keyword
https://read.qxmd.com/read/38531327/delivery-room-resuscitation-of-infants-with-congenital-diaphragmatic-hernia-lessons-learned-through-video-review
#1
JOURNAL ARTICLE
K Taylor Wild, Natalie Rintoul, Holly L Hedrick, Lauren Heimall, Leane Soorikian, Elizabeth E Foglia, Anne M Ades, Heidi M Herrick
INTRODUCTION: Delivery room (DR) interventions for infants with congenital diaphragmatic hernia (CDH) are not well described. This study sought to describe timing and order of DR interventions and identify system factors impacting CDH DR resuscitations using a human factors framework. METHODS: Single center observational study of video recorded CDH DR resuscitations documenting timing and order of interventions. The team used the Systems Engineering Initiative for Patient Safety (SEIPS) model to identify system factors impacting DR resuscitations and time to invasive ventilation...
March 26, 2024: Fetal Diagnosis and Therapy
https://read.qxmd.com/read/38531213/quantifying-emergency-department-nursing-workload-at-the-task-level-using-nasa-tlx-an-exploratory-descriptive-study
#2
JOURNAL ARTICLE
Sookyung Park, Junsang Yoo, Yerim Lee, Pamela Baker DeGuzman, Min-Jeoung Kang, Patricia C Dykes, So Yeon Shin, Won Chul Cha
BACKGROUND: Emergency departments (ED) nurses experience high mental workloads because of unpredictable work environments; however, research evaluating ED nursing workload using a tool incorporating nurses' perception is lacking. Quantify ED nursing subjective workload and explore the impact of work experience on perceived workload. METHODS: Thirty-two ED nurses at a tertiary academic hospital in the Republic of Korea were surveyed to assess their subjective workload for ED procedures using the National Aeronautics and Space Administration Task Load Index (NASA-TLX)...
March 25, 2024: International Emergency Nursing
https://read.qxmd.com/read/38520468/intraoperative-takotsubo-cardiomyopathy-a-case-report
#3
JOURNAL ARTICLE
Fahri Cakan, Mehmet A Say, Adem Adar
Takotsubo cardiomyopathy (TTC) is a rare condition associated with transient akinesia of apical segments and hyperkinesia of basal segments of the heart. Although several mechanisms have been proposed to cause direct and indirect myocardial damage owing to catecholamine excess, the underlying pathophysiology remains unknown. An 18-year-old female was referred to our otorhinolaryngology outpatient clinic for a septorhinoplasty. Apart from the fear of surgery, the patient had no other health issues. After the administration of local anesthesia (lidocaine and epinephrine mix), tachycardia storms occurred and soon ended with cardiac collapse...
March 21, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38504967/multidisciplinary-simulation-for-blunt-and-penetrating-pediatric-trauma-utilizing-standard-and-rapid-cycle-deliberate-practice-models
#4
JOURNAL ARTICLE
Erin B Henkel, Daniel Lemke, Daniel Rubalcava, Bindi Naik-Mathuria, Katherine M Gautreaux, Jeannie Eggers, Cara Doughty
INTRODUCTION: Pediatric trauma resuscitations are low-frequency, high-stakes events that require skilled multidisciplinary teams with strong medical knowledge and communication skills. METHODS: This pediatric trauma simulation training session included two cases and formats. The first case was designed in a traditional format and featured a 12-month-old child with inflicted blunt head and abdominal trauma. The second case was organized in successive rounds utilizing the rapid cycle deliberate practice (RCDP) model and featured an 18-month-old with gunshot wounds to the abdomen and chest...
2024: MedEdPORTAL Publications
https://read.qxmd.com/read/38495332/validity-and-reliability-of-the-turkish-version-of-the-difficult-intravenous-access-scale-for-adult-patients
#5
JOURNAL ARTICLE
Oğuzhan Taşkın, Elif Günay İsmailoğlu
BACKGROUND: Difficult intravenous access is a condition that decreases the first-attempt success rate of intravenous catheterisation. It is important to evaluate patients with difficult vascular access using a standardised scale. This study was carried out to establish the Turkish validity and reliability of the 'Adult Difficult Intravenous Access Scale'. METHODS: The methodological descriptive study was carried out in the Adult Emergency Department. The research sample consisted of 100 patients over 18 years of age, who were conscious, whose condition was not critical or who did not require resuscitation...
February 2024: Journal of Research in Nursing: JRN
https://read.qxmd.com/read/38491434/utilizing-the-national-early-warning-score-2-news2-to-confirm-the-impact-of-emergency-department-management-in-sepsis-patients-a-cohort-study-from-taiwan-1998-2020
#6
JOURNAL ARTICLE
Ming-Shun Hsieh, Kuan-Chih Chiu, Amrita Chattopadhyay, Tzu-Pin Lu, Shu-Hui Liao, Chia-Ming Chang, Yi-Chen Lee, Wei-En Lo, Vivian Chia-Rong Hsieh, Sung-Yuan Hu, Chorng-Kuang How
BACKGROUND: Most sepsis patients could potentially experience advantageous outcomes from targeted medical intervention, such as fluid resuscitation, antibiotic administration, respiratory support, and nursing care, promptly upon arrival at the emergency department (ED). Several scoring systems have been devised to predict hospital outcomes in sepsis patients, including the Sequential Organ Failure Assessment (SOFA) score. In contrast to prior research, our study introduces the novel approach of utilizing the National Early Warning Score 2 (NEWS2) as a means of assessing treatment efficacy and disease progression during an ED stay for sepsis...
March 15, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38486281/nurses-motivation-for-performing-cardiopulmonary-resuscitation-a-cross-sectional-study
#7
JOURNAL ARTICLE
Mozhdeh Najafi, Safoura Yadollahi, Mahboobeh Maghami, Ismail Azizi-Fini
BACKGROUND: Nurse motivation can have a significant impact on the quality of cardiopulmonary resuscitation and the patients' survival. Therefore, the present study aimed to examine nurses' motivation for performing cardiopulmonary resuscitation. METHODS: This cross-sectional study focused on 217 nurses in a teaching hospital in Iran, in 2023. A random sample of nurses was selected from four hospital departments (emergency, critical care, medical, and surgery). These nurses completed the demographic information and motivation for cardiopulmonary resuscitation questionnaires...
March 15, 2024: BMC Nursing
https://read.qxmd.com/read/38472005/consumer-focus-group-testing-with-stakeholders-to-generate-an-enteral-resuscitation-training-flipbook-for-primary-health-center-and-first-level-hospital-providers-in-nepal
#8
JOURNAL ARTICLE
Stephanie Francalancia, Kajal Mehta, Raslina Shrestha, Diwakar Phuyal, Das Bikash, Manish Yadav, Kiran Nakarmi, Shankar Rai, Sam Sharar, Barclay T Stewart, Gary Fudem
INTRODUCTION: Enteral resuscitation (EResus) is operationally advantageous to intravenous resuscitation for burn-injured patients in some low-resource settings. However, there is minimal guidance and no training materials for EResus tailored to non-burn care providers. We aimed to develop and consumer-test a training flipbook with doctors and nurses in Nepal to aid broader dissemination of this life-saving technique. MATERIALS AND METHODS: We used individual cognitive interviews with Nepali (n = 12) and international (n = 4) burn care experts to define key elements of EResus and specific concepts for its operationalization at primary health centers and first-level hospitals in Nepal...
February 15, 2024: Burns
https://read.qxmd.com/read/38470258/user-needs-and-factors-associated-with-the-acceptability-of-audiovisual-feedback-devices-for-chest-compression-monitoring-in-cardiopulmonary-resuscitation
#9
JOURNAL ARTICLE
Desale Tewelde Kahsay, Sanna Salanterä, Miretta Tommila, Tanja Liukas, Riitta Rosio, Abigail Kusi-Amponsah Diji, Laura-Maria Peltonen
The use of audiovisual feedback devices to guide the quality of chest compressions during cardiopulmonary resuscitation has increased in recent years. Audiovisual feedback devices can be classified as integrated (eg, Zoll AED Plus defibrillator) or standalone (eg, CPRmeter). This study aimed to explore users' needs and factors affecting the acceptability of audiovisual feedback devices. Semistructured interviews were conducted with healthcare professionals involved in lifesaving activities. The Unified Theory of Acceptance and Use of Technology was used as a theoretical framework for the study...
March 12, 2024: Computers, Informatics, Nursing: CIN
https://read.qxmd.com/read/38466064/enhancing-the-efficacy-of-emergency-care-pathways-in-the-management-of-stroke-patients
#10
JOURNAL ARTICLE
Yujuan Han, Maling Xiang, Lingling Wang, Ningning Dai
BACKGROUND: The rising incidence of emergency stroke cases emphasizes the need for refining care strategies. This study addresses this critical need to assess the effectiveness of optimized emergency care pathways for improving patient outcomes. OBJECTIVE: This study evaluates the efficacy of optimized emergency care pathways for stroke patients in emergency situations. METHODS: A total of 60 emergency stroke cases admitted to our hospital between June 2020 and June 2022 were included...
March 8, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38461711/risk-factors-for-neurological-disability-outcomes-in-patients-under-extracorporeal-membrane-oxygenation-following-cardiac-arrest-an-observational-study
#11
JOURNAL ARTICLE
Amir Vahedian-Azimi, Ibrahim Fawzy Hassan, Farshid Rahimi-Bashar, Hussam Elmelliti, Anzila Akbar, Ahmed Labib Shehata, Abdulsalam Saif Ibrahim, Ali Ait Hssain
OBJECTIVES: This study aimed to identify factors associated with neurological and disability outcomes in patients who underwent ECMO following cardiac arrest. METHODS: This retrospective, single-center, observational study included adult patients who received ECMO treatment for in-hospital cardiac arrest (IHCA) or out-of-hospital cardiac arrest (OHCA) between February 2016 and March 2020. Factors associated with neurological and disability outcomes in these patients who underwent ECMO were assessed...
March 9, 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38461591/exploring-nurses-experiences-of-performing-basic-life-support-in-hospital-wards-an-inductive-thematic-analysis
#12
JOURNAL ARTICLE
J Dermer, S James, C Palmer, J Craft, M Christensen
AIM: The aim of this study was to undertake an in-depth exploration of the lived experiences of in-hospital, non-intensive care, ward-based nurses' experiences of real-life CPR events. BACKGROUND: There is growing evidence suggesting that may nurses not be able to successfully perform in a cardiac arrest situation. Reasons include a lack of clear leadership at the arrest, performance anxiety, role confusion and knowledge and skill degradation over time. METHODS: In-depth semi-structured interviews were conducted with fifteen ward-based hospital nurses from three hospitals...
February 26, 2024: Nurse Education in Practice
https://read.qxmd.com/read/38453302/resuscitation-and-care-in-the-trauma-bay
#13
REVIEW
Jan-Michael Van Gent, Thomas W Clements, Bryan A Cotton
Start balanced resuscitation early (pre-hospital if possible), either in the form of whole blood or 1:1:1 ratio. Minimize resuscitation with crystalloid to minimize patient morbidity and mortality. Trauma-induced coagulopathy can be largely avoided with the use of balanced resuscitation, permissive hypotension, and minimized time to hemostasis. Using protocolized "triggers" for massive and ultramassive transfusion will assist in minimizing delays in transfusion of products, achieving balanced ratios, and avoiding trauma induced coagulopathy...
April 2024: Surgical Clinics of North America
https://read.qxmd.com/read/38452799/effects-of-communication-team-training-on-clinical-competence-in-korean-advanced-life-support-a-randomized-controlled-trial
#14
JOURNAL ARTICLE
Soyeon Yun, Hyeoun-Ae Park, Sang-Hoon Na, Hee Je Yun
We conducted a randomized controlled trial to study the effects of interprofessional communication team training on clinical competence in the Korean Advanced Life Support provider course using a team communication framework. Our study involved 73 residents and 42 nurses from a tertiary hospital in Seoul. The participants were randomly assigned to the intervention or control group, forming 10 teams per group. The intervention group underwent interprofessional communication team training with a cardiac arrest simulation and standardized communication tools...
March 2024: Nursing & Health Sciences
https://read.qxmd.com/read/38450477/status-and-future-directions-for-balloon-pulmonary-angioplasty-in-chronic-thromboembolic-pulmonary-disease-with-and-without-pulmonary-hypertension-a-scientific-statement-from-the-american-heart-association
#15
REVIEW
Vikas Aggarwal, Jay Giri, Scott H Visovatti, Ehtisham Mahmud, Hiromi Matsubara, Michael Madani, Frances Rogers, Deepa Gopalan, Kenneth Rosenfield, Vallerie V McLaughlin
Balloon pulmonary angioplasty continues to gain traction as a treatment option for patients with chronic thromboembolic pulmonary disease with and without pulmonary hypertension. Recent European Society of Cardiology guidelines on pulmonary hypertension now give balloon pulmonary angioplasty a Class 1 recommendation for inoperable and residual chronic thromboembolic pulmonary hypertension. Not surprisingly, chronic thromboembolic pulmonary hypertension centers are rapidly initiating balloon pulmonary angioplasty programs...
March 7, 2024: Circulation
https://read.qxmd.com/read/38450048/building-capacity-for-atls-trauma-education-role-of-nurse-practitioners-and-physician-assistants
#16
JOURNAL ARTICLE
Julie A Dunn, Alysia Wiley, Kim McFann, Craig Baumgartner, Brad Chernock, Jeannette Capella, Catherine Wilson, Melanie Hallman, Dennis Taylor, John Sutyak, Theresa Campo, Tim Thorton, Travis Polk
OBJECTIVES: Advanced Trauma Life Support (ATLS) focuses on care of injured patients in the first hour of resuscitation. Expanded demand for courses has led to a concurrent need for new instructors. Nurse practitioners and physician assistants (NPs/PAs) work on trauma services and duties include patient, staff, and outreach education. The goal of this project was to assess NP/PA self-reported knowledge and skills pertinent to ATLS and identify potential barriers to becoming instructors...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38443360/community-based-palliative-care-in-two-primary-care-settings-nursing-homes-and-home-care-a-national-survey
#17
JOURNAL ARTICLE
Mette Raunkiaer, Tina B Mikkelsen, Jahan Shabnam, Sofie R Christiansen, Lene Jarlbaek
AIMS: Based on selected themes from a national survey, the study aims to describe and analyse similarities and differences in community-based palliative care provided to people living at home in two different care settings - the nursing home setting and the home care setting. METHODS: Responses from four palliative care themes covered by a national survey sent to 717 managers in municipality-based care units were used. The themes were: (a) target groups in palliative care; (b) wishes for end-of-life care; (c) tools/guidelines in palliative care; and (d) palliative care provided to relatives...
March 5, 2024: Scandinavian Journal of Public Health
https://read.qxmd.com/read/38438893/comparison-of-gamification-and-role-playing-education-on-nursing-students-cardiopulmonary-resuscitation-self-efficacy
#18
JOURNAL ARTICLE
Ata Khaledi, Raziyeh Ghafouri, Sima Zohari Anboohi, Malihe Nasiri, Mohsen Ta'atizadeh
BACKGROUND: Cardiopulmonary resuscitation (CPR) is one of the most fundamental skills a nursing student should be trained in. Gamification in education involves using game elements to increase motivation, engagement, and personalization of the learning process. The gamification method creates competition among students using various methods, comparing to the role-playing method which is a teaching method that allows individuals to actively engage in simulated scenarios. Therefore, this research aimed to compare the effect of CPR education using gamification and role-playing on the self-efficacy of nursing students...
March 4, 2024: BMC Medical Education
https://read.qxmd.com/read/38433187/critical-care-nurses-experiences-of-caring-challenges-during-post-resuscitation-period-a-qualitative-content-analysis
#19
JOURNAL ARTICLE
Mahnaz Zali, Azad Rahmani, Hadi Hassankhani, Hossein Namdar-Areshtanab, Neda Gilani, Arman Azadi, Mansour Ghafourifard
BACKGROUND: Patients in the post-resuscitation period experience critical conditions and require high-quality care. Identifying the challenges that critical care nurses encounter when caring for resuscitated patients is essential for improving the quality of their care. AIM: This study aimed to identify the challenges encountered by critical care nurses in providing care during the post-resuscitation period. METHODS: A qualitative study was conducted using semi-structured interviews...
March 3, 2024: BMC Nursing
https://read.qxmd.com/read/38426794/identifying-avoidable-causes-of-perinatal-deaths-in-a-district-hospital-in-lesotho
#20
JOURNAL ARTICLE
Rose Nonyane, Emmerentia Du Plessis, Jeannette Clase
BACKGROUND:  Certain determinants can be associated with avoidable perinatal deaths, and audits are needed to establish what these determinants are, and what can be done to prevent such deaths. OBJECTIVES:  The study aimed at identifying and describing determinants associated with avoidable perinatal deaths at a district hospital in Lesotho and strategies to curb their occurrence. METHOD:  A retrospective descriptive study was conducted using 142 anonymised obstetric records from January 2018 to December 2020...
February 29, 2024: Curationis
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