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CPR While moving

Roberto Barcala-Furelos, Cristian Abelairas-Gomez, Jose Palacios-Aguilar, Ezequiel Rey, Javier Costas-Veiga, Sergio Lopez-Garcia, Antonio Rodriguez-Nunez
PURPOSE: Drowning is a high-priority public health problem around the world. The European Resuscitation Council Guidelines for Resuscitation 2015 put special emphasis on special environments like open waters. Stopping the drowning process as soon as possible and starting an early cardiopulmonary resuscitation (CPR) improve survival. Inflatable rescue boats (IRBs) are used around the world in the water rescue of drowning victims. Our objective was to test the quality of CPR performed by surf-lifeguards while sailing on an IRB...
June 2017: Emergency Medicine Journal: EMJ
Ishita Ganguly, Aparna Singh, Shilpa Bhandari, Pallavi Agrawal, Nitika Gupta
Introduction . Aim of the study was to find the effect of various prognostic factors in cases of unexplained infertility undergoing controlled ovarian stimulation (COS) with intrauterine insemination (IUI). Methods . 146 cases of unexplained infertility were included. A maximum of 3 cycles of IUI were done with clomiphene citrate/HMG. Ovulation trigger was given when the largest follicle diameter was >18 mm, and IUI was planned 36 hours later. Luteal phase support was given for 15 days, urine pregnancy test was done on day 15, ultrasonography was done at 7 weeks, and pregnancy was followed up till delivery...
2016: International Journal of Reproductive Medicine
Ariane Plaisance, Holly O Witteman, Daren Keith Heyland, Mark H Ebell, Audrey Dupuis, Carole-Anne Lavoie-Bérard, France Légaré, Patrick Michel Archambault
BACKGROUND: Cardiopulmonary resuscitation (CPR) is an intervention used in cases of cardiac arrest to revive patients whose heart has stopped. Because cardiac arrest can have potentially devastating outcomes such as severe neurological deficits even if CPR is performed, patients must be involved in determining in advance if they want CPR in the case of an unexpected arrest. Shared decision making (SDM) facilitates discussions about goals of care regarding CPR in intensive care units (ICUs)...
2016: JMIR Research Protocols
Ali Maleki, Negin Rashidi, Hamidreza Aghaei Meybodi, Mahdi Montazeri, Mohammad Montazeri, Farid Falsafi, Reza Ghanavati, Saeid Forughi, Farshid Alyari
BACKGROUND: There is evidence that inflammation may be involved in pathogenesis of MetS. Inflammatory biomarkers are moving to the forefront as the potent predictors of MetS. OBJECTIVES: The present study aimed to evaluate the association between MetS and some inflammatory biomarkers. PATIENTS AND METHODS: This community-based cross-sectional study was conducted on 800 subjects aged above 35 years selected through random sampling in Borujerd (west of Iran) from 2011 to 2013...
December 2014: International Cardiovascular Research Journal
Mikkel T Steinberg, Jan-Aage Olsen, Cathrine Brunborg, David Persse, Fritz Sterz, Michael Lozano, Marc A Brouwer, Mark Westfall, Chris M Souders, Pierre M van Grunsven, David T Travis, E Brooke Lerner, Lars Wik
BACKGROUND: Guidelines recommend 2min of CPR after defibrillation attempts followed by ECG analysis during chest compression pause. This pause may reduce the likelihood of return of spontaneous circulation (ROSC) and survival. We have evaluated the possibility of analysing the rhythm earlier in the CPR cycle in an attempt to replace immediate pre-shock rhythm analysis. METHODS AND RESULTS: The randomized Circulation Improving Resuscitation Care (CIRC) trial included patients with out of hospital cardiac arrest of presumed cardiac aetiology...
February 2015: Resuscitation
Hualan Liu, Kristin D McCord, Jonathon Howarth, David L Popham, Roderick V Jensen, Stephen B Melville
Clostridium perfringens is a Gram-positive anaerobic pathogen of humans and animals. Although they lack flagella, C. perfringens bacteria can still migrate across surfaces using a type of gliding motility that involves the formation of filaments of bacteria lined up in an end-to-end conformation. In strain SM101, hypermotile variants are often found arising from the edges of colonies on agar plates. Hypermotile cells are longer than wild-type cells, and video microscopy of their gliding motility suggests that they form long, thin filaments that move rapidly away from a colony, analogously to swarmer cells in bacteria with flagella...
July 2014: Journal of Bacteriology
Ning-Ping Foo, Jer-Hao Chang, Shih-Bin Su, Hung-Jung Lin, Kow-Tong Chen, Ching-Fa Cheng, Tsung-Yi Lin, Pei-Chung Chen, How-Ran Guo
BACKGROUND: The quality of cardiopulmonary resuscitation (CPR) during ambulance transportation is suboptimal, and therefore measures that can improve the quality are desirable. PURPOSE: To evaluate whether the use of a stabilization device can improve the quality of CPR during ambulance transportation. METHODS: This randomized controlled crossover trial enrolled 22 experienced ambulance officers. Each participant performed CPR in an ambulance under three conditions with 72 h apart, each condition for 10 min: non-moving (NM), moving without device (MND), and moving with device (MD)...
November 2013: Resuscitation
Steven S Lipman, Jocelyn Y Wong, Julie Arafeh, Sheila E Cohen, Brendan Carvalho
BACKGROUND: The purpose of this study was to compare cardiopulmonary resuscitation (CPR) for simulated maternal cardiac arrest rendered during transport to the operating room with that rendered while stationary in the labor room. We hypothesized that the quality of CPR would deteriorate during transport. METHODS: Twenty-six teams composed of 2 providers (obstetricians, nurses, or anesthesiologists) were randomized to perform CPR on the Laerdal Resusci Anne SkillReporter™ mannequin during transport or while stationary...
January 2013: Anesthesia and Analgesia
John A Kim, Douglas Vogel, Guy Guimond, David Hostler, Henry E Wang, James J Menegazzi
BACKGROUND: Recent studies have demonstrated that cardiopulmonary resuscitation (CPR) of poor quality is associated with worsened outcomes. OBJECTIVE: To compare the quality of CPR delivered on the floor with the quality of CPR delivered on a moving stretcher. The authors hypothesized that CPR performed on the floor would be superior to that performed on a moving stretcher. METHODS: A randomized, crossover experimental design was used. Subjects included emergency medical technician students, paramedic students, and emergency medicine residents...
January 2006: Prehospital Emergency Care
C Beattie, A D Guerci, T Hall, A M Borkon, W Baumgartner, R S Stuart, J Peters, H Halperin, J L Robotham
Mechanisms of blood flow during cardiopulmonary resuscitation (CPR) were studied in a canine model with implanted mitral and aortic flow probes and by use of cineangiography. Intrathoracic pressure (ITP) fluctuations were induced by a circumferential pneumatic vest, with and without simultaneous ventilation, and by use of positive-pressure ventilation alone. Vascular volume and compression rate were altered with each CPR mode. Antegrade mitral flow was interpreted as left ventricular (LV) inflow, and antegrade aortic flow was interpreted as LV outflow...
January 1991: Journal of Applied Physiology
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