CPR Post resuscitation care Victims of out of hospital cardiac arrest (OHCA) who achieve ROSC in the emergency room (ER) are transferred to the intensive…

…are taken from the recommendations of Strama Stockholm for the empirical antibiotic treatment of adults in hospital and in residential care homes (SÄBO) 2025/2026…

…measure in decontamination, and gastric lavage is today a rare procedure reserved for very serious poisonings in which the patient reaches hospital early. The benefit…

…indicating high effectiveness. Although BLS is primarily developed for out of hospital cardiac arrest (OHCA), it can be used in any setting until advanced cardiac…

…of pregnancy, or when the fundal height surpasses the umbilicus, the uterus should be manually displaced to the woman's left side (Figure 1). Additional…

…actions constitute the chain of survival ( Figure 1 ). The chain of survival in out of hospital cardiac arrest (OHCA) includes laymen (bystanders), the emergency dispatcher…

…for dialysis? AKI occurs in about one fifth of adults during a hospital episode in international studies and is linked to substantial mortality, even though…

…seizure lasting at least 5 minutes, or repeated generalised tonic clonic seizures without the patient regaining consciousness between them. Five minutes is the practical threshold…

…dose : 10 mg once daily. For UA/NSTEMI patients undergoing coronary angiography within 48 hours of hospital admission, the loading dose should be administered at…

…severe hypertension without clinical evidence of acute, ongoing target organ damage. Although BP reduction is required, these patients generally do not need hospital admission or…

…immediately life threatening; reported in hospital mortality was 42.4% for STEMI associated mechanical complications and 18% for those associated with NSTEMI. The timing of…

…PR interval, while leaving the QRS duration largely unchanged. Continuous ECG monitoring is mandated during hospital initiation to detect excessive QT prolongation, proarrhythmia, and severe…

…observational databases report approximately 5–10%. Only about 10% of patients who develop shock present with it at hospital admission; approximately 90% deteriorate during hospitalization…

…dependent. The interval from symptom onset to reperfusion is determined by patient recognition and help seeking, pre hospital assessment and transport, diagnostic and treatment delays…

…including heart failure and cardiogenic shock. Most out of hospital deaths occur early and are commonly related to ventricular fibrillation. More than half of deaths…

…is not the one making it simple In the thrilling and ever evolving field of medicine, a question echoes in the hallways of hospitals, universities…

…benefit Panchal et al Table 1. The number needed to treat (NNT) for interventions in out of hospital cardiac arrest. The Number Needed to Treat…

…In out of hospital cardiac arrest (OHCA) the initial rhythm is recorded by the EMS (emergency medical service) team upon their arrival at the scene…

…light reactivity is lost when cerebral blood flow ceases. In other words, during prolonged cardiac arrest without effective perfusion, one expects fixed, dilated pupils. Conversely…

…with potential tracheal deviation to the opposite side Distended jugular veins Management Decompression using a venous cannula Can be executed in a pre hospital setting…

…arrest. For unwitnessed cardiac arrests under these conditions, the survival rate upon hospital arrival has been recorded at 27%, while for witnessed cardiac arrests, the…

…conditions ( Jerkeman et al ). It is often difficult to determine the cause of an out of hospital cardiac arrest. Autopsies are recommended when the underlying…

…Patients with greater ST elevation in aVR had higher crude in hospital and 6 month mortality (up to 18% at 6 months for 1 mm…

…Incidence of cardiac arrest Worldwide the incidence of out of hospital cardiac arrest ranges from 20 to 140 cases per 100,000 inhabitants ( Ahern et…

…analysis showed that survival to hospital discharge is 8.8% and survival to 30 days is 10.7% in out of hospital cardiac arrest ( Yan…

…with defibrillation, is sufficient to resuscitate 10 15% of out of hospital cardiac arrests (OHCA) and 30 40% of in hospital cardiac arrests (IHCA; Jerkeman…

…at a PCI hospital Within 60 minutes Prehospital STEMI diagnosis to wire crossing Within 90 minutes STEMI diagnosis at a non PCI hospital to wire…

…and the severity of the illness. 7. Start NIV without undue delay in persistent hypercapnic respiratory acidosis, if invasive ventilation is not immediately required. 8…

…with correction doses alone according to the glucose value, without basal insulin (a so called sliding scale), gives poorer control and is not recommended as…

…some units with a non shockable rhythm; this is the clearest area in which Swedish practice differs between hospitals , and the local care programme applies…

…patients without ST segment elevations, urgent angiography is considered after resuscitation if there is a high probability of ongoing myocardial ischemia. IIa C Pre hospital…

…QT syndrome Author Dr Araz Rawshani, MD, PhD University of Gothenburg, The Sahlgrenska University Hospital, Sweden References Jervell A, Lange Nielsen F. Congenital deaf mutism…

…approach based on starting and titrating oral medical therapy for heart failure within 2 days before anticipated hospital discharge and in early follow up visits…

…to participation Occupational and sporting goals Current pharmacological treatment Early assessment of left ventricular ejection fraction is recommended before hospital discharge because the first we

…patients with elevated troponin I was 51.2%, as compared with 4.5% among patients without evidence of myocardial injury (normal troponin I levels). Hence…

…of shock. Patients with moderate to severe chronic kidney disease have a higher burden of comorbidity and an increased risk of in hospital complications, including…

…long term and in hospital mortality rates, as well as lower ejection fractions and higher peak biomarker levels, compared to those without such conduction defects…

…bridging; myocardial metabolic abnormalities; and abnormal pain perception in patients without demonstrable ischaemia. The absence of obstructive disease therefore does not establish a benign diagnosis…

…therapy. Furthermore, acute heart failure and cardiogenic shock can present de novo in pregnant women without pre existing heart disease, such as in peripartum cardiomyopathy…

…obstructive coronary lesion without avoidable delay. In contrast, haemodynamically stable patients without ST segment elevation after successful resuscitation from out of hospital cardiac arrest should…

…can shorten the time to diagnosis and facilitate triage of patients with suspected ST segment elevation myocardial infarction to a percutaneous coronary intervention capable hospital…

…with adenosine sensitive syncope, a subtype of reflex syncope that manifests without a prodrome and usually features a nonrevealing cardiac workup. Evaluation and Physical Examination…

…conditions listed above. It is important that history taking and physical examination is carried out systematically and carefully without delaying time to treatment. History taking…

…increased risk of stroke and two times increased mortality, as compared with individuals without atrial fibrillation. The increased risk of stroke is explained by formation…

…individuals (n=2670) (n=1999) (n=1300 1062) (n=1062) (n=765) (n=187) Pre Hospital ROSC (%) 17.3 7.2 1.7 3.4 3.7 2.1 Total ROSC…

…et al. Epidemiology and outcome of adult out of hospital cardiac arrest of non cardiac origin in Osaka: a population based study. BMJ Open 2014…

…et al. Epidemiology and outcome of adult out of hospital cardiac arrest of non cardiac origin in Osaka: a population based study. BMJ Open 2014…

…the atria and the ventricles (particularly the former). Even small pressure elevations on the right side can compromise venous return to the right ventricle. Therefore…

…refractory out of hospital cardiac arrest. Patients aged 18 to 70, who received bystander CPR and initially presented with a ventricular arrhythmia without return of…

…the community to establishing advanced post resuscitation care. Since the majority of all sudden cardiac arrests occur outside hospitals, the chain of care includes laymen…

…increases cardiac output, and lowers pulmonary artery pressure without increasing myocardial oxygen consumption. The inotropic effect of levosimendan is not affected by the concurrent use…

…The chain of care in acute STEMI Optimal care for patients with STEMI requires a well coordinated system involving both prehospital and hospital based services…

…not display bundle branch block on the arrival ECG, will in most cases not develop bundle branch block during the hospital stay. As discussed previously…

…within 3 minutes of the collapse (Hessulf et al). In out of hospital cardiac arrest (OHCA), the delay from collapse to defibrillation is substantially longer…

…and nurses caused harmful stress. Approximately 30% of patients died in the hospital and fatal tachyarrhythmias was presumably the leading cause. Animal studies conducted in…