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Conclusions Drowned children in whom return of spontaneous circulation is not achieved within 30 minutes of advanced life support have an extremely poor outcome.
Children with cardiac arrest with hypothermia after drowning have an extremely poor outcome if return of spontaneous circulation is not achieved within 30 minutes of advanced life support.
Good neurological outcome is more likely when spontaneous circulation returns within 30 minutes of advanced life support, especially when the drowning incident occurs in winter.
PetCO2 after 20 minutes of advanced life support averaged 0.97 ± 0.33 kPa in patients who did not have ROSC and 4.85 ± 1.74 kPa in those who did (P < 0.001).
Pet CO2 after 20 minutes of advanced life support averaged 0.92 ± 0.29 kPa (6.9 ± 2.2 mmHg) in patients who did not have ROSC and 4.36 ± 1.11 kPa (32.8 ± 9.1 mmHg) in those who did (P < 0.001).
The Pet CO2 value after 20 minutes of advanced life support averaged 0.91 kPa (6.8 mmHg) ± 0.29 kPa (2.2 mmHg) in patients without ROSC and 4.36 kPa (32.8 mmHg) ± 1.11 kPa (8.4 mmHg) in those who achieved ROSC (P < 0.001).
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Central Command also said at the time Iran had provided only 23 minutes of advance notification of its intention to fire rockets.
In another example, I met a startup a month or so ago at San Francisco's City Hall that was working with seismologists to provide earthquake warnings that give people up to two minutes of advance notice ahead of quakes via text message.
Before you think "that will never happen to me" or "I will deal with it once it happens," remember, a few minutes of advance planning is better than the angst of post-disaster documentation searching and replacement.
Of the four hijacked aircraft on 9/11, the nine minutes of advance notification about the hijacking of Flight 11 was the most time that NORAD had to respond before the aircraft crashed into its target.
We hypothesized that an end-tidal carbon dioxide level of 1.9 kPa (14.3 mmHg) or more after 20 minutes and 1.8 kPa or more after 15 minutes of standard advanced cardiac life support would predict restoration of spontaneous circulation (ROSC).
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