Editorial: Why the Wait: Deciphering in-Hospital Defibrillation Delays by Robert Neumar M.D., Ph.D., FACEP
Hospital Variation in Time To Defibrillation After In-Hospital Cardiac Arrest
- Evaluation of time to defibrillation is a quality measure for in-hospital cardiac arrest (IHCA).
- Delay in time to defibrillation is associated with decreased survival to discharge.
- Survival to discharge was higher in facilities with defibrillation times within 2 minutes compared with those with delayed defibrillation.
Factors associated with Neurologically-Intact Survival forPatients with Acute Heart Failure and *In-Hospital Cardiac Arrest
- Hospitalized heart failure (HF) patients have increased risk of cardiac arrest.
- Factors are identified to enhance the resuscitation decision process.
- Strategies to optimize neurologically intact survival (NIS) in acute heart failure may enhance resource utilization.
Rhythms and Outcomes of Adult *In-Hospital Cardiac Arrest
- The four rhythms associated with pulseless cardiac arrest are ventricular fibrillation (VF), pulseless ventricular tachycardia (pulseless VT), pulseless electrical activity (PEA) and asystole.
- The shockable rhythms, VF and pulseless VT, have been considered the ‘good’ cardiac arrest rhythms.
- Cardiac arrest survival outcomes are affected by when the shockable rhythm occurs during the cardiac arrest event.