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- W103802102 abstract "Background: Patients successfully resuscitated from cardiac arrest (CA) can benefit from integrated multidisciplinary care. This care may be volume and resource-dependent. Short transfer delays from scene to tertiary care hospitals have not been shown to adversely affect outcome following CA. Our objectives were to determine the rate of re-arrest and the rate of other critical events during air ambulance transport of resuscitated CA patients. Methods: Retrospective chart review of CA patients transported via air ambulance to a single tertiary care facility between 1–1–2001 and 10 –23–2008. Data abstracted included demographics, presumed etiology, arrest rhythm, re-arrest, in-flight critical events and medications, hospital interventions, and outcome. Critical events were classified as hypotension (SBP Results: We reviewed 206 charts; 59 were excluded for trauma. Of the remaining 147 patients, the average age was 61±15 years and 97 (65%) were male. VF/VT was the most common rhythm (54%); 73% of patients were comatose (GCS ≤8). Transport infusions included vasopressors (53%), anti-arrhythmics (42%), heparin (42%) and nitroglycerin (15%). Eight patients (5%) re-arrested in flight; however, three of these patients had good outcomes. Forty-one (28%) experienced a critical event. Cardiac interventions were common: 84 (59%) patients received coronary catheterization, 51 (36%) received a stent, and 21 (15%) received AICD. Hypothermia was administered to 24 patients (17%). Seventy-one patients (49%) survived and 59 (41%) had a good outcome. Conclusion: Critical events during transfer of CA patients to specialty care are common, including a 5% incidence of re-arrests. Rapid transport using air ambulance capable of in-transport critical care may optimize patient safety." @default.
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- W103802102 date "2009-11-03" @default.
- W103802102 modified "2023-09-26" @default.
- W103802102 title "Abstract P38: Re-arrest is Rare During Air Ambulance Transport of Post-Cardiac Arrest Patients" @default.
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