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Comparison of the outcome and incidence of VF/VT in relation to location.SROSC sustained return of spontaneous circulation. *Significantly different between care facilities and other public facilities (p < 0.05).
Source publication
The incidence of delayed emergency calls and the outcome of out-of-hospital cardiac arrest (OHCA) may differ among public facilities when emergency calls are placed by institutional staff. The purpose of this study was to identify the actions prescribed in the rules and/or manuals of public facilities and to clarify whether the incidence of delayed...
Context in source publication
Context 1
... median interval be- tween arrest recognition/collapse and defibrillation was 18 min (IQR = 12-26) in care facilities and 12 min (IQR = 9-18) in other facilities (p = 0.0336). As shown Figure 2, the incidence of ventricular fibrillation/ventricular tachy- cardia as the initial rhythm and survival rates at 1 month and 1 year were significantly lower in care facilities. ...Similar publications
Background:
During resuscitation of cardiac arrest victims a variety of information in electronic format is recorded as part of the documentation of the patient care contact and in order to be provided for case review for quality improvement. Such review requires considerable effort and resources. There is also the problem of interobserver effects...
Background Layperson cardiopulmonary resuscitation (CPR) is a crucial intervention for patients with out‐of‐hospital cardiac arrest (OHCA). Although a sex disparity in receiving layperson CPR (ie, female patients were less likely to receive layperson CPR) has been reported in adults, there are few data in the pediatric population, and we therefore...
Introduction:
Serum lactate level may correlate with no-flow and low-flow status during cardiac arrest. Current guidelines have no recommended durations for cardiopulmonary resuscitation (CPR) before transition to the next strategy. We hypothesized that the lactate level measured during CPR could be associated with the survival probability and acc...
The impact of dispatcher-assisted bystander cardiopulmonary resuscitation (CPR) on neurological outcomes in children is unclear. We investigated whether dispatcher-assisted bystander CPR shows favorable neurological outcomes (Cerebral Performance Category scale 1 or 2) in children with out-of-hospital cardiac arrest (OHCA).
Children (n=5009, age<18...
Background:
Initiation of early bystander cardiopulmonary resuscitation (CPR) depends on bystanders' or medical dispatchers' recognition of out-of-hospital cardiac arrest (OHCA). The primary aim of our study was to investigate if OHCA recognition during the emergency call was associated with bystander CPR, return of spontaneous circulation (ROSC),...
Citations
Francis turbines operating at part load condition experience the development of a cavitating helical vortex rope in the draft tube cone at the runner outlet. The precession movement of this vortex rope induces local convective pressure fluctuations and a synchronous pressure pulsation acting as a forced excitation for the hydraulic system, propagating in the entire system. In the draft tube, synchronous pressure fluctuations with a frequency different to the precession frequency may also be observed in presence of cavitation. In the case of a matching between the precession frequency and the synchronous surge frequency, hydro-acoustic resonance occurs in the draft tube inducing high pressure fluctuations throughout the entire hydraulic system, causing torque and power pulsations. The risk of such resonances limits the possible extension of the Francis turbine operating range. A more precise knowledge of the phenomenon occurring at such resonance conditions and prediction capabilities of the induced pressure pulsations needs therefore to be developed.
This paper proposes a detailed study of the occurrence of hydro-acoustic resonance for one particular part load operating point featuring a well-developed precessing vortex rope and corresponding to 64% of the BEP. It focuses particularly on the evolution of the local interaction between the pressure fluctuations at the precession frequency and the synchronous surge mode passing through the resonance condition. For this purpose, an experimental investigation is performed on a reduced scale model of a Francis turbine, including pressure fluctuation measurements in the draft tube and in the upstream piping system. Changing the pressure level in the draft tube, resonance occurrences are highlighted for different Froude numbers. The evolution of the hydro-acoustic response of the system suggests that a lock-in effect between the excitation frequency and the natural frequency may occur at low Froude number, inducing a hydro-acoustic resonance in a random range of cavitation numbers.
Aim: The aim of the study was to determine the quality of basic life support (BLS) in out-of-hospital cardiac
arrests (OHCAs) receiving bystander cardiopulmonary resuscitation (CPR) and public automated external
defibrillator (AED) application.
Methods: From January 2006 to December 2012, data were prospectively collected from OHCA) and impending cardiac arrests treated with and without public AED before emergency medical technician (EMT) arrival. Basic life support actions and outcomes were compared between cases with and without public AED application. Interruptions of CPR were compared between 2 groups of AED users: health care provider (HCP) and non-HCP.
Results: Public AEDs were applied in 10 and 273 cases of impending cardiac arrest and non–EMT-witnessed OHCAs, respectively (4.3% of 6407 non–EMT-witnessed OHCAs). Defibrillation was delivered to 33 (13.3%) cases. Public AED application significantly improved the rate of 1-year neurologically favorable survival in bystander CPR–performed cases with shockable initial rhythm but not in those with nonshockable rhythm. Emergency calls were significantly delayed compared with other OHCAs without public AED application (median: 3 and2minutes, respectively; P b .0001). Analysis of AED records obtained from 136 (54.6%) of the 249 cases with AED application revealed significantly lower rate of compressions delivered per minute and significantly greater proportion of CPR pause in the non-HCP group. Time interval between power on and the first electrocardiographic analysis widely varied in both groups and was significantly prolonged in the non-HCP group (P =.0137).
Conclusions: Improper BLS responses were common in OHCAs treated with public AEDs. Periodic training for proper BLS is necessary for both HCPs and non-HCPs.
