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Outcome of out-of-hospital cardiac or respiratory arrest in children

Article Abstract:

Cardiopulmonary resuscitation (CPR) on children in cardiac or respiratory arrest should be stopped if the child does not recover within 20 minutes. In a study of 101 children who went into cardiac or respiratory arrest outside a hospital, 64 recovered following CPR. Only 15 survived to hospital discharge and only 13 were still alive one year later. None of the children who received CPR for 20 minutes or longer survived. Those who were hospitalized quickly and had a pulse were more likely to survive. The 20-minute limit on CPR does not apply to children with severe hypothermia.

Care and treatment, Methods, Pediatrics, Cardiopulmonary resuscitation, Cardiac arrest, Pediatric cardiology, CPR (First aid) for children, Cardiac arrest in children

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The volume-outcome conundrum

Article Abstract:

Many studies have shown that surgery patients may have a better outcome if they are treated at hospitals that have done the surgery many times. A study published in 2003 shows that this may actually be a result of the surgeon's expertise. In other words, surgeons who have done the operation many times will provide better outcomes for their patients. This is particularly true for cardiovascular surgery.

Editorial, Surgeons, Clinical competence, Heart surgery

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Natural history and outcome in systemic amyloidosis

Article Abstract:

The study evaluated clinical features, organ function and survival among 374 patients with AA amyloidos. Results indicate that the effects of renal dysfunction dominate the course of AA amyloidosis.

Diagnosis, Amyloidosis, Clinical report

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