Outcomes of emergency department placement of transvenous pacemakers Nicole Piela, Steven Kornweiss, Alfred Sacchetti, Amanda Gallagher, Allen Abrams
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.017
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 13 2016
x Placement of TVPs is a core EM procedure. Despite this, there is no specific outcome data on this procedure in the ED setting. This study examines the success of Emergency Physician (EP) attempted TVPs as well as their hospital courses and survivals.
Can children teach their parents cardiopulmonary resuscitation and does teaching influence the retention of their knowledge? Łukasz Iskrzycki, Dorota Zyśko, Jakub J. Koch, Paweł GAwlowski, Lukasz Szarpak, Jacek Smereka
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.064
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: April 12 2016
x Schoolchildren are the group most frequently educated in cardiopulmonary resuscitation (CPR), whereas the witnesses of the real life cardiac arrest events are mainly older people [1,2]. A possible way to bridge this gap would be to make children spread their newly acquired knowledge at home, especially by describing what they have learnt, and by showing educational materials to their parents. Such activity could also help children to consolidate their knowledge [3,4,5].
The need for abdominal only CPR in the treatment of hemorrhagic shock and trauma arrests Eric M. Rottenberg
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.077
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 4 2016
x To the Editor,
Intralipid™ administration attenuates the hypotensive effects of acute intravenous amiodarone overdose in a swine model Theodoros Xanthos, Nikolaos Psichalakis, David Russell, Apostolos Papalois, Anastasios Koutsovasilis, Dimitrios Athanasopoulos, Georgios Gkiokas, Athanasios Chalkias, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.001
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 4 2016
x To investigate whether a lipid emulsion could counteract the hypotensive effects of amiodarone overdose after an acute intravenous administration and improve 4h survival in an established model of swine cardiovascular research.
When extracorporeal cardiopulmonary resuscitation fails – Fatal ionized hypocalcemia during cardiac arrest Patrick Horn, Andreas Pasch, Bujar Maxhera, Malte Kelm, Ralf Westenfeld
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.060
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 1 2016
x Cardiopulmonary resuscitation with assisted extracorporal life-support (ECLS) can be an option in cardiac arrest as a rescue therapy for those patients in whom initial advanced life support is unsuccessful and time is needed to treat a reversible underlying condition as acute intoxication. We report a failure of ECLS due to refractory ionized hypocalcemia, generalized tetany and vasospasm in a case of severe salicylate intoxication and cardiac arrest. (See Fig..)
Syncope and Collapse in acute Pulmonary Embolism Karsten Keller, Johannes Beule, Jörn Oliver Balzer, Wolfgang Dippold
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.061
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: March 31 2016
x Syncope and collapse (=
Glasgow Coma Scale used as a prognostic factor in unconscious patients following cardiac arrest in prehospital situations: preliminary data Andrzej Kurowski, Łukasz Szarpak, Michael Frass, Silvia Samarin, Łukasz Czyzewski
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.055
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 29 2016
x We read with great interest the article “Early neurologic examination is not reliable for prognostication in post–cardiac arrest patients who undergo therapeutic hypothermia” [1]. Sudden cardiac arrest (SCA) outside the hospital due to heart disease is the most common cause of performing cardiopulmonary resuscitation (CPR). Survival after prehospital cardiac arrest primarily determines factors associated with the prehospital period during the course of resuscitation [2,3]. Studies on the pathomechanism of damage to the central nervous system as a result of cardiac arrest were mainly conducted on animals, and only a few clinical studies of hypoxia in neonates and hypoperfusion of the brain during cardiopulmonary bypass provided insights into underlying pathomechanisms in humans [4].
Resuscitating the tracheostomy patient in the ED Brit Long, Alex Koyfman
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.049
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 23 2016
x Emergency physicians must be masters of the airway. The patient with tracheostomy can present with complications, and because of anatomy, airway and resuscitation measures can present several unique challenges. Understanding tracheostomy basics, features, and complications will assist in the emergency medicine management of these patients.
Visual recognition of anatomical structures in a circulated and in a non-circulated airway Erik M. Koopman, Sten Scholtens, Johannes M. Huitink
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.044
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 19 2016
x Pre-hospital airway management is complex and complications occur frequently. Guidelines advice using waveform capnography to confirm correct tube position, but in the emergency setting this is not universally available. Continuous visualization of the airway with a video tube (VivaSight SL™) could serve as an alternative confirmation method, provided that airway structures are properly recognized. With this study we wanted to investigate whether airway management practitioners were able to recognize anatomical structures both in a circulated and in a non-circulated airway.
2,3-Butanedione monoxime facilitates successful resuscitation in a dose-dependent fashion in a pig model of cardiac arrest Byung Kook Lee, Mu Jin Kim, Kyung Woon Jeung, Sung Soo Choi, Sang Wook Park, Seong Woo Yun, Sung Min Lee, Dong Hun Lee, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.025
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 11 2016
x Ischemic contracture compromises the hemodynamic effectiveness of cardiopulmonary resuscitation (CPR) and resuscitability from cardiac arrest. In a pig model of cardiac arrest, 2,3-butanedione monoxime (BDM) attenuated ischemic contracture. We investigated the effects of different doses of BDM to determine whether increasing the dose of BDM could improve the hemodynamic effectiveness of CPR further, thus ultimately improving resuscitability.
Meta-analysis of outcomes of the 2005 and 2010 cardiopulmonary resuscitation guidelines for adults with in-hospital cardiac arrest Aiqun Zhu, Jingping Zhang
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.008
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 8 2016
x The post–cardiac arrest survival rate has remained low since the 2010 cardiopulmonary resuscitation (CPR) guidelines were published. The present study aimed to review the 2010 vs 2005 CPR guideline outcomes in adults with in-hospital cardiac arrest.
Comparison of NIO and EZ-IO intraosseous access devices in adult patients under resuscitation performed by paramedics: a randomized crossover manikin trial Łukasz Szarpak, Łukasz Czyzewski, Bogumiła Woloszczuk-Gebicka, Paweł Krajewski, Marcin Fudalej, Zenon Truszewski
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.017
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 8 2016
x Obtaining intravascular (IV) access is one of the key procedures during cardiopulmonary resuscitation (CPR), particularly during nondefibrillation rhythms, in which the rapid delivery of epinephrine is one of the main elements of the emergency treatment. The average time needed for peripheral IV catheterization is reported to be between 2.5 and 16 minutes in patients with difficult IV access [1]. The 2015 American Heart Association guidelines for CPR suggest that rescuers establish intraosseous (IO) access if an intravenous line is not easily obtainable [2].
An unusual cause of acute chest pain: rupture of the noncoronary sinus of Valsalva into the right atrium Giuseppe D. Sanna, Giuseppe Talanas, Cristiana Denurra, Paolo Ferrandu, Luca Bullitta, Pierfranco Terrosu
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.014
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 7 2016
x Ruptured sinus of Valsalva aneurysm is a rare cardiac anomaly, and it can be acquired or congenital. Untreated, there is a substantial risk of complications, especially if rupture occurs with a subsequent intracardiac shunt and rapidly worsening cardiac insufficiency. Herein we describe a peculiar case of a ruptured aneurysm of the noncoronary sinus of Valsalva into the right atrium in a 44-year-old man with acute chest pain.
Cerebral oximetry with blood volume index and capnography in intubated and hyperventilated patients Taylor A. Bagwell, Thomas J. Abramo, Gregory W. Albert, Jonathan W. Orsborn, Elizabeth A. Storm, Nicolas W. Hobart-Porter, Tonya M. Thompson, Eylem Ocal, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.005
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 4 2016
x Hyperventilation-induced hypocapnia leads to cerebral vasoconstriction and hypoperfusion. Intubated patients are often inadvertently hyperventilated during resuscitations, causing theoretical risk for ischemic brain injury. Current emergency department monitoring systems do not detect these changes. The purpose of this study was to determine if cerebral oximetry (rc So 2 ) with blood volume index (CBVI) would detect hypocapnia-induced cerebral tissue hypoxia and hypoperfusion.
Are physicians able to recognition ineffective (agonal) breathing as element of cardiac arrest? Jacek Smereka, Łukasz Szarpak, Łukasz Czyzewski, Dorota Zysko, Adam Smereka
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.002
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 3 2016
x We have read with great interest the letter by Rottenberg [1] concerning on the absence of gasping upon emergency medical services arrival as a predictor of the need to endotracheal intubation. Agonal breathing is brainstem reflex and the last respiratory pattern that occurs during the early stages of cardiac arrest (CA) [2]. Agonal breathing is defined as ineffective, gasping respirations. Lay persons’ descriptions of agonal breathing are varied and included terms of gasping , wheezing , groaning , snorting , weak breathing , occasional breathing , irregular breathing , and poor breathing [3].
Protective effects of cyclosporine A and hypothermia on neuronal mitochondria in a rat asphyxial cardiac arrest model Jie Liu, Yue Wang, Qiwei Zhuang, Meng Chen, Yufeng Wang, Lina Hou, Fei Han
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.066
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 1 2016
x Cyclosporine A (CsA) was neuroprotective in the settings of traumatic brain injury and stroke. We sought to investigate the protective effects of CsA and hypothermia on neuronal mitochondria after cardiac arrest.
Table of Contents
DOI: http://dx.doi.org/10.1016/S0735-6757(16)00050-4
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published in issue: March 2016
Which intravascular access method to choose during cardiopulmonary resuscitation? Łukasz Szarpak, Zenon Truszewski, Jacek Smereka
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.061
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 29 2016
x We read with great interest the paper by Cho et al [1] describing needle guides for venous catheter insertion during chest compressions. They use needle guides during ultrasound-guided central venous catheterization (CVC) with and without chest compressions on manikin. Catheterization was performed by anesthesiologists stuff.
Should reperfusion be revisited? Katelin M. Morrissette, Norman A. Paradis
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.070
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 29 2016
x The article by Fei Han et al in this issue of the Journal may be an important bit of bench science. In a rodent model of global ischemia, they found that both the moderate-sized (cyclic non-ribosomal peptide) pharmaceutical drug cyclosporine and therapeutic hypothermia appear to blunt reperfusion related neuroinjury through similar mechanisms. Even more intriguingly, Fei Han et al provide a first indication that the pharmaceutical efficacy of cyclosporine and the physical efficacy of hypothermia may be somewhat additive.
A flexible pressure sensor could correctly measure the depth of chest compression on a mattress Kouichiro Minami, Yota Kokubo, Ichinosuke Maeda, Shingo Hibino
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.052
The American Journal of Emergency Medicine , Vol. 34 , Issue 5 ,
Published online: February 25 2016
x Feedback devices are used to improve the quality of chest compression (CC). However, reports have noted that accelerometers substantially overestimate depth when cardiopulmonary resuscitation (CPR) is performed on a soft surface. Here, we determined whether a flexible pressure sensor could correctly evaluate the depth CC performed on a mannequin placed on a mattress.
