keyword
MENU ▼
Read by QxMD icon Read
search

Simulation ATLS

keyword
https://www.readbyqxmd.com/read/29310322/effect-of-training-in-advanced-trauma-life-support-on-the-kinematics-of-the-spine-a-simulation-study
#1
Raquel Gordillo Martin, Pedro E Alcaráz, Laura Juguera Rodriguez, Antonio Nieto Fernandez-Pacheco, Elena Marín-Cascales, Tomás T Freitas, Manuel Pardo Rios
More than 7.5 million people in the world are affected by spinal cord injury (SCI). In this study, we aimed to analyze the effect of training in advanced trauma life support (ATLS) on the kinematics of the spine when performing different mobilization and immobilization techniques on patients with suspected SCI. A quasi-experimental study, clinical simulation, was carried out to determine the effect of training in ATLS on 32 students enrolled in the Master's program of Emergency and Special Care Nursing. The evaluation was performed through 2 maneuvers: placing of the scoop stretcher (SS) and spinal board (SB), with an actor who simulated a clinical situation of suspected spinal injury...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29233854/efficacy-of-educational-video-game-versus-traditional-educational-apps-at-improving-physician-decision-making-in-trauma-triage-randomized-controlled-trial
#2
Deepika Mohan, Coreen Farris, Baruch Fischhoff, Matthew R Rosengart, Derek C Angus, Donald M Yealy, David J Wallace, Amber E Barnato
OBJECTIVE: To determine whether a behavioral intervention delivered through a video game can improve the appropriateness of trauma triage decisions in the emergency department of non-trauma centers. DESIGN: Randomized clinical trial. SETTING: Online intervention in national sample of emergency medicine physicians who make triage decisions at US hospitals. PARTICIPANTS: 368 emergency medicine physicians primarily working at non-trauma centers...
December 12, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29063391/degradation-of-atenolol-via-heterogeneous-activation-of-persulfate-by-using-biocl-fe3o4-catalyst-under-simulated-solar-light-irradiation
#3
Yahong Shi, Hongche Chen, Yanlin Wu, Wenbo Dong
Efficient oxidative degradation of pharmaceutical pollutants in aquatic environments is of great importance. This study used magnetic BiOCl@Fe3O4 catalyst to activate persulfate (PS) under simulated solar light irradiation. This degradation system was evaluated using atenolol (ATL) as target pollutant. Four reactive species were identified in the sunlight/BiOCl@Fe3O4/PS system. The decreasing order of the contribution of each reactive species on ATL degradation was as follows: h(+) ≈ HO(·) > O2(·-) > SO4(·-)...
October 23, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29051528/induced-seismicity-closed-form-traffic-light-system-for-actuarial-decision-making-during-deep-fluid-injections
#4
A Mignan, M Broccardo, S Wiemer, D Giardini
The rise in the frequency of anthropogenic earthquakes due to deep fluid injections is posing serious economic, societal, and legal challenges to many geo-energy and waste-disposal projects. Existing tools to assess such problems are still inherently heuristic and mostly based on expert elicitation (so-called clinical judgment). We propose, as a complementary approach, an adaptive traffic light system (ATLS) that is function of a statistical model of induced seismicity. It offers an actuarial judgement of the risk, which is based on a mapping between earthquake magnitude and risk...
October 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28273722/a-theoretical-framework-for-determining-cerebral-vascular-function-and-heterogeneity-from-dynamic-susceptibility-contrast-mri
#5
Ingrid Digernes, Atle Bjørnerud, Svein Are S Vatnehol, Grete Løvland, Frédéric Courivaud, Einar Vik-Mo, Torstein R Meling, Kyrre E Emblem
Mapping the complex heterogeneity of vascular tissue in the brain is important for understanding cerebrovascular disease. In this translational study, we build on previous work using vessel architectural imaging (VAI) and present a theoretical framework for determining cerebral vascular function and heterogeneity from dynamic susceptibility contrast magnetic resonance imaging (MRI). Our tissue model covers realistic structural architectures for vessel branching and orientations, as well as a range of hemodynamic scenarios for blood flow, capillary transit times and oxygenation...
June 2017: Journal of Cerebral Blood Flow and Metabolism
https://www.readbyqxmd.com/read/28262203/development-and-evaluation-of-a-trauma-decision-making-simulator-in-oculus-virtual-reality
#6
Cuan M Harrington, Dara O Kavanagh, John F Quinlan, Donncha Ryan, Patrick Dicker, Dara O'Keeffe, Oscar Traynor, Sean Tierney
BACKGROUND: Consumer-available virtual-reality technology was launched in 2016 with strong foundations in the entertainment-industry. We developed an innovative medical-training simulator on the Oculus™ Gear-VR platform. This novel application was developed utilising internationally recognised Advanced Trauma Life Support (ATLS) principles, requiring decision-making skills for critically-injured virtual-patients. METHODS: Participants were recruited in June, 2016 at a single-centre trauma-course (ATLS, Leinster, Ireland) and trialled the platform...
February 10, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28137850/seafood-prices-reveal-impacts-of-a-major-ecological-disturbance
#7
Martin D Smith, Atle Oglend, A Justin Kirkpatrick, Frank Asche, Lori S Bennear, J Kevin Craig, James M Nance
Coastal hypoxia (dissolved oxygen ≤ 2 mg/L) is a growing problem worldwide that threatens marine ecosystem services, but little is known about economic effects on fisheries. Here, we provide evidence that hypoxia causes economic impacts on a major fishery. Ecological studies of hypoxia and marine fauna suggest multiple mechanisms through which hypoxia can skew a population's size distribution toward smaller individuals. These mechanisms produce sharp predictions about changes in seafood markets. Hypoxia is hypothesized to decrease the quantity of large shrimp relative to small shrimp and increase the price of large shrimp relative to small shrimp...
February 14, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27939084/hazard-screening-of-photo-transformation-products-from-pharmaceuticals-application-to-selective-%C3%AE-1-blockers-atenolol-and-metoprolol
#8
Anju Priya Toolaram, Jakob Menz, Tushar Rastogi, Christoph Leder, Klaus Kümmerer, Mandy Schneider
The identification of toxic components in cocktail mixtures of pollutants, their metabolites and transformation products (TPs) generated from environmental and treatment processes remains an arduous task. This study expanded in this area by applying a combination of chemical analytics, a battery of in vitro bioassays and an in silico "testing battery" to UV photolysis mixtures of active pharmaceutical ingredients. The objectives were to understand the toxic nature of the mixtures and to prioritize photo-TPs for risk analysis...
February 1, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/27625718/leadership-and-teamwork-in-trauma-and-resuscitation
#9
REVIEW
Kelsey Ford, Michael Menchine, Elizabeth Burner, Sanjay Arora, Kenji Inaba, Demetrios Demetriades, Bertrand Yersin
INTRODUCTION: Leadership skills are described by the American College of Surgeons' Advanced Trauma Life Support (ATLS) course as necessary to provide care for patients during resuscitations. However, leadership is a complex concept, and the tools used to assess the quality of leadership are poorly described, inadequately validated, and infrequently used. Despite its importance, dedicated leadership education is rarely part of physician training programs. The goals of this investigation were the following: 1...
September 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27578062/the-incorporation-of-focused-history-in-checklist-for-early-recognition-and-treatment-of-acute-illness-and-injury
#10
Namita Jayaprakash, Rashid Ali, Rahul Kashyap, Courtney Bennett, Alexander Kogan, Ognjen Gajic
BACKGROUND: Diagnostic error and delay are critical impediments to the safety of critically ill patients. Checklist for early recognition and treatment of acute illness and injury (CERTAIN) has been developed as a tool that facilitates timely and error-free evaluation of critically ill patients. While the focused history is an essential part of the CERTAIN framework, it is not clear how best to choreograph this step in the process of evaluation and treatment of the acutely decompensating patient...
August 31, 2016: BMC Emergency Medicine
https://www.readbyqxmd.com/read/27577526/anatomic-variation-in-volar-tilt-of-the-scaphoid-and-lunate-facet-of-the-distal-radius
#11
Luca Daniele, Andrew McLean, Nicholas Cocks, Michael Kalamaras, Randy Bindra, S L Ezekiel Tan
PURPOSE: The aim of distal radial fracture treatment is to achieve optimal function through the restoration of normal anatomy, including volar tilt. The accuracy of assessing volar tilt on standard lateral radiographs compared with anatomic tilt lateral (ATL) radiographs is uncertain. This study aimed to investigate the anatomy of the articular surface of the distal radius, in particular measuring the angle between the dorsal and volar rims at several points from radial to ulnar, to ascertain whether volar tilt is uniform between the scaphoid and lunate facet and to explore consistency between standard lateral and ATL views...
November 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27498844/the-influence-of-high-heeled-shoes-on-strain-and-tension-force-of-the-anterior-talofibular-ligament-and-plantar-fascia-during-balanced-standing-and-walking
#12
Jia Yu, Duo Wai-Chi Wong, Hongtao Zhang, Zong-Ping Luo, Ming Zhang
High-heeled shoes have the capability to alter the strain and tension of ligamentous structures between the foot and ankle, which may result in ankle instability. However, high-heeled shoes can also reduce the strain on plantar fascia, which may be beneficial for the treatment of plantar fasciitis. In this study, the influence of heel height on strain and tension force applied to the anterior talofibular ligament (ATL) and plantar fascia were investigated. A three-dimensional finite element model of coupled foot-ankle-shoe complex was constructed...
October 2016: Medical Engineering & Physics
https://www.readbyqxmd.com/read/27419222/strategically-leapfrogging-education-in-prehospital-trauma-management-four-tiered-training-protocols
#13
Rohit Abraham, Dinesh Vyas, Mayur Narayan, Arpita Vyas
Trauma-related injury in fast developing countries are linked to 90% of international mortality rates, which can be greatly reduced by improvements in often non-existent or non-centralized emergency medical systems (EMS)-particularly in the pre-hospital care phase. Traditional trauma training protocols-such as Advanced Trauma Life Support (ATLS), International Trauma Life Support (ITLS), and Basic Life Support (BLS)-have failed to produce an effective pre-hospital ground force of medical first responders. To overcome these barriers, we propose a new four-tiered set of trauma training protocols: Massive Open Online Course (MOOC) Trauma Training, Acute Trauma Training (ATT), Broad Trauma Training (BTT), and Cardiac and Trauma Training (CTT)...
December 2015: American Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27400164/influence-of-silver-hydroxyapatite-nanocomposite-coating-on-biofilm-formation-of-joint-prosthesis-and-its-mechanism
#14
L Zhao, M A Ashraf
Background: The main reason for biomaterial related refractory infections is biofilm formation caused by bacterial adhesion on the surface of materials. Silver-hydroxyapatite (Ag/HA) nanocomposite coating can inhibit the formation of biofilm, but its mechanism is not clear. Material and method: In order to clarify the mechanism, the amounts of biofilm on the Ag/HA composite coating and HA coating were determined, the release rates of silver nanoparticles in simulated body fluid (SBF) were detected by atomic absorption spectrometry, and the expression values of atlE, fbe, sap, iapB genes of Staphylococcus aureus were studied when they grew on Ag/HA composite coating and HA coating...
December 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/27331063/objective-structured-clinical-examination-osce-based-assessment-of-the-advanced-trauma-life-support-atls-course-in-iran
#15
Hamid Reza Abbasi, Mitra Amini, Shahram Bolandparvaz, Shahram Paydar, Jameel Ali, Sepideh Sefidbakht
OBJECTIVE: To evaluate the effect of advance trauma life support (ATLS®) training on general surgery residents clinical reasoning skills using the national boards-style objective structured clinical examination (OSCE). METHODS: This cross-sectional single-center study was conducted in Shiraz University of Medical Sciences including 51 surgery residents that participated in a mandatory national board style OSCE between May 2014 and May 2015. OSCE scores of two groups of general surgery residents including 23 ATLS® trained and 28 non-ATLS® trained were compared using Mann-Whitney U test...
April 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27099456/development-of-a-robotic-assembly-for-analyzing-the-instantaneous-axis-of-rotation-of-the-foot-ankle-complex
#16
Kelly N Salb, Daniel M Wido, Thomas E Stewart, Denis J DiAngelo
Ankle instantaneous axis of rotation (IAR) measurements represent a more complete parameter for characterizing joint motion. However, few studies have implemented this measurement to study normal, injured, or pathological foot ankle biomechanics. A novel testing protocol was developed to simulate aspects of in vivo foot ankle mechanics during mid-stance gait in a human cadaveric specimen. A lower leg was mounted in a robotic testing platform with the tibia upright and foot flat on the baseplate. Axial tibia loads (ATLs) were controlled as a function of a vertical ground reaction force (vGRF) set at half body weight (356 N) and a 50% vGRF (178 N) Achilles tendon load...
2016: Applied Bionics and Biomechanics
https://www.readbyqxmd.com/read/26929890/trauma-boot-camp-a-simulation-based-pilot-study
#17
Fabiana Ortiz Figueroa, Yasmin Moftakhar, Arthur L Dobbins Iv, Ramisha Khan, Rahul Dasgupta, Rachel Blanda, Tiffany Marchand, Rami Ahmed
INTRODUCTION: Interns are often unprepared to effectively communicate in the acute trauma setting. Despite the many strengths of the Advanced Trauma Life Support (ATLS) program, the main shortcoming within the course is the deficiency of teamwork and leadership training. In this study, we describe the creation of an interdisciplinary boot camp in which interns' basic trauma knowledge, level of confidence, and teamwork skills are assessed. METHODS: We designed a one-day, boot camp curriculum for interns of various specialties with the purpose of improving communication and teamwork skills for effective management of acute trauma patients...
2016: Curēus
https://www.readbyqxmd.com/read/26815450/does-atls-trauma-training-fit-into-western-countries-evaluation-of-the-first-8%C3%A2-years-of-atls-in-germany
#18
M Muenzberg, T Paffrath, G Matthes, L Mahlke, B Swartman, M Hoffman, R Lefering, C G Wölfl
BACKGROUND: With over 2 million certified physicians worldwide, the Advanced Trauma Life Support (ATLS) program is one of the most successful international medical education programs. Germany joined the ATLS program in 2003. Before implementation of the program, there was a controversial discussion as to whether a country like Germany with a long history of trauma care needed ATLS at all. 197 courses with nearly 3,000 providers were performed until December 2010. AIM: We assessed the course evaluations since the implementation of ATLS in Germany using the participants' systematic feedback...
October 2013: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26647169/comparison-of-windowing-effects-on-elastography-images-simulation-phantom-and-in-vivo-studies
#19
COMPARATIVE STUDY
Rifat Ahmed, Rishad Arfin, Monir Hossan Rubel, Kazi Khairul Islam, Congxian Jia, Dimitris Metaxas, Brian S Garra, S Kaisar Alam
In this paper, we have evaluated the use of smooth windows for ultrasound elastography. In ultrasound elastography, local tissue strain is estimated using operations such as cross-correlation on local segments of RF data. In this process, local data segments are selected by multiplying the RF data by a rectangular window. Such data truncation causes non-ideal spectral behavior, which can be mitigated by using smooth windows. Accordingly, we hypothesize that the use of smooth windows may improve the elastographic signal-to-noise ratio (SNRe) and contrast-to-noise ratio (CNRe) of strain images...
March 2016: Ultrasonics
https://www.readbyqxmd.com/read/26607244/enhanced-muscular-oxygen-extraction-in-athletes-exaggerates-hypoxemia-during-exercise-in-hypoxia
#20
Ruud Van Thienen, Peter Hespel
High rate of muscular oxygen utilization facilitates the development of hypoxemia during exercise at altitude. Because endurance training stimulates oxygen extraction capacity, we investigated whether endurance athletes are at higher risk to developing hypoxemia and thereby acute mountain sickness symptoms during exercise at simulated high altitude. Elite athletes (ATL; n = 8) and fit controls (CON; n = 7) cycled for 20 min at 100 W (EX100W), as well as performed an incremental maximal oxygen consumption test (EXMAX) in normobaric hypoxia (0...
February 1, 2016: Journal of Applied Physiology
keyword
keyword
107052
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"