical medicine ,BASIC LIFE-SUPPORT ,Human medicine ,business ,Out-of-Hospital Cardiac Arrest - Abstract
The International Liaison Committee on Resuscitation has initiated a near-continuous review of cardiopulmonary resuscitation science that replaces the previous 5-year cyclic batch-and-queue approach process. This is the first of an annual series of International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations summary articles that will include the cardiopulmonary resuscitation science reviewed by the International Liaison Committee on Resuscitation in the previous year. The review this year includes 5 basic life support and 1 paediatric Consensuses on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Each of these includes a summary of the science and its quality based on Grading of Recommendations, Assessment, Development, and Evaluation criteria and treatment recommendations. Insights into the deliberations of the International Liaison Committee on Resuscitation task force members are provided in Values and Preferences sections. Finally, the task force members have pri-oritised and listed the top 3 knowledge gaps for each population, intervention, comparator, and outcome question. (C) 2017 European Resuscitation Council and American Heart Association, Inc. Published by Elsevier B.V. All rights reserved.
- Published
- 2017
39. Renewed KIDS SAVE LIVES campaign to further increase awareness and fight sudden cardiac death in the era of COVID-19
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Theresa M. Olasveengen, Jerry P. Nolan, Bernd W. Böttiger, Robert Greif, Koenraad G. Monsieurs, Andrea Scapigliati, Giuseppe Ristagno, Gavin D. Perkins, Federico Semeraro, and Andrew Lockey
- Subjects
medicine.medical_specialty ,2019-20 coronavirus outbreak ,Resuscitation ,Coronavirus disease 2019 (COVID-19) ,Pneumonia, Viral ,Emergency Nursing ,Article ,Out of hospital cardiac arrest ,Sudden cardiac death ,Betacoronavirus ,Pandemic ,medicine ,Humans ,610 Medicine & health ,Pandemics ,Health Education ,biology ,SARS-CoV-2 ,business.industry ,COVID-19 ,biology.organism_classification ,medicine.disease ,Cardiopulmonary Resuscitation ,Death, Sudden, Cardiac ,Emergency ,Emergency medicine ,Emergency Medicine ,Educational Status ,Human medicine ,Coronavirus Infections ,Cardiology and Cardiovascular Medicine ,business ,Out-of-Hospital Cardiac Arrest - Published
- 2020
40. Basismaßnahmen zur Wiederbelebung Erwachsener
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Theresa M. Olasveengen, Giuseppe Ristagno, Hildigunnur Svavarsdóttir, Anthony J. Handley, Artem Kuzovlev, J. Soar, G. D. Perkins, Violetta Raffay, Federico Semeraro, Koen Monsieurs, Michael Smyth, and Maaret Castrén
- Subjects
business.industry ,Emergency Medicine ,Medicine ,business - Published
- 2020
41. Amiodarone or lidocaine for cardiac arrest: A systematic review and meta-analysis
- Author
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Giovanna Panarello, Filippo Sanfilippo, Carlos Corredor, Cristina Santonocito, Giuseppe Ristagno, Antonio Arcadipane, and Tommaso Pellis
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Resuscitation ,Lidocaine ,Amiodarone ,Long Term Adverse Effects ,030204 cardiovascular system & hematology ,Emergency Nursing ,Return of spontaneous circulation ,Placebo ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Hospital discharge ,Humans ,Medicine ,business.industry ,030208 emergency & critical care medicine ,Survival Analysis ,Cardiopulmonary Resuscitation ,Hospitalization ,Meta-analysis ,Anesthesia ,Emergency Medicine ,Cardiology and Cardiovascular Medicine ,business ,Anti-Arrhythmia Agents ,Out-of-Hospital Cardiac Arrest ,medicine.drug - Abstract
Guidelines for treatment of out-of-hospital cardiac arrest (OOH-CA) with shockable rhythm recommend amiodarone, while lidocaine may be used if amiodarone is not available. Recent underpowered evidence suggests that amiodarone, lidocaine or placebo are equivalent with respect to survival at hospital discharge, but amiodarone and lidocaine showed higher hospital admission rates. We undertook a systematic review and meta-analysis to assess efficacy of amiodarone vs lidocaine vs placebo.We included studies published in PubMed and EMBASE databases from inception until May 15th, 2016. The primary outcomes were survival at hospital admission and discharge in OOH-CA patients enrolled in randomized clinical trials (RCT) according to resuscitation with amiodarone vs lidocaine vs placebo. If feasible, secondary analysis was performed including in the analysis also patients with in-hospital CA and data from non-RCT.A total of seven findings were included in the metanalysis (three RCTs, 4 non-RCTs). Amiodarone was as beneficial as lidocaine for survival at hospital admission (primary analysis odds ratio-OR 0.86-1.23, p=0.40) and discharge (primary analysis OR 0.87-1.30, p=0.56; secondary analysis OR 0.86-1.27, p=0.67). As compared with placebo, survival at hospital admission was higher both for amiodarone (primary analysis OR 1.12-1.54, p0.0001; secondary analysis OR 1.07-1.45, p0.005) and lidocaine (secondary analysis only OR 1.14-1.58, p=0.0005). With regards to hospital discharge there were no differences between placebo and amiodarone (primary outcome OR 0.98-1.44, p=0.08; secondary outcome OR 0.92-1.33, p=0.28) or lidocaine (secondary outcome only OR 0.97-1.45, p=0.10).Amiodarone and lidocaine equally improve survival at hospital admission as compared with placebo. However, neither amiodarone nor lidocaine improve long-term outcome.
- Published
- 2016
42. Back to reality: A new blended pilot course of Basic Life Support with Virtual Reality
- Author
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Silvia Scelsi, Riccardo Tucci, Niccolò Grieco, Piergiorgio Cavallo, Andrea Scapigliati, Lucia Farabegoli, Gabriele Giulini, Jihan Samira Kayal, Federico Semeraro, and Giuseppe Ristagno
- Subjects
Health Knowledge, Attitudes, Practice ,business.industry ,MEDLINE ,Virtual Reality ,Basic life support ,Health knowledge ,Pilot Projects ,Emergency Nursing ,Virtual reality ,Cardiopulmonary Resuscitation ,Course (navigation) ,Education ,World Wide Web ,Life Support Care ,Italy ,Emergency Medicine ,Medicine ,Humans ,Educational Measurement ,Cardiology and Cardiovascular Medicine ,business ,Out-of-Hospital Cardiac Arrest - Published
- 2019
43. Impact of 'synchronous' and 'asynchronous' CPR modality on quality bundles and outcome in out-of-hospital cardiac arrest patients
- Author
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Athina Patsoura, Domenico Montalbano, Sreten Vukanovic, Marco Zambon, Veronica Xu, Gianfranco Sanson, Giuseppe Ristagno, Vittorio Antonaglia, Giuseppe Davide Caggegi, Sanson, Gianfranco, Ristagno, Giuseppe, Caggegi, Giuseppe Davide, Patsoura, Athina, Xu, Veronica, Zambon, Marco, Montalbano, Domenico, Vukanovic, Sreten, and Antonaglia, Vittorio
- Subjects
Male ,Emergency Medical Services ,medicine.medical_treatment ,Quality metrics ,Asynchronous CPR ,Cardiac arrest ,Cerebral performance category ,Intubation ,Out-of-hospital ,Ventilation ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Quality metric ,Internal Medicine ,Medicine ,Humans ,030212 general & internal medicine ,Cardiopulmonary resuscitation ,Prospective Studies ,Aged ,Aged, 80 and over ,Modality (human–computer interaction) ,business.industry ,Data compression ratio ,Blood flow ,Middle Aged ,Cardiopulmonary Resuscitation ,Logistic Models ,Treatment Outcome ,Italy ,Asynchronous communication ,Anesthesia ,Emergency Medicine ,Breathing ,Female ,business ,Perfusion ,Out-of-Hospital Cardiac Arrest - Abstract
During cardiopulmonary resuscitation (CPR), the need to interrupt chest compressions to provide synchronous ventilations prevents blood flow continuity, reducing the possibility to ensure high-quality CPR bundles of care and, thus, having a potentially negative impact on perfusion and patient outcome. Contemporaneous asynchronous chest compressions and ventilations may avoid these potentially negative effects. Only a few studies measured the CPR quality metrics during synchronous and asynchronous CPR modality and its relation to patient outcome. A prospective observational study was conducted on 285 consecutive adult patients with out-of-hospital cardiac arrest treated by EMS teams over a 30-month period. Ventilation rate, chest compression fraction (i.e. cardiac arrest time spent delivering uninterrupted chest compressions compared to total cardiac arrest time) and chest compression rate per minute were collected in real time by defibrillators and analysed through a dedicated software (electrical cardiac activity through the ECG, chest compression and ventilations through the transthoracic impedance) during synchronous and asynchronous CPR modalities. During asynchronous CPR modality, higher ventilation rate and chest compression fraction (p
- Published
- 2019
44. DAE RespondER: The Emilia Romagna app for a regional 'community saving lives' system
- Author
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Giovanni Gordini, Giuseppe Ristagno, Oscar Dell'Arciprete, Fiorella Cordenons, Cosimo Picoco, Andrea Scapigliati, Federico Semeraro, Donatella Del Giudice, and Fabio Mora
- Subjects
Emergency Medical Services ,business.industry ,Community participation ,DAE responder ,Regional community ,Community Participation ,MEDLINE ,Emergency Nursing ,Mobile Applications ,Italy ,Settore MED/41 - ANESTESIOLOGIA ,Emergency Medicine ,Humans ,Medicine ,Smartphone ,Cardiology and Cardiovascular Medicine ,Socioeconomics ,business ,Out-of-Hospital Cardiac Arrest - Published
- 2019
45. 2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
- Author
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Anne Marie Guerguerian, Joyce Yeung, Jeffrey L. Pellegrino, Barnaby R. Scholefield, Khalid Aziz, Han Suk Kim, Richard Aickin, Kevin Nation, Tetsuya Sakamoto, Katie N. Dainty, Michael Smyth, Dianne L. Atkins, Tonia Nicholson, Laurie J. Morrison, Thomaz Bittencourt Couto, Janel Swain, Ian R. Drennan, Stephen M. Schexnayder, Eddy Lang, Helen G. Liley, Robert W. Neumar, Edgardo Szyld, Raffo Escalante, Katherine Berg, Mary E. Mancini, Andrew Lockey, Robert Greif, Deems Okamoto, Sung Phil Chung, Shinichiro Ohshimo, Andrew H. Travers, Steven C. Brooks, Eunice M. Singletary, Koenraad G. Monsieurs, Julie Considine, Eric J. Lavonas, David Zideman, Bernd W. Böttiger, Kee Chong Ng, Joshua C. Reynolds, Tetsuya Isayama, Keith Couper, Farhan Bhanji, Charles D. Deakin, Jonathan Wyllie, Vishal S. Kapadia, Blair L. Bigham, Jan L Jensen, Elaine Gilfoyle, Patrick Van de Voorde, Edison F. Paiva, Myra H. Wyckoff, Wei-Tien Chang, Jonathan P. Duff, Theresa M. Olasveengen, Michael W. Donnino, Clifton W. Callaway, Giuseppe Ristagno, Mathias J. Holmberg, Peter T. Morley, Monica E. Kleinman, Peter A. Meaney, Gavin D. Perkins, Yacov Rabi, Pascal Cassan, Vinay M. Nadkarni, David C. Berry, Amelia G. Reis, Jason C Bendall, Matthew Huei-Ming Ma, Jeffrey M. Perlman, Jonathan L. Epstein, Maaret Castrén, Lindsay Mildenhall, Adam Cheng, Janet Bray, Jan Breckwoldt, Jerry P. Nolan, Janice A. Tijssen, Swee Han Lim, Shigeharu Hosono, Robert Bingham, Michelle Welsford, Ian Maconochie, Nikolaos I. Nikolaou, Taku Iwami, Gene Yong-Kwang Ong, D. Meyran, Jasmeet Soar, David Markenson, Naoki Shimizu, David Stanton, Sithembiso Velaphi, Bo Løfgren, Mary Fran Hazinski, Daniele Trevisanuto, Natalie Hood, Maria Fernanda Branco de Almeida, Charles Christoph Roehr, Michael Parr, Chika Nishiyama, Brian J. O'Neil, Ruth Guinsburg, Jeff A. Woodin, William H. Montgomery, Gabrielle Nuthall, Vere Borra, Claudio Sandroni, Lars W. Andersen, Allan R. de Caen, Raúl J. Gazmuri, Nathan P. Charlton, Ming-Ju Hsieh, Christian Vaillancourt, Gary M. Weiner, Peter J. Kudenchuk, Jestin N. Carlson, Asger Granfeldt, Markus B. Skrifvars, Tetsuo Hatanaka, Tzong Luen Wang, Jennifer A Dawson, and Jason E. Buick
- Subjects
Adult ,Resuscitation ,Adolescent ,Epinephrine ,health care facilities, manpower, and services ,medicine.medical_treatment ,education ,Airway management ,030204 cardiovascular system & hematology ,Emergency Nursing ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Settore MED/41 - ANESTESIOLOGIA ,Intubation, Intratracheal ,Emergency medical services ,Humans ,Vasoconstrictor Agents ,Medicine ,Extracorporeal cardiopulmonary resuscitation ,Cardiopulmonary resuscitation ,Child ,health care economics and organizations ,AHA Scientific Statements ,Extracorporeal circulation ,Heart arrest ,Infant ,Aged ,business.industry ,Basic life support ,030208 emergency & critical care medicine ,Hyperthermia, Induced ,Middle Aged ,medicine.disease ,Respiration, Artificial ,3. Good health ,Child, Preschool ,Emergency Medicine ,Medical emergency ,Human medicine ,Cardiology and Cardiovascular Medicine ,business ,Out-of-Hospital Cardiac Arrest ,Neonatal resuscitation ,First aid - Abstract
The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence to Decision Framework Highlights sections. The task forces also listed priority knowledge gaps for further research.
- Published
- 2019
46. A system to save lives in Italy: A cultural challenge for community and government
- Author
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Niccolò Grieco, Silvia Scelsi, Miriam Tumolo, Samantha Di Marco, Giuseppe Ristagno, Federico Semeraro, Adriana Boccuzzi, Serena Copetti, Andrea Scapigliati, and Brigida Panzarino
- Subjects
Government ,business.industry ,Health Policy ,Community Participation ,Electric Countershock ,Emergency Nursing ,Public administration ,Cardiopulmonary Resuscitation ,Government Programs ,Italy ,Settore MED/41 - ANESTESIOLOGIA ,Government Regulation ,Emergency Medicine ,Humans ,Medicine ,Cardiology and Cardiovascular Medicine ,business ,CARDIOPOLMUNARY RESUSCITATION ,Needs Assessment ,Out-of-Hospital Cardiac Arrest - Published
- 2019
47. Virtual reality cardiopulmonary resuscitation (CPR): Comparison with a standard CPR training mannequin
- Author
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Tania Gnudi, Andrea Scapigliati, Giuseppe Ristagno, Alessandro Monesi, Gabriele Giulini, Jihan Samira Kayal, Federico Semeraro, and Riccardo Tucci
- Subjects
business.industry ,medicine.medical_treatment ,Teaching ,MEDLINE ,Virtual Reality ,Emergency Nursing ,Virtual reality ,Cpr training ,medicine.disease ,Manikins ,Cardiopulmonary Resuscitation ,Education ,Heart Arrest ,Settore MED/41 - ANESTESIOLOGIA ,Emergency Medicine ,medicine ,Humans ,Cardiopulmonary resuscitation ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business ,Computer-Assisted Instruction - Published
- 2018
48. Part 4: Advanced life support
- Author
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Jasmeet Soar, Clifton W. Callaway, Mayuki Aibiki, Bernd W. Böttiger, Steven C. Brooks, Charles D. Deakin, Michael W. Donnino, Saul Drajer, Walter Kloeck, Peter T. Morley, Laurie J. Morrison, Robert W. Neumar, Tonia C. Nicholson, Jerry P. Nolan, Kazuo Okada, Brian J. O’Neil, Edison F. Paiva, Michael J. Parr, Tzong-Luen Wang, Jonathan Witt, Lars W. Andersen, Katherine M. Berg, Claudio Sandroni, Steve Lin, Eric J. Lavonas, Eyal Golan, Mohammed A. Alhelail, Amit Chopra, Michael N. Cocchi, Tobias Cronberg, Katie N. Dainty, Ian R. Drennan, Michael Fries, Romergryko G. Geocadin, Jan-Thorsten Gräsner, Asger Granfeldt, Sarah Heikal, Peter J. Kudenchuk, Anthony T. Lagina, Bo Løfgren, Jill Mhyre, Koenraad G. Monsieurs, Allan R. Mottram, Tommaso Pellis, Joshua C. Reynolds, Giuseppe Ristagno, Fred A. Severyn, Markus Skrifvars, William C. Stacey, Jonathon Sullivan, Sarah L. Todhunter, Gino Vissers, Stephen West, Wolfgang A. Wetsch, Natalie Wong, Theodoros Xanthos, Carolyn M. Zelop, and Janice Zimmerman
- Subjects
Emergency Medicine ,Emergency Nursing ,Cardiology and Cardiovascular Medicine - Published
- 2015
49. European Resuscitation Council Guidelines for Resuscitation 2015
- Author
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Volker Wenzel, Robert Greif, Jasmeet Soar, Cristina Granja, Theresa M. Olasveengen, Michael Smyth, Rudolph W. Koster, Koenraad G. Monsieurs, Antonio Caballero, Maaret Castrén, Pascal Cassan, Anthony J. Handley, Leo Bossaert, Ian Maconochie, Jerry P. Nolan, Giuseppe Ristagno, Gavin D. Perkins, Claudio Sandroni, Violetta Raffay, Jan-Thorsten Gräsner, and David Zideman
- Subjects
medicine.medical_specialty ,Resuscitation ,Pain medicine ,education ,MEDLINE ,Emergency Nursing ,Medicine ,Automated external defibrillator ,Social work ,business.industry ,Basic life support ,Emergency department ,Airway obstruction ,medicine.disease ,humanities ,3. Good health ,Advanced life support ,Problem-based learning ,Family medicine ,Emergency Medicine ,Cpr quality ,Medical emergency ,Airway ,Choking ,Cardiology and Cardiovascular Medicine ,business ,Neonatal resuscitation - Abstract
Department of Anaesthesiology and Pain Medicine, University Hospital Bern and University of Bern, Bern, Switzerland Emergency Department, Calderdale Royal Hospital, Halifax, Salterhebble HX3 0PW, UK School of Nursing, Midwifery & Social Work, The University of Manchester, Manchester, UK Danish Institute for Medical Simulation, Center for HR, Capital Region of Denmark, Copenhagen, Denmark Knowledge Centre, ACM Training Centre, Elburg, The Netherlands Emergency Medicine, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium
- Published
- 2015
50. European Resuscitation Council Guidelines for Resuscitation 2015
- Author
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Koenraad G. Monsieurs, Jerry P. Nolan, Leo L. Bossaert, Robert Greif, Ian K. Maconochie, Nikolaos I. Nikolaou, Gavin D. Perkins, Jasmeet Soar, Anatolij Truhlář, Jonathan Wyllie, David A. Zideman, Gamal Eldin Abbas Khalifa, Annette Alfonzo, Hans-Richard Arntz, Helen Askitopoulou, Abdelouahab Bellou, Farzin Beygui, Dominique Biarent, Robert Bingham, Joost J.L.M. Bierens, Bernd W. Böttiger, Guttorm Brattebø, Hermann Brugger, Jos Bruinenberg, Alain Cariou, Pierre Carli, Pascal Cassan, Maaret Castrén, Athanasios F. Chalkias, Patricia Conaghan, Charles D. Deakin, Emmy D.J. De Buck, Joel Dunning, Wiebe De Vries, Thomas R. Evans, Christoph Eich, Jan-Thorsten Gräsner, Christina M. Hafner, Anthony J. Handley, Kirstie L. Haywood, Silvija Hunyadi-Antičević, Rudolph W. Koster, Anne Lippert, David J. Lockey, Andrew S. Lockey, Jesús López-Herce, Carsten Lott, Spyros D. Mentzelopoulos, Daniel Meyran, Theresa Olasveengen, Peter Paal, Tommaso Pellis, Thomas Rajka, Violetta I. Raffay, Giuseppe Ristagno, Antonio Rodríguez-Núñez, Charles Christoph Roehr, Mario Rüdiger, Claudio Sandroni, Susanne Schunder-Tatzber, Eunice M. Singletary, Markus B. Skrifvars, Gary B. Smith, Michael A. Smyth, Karl-Christian Thies, Daniele Trevisanuto, Philippe G. Vandekerckhove, Patrick Van de Voorde, Kjetil Sunde, Berndt Urlesberger, Volker Wenzel, and Theodoros T. Xanthos
- Subjects
Resuscitation ,Executive summary ,business.industry ,medicine.medical_treatment ,Guideline ,Emergency Nursing ,medicine.disease ,Advanced life support ,Emergency Medicine ,Emergency medical services ,medicine ,Cardiopulmonary resuscitation ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business - Abstract
This executive summary provides the essential treatment algorithms for the resuscitation of children and adults and highlights the main guideline changes since 2010. Detailed guidance is provided in each of the ten sections, which are published as individual papers within this issue of Resuscitation. The sections of the ERC Guidelines 2015 are
- Published
- 2015
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