Breaking News
July 20, 2018 - Understanding triple-negative breast cancer to develop better treatments
July 20, 2018 - Study compares outpatient antibiotic prescribing with traditional medical, retail clinic settings
July 20, 2018 - Immediate Monitoring With ECG Patch Ups A-Fib Diagnosis Rate
July 20, 2018 - Scientists seek to better protect the eye from glaucoma
July 20, 2018 - Football training could improve bone mineral density in prostate cancer patients
July 20, 2018 - Single genetic change in gut bacteria can lead to obesity
July 20, 2018 - Research uncovers new target for therapeutic intervention in breast cancer
July 20, 2018 - WFN to highlight clean air for brain health on World Brain Day 2018
July 20, 2018 - Health Highlights: July 17, 2018
July 20, 2018 - Mom’s marijuana winds up in breast milk
July 20, 2018 - Black men could be healthier if seen by black physicians, new research suggests
July 20, 2018 - Alcoholics have persistent difficulties with emotional communication after long-term abstinence
July 19, 2018 - Researchers unravel how ALL invades the central nervous system
July 19, 2018 - Mother’s microbiome determines offspring’s risk of developing autism
July 19, 2018 - Refining standards of maternal-fetal care
July 19, 2018 - Stitching single cells together any which way you want to
July 19, 2018 - Study identifies RNA molecules that regulate male hormones in prostate cancer
July 19, 2018 - New machine-learning model shows promise in predicting undiagnosed dementia
July 19, 2018 - Sleep supports antioxidant processes, study suggests
July 19, 2018 - MiRagen Therapeutics Announces Initiation of Phase 2 Clinical Trial of MRG-201
July 19, 2018 - Unique brain ‘fingerprint’ can predict drug effectiveness
July 19, 2018 - Life on the border: Struggling to survive in Jordan
July 19, 2018 - CT scans may raise brain tumor risk
July 19, 2018 - Moderate alcohol intake linked with improved male fertility
July 19, 2018 - Alcohol-related cirrhosis mortality on the rise among young adults
July 19, 2018 - Study uncovers new protein complex that shields broken DNA ends
July 19, 2018 - Regular sunscreen use protects young people from melanoma
July 19, 2018 - Using non-invasive brain recordings to characterize activity in deep structures
July 19, 2018 - Mediterranean diet could influence academic performance through effects on sleep quality
July 19, 2018 - Woman’s pregnancy history may be linked to Alzheimer’s disease risk
July 19, 2018 - Study calls for new gold standard in research to treat non-alcoholic steatohepatitis
July 19, 2018 - Cancer patients receiving anti-PD-1 therapies may experience delayed skin reactions
July 19, 2018 - Scientists study adverse effects of carbon, silicon nanotubes and carbon nanofibers
July 19, 2018 - Keck Hospital of USC receives Magnet recognition for excellence in nursing
July 19, 2018 - Scientists identify hidden signals in RNAs that control protein synthesis
July 19, 2018 - Quadrivalent HPV Vaccine Not Tied to Spontaneous Abortion
July 19, 2018 - FDA OKs first drug made to reduce excessive sweating
July 19, 2018 - New Finnish study compares surgical treatment of shoulder impingement syndrome to placebo surgery
July 19, 2018 - New findings do no support caffeine as effective appetite suppressant or weight-loss aid
July 19, 2018 - Kite collaborates with Gadeta to develop novel gamma delta TCR therapies for various cancers
July 19, 2018 - Study evaluates Neoteryx’s VAMS technology for monitoring HbA1c levels of diabetic children
July 19, 2018 - New clinical trial examines use of adrenaline to treat cardiac arrests
July 19, 2018 - Early surgical intervention may improve outcomes for patients with mitral valve disease
July 19, 2018 - Prolonged preoperative opioid use linked to adverse outcomes after total knee and hip arthroplasty
July 19, 2018 - Biophysicists use infrared sensor as new method for drug discovery
July 19, 2018 - Rat study shows negative effects of perinatal exposure to phthalates
July 19, 2018 - Children with disabilities endure long waits for life-changing medical equipment
July 19, 2018 - Ways to stay safe while camping and hiking
July 19, 2018 - People with HIV twice as likely to suffer from heart disease
July 19, 2018 - On-the-Job Stress Relief – Drugs.com MedNews
July 19, 2018 - Compounds found in green tea and wine may block formation of toxic metabolites
July 19, 2018 - Gene regulator associated with protein pileup in exfoliation glaucoma
July 19, 2018 - Trump administration summons immigrant infants
July 19, 2018 - FDA grants approval for first breast cancer drug through ‘Real-Time Oncology Review’
July 19, 2018 - Five tips for men seeking plastic surgery
July 19, 2018 - Researchers discover the reasons why some people get dizzy when hearing certain sounds
July 19, 2018 - Research project investigates snake venom treatment as antibiotic alternative for eye infections
July 19, 2018 - Melanoma could soon be detected using a blood test
July 19, 2018 - Exposure to bright light may have big impact on sleep-related behavior in children
July 19, 2018 - Deleting single gene in gut bacteria affects metabolism, reduces weight gain in mice
July 19, 2018 - New proteomics studies help gain more insights into Alzheimer’s, cancer and listeriosis
July 19, 2018 - Study finds major discrepancies in prescription drug labeling pregnancy information across four countries
July 19, 2018 - Cellectar’s CLR 131 Receives FDA Orphan Drug Designation for Treatment of Ewing’s Sarcoma
July 19, 2018 - Watching the immune system in action reveals what happens when things goes wrong
July 19, 2018 - Increasing blood sugar levels improves memory and performance in older adults
July 19, 2018 - Connection between self-regulation and obesity appears to be different for girls and boys
July 19, 2018 - Researchers develop new, less destructive method for whitening teeth
July 19, 2018 - Revving up innate control of viral infection requires a three-cell ignition
July 19, 2018 - Inaccurate direct-to-consumer raw genetic data can harm patients, new research suggests
July 19, 2018 - Weight loss surgery is effective under the right situations
July 19, 2018 - BioTek awarded patent for autofocus feature on microplate reader
July 19, 2018 - Low-carb diets reduce stiffness of arteries in women and promote weight loss in men
July 19, 2018 - New review examines cannabinoids’ potential for direct treatment of cancer
July 19, 2018 - Allergic responses may help protect the skin against cancer, research suggests
July 19, 2018 - Inappropriate Prescribing of Abx High in Urgent Care Centers
July 19, 2018 - Many at risk for HIV despite lifesaving pill
July 19, 2018 - Tips for doctors and parents on the harms of marijuana use for teens
July 18, 2018 - Researchers detect presence of IgE antibodies after kidney transplantation
July 18, 2018 - New technique allows researchers to create large scale, personalized bone grafts
July 18, 2018 - Smoking May Boost Atrial Fibrillation Risk
New ECPR alert helps some people survive fatal cardiac arrest

New ECPR alert helps some people survive fatal cardiac arrest

image_pdfDownload PDFimage_print

More people are walking away from a type of cardiac arrest that is nearly always fatal, thanks to a new protocol being tested at The Ohio State University Wexner Medical Center. It’s called an ECPR alert.

Ohio State cardiologists work in conjunction with Columbus Division of Fire to implement this novel pre-hospital life support protocol that has limited availability in the U.S.

Currently, only about 10 percent of people survive a sudden cardiac arrest that happens in the field – even fewer survive with normal neurologic function. The ECPR alert is designed to change those numbers.

“This protocol is for people who are in ventricular fibrillation or refractory ventricular tachycardia, which are irregular heart rhythms that aren’t compatible with life and resist being shocked back to normal,” said Dr. Ernest Mazzaferri Jr., medical director of The Ohio State University Richard M. Ross Heart Hospital. “Typically, if they don’t respond to getting shocked, these patients would die in the field because we didn’t have any options to save them. Now, in certain situations, we have had patients survive and walk out of the hospital.”

Columbus EMS personnel follow their protocol for ventricular fibrillation. If the patient remains in this rhythm after three defibrillation attempts, they call an ECPR alert to Ohio State Wexner Medical Center. Medics put a mechanical CPR device on the patient for transport straight to the cardiac catheterization lab where a team is assembled and waiting.

“Between the field and the cath lab it’s critical to have good CPR to keep blood and oxygen moving to the brain and essential organs,” said Dr. Konstantinos Dean Boudoulas, an interventional cardiologist and one of the physicians leading the protocol.

Once in the cath lab, the patient is put on extracorporeal membrane oxygenation (ECMO) which takes over the functions of the heart and lungs.

“This allows the heart and lungs to rest while we find the problem and get the heart restarted and beating well, said Dr. Bryan Whitson, a cardiothoracic surgeon who leads the ECMO program at Ohio State.

The new system worked for 68-year-old Mark Bradford of Columbus. He collapsed while on his morning walk and woke up days later after treatment in the hospital.

“Without that protocol, I wouldn’t be alive. I’m very fortunate that they were trained in it and used it, and that I was out in the park where someone saw me,” Bradford said.

“It’s exciting and very few programs are doing this. Patients have a chance to walk out of a hospital with neurological recovery and have a meaningful life when, essentially, they very likely would have died,” Boudoulas said.

Experts say this is one more tool they have against cardiac arrest.

“Sudden cardiac arrest is a public health emergency because so few people survive, but there are so many things we can do: learn CPR, use AEDs and CPR machines, and now ECMO while doctors fix the cause. All of this can improve the numbers so sudden cardiac arrest doesn’t have to mean certain death,” said Dr. David Keseg, medical director at Columbus Division of Fire.

The ECPR protocol has only been tested in a few small studies recently, and so far the limited data shows an increase to about 40 percent chance of survival.

“We certainly need more trials and more data, but we’re hopeful this will be like the STEMI program for treating heart attacks faster,” Mazzaferri said. “Ten years ago that was under investigation just like ECPR is now. Perhaps some years from now, ECPR will be more routine and saving more lives across the U.S.”

Source:

​https://wexnermedical.osu.edu/mediaroom/pressreleaselisting/new-ecpr-protocol-helps-some-cardiac-arrest-patients-survive-certain-death

Tagged with:

About author

Related Articles