Explore the latest in resuscitation, including recent advances in advanced and emergency cardiac, respiratory, and trauma life support.
This cross-sectional study investigates whether ambulance response time to 9-1-1 calls were longer in low-income vs high-income areas and compares response times with national benchmarks of 4, 8, or 15 minutes across income quartiles.
This case study examines a man in his 30s who presented 20 months after an emergency intubation with an iatrogenic retained nasal trumpet.
This Viewpoint discusses the use of quality improvement reviews to build consensus about when randomized trials of competing treatment strategies are indicated and to inform the design and conduct of comparative effectiveness trials in emergency trauma.
This cohort study examines whether the use of therapeutic hypothermia and patient survival have changed after publication of the Targeted Temperature Management trial, which supported more lenient temperature management for out-of-hospital cardiac arrest.
This cohort study assesses the association of bacteremic sepsis during treatment for acute lymphoblastic leukemia with long-term neurocognitive dysfunction among children.
This Viewpoint makes the case that the importance of early detection of sepsis and the need for rapid antibiotics in patients with definite infection and possible septic shock has likely led to overuse of antibiotics in patients who might not need them, and argues for testing to confirm infection in non-shock patients in place of rapid empirical antimicrobial treatment.
This clinical trial involving patients with septic shock and high endotoxin activity compares the effect of treatment with polymyxin B hemoperfusion vs sham therapy and usual care on mortality.
A woman in her 60s with diffuse large B-cell lymphoma and sepsis had blurry vision in both eyes for 1 week. What would you do next?
This cohort study at 10 sites in the United States and Canada quantifies variation in patient outcomes across emergency medical service agencies after out-of-hospital cardiac arrest.
This article explores the importance of goals of care discussions between clinicians and patients before setting a do-not-resuscitate order or administering CPR.
This cohort study compares survival to discharge after in-hospital cardiac arrest with a first documented shockable rhythm between children who were treated with defibrillation 2 minutes or less after arrest vs more than 2 minutes after arrest using data from the American Heart Association’s Get With The Guidelines–Resuscitation national registry.
This secondary analysis of results from 2 randomized clinical trials compares caregiver-reported functional outcome measures with performance-based neuropsychological assessments at 1 year among pediatric survivors of cardiac arrest who were initially comatose after return of circulation.
A 62-year-old woman unsuccessfully resuscitated after a cardiac arrest had elevated cardiac enzyme levels, ST-segment depression on the precordial leads, and wall motion abnormalities on TTE involving the midventricular wall without involvement of the basal of apical segments of the left ventricle. What would you do next?
This randomized clinical trial compares the effectiveness of a strategy of initial laryngeal tube insertion vs initial endotracheal intubation performed by emergency medical services in adults with out-of-hospital cardiac arrest.
This cluster randomized clinical trial compares the effects on functional outcomes of paramedic use of a supraglottic airway device vs tracheal intubation as airway management for adults with nontraumatic out-of-hospital cardiac arrest.
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