Characterization of cardiac arrest in the emergency department of a Brazilian University Reference Hospital: A prospective study

An Artificial Intelligence Fusion Model for Cardiac Emergency Decision Making: Application and Robustness Analysis

Background

During cardiac emergency medical treatment, reducing the incidence of avoidable adverse events, ensuring the safety of patients, and generally improving the quality and efficiency of medical treatment have been important research topics in theoretical and practical circles.

Objective

This paper examines the robustness of the decision-making reasoning process from the overall perspective of the cardiac emergency medical system.

Methods

The principle of robustness was introduced into our study on the quality and efficiency of cardiac emergency decision making. We propose the concept of robustness for complex medical decision making by targeting the problem of low reasoning efficiency and accuracy in cardiac emergency decision making. The key bottlenecks such as anti-interference capability, fault tolerance, and redundancy were studied. The rules of knowledge acquisition and transfer in the decision-making process were systematically analyzed to reveal the core role of knowledge reasoning.

Results

The robustness threshold method was adopted to construct the robustness criteria group of the system, and the fusion and coordination mechanism was realized through information entropy, information gain, and mutual information methods.

Conclusions

A set of fusion models and robust threshold methods such as the R2CMIFS (treatment mode of fibroblastic sarcoma) model and the RTCRF (clinical trial observation mode) model were proposed. Our study enriches the theoretical research on robustness in this field.

Prevention of Sudden Death Related to Sport: The Science of Basic Life Support-from Theory to Practice

The sudden cardiac arrest (CA) and death of athletes are dramatic and emotionally impacting events for health professionals, family, and society. Although the practice of sport participation improves general health, physical fitness, and quality of life, intense physical exercise can be a trigger for CA and sudden death occasionally in the presence of known or unknown cardiac disorders (mainly hypertrophic cardiomyopathy) and risk factors (environment, health style, family, and genetic). The present review found that sudden death associated with CA was not such a common event in competitive athletes, but it might be an underestimated event in recreational athletes. Thus, considering the exponential increase in sport participation, both in a recreational or competitive way, and the rate of sudden CA, knowledge of implementing prevention and treatment strategies is crucial. This includes preparation of health professionals and lay people in basic life support (BLS); screening and pre-participation assessment in sport programs and health education; and promotion for the recognition of CA and early completion of BLS and rapid access to automatic external defibrillator to improve the victim survival/prognosis. Thus, the purpose of this review is to provide for health professionals and lay people the most updated information, based on current guidelines, of how to proceed in an emergency situation associated with sudden CA of young adult athletes.