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Article ; Online: Cardiopulmonary resuscitation in special circumstances.

Soar, Jasmeet / Becker, Lance B / Berg, Katherine M / Einav, Sharon / Ma, Qingbian / Olasveengen, Theresa M / Paal, Peter / Parr, Michael J A

Lancet (London, England)

2021 Volume 398, Issue 10307, Page(s) 1257–1268

Abstract: ... during resuscitation. The evidence for treating these conditions is mostly of low or very low certainty ... status. Cardiac arrest can also be caused by special circumstances, such as asphyxia, trauma ... Cardiopulmonary resuscitation prioritises treatment for cardiac arrests from a primary cardiac ...

Abstract	Cardiopulmonary resuscitation prioritises treatment for cardiac arrests from a primary cardiac cause, which make up the majority of treated cardiac arrests. Early chest compressions and, when indicated, a defibrillation shock from a bystander give the best chance of survival with a good neurological status. Cardiac arrest can also be caused by special circumstances, such as asphyxia, trauma, pulmonary embolism, accidental hypothermia, anaphylaxis, or COVID-19, and during pregnancy or perioperatively. Cardiac arrests in these circumstances represent an increasing proportion of all treated cardiac arrests, often have a preventable cause, and require additional interventions to correct a reversible cause during resuscitation. The evidence for treating these conditions is mostly of low or very low certainty and further studies are needed. Irrespective of the cause, treatments for cardiac arrest are time sensitive and most effective when given early-every minute counts.
MeSH term(s)	Anaphylaxis/complications ; Anaphylaxis/therapy ; Asphyxia/complications ; Asphyxia/therapy ; COVID-19/complications ; COVID-19/therapy ; Cardiopulmonary Resuscitation/methods ; Electric Countershock ; Female ; Heart Arrest/etiology ; Heart Arrest/therapy ; Humans ; Hypothermia/complications ; Hypothermia/therapy ; Intraoperative Complications/therapy ; Out-of-Hospital Cardiac Arrest/etiology ; Out-of-Hospital Cardiac Arrest/therapy ; Personal Protective Equipment ; Postoperative Complications/therapy ; Practice Guidelines as Topic ; Pregnancy ; Pregnancy Complications, Cardiovascular/therapy ; Pulmonary Embolism/complications ; Pulmonary Embolism/therapy ; Return of Spontaneous Circulation ; SARS-CoV-2 ; Wounds and Injuries/complications ; Wounds and Injuries/therapy
Language	English
Publishing date	2021-08-26
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	3306-6
ISSN	1474-547X ; 0023-7507 ; 0140-6736
ISSN (online)	1474-547X
ISSN	0023-7507 ; 0140-6736
DOI	10.1016/S0140-6736(21)01257-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Erweiterte kardiopulmonale Reanimation in besonderen Situationen: Teil 2. Advanced cardiopulmonary resuscitation under special circumstances: part / CME-Fragebogen. Questionnaire 2

Skorning, M. / Bergrath, S. / Beckers, S. K. / Rörtgen, D. / Brokmann, J. C.

Der Anaesthesist

2008 Volume 57, Issue 6, Page(s) 621/639

Language	German
Document type	Article
ZDB-ID	260-4
ISSN	0003-2417
Database	Current Contents Medicine

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Article ; Online: Correction to: Part 10: Special Circumstances of Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Circulation

2016 Volume 134, Issue 9, Page(s) e122

Language	English
Publishing date	2016-08-30
Publishing country	United States
Document type	Journal Article ; Published Erratum
ZDB-ID	80099-5
ISSN	1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
ISSN (online)	1524-4539
ISSN	0009-7322 ; 0069-4193 ; 0065-8499
DOI	10.1161/CIR.0000000000000446
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Article ; Online: Part 10: Special Circumstances of Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Lavonas, Eric J / Drennan, Ian R / Gabrielli, Andrea / Heffner, Alan C / Hoyte, Christopher O / Orkin, Aaron M / Sawyer, Kelly N / Donnino, Michael W

Circulation

2015 Volume 132, Issue 18 Suppl 2, Page(s) S501–18

MeSH term(s)	Adult ; Anaphylaxis/complications ; Anaphylaxis/therapy ; Cardiac Tamponade/complications ; Cardiac Tamponade/therapy ; Cardiopulmonary Resuscitation/methods ; Cardiopulmonary Resuscitation/standards ; Emergency Medical Services/methods ; Emergency Medical Services/standards ; Fat Emulsions, Intravenous/therapeutic use ; Female ; Heart Arrest/chemically induced ; Heart Arrest/complications ; Heart Arrest/therapy ; Humans ; Hypothermia/complications ; Hypothermia/therapy ; Naloxone/therapeutic use ; Near Drowning/complications ; Near Drowning/therapy ; Percutaneous Coronary Intervention ; Pregnancy ; Pregnancy Complications, Cardiovascular/therapy ; Pulmonary Embolism/complications ; Pulmonary Embolism/therapy ; Water-Electrolyte Imbalance/complications ; Water-Electrolyte Imbalance/therapy ; Wounds and Injuries/complications ; Wounds and Injuries/therapy
Chemical Substances	Fat Emulsions, Intravenous ; Naloxone (36B82AMQ7N)
Language	English
Publishing date	2015-11-03
Publishing country	United States
Document type	Consensus Development Conference ; Journal Article ; Practice Guideline ; Review
ZDB-ID	80099-5
ISSN	1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
ISSN (online)	1524-4539
ISSN	0009-7322 ; 0069-4193 ; 0065-8499
DOI	10.1161/CIR.0000000000000264
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Article ; Online: Cerebro-Cardiopulmonary Resuscitation and Postarrest Care in Exotic Animal Critical Care.

Hall, Natalie H

The veterinary clinics of North America. Exotic animal practice

2023 Volume 26, Issue 3, Page(s) 737–750

Abstract: Evidence-based recommendations for performing cardiopulmonary resuscitation (CPR) in domestic ... must consider human safety, species anatomy, physiology, and special techniques for performing CPR. Having ... circumstances. Team debriefs and support for mental wellness are useful to optimize performance and maintain ...

Abstract	Evidence-based recommendations for performing cardiopulmonary resuscitation (CPR) in domestic species provide a foundation for application to nondomestic species. The exotic and zoo practitioner must consider human safety, species anatomy, physiology, and special techniques for performing CPR. Having the hospital and team prepared and trained for a CPR response can improve outcomes. Basic life support includes various techniques for chest compressions and ventilation support. Advanced life support includes means of intravascular and intraosseous access, rescue drug administration, and consideration of the patient presenting circumstances. Team debriefs and support for mental wellness are useful to optimize performance and maintain team resiliency through CPR events.
MeSH term(s)	Humans ; Animals ; Cardiopulmonary Resuscitation/veterinary ; Cardiopulmonary Resuscitation/methods ; Heart Arrest/veterinary ; Animals, Exotic ; Critical Care
Language	English
Publishing date	2023-07-27
Publishing country	United States
Document type	Journal Article ; Review
ISSN	1558-4232
ISSN (online)	1558-4232
DOI	10.1016/j.cvex.2023.05.010
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Article ; Online: Infant Cardiopulmonary Resuscitation Quality While Walking Fast: A Simulation Study.

Santos-Folgar, Myriam / Fernández-Méndez, Felipe / Otero-Agra, Martín / Abelairas-Gómez, Cristian / Murciano, Manuel / Rodríguez-Núñez, Antonio / Barcala-Furelos, Roberto

Pediatric emergency care

2022 Volume 38, Issue 2, Page(s) e973–e977

Abstract: Objective: This study focuses on the characteristics (feasibility, resuscitation quality, and ... a walking pediatric CPR with a manikin on the rescue forearm. Each rescuer performed 2 resuscitation tests ... both for the victim and the rescuer, as well as CPR quality in special circumstances. ...

Abstract	Objective: This study focuses on the characteristics (feasibility, resuscitation quality, and physical demands) of infant cardiopulmonary resuscitation (CPR) on the forearm during fast walking, performed by a trained lay rescuer. Methods: Twenty-one university students from the infant education degree participated in a randomized crossover simulation study to compare a standard pediatric CPR versus a walking pediatric CPR with a manikin on the rescue forearm. Each rescuer performed 2 resuscitation tests of 2 minutes on the infant manikin. Cardiopulmonary resuscitation, physiological, and perceived effort variables were measured. Results: The quality of chest compressions was higher in standard pediatric CPR than in walking pediatric CPR (72% vs 51%; P < 0.001) and overall CPR quality (59% vs 49%; P = 0.02). There were no differences between ventilation quality (47% vs 46%). Walking pediatric CPR presented a higher percentage of maximum heart rate (52% vs 69%; P < 0.001) and perceived exertion rate (2 vs 5; P < 0.001). Participants walked an average of 197 m during the test. Conclusions: In conclusion, pediatric walking CPR is feasible although it represents a slight quality decrease in a simulation infant CPR setting. The option "CPR while walking fast to a safe place" seems to be suitable in terms of safety both for the victim and the rescuer, as well as CPR quality in special circumstances.
MeSH term(s)	Cardiopulmonary Resuscitation ; Child ; Computer Simulation ; Cross-Over Studies ; Humans ; Manikins ; Walking
Language	English
Publishing date	2022-01-27
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	632588-9
ISSN	1535-1815 ; 0749-5161
ISSN (online)	1535-1815
ISSN	0749-5161
DOI	10.1097/PEC.0000000000002505
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Article ; Online: Critical care nurses' moral sensitivity during cardiopulmonary resuscitation: Qualitative perspectives.

Aghakhani, Nader / Habibzadeh, Hossein / Mohammadi, Farshad

Nursing ethics

2022 Volume 29, Issue 4, Page(s) 938–951

Abstract: Background: Cardiopulmonary Resuscitation (CPR) is one of the areas in which moral issues are ... decision-making and prompt action and is associated with special complications due to the patients' ... Consciously and compassionate attention to resuscitate the patient," "Awareness of families' anxiety ...

Abstract	Background: Cardiopulmonary Resuscitation (CPR) is one of the areas in which moral issues are of great significance, especially with respect to the nursing profession, because CPR requires quick decision-making and prompt action and is associated with special complications due to the patients' unconsciousness. In such circumstances, nurses' ability in terms of moral sensitivity can be determinative in the success of the procedure. Identifying the components of moral sensitivity in nurses in this context can promote moral awareness and improve moral performance. Objective: This study was conducted to explore and identify the experiences of critical care nurses about moral sensitivity components in CPR. Research design and methods: This study was implemented with a qualitative approach. Data were collected via 22 in-depth semi-structured interviews held with 20 eligible participants with maximum variation. The data were then analyzed using the grounded theory approach. Participants and research context: In total, thirteen clinical nurses, three head nurses, two educational supervisors, and two faculty members from different universities of Iran were interviewed. Ethical considerations: This study was conducted with the ethical approval (IR.UMSU.REC.1399.337) of the Ethics Committee of Urmia University of Medical Sciences. Findings: Four themes and 12 sub-themes were extracted from the analysis of the data, including "Consciously and compassionate attention to resuscitate the patient," "Awareness of families' anxiety," "Understanding the teamwork and interactive guidance of the CPR process," and "Compulsory violation of moral principles." Discussion: It is anticipated that this discussion will prompt further debate, raise awareness and help clarify the dimensions of moral sensitivity in unconscious patients especially during CPR, so that it can be more clearly named and defended as a moral authority in CPR. Conclusion: identifying the components of moral sensitivity in nurses, facilitates their encounter with moral issues and can improve their moral performance and encourage right decisions.
MeSH term(s)	Cardiopulmonary Resuscitation ; Critical Care ; Humans ; Morals ; Nurses ; Qualitative Research
Language	English
Publishing date	2022-02-28
Publishing country	England
Document type	Journal Article
ZDB-ID	1200467-4
ISSN	1477-0989 ; 0969-7330
ISSN (online)	1477-0989
ISSN	0969-7330
DOI	10.1177/09697330221073998
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Article ; Online: Cardiopulmonary resuscitation during hyperbaric oxygen therapy: a comprehensive review and recommendations for practice.

Schmitz, Jan / Liebold, Felix / Hinkelbein, Jochen / Nöhl, Sophia / Thal, Serge C / Sellmann, Timur

Scandinavian journal of trauma, resuscitation and emergency medicine

2023 Volume 31, Issue 1, Page(s) 57

Abstract: ... special considerations. Existing guidelines should be adapted to address these unique circumstances and ... to the literature on "CPR under special circumstances". ... Background: Cardiopulmonary resuscitation (CPR) during hyperbaric oxygen therapy (HBOT) presents ...

Abstract	Background: Cardiopulmonary resuscitation (CPR) during hyperbaric oxygen therapy (HBOT) presents unique challenges due to limited access to patients in cardiac arrest (CA) and the distinct physiological conditions present during hyperbaric therapy. Despite these challenges, guidelines specifically addressing CPR during HBOT are lacking. This review aims to consolidate the available evidence and offer recommendations for clinical practice in this context. Materials and methods: A comprehensive literature search was conducted in PubMed, EMBASE, Cochrane Library, and CINAHL using the search string: "(pressure chamber OR decompression OR hyperbaric) AND (cardiac arrest OR cardiopulmonary resuscitation OR advanced life support OR ALS OR life support OR chest compression OR ventricular fibrillation OR heart arrest OR heart massage OR resuscitation)". Additionally, relevant publications and book chapters not identified through this search were included. Results: The search yielded 10,223 publications, with 41 deemed relevant to the topic. Among these, 18 articles (primarily case reports) described CPR or defibrillation in 22 patients undergoing HBOT. The remaining 23 articles provided information or recommendations pertaining to CPR during HBOT. Given the unique physiological factors during HBOT, the limitations of current resuscitation guidelines are discussed. Conclusions: CPR in the context of HBOT is a rare, yet critical event requiring special considerations. Existing guidelines should be adapted to address these unique circumstances and integrated into regular training for HBOT practitioners. This review serves as a valuable contribution to the literature on "CPR under special circumstances".
MeSH term(s)	Humans ; Cardiopulmonary Resuscitation ; Heart Arrest/therapy ; Heart Massage ; Hyperbaric Oxygenation ; Ventricular Fibrillation ; Practice Guidelines as Topic
Language	English
Publishing date	2023-10-23
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2455990-8
ISSN	1757-7241 ; 1757-7241
ISSN (online)	1757-7241
ISSN	1757-7241
DOI	10.1186/s13049-023-01103-y
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Article ; Online: Retrospective evaluation of cardiopulmonary arrest and resuscitation in hospitalized birds: 41 cases (2006-2019).

Crawford, Amanda / Abelson, Amanda / Gladden, Jay / Rozanski, Elizabeth

Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)

2022 Volume 32, Issue 4, Page(s) 491–499

Abstract: Objective: To describe circumstances and outcomes following cardiopulmonary arrest (CPA ... with special consideration of the physiological differences from mammals, are needed. ...

Abstract	Objective: To describe circumstances and outcomes following cardiopulmonary arrest (CPA) in hospitalized birds. Design: Retrospective case study. Setting: Academic medical center. Methods: The hospital medical records system was searched for avian cases that underwent CPR. Medical records were reviewed; data retrieved included association of CPA with anesthesia or handling, use of external compressions and intubation, drug administration, rates of return of spontaneous circulation (ROSC), and outcome. Cases with incomplete medical records were excluded. Results: Forty-one cases of avian CPR were identified. Anesthesia-related arrest was reported in 26 of 41 cases. The remainder of CPA events occurred during an examination (6/41) or were observed during hospitalization for treatment of disease or injury (11/41). Compressions were performed in 14 birds and manual ventilation performed in 21 of 41 cases via intubation (19/21), tight-fitting face mask (1/21), or air sac cannulation (1/21). Vascular access was achieved in 24 of 41 cases. Emergency drug administration was documented in 22 of 41 cases and included epinephrine (20/22), atropine (19/22), glycopyrrolate (3/22), doxapram (2/22), dextrose (3/22), mannitol (1/22), and furosemide (1/22). Fluid therapy was administered in 24 of 41 cases. There were 3 documented cases of ROSC (7%), all in patients under general anesthesia, and 1 (2%) CPA survivor. Conclusions: There was no standardized approach to avian CPR in this study, and ROSC was rare. When ROSC was achieved, birds were under general anesthesia with direct monitoring by a clinician, were ventilated, and were administered anesthetic reversals and anticholinergic or catecholamine emergency medications. These poor outcomes suggest that further research and an updated standardized approach to avian CPR, with special consideration of the physiological differences from mammals, are needed.
MeSH term(s)	Animals ; Birds ; Cardiopulmonary Resuscitation/veterinary ; Heart Arrest/therapy ; Heart Arrest/veterinary ; Hospitalization ; Mammals ; Retrospective Studies
Language	English
Publishing date	2022-03-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2077212-9
ISSN	1476-4431 ; 1479-3261
ISSN (online)	1476-4431
ISSN	1479-3261
DOI	10.1111/vec.13191
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Article ; Online: [Treatment of out-of-hospital cardiac arrest with mechanical cardiopulmonary resuscitation].

Milling, Louise / Linde, Louise / Brøchner, Anne Craveiro / Lassen, Jens Flensted / Mikkelsen, Søren

Ugeskrift for laeger

2020 Volume 182, Issue 33

Abstract: ... in special circumstances but not used routinely. ... cardiopulmonary resuscitation (CPR). CPR provides chest compressions according to guidelines in the treatment of out-of-hospital ...

Abstract	This review provides a summary of treatment of cardiac arrest with mechanical cardiopulmonary resuscitation (CPR). CPR provides chest compressions according to guidelines in the treatment of out-of-hospital cardiac arrest. This is useful in situations where CPR cannot be safely delivered (e.g. during transportation and prolonged CPR). Randomized controlled trials have not shown improved patient outcomes after treatment with mechanical CPR compared to manual CPR. Mechanical CPR can, like manual CPR, cause injuries, and some may be life-threatening. Mechanical CPR is therefore recommended as an adjunct to manual CPR in special circumstances but not used routinely.
MeSH term(s)	Cardiopulmonary Resuscitation ; Humans ; Out-of-Hospital Cardiac Arrest/therapy ; Pressure
Language	Danish
Publishing date	2020-08-14
Publishing country	Denmark
Document type	Journal Article ; Review
ZDB-ID	124102-3
ISSN	1603-6824 ; 0041-5782
ISSN (online)	1603-6824
ISSN	0041-5782
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