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Optimizing Resuscitation After Cardiac Arrest in the Community

2014-08-27 03:18:34 | BioPortfolio

Summary

Resuscitative efforts have been shown to be unsuccessful in most cases of out-of-hospital cardiac arrest (OHCA), and survivors who do recover cardiac function often sustain severe hypoxic brain damage. Time to efficacious care is a primary determinant of disability-free survival. In the Jerusalem district, only 9% of OHCA patients present with ventricular tachycardia/ventricular fibrillation (VT/VF) as the primary rhythm, whereas 77% present with asystole; this seems primarily to be the result of long collapse-to-arrival times. Nevertheless, overly zealous resuscitation is undertaken in a high proportion of arrests with a futile prognosis, leading to excessive costs.

Study hypotheses:

1. Subpopulations for whom intervention is futile/counter-productive are identifiable

2. Substantial waste of resources can be avoided

3. Optimization of emergency medical services (EMS) reorganization without adding resources is an achievable goal

Study Design

Observational Model: Cohort

Conditions

Cardiopulmonary Arrest Outcome

Location

Shaare Zedek Medical Center
Jerusalem
Israel

Status

Recruiting

Source

Shaare Zedek Medical Center

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:18:34-0400

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