Affiliation: Helsinki University Central Hospital
- Prehospital therapeutic hypothermia after cardiac arrest--from current concepts to a future standardAntti Kämäräinen
Department of Intensive Care Medicine, Tampere University Hospital, Tampere, Finland
Scand J Trauma Resusc Emerg Med 17:53. 2009..Most reported studies present data on cooling rates, safety and feasibility of different methods, but are inconclusive as regarding to outcome effects...
- Outcome from severe accidental hypothermia in Southern Finland--a 10-year reviewTom Silfvast
Department of Anaesthesia and Intensive Care Medicine, Meilahti Hospital, Helsinki University Central Hospital, P O Box 340, FIN 00029 Helsinki, Finland
Resuscitation 59:285-90. 2003..It is concluded that patients with cardiac arrest due to primary hypothermia tolerate long periods of conventional CPR before institution of CPB. The possible predictive role of serum potassium and arterial pCO2 needs further evaluation...
- The effect of seeing the rhythm display on performance of cardiopulmonary resuscitationT Silfvast
Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, P O Box 340, Finland
Resuscitation 55:25-9. 2002..002). Our data suggest that seeing an organised rhythm on a monitor during CPR interferes with adherence to CPR algorithms which may have a negative influence on the performance of CPR...
- Characteristics of discrepancies between clinical and autopsy diagnoses in the intensive care unit: a 5-year reviewTom Silfvast
Department of Anaesthesia and Intensive Care Medicine, Helsinki University Central Hospital, PO Box 340, 00029 Helsinki, Finland
Intensive Care Med 29:321-4. 2003..To characterise discrepancies between clinical and autopsy diagnoses in patients who die in the intensive care unit...
- Multiple organ failure and outcome of critically ill patients with haematological malignancyT Silfvast
Department of Anaesthesia and Intensive Care Medicine, Meilahti Hospital, Helsinki, Finland
Acta Anaesthesiol Scand 47:301-6. 2003..The objective of this study was to assess short and long-term survival in these patients with special reference to multiple organ failure reflected by the SOFA (Sequential Organ Failure Assessment) score...
- Therapeutic hypothermia after prolonged cardiac arrest due to non-coronary causesT Silfvast
Department of Anaesthesia and Intensive Care Medicine, Meilahti Hospital, Helsinki University Central Hospital, FIN 00029, Helsinki, Finland
Resuscitation 57:109-12. 2003..It is concluded that mild resuscitative hypothermia may be beneficial also in patients with obvious non-coronary causes for cardiac arrest...
- The effect of experience of on-site physicians on survival from prehospital cardiac arrestT Silfvast
Department of Anaesthesia, Helsinki University Central Hospital, Haartmannink, Finland
Resuscitation 31:101-5. 1996..Compared with Period I, a larger proportion of the successfully resuscitated patients either died in hospital or were discharged to an institution during Period II (P < 0.05)...
- Initiation of resuscitation in patients with prehospital bradyasystolic cardiac arrest in HelsinkiT Silfvast
Prehospital Emergency Care Unit, Helsinki University Central Hospital, Finland
Resuscitation 19:143-50. 1990..The results provide guidelines in the decision making of initiation of resuscitation when developing our emergency care system into one with non-physicians as advanced life support providers...
- The functional status and perceived quality of life in long-term survivors of out-of-hospital cardiac arrestH Harve
Department of Anaesthesiology and Intensive Care Medicine, University of Helsinki, Helsinki, Finland
Acta Anaesthesiol Scand 51:206-9. 2007..This study assessed functional status and perceived quality of life in patients surviving for 15 years after successful resuscitation from witnessed out-of-hospital cardiac arrest as a result of ventricular fibrillation...
- Comparison of alfentanil and morphine in the prehospital treatment of patients with acute ischaemic-type chest painT Silfvast
Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Finland
Eur J Emerg Med 8:275-8. 2001..No haemodynamic or respiratory side effects occurred. It is concluded that alfentanil is an effective analgesic in the prehospital treatment of myocardial ischaemic pain...
- Interprofessional education of medical students and paramedics in emergency medicineJ Hallikainen
Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Hospital, Helsinki, Finland
Acta Anaesthesiol Scand 51:372-7. 2007..In this paper, we describe the concept of interprofessional education of medical students and paramedics in emergency medicine...
- Induction of therapeutic hypothermia after cardiac arrest in prehospital patients using ice-cold Ringer's solution: a pilot studyIlkka Virkkunen
Helsinki Area Emergency Medical Air Service, Vantaa, Finland
Resuscitation 62:299-302. 2004..0 +/- 1.2 degrees C on arrival at hospital (P < 0.0001). No serious adverse haemodynamic effects occurred. It is concluded that the induction of therapeutic hypothermia using this technique in the prehospital setting is feasible...
- Pulseless electrical activity and unsuccessful out-of-hospital resuscitation: what is the cause of death?Ilkka Virkkunen
Tampere University Hospital, Department of Surgery and Anaesthesiology, PO Box 2000, FIN 33521 Tampere, Finland
Resuscitation 77:207-10. 2008....
- Prehospital induction of therapeutic hypothermia during CPR: a pilot studyAntti Kämäräinen
Medical School, University of Tampere, Tampere, Finland
Resuscitation 76:360-3. 2008..We studied induction of therapeutic hypothermia during prehospital resuscitation from cardiac arrest using an infusion of ice-cold Ringer's solution in five adult patients...
- Emesis in sudden cardiac arrestIlkka Virkkunen
Resuscitation 75:389. 2007
- Presumed futility in paramedic-treated out-of-hospital cardiac arrest: an Utstein style analysis in Tampere, FinlandAntti Kämäräinen
Medical School, University of Tampere, Tampere, Finland
Resuscitation 75:235-43. 2007..To report prospectively the outcome from prehospital cardiac arrest according to the Utstein template in the city of Tampere, Finland, with special reference to those patients in whom resuscitation was not attempted...
- Can untrained laypersons use a defibrillator with dispatcher assistance?Heini Harve
Department of Anesthesia and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki, Finland
Acad Emerg Med 14:624-8. 2007....
- Therapeutic hypothermia utilization among physicians after resuscitation from cardiac arrestRaina M Merchant
Section of Emergency Medicine, University of Chicago, Chicago, IL, USA
Crit Care Med 34:1935-40. 2006..For improved adoption of therapeutic hypothermia, our data suggest that development of better cooling methodology and recent incorporation into resuscitation guidelines may improve use...
- Quality of life of elderly patients after prehospital thrombolytic therapyOlli Väisänen
Arcada Polytechnic, Helsinki, Jan Magnus Janssonin aukio 1, 00550 Helsinki, Finland
Resuscitation 66:183-8. 2005..We concluded that elderly patients treated with prehospital thrombolysis for acute ST-elevation myocardial infarction recover mentally and physically as well as younger patients...
- Time matters; what is the time in your defibrillator? An observational study in 30 emergency medical service systemsMaaret Castren
Uusimaa EMS, Helsinki University Hospital, Kylpyläntie 19, 02700 Kauniainen, Finland
Resuscitation 64:293-5. 2005..For accurate time measurements, the internal clocks of automated external defibrillator (AEDs) need to be synchronized with the dispatch centre time...
- Influence of medical direction on the management of prehospital myocardial infarctionOlli Väisänen
Arcada Polytechnic, Jan Magnus Janssonin aukio 1, 00550 Helsinki, Finland
Resuscitation 70:207-14. 2006....
- Prehospital thrombolysis perfomed by a ship's nurse with on-line physician consultationOlli Väisänen
Arcada Polytechnic, Toukolanite 1, 00550 Helsinki, Finland
Resuscitation 64:233-6. 2005..It is concluded that EMS physician guided prehospital thrombolytic treatment may offer an important therapeutic option for nurses or paramedics in locations out of reach of ordinary EMS services...
- Arrhrythmias and haemodynamic effects associated with early versus late prehospital thrombolysis for acute myocardial infarctionOlli Väisänen
Department of Medicine, Division of Cardiology and Biomag Laboratory, Helsinki University Hospital, Helsinki, Finland
Resuscitation 62:175-80. 2004..Those requiring therapeutic measures responded well to treatment. The occurrence of events was not related to the timing of thrombolysis in relation to the duration of pain...
- The use of automated external defibrillators by non-medical first responders in FinlandHeini Harve
Department of Anaesthesia and Intensive Care Medicine, Meilahti Hospital, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
Eur J Emerg Med 11:130-3. 2004..This is considered to be caused by the lack of national standards and regulations, which should define a full integration of first-responder programmes into the emergency medical service system...
- International EMS Systems: the Nordic countriesAudun Langhelle
Norwegian Air Ambulance, Box 27, Høvik, N 1322, Norway
Resuscitation 61:9-21. 2004....
- Amiodarone versus lidocaine for shock-resistant ventricular fibrillationTom Silfvast
N Engl J Med 347:368-70; author reply 368-70. 2002
- Prehospital ECG transmission: comparison of advanced mobile phone and facsimile devices in an urban Emergency Medical Service SystemOlli Väisänen
Arcada Polytechnic, Sturenkatu 2, 00510 Helsinki, Finland
Resuscitation 57:179-85. 2003..To compare the speed and reliability of electrocardiogram (ECG) transmissions from the prehospital setting to a conventional table facsimile device and to an advanced mobile phone in a Helicopter Emergency Medical Service System (HEMS)...