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…

…20%, whereas contemporary trials and observational databases report approximately 5–10%. Only about 10% of patients who develop shock present with it at hospital admission…

…hospital cardiac arrests (IHCA; Jerkeman et al ). Current guidelines recommend a compression depth of 5–6 cm at a rate of 100–120 compressions per…

…described by Weisfeldt and Becker (2002). Drawing on physiology, observational and experimental studies, they described these phases, which require different treatment strategies to maximize survival…

…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…

…Upon recognition of a cardiac arrest in a pregnant individual, either within or outside the hospital, prompt communication with an obstetrician and neonatologist is critical…

…1 ). The chain of survival in out of hospital cardiac arrest (OHCA) includes laymen (bystanders), the emergency dispatcher, first responders (police, fire brigade, emergency services…

…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…

…and infusion rates may differ. Always follow the current hospital protocol and check the strength and the maximum infusion rate. Rapid overview Time from seizure…

…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…

…target organ damage. Although BP reduction is required, these patients generally do not need hospital admission or intravenous treatment. Some patients with acute pain, anxiety…

…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…

…advanced haemodynamic support services. When fibrinolysis is indicated Fibrinolysis is indicated when: STEMI is diagnosed or strongly suspected; symptoms of ischaemia began within 12 hours…

…hospital deaths occur early and are commonly related to ventricular fibrillation. More than half of deaths attributable to ventricular fibrillation occur during the first hour…

…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…

…Notably, the presence of dilated, nonreactive pupils 48 hours post cardiac arrest is a compelling sign of brain death. However, the absence of pupillary light…

…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…

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

…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…

…Call the PCI service in parallel with drug treatment and transport planning [1,5]. Symptom duration Under 12 hours: reperfusion is indicated in persisting STEMI…

…hypercapnia, NIV or invasive ventilation. Home oxygen and the patient's usual saturation. Previous exacerbations and hospital admissions. Current inhaled treatment and adherence. Opioids, benzodiazepines…

…diabetes , not even before fasting or an investigation. Stopping it leads to ketoacidosis within hours. Treatment with correction doses alone according to the glucose value…

…target value that must never be exceeded, during the first 72 hours for as long as the patient remains unconscious. The evidence Trial Question Result …

…IIa C Pre hospital logistics Management Recommendation Level of evidence The pre hospital care of STEMI patients should be organized regionally (including all components from…

…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

…as elevated troponin T levels (TnT). In hospital mortality rate was 59.6% among cases with elevated TnT levels, as compared with 8.9% among…

…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…

…outcomes: Mortality in STEMI : Patients presenting with ST elevation myocardial infarction (STEMI) and bundle branch blocks exhibit higher long term and in hospital mortality rates…

…associated with recurrent symptoms, impaired quality of life, repeated hospital presentations and angiography, and increased short and long term adverse cardiovascular outcomes. Clinical Presentation and…

…The drug possesses an active, acetylated metabolite with a half life exceeding 80 hours, allowing for sustained hemodynamic effects for days after the infusion is…

…a very high risk feature requiring emergency angiography? Is there a high risk feature supporting angiography within 24 hours? Is the patient stable without high…

…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…

…branch block. Cardiac monitoring is indicated for patients with a high pretest probability of arrhythmia causing syncope. In hospital monitoring is reserved for those wit

…patients with chest pain. A 12 lead ECG recording must be registered and interpreted within 10 minutes of arrival at the hospital. The ECG differentiates…

…of medications that slow ventricular rate (beta blockers being the mainstay of this therapy). Rate control does not affect the rhythm per se . Rhythm control…

…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…

…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…

…of ECMO initiation. Efficacy of ECMO (ECPR) in refractory out of hospital cardiac arrest Several studies have investigated the efficacy of ECMO (ECPR). The results…

…majority of all sudden cardiac arrests occur outside hospitals, the chain of care includes laymen, emergency dispatchers, ambulance, first responders (police, fire brigade, rescue services)…

…infusion. This delayed onset is attributable to its active metabolite, which reaches maximum plasma concentration approximately 48 hours after the infusion has been completed. Furthermore…

…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…

…attention. The ventricular rate is typically very high (100–250 beats per minute) and cardiac output is affected (i.e reduced) in virtually all cases…