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Prediction of Neurological Outcomes in Out-of-hospital Cardiac Arrest Survivors Immediately after Return of Spontaneous Circulation: Ensemble Technique with Four Machine Learning Models

Heo JH, Kim T, Shin J, Suh GJ, Kim J, Jung YS, Park SM, Kim S, For SNU CARE investigators

Background: We performed this study to establish a prediction model for 1-year neurological outcomes in out-of-hospital cardiac arrest (OHCA) patients who achieved return of spontaneous circulation (ROSC) immediately after ROSC...
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Is two-dimensional echocardiography better than electrocardiography for predicting patient outcomes after cardiac arrest?

Kim DK, Cho YS, Kim J, Lee BK, Lee DH, Jung E, Moon JM, Chun BJ

Background: Coronary artery stenosis increases hospital mortality and leads to poor neurological recovery in cardiac arrest (CA) patients. However, electrocardiography (ECG) cannot fully predict the presence of coronary artery stenosis...
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The 10-Year Trend of Out-of-hospital Cardiac Arrests: a Korean Nationwide Population-Based Study

Roh SY, Choi JI, Park SH, Kim YG, Shim J, Kim JS, Han KD, Kim YH

Background and Objectives It is crucial to understand the exact public health burden of out-of-hospital cardiac arrest (OHCA) cases; this is presently unknown since sufficient episodes are not reported in registry...
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Rapid Response System Should Be Enhanced at Non-general Ward Locations: a Retrospective Multicenter Cohort Study in Korea

Kang BJ, Hong SB, Jeon K, Lee SM, Lee DH, Moon JY, Lee YJ, Kim JS, Park J, Ahn JJ

Background: A rapid response system (RRS) contributes to the safety of hospitalized patients. Clinical deterioration may occur in the general ward (GW) or in non-GW locations such as radiology or...
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Case of cardiac arrest due to carbon dioxide poisoning following an explosion of a carbon dioxide tank

Ok YB, Kim JY, Baek KJ, Lee KR, Hong DY, Park SO, Kim JW, Kim SY

Carbon dioxide is widely used for a variety of purposes. As it is a normal constituent of air, the public generally regards it as safe. Although low concentrations of carbon...
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Long-term benefits of chest compression-only cardiopulmonary resuscitation training using real-time visual feedback manikins: a randomized simulation study

Jang TC, Ryoo HW, Moon S, Ahn JY, Lee DE, Lee WK, Kwak SG, Kim JH

Objective Cardiopulmonary resuscitation (CPR) education with a feedback device is known to result in better CPR skills compared to one without the feedback device. However, its long-term benefits have not...
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A Case of Achalasia Presenting with Cardiac Arrest due to Left Atrial Compression

Yeom DH, Ryu HS

Achalasia is a rare primary esophageal motility disorder characterized by the loss of enteric neurons leading to an absence of peristalsis and impaired relaxation of the lower esophageal sphincter. The...
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Effectiveness of a daytime rapid response system in hospitalized surgical ward patients

Yang E, Lee H, Lee SM, Kim S, Ryu HG, Lee HJ, Lee J, Oh SY

Background: Clinical deteriorations during hospitalization are often preventable with a rapid response system (RRS). We aimed to investigate the effectiveness of a daytime RRS for surgical hospitalized patients. Methods: A retrospective...
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Confirmation of COVID-19 in Outof-Hospital Cardiac Arrest Patients and Postmortem Management in the Emergency Department during the COVID-19 Outbreak

Kim C, Yeo IH, Kim JK, Cho Y, Lee MJ, Jung H, Cho JW, Ham JY, Lee SH, Chung HS, Mun YH, Lee SH, Kim YH, on behalf of the WinCOVID-19 consortium

Background: There is currently a lack of evidence-based postresuscitation or postmortem guidelines for patients with out-of-hospital cardiac arrest (OHCA) in the setting of an emerging infectious disease. This study aimed...
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The Effect of Supplemental Cardioplegia Infusion before Anastomosis in Patients Undergoing Heart Transplantation with Long Ischemic Times

Kim HR, Jung SH, Yang J, Kim MS, Yun TJ, Kim JJ, Lee JW

Background: Prolonged ischemic time is a risk factor for primary graft dysfunction in patients who undergo heart transplantation. We investigated the effect of a supplemental cardioplegia infusion before anastomosis in...
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Analysis of the cardiopulmonary resuscitation-related complications based on computed tomography

Oh JH, Kim HI

  • KMID: 2511355
  • J Korean Soc Emerg Med.
  • 2020 Oct;31(5):431-439.
Objective: High-quality cardiopulmonary resuscitation (CPR) needs to be provided to cardiac arrest victims. The chest compression at a 5-6 cm depth and 100-120 beats per minute are recommended according to...
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Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation - A case report –

Lee SK, Seo KH, Kim YJ, Youn EJ, Lee JS, Park J, Moon HS

Background: Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of...
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Worsened survival in the head-up tilt position cardiopulmonary resuscitation in a porcine cardiac arrest model

Park YJ, Hong KJ, Shin SD, Kim TY, Ro YS, Song KJ, Ryu HH

OBJECTIVE: Head elevation at an angle of 30° during cardiopulmonary resuscitation (CPR) was hemodynamically beneficial compared to supine position in a previous porcine cardiac arrest experimental study. However, survival benefit...
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Effects of cholesterol levels on outcomes of out-of-hospital cardiac arrest: a cross-sectional study

Kim JH, Wi DH, Lee JH, Song HJ, Shin SD, Ro YS, Bae KH

OBJECTIVE: High cholesterol level is a risk factor for coronary artery disease, and coronary artery disease is a major risk factor for out-of-hospital cardiac arrest (OHCA). However, the effect of...
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Effect of pralidoxime on coronary perfusion pressure during cardiopulmonary resuscitation in a pig model

Jung YH, Ryu DH, Jeung KW, Na JY, Lee DH, Lee BK, Heo T, Min YI

OBJECTIVE: Pralidoxime is widely used for the treatment of organophosphate poisoning. Multiple studies have reported its vasoconstrictive property, which may facilitate the restoration of spontaneous circulation (ROSC) after cardiac arrest...
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Acute aortic dissection developed after cardiopulmonary resuscitation: transesophageal echocardiographic observations and proposed mechanism of injury

Lee DK, Kang KS, Cha YS, Cha KC, Kim H, Lee KH, Hwang SO

There has been no report about aortic dissection due to cardiopulmonary resuscitation (CPR). We present here a case of acute aortic dissection as a rare complication of CPR and propose...
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Risk factors associated with inpatient cardiac arrest during emergency endotracheal intubation at general wards

Park C

BACKGROUND: Peri-intubation cardiac arrest (PICA) following emergent endotracheal intubation (ETI) is a rare, however, potentially preventable type of cardiac arrest. Limited published data have described factors associated with inpatient PICA...
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Trigeminocardiac reflex: sudden severe bradycardia during open reduction for temporomandibular joint dislocation: A case report

Kim Y, Ko Y, Hong B, Shin Y, Noh C, Lee S, Hong S

BACKGROUND: The trigeminocardiac reflex (TCR), which occurs after stimulation of the territory of the trigeminal nerve, is very rarely reported to be caused by stimulation of the mandibular branch. We...
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New Termination-of-Resuscitation Models and Prognostication in Out-of-Hospital Cardiac Arrest Using Electrocardiogram Rhythms Documented in the Field and the Emergency Department

Lee DE, Lee MJ, Ahn JY, Ryoo HW, Park J, Kim WY, Shin SD, Hwang SO, on behalf of the Korean Cardiac Arrest Research Consortium (KoCARC)

BACKGROUND: Electrocardiogram (ECG) rhythms, particularly shockable rhythms, are crucial for planning cardiac arrest treatment. There are varying opinions regarding treatment guidelines depending on ECG rhythm types and documentation times within...
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Pilot study on a rewarming rate of 0.15°C/hr versus 0.25°C/hr and outcomes in post cardiac arrest patients

Cho E, Lee SE, Park E, Kim HH, Lee JS, Choi S, Min YG, Chae MK

OBJECTIVE: Cerebral hemodynamic and metabolic changes may occur during the rewarming phase of targeted temperature management in post cardiac arrest patients. Yet, studies on different rewarming rates and patient outcomes...
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