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The goal of immediate post-cardiac arrest care is to optimize systemic perfusion, restore metabolic homeostasis, and support organ system function to increase the likelihood of intact neurological survival. The post-cardiac arrest period is often marked by hemodynamic instability as well as metabolic abnormalities. Support and treatment of acute myocardial(More)
I n contrast to adults, cardiac arrest in infants and children does not usually result from a primary cardiac cause. More often it is the terminal result of progressive respiratory failure or shock, also called an asphyxial arrest. Asphyxia begins with a variable period of systemic hypoxemia, hypercapnea, and acidosis, progresses to bradycardia and(More)
BACKGROUND The Institute of Medicine calls for the use of clinical guidelines and practice parameters to promote "best practices" and to improve patient outcomes. OBJECTIVE 2007 update of the 2002 American College of Critical Care Medicine Clinical Guidelines for Hemodynamic Support of Neonates and Children with Septic Shock. PARTICIPANTS Society of(More)
T he emergency cardiovascular care (ECC) scientists involved in the 2005 evidence evaluation process and the revision of the 2005 AHA Guidelines for CPR and ECC began and ended the process aware of the limitations of the resuscitation scientific evidence, optimistic about emerging data that documents the benefits of high-quality cardiopul-monary(More)
  • Ikram U Haque, Maureen C Latour, Arno L Zaritsky
  • 2006
OBJECTIVE Therapeutic hypothermia improves neurologic outcome and survival after adult out-of-hospital cardiac arrest. To help us design a prospective hypothermia trial in children, we developed a survey to assess current knowledge and attitude of pediatric critical care providers regarding therapeutic hypothermia and potential impediments to implementing a(More)
Note From the Writing Group: Throughout this article, the reader will notice combinations of superscripted letters and numbers (eg, " Family Presence During Resuscitation Peds-003 "). These callouts are hyperlinked to evidence-based worksheets, which were used in the development of this article. An appendix of worksheets, applicable to this article, is(More)
" In God we trust. All others must bring data. " —Robert Hayden, Plymouth State College E vidence-based medicine is described as " the conscientious , explicit and judicious use of current best evidence in making decisions about individual patients. " 1 The evidence evaluation process summarized in this supplement was designed to ensure the review of all(More)
Note From the Writing Group: Throughout this article, the reader will notice combinations of superscripted letters and numbers (eg, " Family Presence During Resuscitation Peds-003 "). These callouts are hyper-linked to evidence-based worksheets, which were used in the development of this article. An appendix of worksheets, applicable to this article, is(More)
PURPOSE Ventilator-associated pneumonia (VAP) is a nosocomial infection resulting in significant morbidity and mortality. Pseudomonas aeruginosa (P. aeruginosa) and Staphylococcus aureus (S. aureus) are pathogens associated with VAP. Silver (Ag) coating of endotracheal tubes (ETTs) reduces bacterial colonization, however titanium dioxide (TiO(2)) coating(More)
—Mobile devices such as smartphones have a number of sensors that can be exploited to solve a number of problems related to health care delivery. In this paper we use accelerometer, gyroscope, and compass sensors on smart-phones to solve a location tracking problem common to many emergency departments. An emergency department typically has unique(More)