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Video Resuscitation

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https://www.readbyqxmd.com/read/29879979/regular-in-situ-team-based-training-in-trauma-resuscitation-with-video-debriefing-enhances-confidence-and-clinical-efficiency
#1
Alexander Knobel, Daniel Overheu, Matthias Gruessing, Ingke Juergensen, Johannes Struewer
BACKGROUND: To assess the clinical impact of a regular, multidisciplinary, video debriefed training intervention for trauma team members on real trauma resuscitations. In addition, attending personnel evaluated the training program via questionnaire. METHODS: The training intervention is a regular (monthly), video debriefed, team-based trauma simulation. Training takes place in the fully functional resuscitation bay (in-situ) of the Department of Traumatology at the Klinikum Oldenburg (Level 1, primary teaching hospital for the Carl von Ossietzky University Oldenburg) involving a complete trauma team...
June 7, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29852487/monitoring-neonatal-resuscitation-why-is-it-needed
#2
Colin J Morley
Stabilisation and resuscitation of babies at birth is one of the most frequently performed procedures and requires considerable skill. If it is not done well, the baby may suffer prolonged hypoxia and bradycardia. Over the last few years there has been a growing interest in carefully evaluating an infant's condition at birth and the details of what is happening during resuscitation. Clinical assessment of an infant at this time is difficult and often inaccurate. Assessments of heart rate, colour, chest excursions, mask leak, tidal volume, inflation and expiration times, endotracheal intubation, and spontaneous breathing are imprecise...
2018: Neonatology
https://www.readbyqxmd.com/read/29843760/feasibility-of-optical-coherence-tomography-angiography-to-assess-changes-in-retinal-microcirculation-in-ovine-haemorrhagic-shock
#3
Maged Alnawaiseh, Christian Ertmer, Laura Seidel, Philip Helge Arnemann, Larissa Lahme, Tim-Gerald Kampmeier, Sebastian Willy Rehberg, Peter Heiduschka, Nicole Eter, Michael Hessler
BACKGROUND: This study aimed to investigate the feasibility of optical coherence tomography angiography (OCT-A) for quantitative analysis of flow density to assess changes in retinal perfusion in an experimental model of haemorrhagic shock. METHODS: Haemorrhagic shock was induced in five healthy, anaesthetized sheep by stepwise blood withdrawal of 3 × 10 ml∙kg- 1 body weight. OCT-A imaging of retinal perfusion was performed using an OCT device. Incident dark-field illumination microscopy videos were obtained for the evaluation of conjunctival microcirculation...
May 29, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/29843227/impact-of-plasma-viscosity-on-microcirculatory-flow-after-traumatic-haemorrhagic-shock-a-prospective-observational-study
#4
David N Naumann, Jon Hazeldine, Jon Bishop, Mark J Midwinter, Paul Harrison, Gerard Nash, Sam D Hutchings
BACKGROUND: Preclinical studies report that higher plasma viscosity improves microcirculatory flow after haemorrhagic shock and resuscitation, but no clinical study has tested this hypothesis. OBJECTIVE: We investigated the relationship between plasma viscosity and sublingual microcirculatory flow in patients during resuscitation for traumatic haemorrhagic shock (THS). METHODS: Sublingual video-microscopy was performed for 20 trauma patients with THS as soon as feasible in hospital, and then at 24 h and 48 h...
May 19, 2018: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/29796139/pre-recorded-instructional-audio-vs-dispatchers-conversational-assistance-in-telephone-cardiopulmonary-resuscitation-a-randomized-controlled-simulation-study
#5
Alexei Birkun, Maksim Glotov, Herman Franklin Ndjamen, Esther Alaiye, Temidara Adeleke, Sergey Samarin
BACKGROUND: To assess the effectiveness of the telephone chest-compression-only cardiopulmonary resuscitation (CPR) guided by a pre-recorded instructional audio when compared with dispatcher-assisted resuscitation. METHODS: It was a prospective, blind, randomised controlled study involving 109 medical students without previous CPR training. In a standardized mannequin scenario, after the step of dispatcher-assisted cardiac arrest recognition, the participants performed compression-only resuscitation guided over the telephone by either: (1) the pre-recorded instructional audio ( n =57); or (2) verbal dispatcher assistance ( n =52)...
2018: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29794959/resident-performance-of-the-rapid-cardiopulmonary-assessment-in-the-emergency-department
#6
Brad Sobolewski, Regina G Taylor, Gary L Geis, Benjamin T Kerrey
OBJECTIVES: The rapid cardiopulmonary assessment (RCPA) is an essential first step in effective resuscitation of critically ill children. Pediatric residents may not be achieving competency with resuscitative skills, including RCPA. Our objective was to determine how often pediatric residents complete the RCPA for actual patients. METHODS: This was an observational, cross-sectional study of senior residents (≥postgraduate year 2) performing the RCPA in the resuscitation area of a high-volume pediatric emergency department (PED), where pediatric residents are expected to perform the bedside examination and assessment for all medical (nontrauma) patients...
May 23, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29758042/a-taxonomy-and-rating-system-to-measure-situation-awareness-in-resuscitation-teams
#7
Thomas A O'Neill, Jesse White, Nicole Delaloye, Elaine Gilfoyle
Team SA involves a common perspective between two or more individuals regarding current environmental events, their meaning, and projected future status. Team SA has been theorized to be important for resuscitation team effectiveness. Accordingly, multidimensional frameworks of observable behaviors relevant to resuscitation teams are needed to understand more deeply the nature of team SA, its implications for team effectiveness, and whether it can be trained. A seven-dimension team resuscitation SA framework was developed following a literature review and consensus process using a modified Delphi approach with a group of content experts...
2018: PloS One
https://www.readbyqxmd.com/read/29754417/teaching-paediatric-basic-life-support-in-medical-schools-using-peer-teaching-or-video-demonstration-a-prospective-randomised-trial
#8
Frederik Stephan, Hanjo Groetschel, Anja K Büscher, Deniz Serdar, Kjell A Groes, Rainer Büscher
AIM: The outcome of children with an out-of-hospital cardiac arrest is still poor, but bystander cardiopulmonary resuscitation can increase survival and minimise severe neurological sequelae. While teaching basic life support is standardised in emergency medicine classes, paediatric basic life support (PBLS) in neonates and toddlers is under-represented in paediatric curricula during university education. The appropriate mixture of E-learning and peer teaching lessons remains controversial in teaching paediatric basic skills...
May 13, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29753857/the-effect-of-different-retraining-intervals-on-the-skill-performance-of-cardiopulmonary-resuscitation-in-laypeople-a-three-armed-randomized-control-study
#9
Ming-Ju Hsieh, Wen-Chu Chiang, Chyi-Feng Jan, Hao-Yang Lin, Chih-Wei Yang, Matthew Huei-Ming Ma
AIM: Our study aimed to compare cardiopulmonary resuscitation (CPR) performance among laypeople with different retraining intervals. METHODS: Ninety-six non-medical university students were randomly allocated into 3 groups after receiving initial CPR and automated external defibrillator (AED) training. Sixty participants completed the study. The participants in the 3-, 6-, and 12-month groups received the same retraining every 3-, 6-, and 12 months. An 80-minute retraining course comprised a video lecture and hands-on practice, with feedback from the instructors and the Resusci Anne® QCPR...
May 10, 2018: Resuscitation
https://www.readbyqxmd.com/read/29704128/prompting-with-electronic-checklist-improves-clinician-performance-in-medical-emergencies-a-high-fidelity-simulation-study
#10
Ronaldo Sevilla-Berrios, John C O'Horo, Christopher N Schmickl, Aysen Erdogan, Xiaomei Chen, Lisbeth Y Garcia Arguello, Yue Dong, Oguz Kilickaya, Brain Pickering, Rahul Kashyap, Ognjen Gajic
BACKGROUND: Inefficient processes of care delivery during acute resuscitation can compromise the "Golden Hour," the time when quick interventions can rapidly determine the course of the patient's outcome. Checklists have been shown to be an effective tool for standardizing care models. We developed a novel electronic tool, the Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN) to facilitate standardized evaluation and treatment approach for acutely decompensating patients...
April 27, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29699720/getting-inside-the-expert-s-head-an-analysis-of-physician-cognitive-processes-during-trauma-resuscitations
#11
Matthew R White, Heather Braund, Daniel Howes, Rylan Egan, Andreas Gegenfurtner, Jeroen J G van Merrienboer, Adam Szulewski
STUDY OBJECTIVE: Crisis resource management skills are integral to leading the resuscitation of a critically ill patient. Despite their importance, crisis resource management skills (and their associated cognitive processes) have traditionally been difficult to study in the real world. The objective of this study was to derive key cognitive processes underpinning expert performance in resuscitation medicine, using a new eye-tracking-based video capture method during clinical cases. METHODS: During an 18-month period, a sample of 10 trauma resuscitations led by 4 expert trauma team leaders was analyzed...
April 23, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29687017/the-interrelation-between-clinical-presentation-and-neurophysiology-of-posthypoxic-myoclonus
#12
Jonathan C van Zijl, Martijn Beudel, Bauke M de Jong, Joukje van der Naalt, Rodi Zutt, Fiete Lange, Walter M van den Bergh, Jan-Willem J Elting, Marina A J Tijssen
Objective: Posthypoxic myoclonus (PHM) in the first few days after resuscitation can be divided clinically into generalized and focal (uni- and multifocal) subtypes. The former is associated with a subcortical origin and poor prognosis in patients with postanoxic encephalopathy (PAE), and the latter with a cortical origin and better prognosis. However, use of PHM as prognosticator in PAE is hampered by the modest objectivity in its clinical assessment. Therefore, we aimed to obtain the anatomical origin of PHM with use of neurophysiological investigations, and relate these to its clinical presentation...
April 2018: Annals of Clinical and Translational Neurology
https://www.readbyqxmd.com/read/29649975/characterising-resuscitation-promoting-factor-fluorescent-fusions-in-mycobacteria
#13
Iria Uhía, Nitya Krishnan, Brian D Robertson
BACKGROUND: Resuscitation promoting factor proteins (Rpfs) are peptidoglycan glycosidases capable of resuscitating dormant mycobacteria, and have been found to play a role in the pathogenesis of tuberculosis. However, the specific roles and localisation of each of the 5 Rpfs in Mycobacterium tuberculosis remain mostly unknown. In this work our aim was to construct fluorescent fusions of M. tuberculosis Rpf proteins as tools to investigate their function. RESULTS: We found that Rpf-fusions to the fluorescent protein mCherry are functional and able to promote cell growth under different conditions...
April 12, 2018: BMC Microbiology
https://www.readbyqxmd.com/read/29605787/basic-life-support-and-external-defibrillation-competences-after-instruction-and-at-6-months-comparing-face-to-face-and-blended-training-randomised-trial
#14
Jordi Castillo, Aberto Gallart, Encarnación Rodríguez, Jorge Castillo, Carmen Gomar
AIM OF THE STUDY: The objective of this study was to compare the immediate and 6-month efficacy of basic life support (BLS) and automatic external defibrillation (AED) training using standard or blended methods. METHODS: First-year students of medicine and nursing (n = 129) were randomly assigned to a control group (face-to-face training based on the European Resuscitation Council [ERC] Guidelines) or to an experimental group that trained with a self-training video, a new website, a Moodle platform, an intelligent manikin, and 45 min of instructor presence...
June 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29588994/-saved-by-the-bell-near-sudep-during-intracranial-eeg-monitoring
#15
Duaa M Ba-Armah, Elizabeth J Donner, Ayako Ochi, Cristina Go, Bláthnaid McCoy, Carter Snead, James Drake, Kevin C Jones
SUDEP is the sudden unexpected death of a person with epilepsy, when no structural or toxicological cause of death can be found. The majority of witnessed cases are reported to be preceded by a convulsive seizure and postictal hypoventilation. Here, we report an 8-year-old girl with drug-resistant focal seizures secondary to a focal cortical dysplasia type IIb. While undergoing invasive intracranial monitoring with subdural and depth electrodes, she had a clinical apnea event recorded on video, followed by bradycardia, which required resuscitation...
March 2018: Epilepsia open
https://www.readbyqxmd.com/read/29577094/value-of-continuous-video-eeg-and-eeg-responses-to-thermesthesia-stimulation-in-prognosis-evaluation-of-comatose-patients-after-cardiopulmonary-resuscitation
#16
Qiu Jianmin, You Xueliang, Liu Liqin, Wu Yongsheng, He Licang, Huang Yuanxin
Objective: To investigate the clinical value of video-electroencephalography (VEEG) and thermal stimulus on evaluating the prognosis of comatose patients after cardiopulmonary resuscitation. Methods: Twenty eight comatose patients with cardiopulmonary resuscitation were included in the department of ICU of the First Teaching Hospital of Fujian Medical University from February 2013 to March 2016. Of the included 28 patients, 20 cases died (death group) and 8 cases survived (survival group) after cardiopulmonary resuscitation...
2018: Open Medicine (Warsaw, Poland)
https://www.readbyqxmd.com/read/29560076/pay-it-forward-high-school-video-based-instruction-can-disseminate-cpr-knowledge-in-priority-neighborhoods
#17
Marina Del Rios, Josiah Han, Alejandra Cano, Victor Ramirez, Gabriel Morales, Teri L Campbell, Terry Vanden Hoek
Introduction: The implementation of creative new strategies to increase layperson cardiopulmonary resuscitation (CPR) and defibrillation may improve resuscitation in priority populations. As more communities implement laws requiring CPR training in high schools, there is potential for a multiplier effect and reach into priority communities with low bystander-CPR rates. Methods: We investigated the feasibility, knowledge acquisition, and dissemination of a high school-centered, CPR video self-instruction program with a "pay-it-forward" component in a low-income, urban, predominantly Black neighborhood in Chicago, Illinois with historically low bystander-CPR rates...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29553951/monitoring-peripheral-perfusion-and-microcirculation
#18
Arnaldo Dubin, Elizabeth Henriquez, Glenn Hernández
PURPOSE OF REVIEW: Microcirculatory alterations play a major role in the pathogenesis of shock. Monitoring tissue perfusion might be a relevant goal for shock resuscitation. The goal of this review was to revise the evidence supporting the monitoring of peripheral perfusion and microcirculation as goals of resuscitation. For this purpose, we mainly focused on skin perfusion and sublingual microcirculation. RECENT FINDINGS: Although there are controversies about the reproducibility of capillary refill time in monitoring peripheral perfusion, it is a sound physiological variable and suitable for the ICU settings...
June 2018: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/29504951/videographic-assessment-of-pediatric-tracheal-intubation-technique-during-emergency-airway-management
#19
Yuko Shiima, Ting-Chang Hsieh, Andrew Long, Aaron Donoghue
OBJECTIVES: To examine technical aspects of pediatric tracheal intubation using video recording and to determine the association between tracheal intubation technique and procedural outcomes. DESIGN: Prospective observational study. SETTING: Emergency department resuscitation bay in single tertiary pediatric center. PATIENTS: Children undergoing emergent tracheal intubation under videorecorded conditions. INTERVENTIONS: None...
March 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29491715/a-video-depicting-resuscitation-did-not-impact-upon-patients-decision-making
#20
Caitlin Richardson-Royer, Imran Naqvi, Christopher Riffel, Lawrence Harvey, Domonique Smith, Dagmawe Ayalew, Nasim Motayar, Yaw Amoateng-Adjepong, Constantine A Manthous
Background: Previous studies have demonstrated that video of and scripted information about cardiopulmonary resuscitation (CPR) can be deployed during clinician-patient end-of-life discussions. Few studies, however, examine whether video adds to verbal information-sharing. We hypothesized that video augments script-only decision-making. Methods: Patients aged >65 years admitted to hospital wards were randomized to receive evidence-based information ("script") vs...
2018: International Journal of General Medicine
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