Evidence map›Paper›PMID 28673308›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2017

Two cases of low birth weight infant survival by prehospital emergency hysterotomy.

Miretta Tommila, Mikko Pystynen, Hanna Soukka, Fatih Aydin, Matias Rantanen

Open access · goldAbstract readCase Reports
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Miretta TommilaEmergency Medical Services, FinnHEMS 20, University of Turku and Turku University Hospital, Savitehtaankatu 1, Turku, Finland. miretta.tommila@tyks.fi.ORCID http://orcid.org/0000-0002-0798-4546
Mikko PystynenEmergency Medical Services, Department of Emergency Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hanna SoukkaDepartment of Pediatric and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Fatih AydinEmergency Medical Services, FinnHEMS 20, University of Turku and Turku University Hospital, Savitehtaankatu 1, Turku, Finland.
Matias RantanenDivision of Perioperative Services, Intensive Care Medicine and Pain Management and Department of Anaesthesiology and Intensive Care, University of Turku and Turku University Hospital, Turku, Finland.
University of Turku · FITurku University Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring maternal cardiac arrest, emergency hysterotomy (EH) is recommended after four minutes of resuscitation, if no signs of spontaneous circulation are detected. This extreme procedure is believed to be potentially beneficial for both the mother and the infant. Both maternal and neonatal survivals seem to be associated to the time delay between the cardiac arrest and the delivery and in-hospital resuscitation location. In addition to this, gestational age is an important determinant to neonatal outcome. CASE PRESENTATION: We report two emergency hysterotomies executed in an out-of-hospital location. The infants delivered by EH were low birth weight infants and born 20-23 min after maternal cardiac arrest. Both infants survived and had normal physical and neurological growth at the age of two years. Unfortunately, mothers in these both cases died in the field.

conclusionContrary to earlier beliefs, it is possible to perform a successful EH also in out-of-hospital setting, even with incomplete surgical skills. However, training and preparation are extremely important for achieving the highest possible readiness to treat maternal cardiac arrest situations also prehospitally.

Indexed as

Cardiopulmonary ResuscitationHysterotomyInfant, Low Birth WeightMaternal DeathAdultEmergenciesEmergency Medical ServicesFatal OutcomeFemaleGestational AgeHeart ArrestHumansInfant, NewbornPregnancyPregnancy Complications, CardiovascularPregnancy OutcomeMaternal cardiac arrestPerimortem caesarean deliveryPrehospital emergency hysterotomyResuscitative hysterotomy

Identifiers

PMID28673308
PMCPMC5496320
OpenAlexW2727310999

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.