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https://www.readbyqxmd.com/read/29469616/prehospital-echocardiography-during-resuscitation-impacts-treatment-in-a-physician-staffed-helicopter-emergency-medical-service-an-observational-study
#1
Rein Ketelaars, Christian Beekers, Geert-Jan Van Geffen, Gert Jan Scheffer, Nico Hoogerwerf
BACKGROUND: Patients in cardiac arrest must receive algorithm-based management such as basic life support and advanced (cardiac) life support. International guidelines dictate diagnosing and treating any factor that may have caused the arrest or may be complicating the resuscitation. Ultrasound may be of potential value in this process and can be used in a prehospital setting. The objective is to evaluate the use of prehospital ultrasound during traumatic and non-traumatic CPR and determine its impact on prehospital treatment decisions in a Dutch helicopter emergency medical service (HEMS)...
February 22, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29464213/effect-of-initial-lactate-level-on-short-term-survival-in-patients-with-out-of-hospital-cardiac-arrest
#2
Tuba Sarıaydın, Şeref Kerem Çorbacıoğlu, Yunsur Çevik, Emine Emektar
Purpose: This study evaluated whether serum lactate levels (SLL) at admission in patients with cardiac arrest (CA) can predict successful return of spontaneous circulation (ROSC) or short-term survival, especially within the first 24 h. Materials and methods: This prospective, observational study was conducted in the emergency department (ED) of a training and research hospital from April 2015 through February 2016. It included all patients older than 18 years who presented to the ED during the study period with non-traumatic out-of-hospital cardiac arrest (OHCA)...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29455310/germans-learn-how-to-save-lives-a-nationwide-cpr-education-initiative
#3
Manuela Malsy, Richard Leberle, Bernhard Graf
BACKGROUND: Sudden cardiac death is one of the most frequent causes of death in Germany and the third leading cause of death in the industrialized world. Yet, the percentage of people providing first aid in the case of sudden cardiac arrest in Germany is alarmingly low by international comparison. Training Germans or reminding them of the simple but effective steps of resuscitation, so that everybody can save a live in an emergency. METHODS: For the campaign 'Resuscitation Week', physicians and paramedics trained passers-by in cardiovascular resuscitation free of charge...
February 17, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29447297/development-of-a-decision-aid-for-cardiopulmonary-resuscitation-and-invasive-mechanical-ventilation-in-the-intensive-care-unit-employing-user-centered-design-and-a-wiki-platform-for-rapid-prototyping
#4
Ariane Plaisance, Holly O Witteman, Annie LeBlanc, Jennifer Kryworuchko, Daren Keith Heyland, Mark H Ebell, Louisa Blair, Diane Tapp, Audrey Dupuis, Carole-Anne Lavoie-Bérard, Carrie Anna McGinn, France Légaré, Patrick Michel Archambault
BACKGROUND: Upon admission to an intensive care unit (ICU), all patients should discuss their goals of care and express their wishes concerning life-sustaining interventions (e.g., cardiopulmonary resuscitation (CPR)). Without such discussions, interventions that prolong life at the cost of decreasing its quality may be used without appropriate guidance from patients. OBJECTIVES: To adapt an existing decision aid about CPR to create a wiki-based decision aid individually adapted to each patient's risk factors; and to document the use of a wiki platform for this purpose...
2018: PloS One
https://www.readbyqxmd.com/read/29445716/a-study-on-performance-and-safety-tests-of-defibrillator-equipment
#5
A Tavakoli Golpaygani, M M Movahedi, M Reza
Introduction: Nowadays, more than 10,000 different types of medical devices can be found in hospitals. This way, medical electrical equipment is being employed in a wide variety of fields in medical sciences with different physiological effects and measurements. Hospitals and medical centers must ensure that their critical medical devices are safe, accurate, reliable and operational at the required level of performance. Defibrillators are critical resuscitation devices. The use of reliable defibirillators has led to more effective treatments and improved patient safety through better control and management of complications during Cardiopulmonary Resuscitation (CPR)...
December 2017: Journal of Biomedical Physics & Engineering
https://www.readbyqxmd.com/read/29437700/-please-don-t-die-a-grounded-theory-study-of-bystander-cardiopulmonary-resuscitation
#6
Justin Mausz, Paul Snobelen, Walter Tavares
BACKGROUND: Bystander cardiopulmonary resuscitation (CPR) is an important determinant of survival from out-of-hospital cardiac arrest (OHCA), yet rates of bystander CPR are highly variable. In an effort to promote bystander CPR, the procedure has been streamlined, and ultrashort teaching modalities have been introduced. CPR has been increasingly reconceptualized as simple, safe, and easy to perform; however, current methods of CPR instruction may not adequately prepare lay rescuers for the various logistical, conceptual, and emotional challenges of resuscitating a victim of cardiac arrest...
February 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29430575/knowledge-and-attitude-of-singapore-schoolchildren-learning-cardiopulmonary-resuscitation-and-automated-external-defibrillator-skills
#7
Phek Hui Jade Kua, Alexander E White, Wai Yee Ng, Stephanie Fook-Chong, Eileen Kai Xin Ng, Yih Yng Ng, Marcus Eng Hock Ong
INTRODUCTION: Victims of out-of-hospital cardiac arrests require timely cardiopulmonary resuscitation (CPR) and early defibrillation. Persons making the call to emergency medical services will be asked to provide dispatcher-guided response until an ambulance arrives. Knowing what to expect in such circumstances should reduce both delay and confusion. METHODS: We conducted this study among schoolchildren aged 11-17 years using ten-item pre- and post-training surveys...
February 12, 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29423789/do-trained-reproductive-endocrinologists-perform-better-than-their-trainees-comparing-clinical-pregnancy-rates-and-live-birth-rates-after-transfer-of-single-fresh-blastocysts
#8
Sadikah Behbehani, Joseph Hasson, Stefano Polesello, W Y Son, Togas Tulandi, William Buckett
PURPOSE: To compare clinical pregnancy rates and live birth rates of single blastocyst transfers performed by attending physicians or fellows in reproductive endocrinology and infertility program. METHODS: Retrospective study in an academic reproductive center. We evaluated 932 fresh single blastocyst transfer cycles performed by fellows in training (389 embryo transfers) and by attending physicians (543 embryo transfers). RESULTS: There were no differences in the baseline characteristics and IVF cycle parameters between patients who had transfers performed by fellows or attending physicians...
February 9, 2018: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/29410061/us-cab-protocol-for-ultrasonographic-evaluation-during-cardiopulmonary-resuscitation-validation-and-potential-impact
#9
Wan-Ching Lien, Shu-Hsien Hsu, Kah-Meng Chong, Shyh-Shyong Sim, Meng-Che Wu, Wei-Tien Chang, Cheng-Chung Fang, Matthew Huei-Ming Ma, Shyr-Chyr Chen, Wen-Jone Chen
BACKGROUND: We previously developed a US-CAB protocol for evaluation of circulatory-airway-breathing status during cardiopulmonary resuscitation (CPR). This study aimed at validating its application in real CPR scenarios and the potential impact on CPR outcomes. METHODS: The US-CAB protocol was implemented at the emergency department of National Taiwan University Hospital since January 2016. The US images, initiation time and operation duration of each US-CAB procedure, and relevant CPR information were recorded for analysis...
February 1, 2018: Resuscitation
https://www.readbyqxmd.com/read/29409595/the-pediatric-resuscitative-thoracotomy-during-combat-operations-in-iraq-and-afghanistan-a-retrospective-cohort-study
#10
Steven G Schauer, Guyon J Hill, Richard E Connor, John S Oh, Michael D April
BACKGROUND: Combat zone trauma poses a unique set of challenges and injury patterns not seen in the civilian setting. The role of the pediatric resuscitative thoracotomy in combat zones remains unclear given a paucity of data regarding procedure outcomes in this setting. We compare outcomes among children in traumatic arrest undergoing resuscitative thoracotomy versus cardiopulmonary (CPR) resuscitation only. METHODS: We queried the Department of Defense Trauma Registry (DODTR) from 2007 to 2016 for all pediatric subjects that underwent a resuscitative thoracotomy or CPR in the prehospital or emergency department setting during operations in Iraq or Afghanistan...
January 31, 2018: Injury
https://www.readbyqxmd.com/read/29408717/a-smartphone-application-for-dispatch-of-lay-responders-to-out-of-hospital-cardiac-arrests
#11
Ellinor Berglund, Andreas Claesson, Per Nordberg, Therese Djärv, Peter Lundgren, Fredrik Folke, Sune Forsberg, Gabriel Riva, Mattias Ringh
BACKGROUND: Dispatch of lay volunteers trained in cardiopulmonary resuscitation (CPR) and equipped with automated external defibrillators (AEDs) may improve survival in cases of out-of-hospital cardiac arrest (OHCA). The aim of this study was to investigate the functionality and performance of a smartphone application for locating and alerting nearby trained laymen/women in cases of OHCA. METHODS: A system using a smartphone application activated by Emergency Dispatch Centres was used to locate and alert laymen/women to nearby suspected OHCAs...
January 31, 2018: Resuscitation
https://www.readbyqxmd.com/read/29408490/gender-aspects-in-cardiopulmonary-resuscitation-by-schoolchildren-a-systematic-review
#12
REVIEW
Simon-Richard Finke, Daniel C Schroeder, Hannes Ecker, Sabine Wingen, Jochen Hinkelbein, Wolfgang A Wetsch, Daniela Köhler, Bernd W Böttiger
AIM: Bystander CPR-rates are embarrassingly low in some European countries. To increase bystander CPR-rates, many different approaches are used; one of them is training of schoolchildren in CPR. Multiple authors investigated practical and theoretical CPR performance and demonstrated gender differences related to schoolchildren CPR. The objective was to elaborate gender aspects in practical and theoretical CPR-performance from the current literature to better address female and male students...
February 3, 2018: Resuscitation
https://www.readbyqxmd.com/read/29387622/knowledge-attitude-and-perceived-confidence-in-the-management-of-medical-emergencies-in-the-dental-office-a-survey-among-the-dental-students-and-interns
#13
Haifa Fahad Albelaihi, Athar Ibrahim Alweneen, Abeer Ettish, Faleh Ali Alshahrani
Aims and Objectives: Many situations in the dental office can provoke medical emergencies. Lack of training and inability to overcome the medical emergencies can lead to serious consequences and legal actions. The aim of the study is to investigate and assess the knowledge, attitude, and perceived confidence of dental students and interns in the management of medical emergency. Materials and Methods: A self-administered structured questionnaire was distributed to 153 of the undergraduate dental students and interns in Qassim province...
November 2017: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/29369963/comparison-of-cardiopulmonary-resuscitation-quality-between-standard-versus-telephone-basic-life-support-training-program-in-middle-aged-and-elderly-housewives-a-randomized-simulation-study
#14
Tae Han Kim, Yu Jin Lee, Eui Jung Lee, Young Sun Ro, KyungWon Lee, Hyeona Lee, Dayea Beatrice Jang, Kyoung Jun Song, Sang Do Shin, Helge Myklebust, Tonje SÖØraas Birkenes
INTRODUCTION: For cardiac arrests witnessed at home, the witness is usually a middle-aged or older housewife. We compared the quality of cardiopulmonary resuscitation (CPR) performance of bystanders trained with the newly developed telephone-basic life support (T-BLS) program and those trained with standard BLS (S-BLS) training programs. METHODS: Twenty-four middle-aged and older housewives without previous CPR education were enrolled and randomized into two groups of BLS training programs...
January 24, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29300273/self-confidence-and-level-of-knowledge-after-cardiopulmonary-resuscitation-training-in-14-to-18-year-old-schoolchildren-a-randomised-interventional-controlled-prospective-study-in-secondary-schools-in-germany
#15
Sabine Wingen, Daniel C Schroeder, Hannes Ecker, Susanne Steinhauser, Sibel Altin, Stephanie Stock, Alex Lechleuthner, Andreas Hohn, Bernd W Böttiger
BACKGROUND: Education of schoolchildren in cardiopulmonary resuscitation (CPR) is a strategic goal for improvement of bystander CPR in society. OBJECTIVE(S): The primary objective was to analyse the impact of CPR training on the resuscitation knowledge and self-confidence of secondary schoolchildren. In addition, independent predictors of improved CPR knowledge and self-confidence were investigated. DESIGN: Prospective, randomised-interventional controlled study...
January 2, 2018: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/29297195/the-impact-of-the-use-of-cprmeter-monitor-on-the-chest-compressions-quality-a-prospective-randomized-trial-cross-simulation
#16
Lukasz Iskrzycki, Jacek Smereka, Antonio Rodriguez-Nunez, Roberto Barcala Furelos, Cristian Abelarias Gomez, Halla Kaminska, Wojciech Wieczorek, Lukasz Szarpak, Klaudiusz Nadolny, Robert Galazkowski, Kurt Ruetzler, Jerzy Robert Ladny
BACKGROUND: Drowning is a common issue at many pools, beaches and seas all over the world. Lifeguards often act as bystanders and therefore, adequate training in high-quality CPR and use of adequate equipment by lifeguards is essential. The aim of this study was to evaluate the impact of the recently introduced CPRMeter (Laerdal, Stavanger, Norway) on quality of CPR, if used by moderately experienced CPR providers. In particular, we tested the hypothesis, that using the CPRMeter improves quality of chest compression by lifeguards compared to standard non-feedback CPR...
January 3, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29284836/cardiopulmonary-resuscitation-evaluation-of-knowledge-efficacy-and-retention-in-young-doctors-joining-postgraduation-program
#17
Vidhu Bhatnagar, Urvashi Tandon, Kavitha Jinjil, Deepak Dwivedi, S Kiran, Rohit Verma
Background: High-quality cardiopulmonary resuscitation (CPR) and rapid defibrillation the cornerstone for resuscitation from cardiac arrest and increase the incidence of return of spontaneous circulation. Regular CPR training imparted to health-care personnel increases knowledge and helps in skill enhancing. Aims: The aim of this study is to evaluate background knowledge, percentage improvement in the skills, and residual knowledge after a period of 6 months of postgraduate (PG) students as well as the efficacy of the designed teaching program for CPR...
October 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29279637/an-interventional-quality-improvement-study-to-assess-the-compliance-to-cardiopulmonary-resuscitation-documentation-in-an-indian-teaching-hospital
#18
Viraj Nevrekar, Prasan Kumar Panda, Naveet Wig, R M Pandey, Praveen Agarwal, Ashutosh Biswas
Background: Cardiopulmonary resuscitation (CPR) should be performed as per the international guidelines; however, compliance to these guidelines is difficult to assess. This study was conducted to determine the compliance to American Heart Association (2010) guideline on CPR documentation by among resident physicians before and after resident training (two arms). Methods: This pre-postinterventional quality improvement study was conducted in a referral center, North India...
November 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29278526/the-effects-of-flipped-learning-for-bystander-cardiopulmonary-resuscitation-on-undergraduate-medical-students
#19
Taizo Nakanishi, Tadahiro Goto, Taketsune Kobuchi, Tetsuya Kimura, Hiroyuki Hayashi, Yasuharu Tokuda
Objectives: To compare bystander cardiopulmonary resuscitation skills retention between conventional learning and flipped learning for first-year medical students. Methods: A post-test only control group design. A total of 108 participants were randomly assigned to either the conventional learning or flipped learning. The primary outcome measures of time to the first chest compression and the number of total chest compressions during a 2-minute test period 6 month after the training were assessed with the Mann-Whitney U test...
December 22, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/29276031/in-a-bed-or-on-the-floor-the-effect-of-realistic-hospital-resuscitation-training-a-randomised-controlled-trial
#20
Troels Mygind-Klausen, André Jæger, Camilla Hansen, Rasmus Aagaard, Lise Qvirin Krogh, Mette Amalie Nebsbjerg, Kristian Krogh, Bo Løfgren
INTRODUCTION: In-hospital cardiac arrest has a poor prognosis and often occurs in patients lying in a hospital bed. A bed mattress is a soft compressible surface that may decrease cardiopulmonary resuscitation (CPR) quality. Often hospital CPR training is performed with a manikin on the floor. AIM: To study CPR quality following realistic CPR training with a manikin in a bed compared with one on the floor. METHODS: We conducted a randomised controlled study...
December 13, 2017: American Journal of Emergency Medicine
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