T Silfvast

Summary

Affiliation: Helsinki University Central Hospital
Country: Finland

Publications

  1. ncbi Prehospital therapeutic hypothermia after cardiac arrest--from current concepts to a future standard
    Antti Kämäräinen
    Department of Intensive Care Medicine, Tampere University Hospital, Tampere, Finland
    Scand J Trauma Resusc Emerg Med 17:53. 2009
  2. ncbi Outcome from severe accidental hypothermia in Southern Finland--a 10-year review
    Tom 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
  3. ncbi The effect of seeing the rhythm display on performance of cardiopulmonary resuscitation
    T Silfvast
    Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, P O Box 340, Finland
    Resuscitation 55:25-9. 2002
  4. ncbi Characteristics of discrepancies between clinical and autopsy diagnoses in the intensive care unit: a 5-year review
    Tom 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
  5. ncbi Multiple organ failure and outcome of critically ill patients with haematological malignancy
    T Silfvast
    Department of Anaesthesia and Intensive Care Medicine, Meilahti Hospital, Helsinki, Finland
    Acta Anaesthesiol Scand 47:301-6. 2003
  6. ncbi Therapeutic hypothermia after prolonged cardiac arrest due to non-coronary causes
    T Silfvast
    Department of Anaesthesia and Intensive Care Medicine, Meilahti Hospital, Helsinki University Central Hospital, FIN 00029, Helsinki, Finland
    Resuscitation 57:109-12. 2003
  7. ncbi The effect of experience of on-site physicians on survival from prehospital cardiac arrest
    T Silfvast
    Department of Anaesthesia, Helsinki University Central Hospital, Haartmannink, Finland
    Resuscitation 31:101-5. 1996
  8. ncbi Initiation of resuscitation in patients with prehospital bradyasystolic cardiac arrest in Helsinki
    T Silfvast
    Prehospital Emergency Care Unit, Helsinki University Central Hospital, Finland
    Resuscitation 19:143-50. 1990
  9. ncbi The functional status and perceived quality of life in long-term survivors of out-of-hospital cardiac arrest
    H Harve
    Department of Anaesthesiology and Intensive Care Medicine, University of Helsinki, Helsinki, Finland
    Acta Anaesthesiol Scand 51:206-9. 2007
  10. ncbi Comparison of alfentanil and morphine in the prehospital treatment of patients with acute ischaemic-type chest pain
    T Silfvast
    Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Finland
    Eur J Emerg Med 8:275-8. 2001

Detail Information

Publications27

  1. ncbi Prehospital therapeutic hypothermia after cardiac arrest--from current concepts to a future standard
    Antti 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...
  2. ncbi Outcome from severe accidental hypothermia in Southern Finland--a 10-year review
    Tom 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...
  3. ncbi The effect of seeing the rhythm display on performance of cardiopulmonary resuscitation
    T 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...
  4. ncbi Characteristics of discrepancies between clinical and autopsy diagnoses in the intensive care unit: a 5-year review
    Tom 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...
  5. ncbi Multiple organ failure and outcome of critically ill patients with haematological malignancy
    T 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...
  6. ncbi Therapeutic hypothermia after prolonged cardiac arrest due to non-coronary causes
    T 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...
  7. ncbi The effect of experience of on-site physicians on survival from prehospital cardiac arrest
    T 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)...
  8. ncbi Initiation of resuscitation in patients with prehospital bradyasystolic cardiac arrest in Helsinki
    T 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...
  9. ncbi The functional status and perceived quality of life in long-term survivors of out-of-hospital cardiac arrest
    H 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...
  10. ncbi Comparison of alfentanil and morphine in the prehospital treatment of patients with acute ischaemic-type chest pain
    T 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...
  11. ncbi Interprofessional education of medical students and paramedics in emergency medicine
    J 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...
  12. ncbi Induction of therapeutic hypothermia after cardiac arrest in prehospital patients using ice-cold Ringer's solution: a pilot study
    Ilkka 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...
  13. ncbi 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
    ....
  14. ncbi Prehospital induction of therapeutic hypothermia during CPR: a pilot study
    Antti 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...
  15. ncbi Emesis in sudden cardiac arrest
    Ilkka Virkkunen
    Resuscitation 75:389. 2007
  16. ncbi Presumed futility in paramedic-treated out-of-hospital cardiac arrest: an Utstein style analysis in Tampere, Finland
    Antti 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...
  17. ncbi 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
    ....
  18. ncbi Therapeutic hypothermia utilization among physicians after resuscitation from cardiac arrest
    Raina 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...
  19. ncbi Quality of life of elderly patients after prehospital thrombolytic therapy
    Olli 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...
  20. ncbi Time matters; what is the time in your defibrillator? An observational study in 30 emergency medical service systems
    Maaret 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...
  21. ncbi Influence of medical direction on the management of prehospital myocardial infarction
    Olli Väisänen
    Arcada Polytechnic, Jan Magnus Janssonin aukio 1, 00550 Helsinki, Finland
    Resuscitation 70:207-14. 2006
    ....
  22. ncbi Prehospital thrombolysis perfomed by a ship's nurse with on-line physician consultation
    Olli 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...
  23. ncbi Arrhrythmias and haemodynamic effects associated with early versus late prehospital thrombolysis for acute myocardial infarction
    Olli 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...
  24. ncbi The use of automated external defibrillators by non-medical first responders in Finland
    Heini 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...
  25. ncbi International EMS Systems: the Nordic countries
    Audun Langhelle
    Norwegian Air Ambulance, Box 27, Høvik, N 1322, Norway
    Resuscitation 61:9-21. 2004
    ....
  26. ncbi Amiodarone versus lidocaine for shock-resistant ventricular fibrillation
    Tom Silfvast
    N Engl J Med 347:368-70; author reply 368-70. 2002
  27. ncbi Prehospital ECG transmission: comparison of advanced mobile phone and facsimile devices in an urban Emergency Medical Service System
    Olli 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)...