Digestive ENdoscopy afTeR Out-of-hospitAl Cardiac arresT
Out-of-hospital Cardiac ArrestPost-cardiac arrest ischemia/reperfusion phenomenon led to organs injury and failure. Among the different organs, gastro-intestinal tract injury could contribute to post-cardiac arrest shock. The ischemic injury of the gastro-intestinal (GI) tractus is suggested by abnormalities in digestive biomarkers and by the frequent endotoxemia after CA. However, direct mucosal damage has not been clearly demonstrated after OHCA. The real incidence of ischemic lesions of GI tract and their potential involvement in the post-CA shock is therefore unknown. We propose an original clinical research program aimed at rigorously determining the incidence of upper GI lesions after OHCA and analyzing their contribution to the severity of post-CA shock through a prospective, interventional, multicentric study
Pediatric Intubation Among Nursing
Cardiac ArrestIntubation1 moreThe aim of this study was to compare time, success rates of video laryngoscope and direct laryngoscope for the emergency intubation with an immobilized cervical spine in a standardized pediatric manikin model.
ETI During Spinal Trauma
IntubationCardiac ArrestThe aim of this study was to compare time, success rates of different tracheal tubes (standard tube and ETView VivaSight SL) for intubation with an immobilized cervical spine in a standardized manikin model.
Comparison of the Quality of CPR by Professional Helpers (Emergency Physicians / Paramedics) During...
Cardiac ArrestInvestigation of the influence of narrowness and unusual circumstances on the CPR-quality
Comparison of the Quality of CPR by Lay Rescuers With and Without Feedback Devices
Cardiac ArrestComparison of various methods to improve the quality of CPR
Monitoring of Intubation and Ventilation During Resuscitation
Cardiac ArrestAirway control and ventilation is vital during cardiopulmonary resuscitation (CPR) in cardiac arrest. Endotracheal intubation is the gold standard for airway control, but several studies have shown high rates of unrecognized placements of the tube in the esophagus instead of in the airway out-of-hospital. This is lethal. There are no failproof technique for recognising such mistakes clinically in the cardiac arrest situation. Changes on the air volume in the lungs with ventilation changes the impedance (resistance to alternating current) through the thorax. This impedance is already measured routinely by the defibrillators used during CPR. We propose that we can measure ventilation volumes and also discover failed intubations by monitoring this impedance during CPR with the possibility of giving feedback on both to the rescuers.
Quality of Chest Compressions After a Night Shift
Cardiac ArrestThe investigators sought to evaluate the influence of fatigue after a night shift on the quality of Chest Compressions (CC) in CardioPulmonary Resuscitation (CPR), among physicians.
LUCAS Chest Compressor Versus Manual Chest Compression in Out-of-hospital Sudden Cardiac Arrest....
Sudden Cardiac ArrestThe goal of this study is to show the superiority in survival at hospital admittance and in neurological outcome on hospital discharge of continuous mechanical chest compression using LUCAS device versus manual chest compressions in patients who suffered an out-of-hospital cardiac arrest.
Double Lumen Tube Intubation
Endotracheal IntubationCardiac ArrestThe aim of this study was to compare time, success rates of different double-lumen tubes in intubation in a standardized manikin model.
Sonography in Hypotension and Cardiac Arrest in the Emergency Department.
HypotensionPoint of Care Ultrasound1 moreThis study is designed to determine if there is any relationship between performing an abdominal ultrasound on patients who present with hypotension and their clinical outcomes (as measured by 7, 30 day and discharge mortality).