Association between acidosis and outcome in out-of-hospital cardiac arrest patients
In Taiwan, there is no rule for termination of resuscitation (TOR) in a pre-hospital setting or in the emergency department (ED); therefore, a cardiac arrest patient may receive cardiopulmonary resuscitation (CPR) for >30min at the family's request. OHCA patients with acidosis (pH
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| Veröffentlicht in: | The American journal of emergency medicine 2018-12, Vol.36 (12), p.2309-2310 |
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| container_issue | 12 |
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| container_title | The American journal of emergency medicine |
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| creator | Lin, Chi-Chun Lin, Cheng-Yu Huang, Chien-Hsiung Tsai, Li-Heng Kuo, Chan-Wei Chien, Cheng-Yu |
| description | In Taiwan, there is no rule for termination of resuscitation (TOR) in a pre-hospital setting or in the emergency department (ED); therefore, a cardiac arrest patient may receive cardiopulmonary resuscitation (CPR) for >30min at the family's request. OHCA patients with acidosis (pH |
| doi_str_mv | 10.1016/j.ajem.2018.04.002 |
| format | Article |
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OHCA patients with acidosis (pH<7.35) even persistent high performance CPR were at a higher risk of death prior to discharge, and a unfavorable neurological outcome (PPVs of 77.2%, 95.8%, and 98.9%, respectively). [...]non-shockable rhythms of AED at scene are also strongly related with survival outcomes. Martinell showed that a non-shockable rhythm could be one predictor of poor outcomes in OHCA (other predictors were age of patients, location of cardiac arrest, time to basic life support to return of spontaneous circulation, corneal reflex, epinephrine treatment, acidosis, and PaCO2) and is associated with poor neurological outcomes [3].</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2018.04.002</identifier><identifier>PMID: 29650396</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acidosis ; Ambulance services ; Blood ; Cardiac arrest ; Cardiopulmonary resuscitation ; Cornea ; CPR ; Emergency medical care ; Emergency medical services ; Epinephrine ; Heart ; Heart attacks ; Medical prognosis ; Mortality ; Out-of-hospital cardiac arrest ; Patients</subject><ispartof>The American journal of emergency medicine, 2018-12, Vol.36 (12), p.2309-2310</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright Elsevier Limited Dec 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-58c4aefc28b0bf50696aa6fd2bbe506c11a7888b8057833b84253eef4dd80ce53</citedby><cites>FETCH-LOGICAL-c384t-58c4aefc28b0bf50696aa6fd2bbe506c11a7888b8057833b84253eef4dd80ce53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675718302778$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29650396$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Chi-Chun</creatorcontrib><creatorcontrib>Lin, Cheng-Yu</creatorcontrib><creatorcontrib>Huang, Chien-Hsiung</creatorcontrib><creatorcontrib>Tsai, Li-Heng</creatorcontrib><creatorcontrib>Kuo, Chan-Wei</creatorcontrib><creatorcontrib>Chien, Cheng-Yu</creatorcontrib><title>Association between acidosis and outcome in out-of-hospital cardiac arrest patients</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>In Taiwan, there is no rule for termination of resuscitation (TOR) in a pre-hospital setting or in the emergency department (ED); therefore, a cardiac arrest patient may receive cardiopulmonary resuscitation (CPR) for >30min at the family's request. OHCA patients with acidosis (pH<7.35) even persistent high performance CPR were at a higher risk of death prior to discharge, and a unfavorable neurological outcome (PPVs of 77.2%, 95.8%, and 98.9%, respectively). [...]non-shockable rhythms of AED at scene are also strongly related with survival outcomes. Martinell showed that a non-shockable rhythm could be one predictor of poor outcomes in OHCA (other predictors were age of patients, location of cardiac arrest, time to basic life support to return of spontaneous circulation, corneal reflex, epinephrine treatment, acidosis, and PaCO2) and is associated with poor neurological outcomes [3].</description><subject>Acidosis</subject><subject>Ambulance services</subject><subject>Blood</subject><subject>Cardiac arrest</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cornea</subject><subject>CPR</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Epinephrine</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Medical prognosis</subject><subject>Mortality</subject><subject>Out-of-hospital cardiac arrest</subject><subject>Patients</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kE1LxDAQhoMoun78AQ9S8OKldZI0bRa8iPgFggf1HNJkiinbZk1axX9vyqoHD55mBp73ZXgIOaZQUKDVeVfoDvuCAZUFlAUA2yILKjjLJa3pNllAzUVe1aLeI_sxdgCUlqLcJXtsWQngy2pBni5j9Mbp0fkha3D8QBwybZz10cVMDzbz02h8j5kb5jX3bf7q49qNepUZHazTJtMhYByzdWrBYYyHZKfVq4hH3_OAvNxcP1_d5Q-Pt_dXlw-54bIccyFNqbE1TDbQtAKqZaV11VrWNJguQ6mupZSNBFFLzhtZMsER29JaCQYFPyBnm9518G9T-kD1LhpcrfSAfoqKQQpQXtMZPf2Ddn4KQ_pOMSpBMslgptiGMsHHGLBV6-B6HT4VBTUrV52alatZuYJSJeUpdPJdPTU92t_Ij-MEXGwATC7eHQYVTfJk0LqAZlTWu__6vwD2u5Ij</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Lin, Chi-Chun</creator><creator>Lin, Cheng-Yu</creator><creator>Huang, Chien-Hsiung</creator><creator>Tsai, Li-Heng</creator><creator>Kuo, Chan-Wei</creator><creator>Chien, Cheng-Yu</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201812</creationdate><title>Association between acidosis and outcome in out-of-hospital cardiac arrest patients</title><author>Lin, Chi-Chun ; 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| subjects | Acidosis Ambulance services Blood Cardiac arrest Cardiopulmonary resuscitation Cornea CPR Emergency medical care Emergency medical services Epinephrine Heart Heart attacks Medical prognosis Mortality Out-of-hospital cardiac arrest Patients |
| title | Association between acidosis and outcome in out-of-hospital cardiac arrest patients |
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