A man in his 80s with unknown medical history was brought to the emergency department after a cardiac arrest.
This study compares the mortality at hospitals during the time of accreditation review by The Joint Commission vs times when the hospitals are not under review.
This study used the current American Heart Association guidelines to determine whether telemetry alarms affect patient management and found that, even with the alarms designated as emergency, there were few episodes of clinically important arrhythmias and change in patient management was uncommon.
This blinded data review of a prospectively collected database of adult patients admitted or observed with potentially ischemic chest pain found that the risk for a clinically relevant adverse cardiac event was rare and commonly iatrogenic.
This survey study found that whereas physicians in Asian intensive care units often withheld but seldom withdrew life-sustaining treatments at the end of life, attitudes and practice varied widely across countries and regions.
This observational cohort study demonstrates that patients with out-of-hospital cardiac arrest who received basic life support had higher survival at hospital discharge and 90 days compared with those who received advanced life support and were less likely to have poor neurological functioning.
High-risk patients with heart failure and cardiac arrest hospitalized in teaching hospitals had lower 30-day mortality when admitted during dates of national cardiology meetings. High-risk patients with acute myocardial infarction admitted to teaching hospitals during meetings were less likely to receive percutaneous coronary intervention , without any mortality effect.
Ebell et al developed a simple prearrest point score that can identify patients unlikely to survive in-hospital cardiac arrest neurologically intact or with minimal deficits. See the viewpoint by Berger and the editor’s note by Covinsky.
Chen and coauthors describe the association between inpatient cardiac arrest incidence and survival rates.
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