SMJ articles in the category "resuscitation"

Original Article

Associations between Present-on-Admission Do-Not-Resuscitate Orders and Short-Term Outcomes in Patients with Pneumonia

Objectives: Do-not-resuscitate (DNR) orders are used to express patient preferences for cardiopulmonary resuscitation. This study examined whether early DNR orders are associated with differences in treatments and outcomes among patients hospitalized with pneumonia. Methods: This is a retrospective cohort study of 768,015 adult patients hospitalized with pneumonia from 2010 to…

Posted in: end of life 4 pneumonia 14 resuscitation 5 terminal care 3

Original Article

THAM Administration to Pediatric Trauma Patients in a Combat Zone

Objectives: Pediatric casualties made up a significant proportion of patients during the recent military conflicts in Iraq and Afghanistan. Damage control resuscitation strategies used by military physicians included rapid reversal of metabolic acidosis to mitigate its pathophysiologic consequences, primarily through hemorrhage control and volume restoration. Alkalizing agents, including tris(hydroxymethyl)aminomethane (THAM),…

Posted in: pediatrics 33 resuscitation 5 trauma 24

Original Article

Predictors of Poor Neurologic Outcome in Patients Undergoing Therapeutic Hypothermia After Cardiac Arrest

Background: Therapeutic hypothermia (TH) has been shown to reduce the degree of anoxic brain injury, decrease mortality, and improve neurologic recovery in patients surviving cardiac arrest. However, there is a paucity of data on potential markers of neurologic outcome that physicians can use in this setting. Methods: A retrospective medical…

Posted in: cardiac arrest 5 hypothermia 3 outcome 13 prognosis 8 resuscitation 5 therapeutic 2

Original Article

Survival After In-Hospital Cardiopulmonary Resuscitation

Background: The use of postarrest variables to predict survival after discharge following in-hospital cardiopulmonary resuscitation has not been definitive. This study evaluates whether the duration of cardiopulmonary resuscitation (CPR) and other variables affect discharge rates and survival rates after discharge. Methods: Prospective cohort survival data and arrest variables were collected,…

Posted in: advance directives 3 critical care 12 resuscitation 5

Original Article

Surgical Cricothyroidotomy in Trauma Patients

Background Surgical airway intervention is occasionally necessary due to contraindicated or failed endotracheal intubation. In cricothyroidotomy patients, a choice exists between continued long-term ventilation via the cricothyroidotomy portal or conversion to tracheostomy. We examined whether conversion to tracheostomy reduces the risk of acute complications. Methods We retrospectively identified 46 patients…

Posted in: airway 4 resuscitation 5
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