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https://www.readbyqxmd.com/read/29496361/high-fidelity-emergency-department-thoracotomy-simulator-with-beating-heart-technology-and-osats-tool-improves-trainee-confidence-and-distinguishes-level-of-skill
#1
Jordan D Bohnen, Leah Demetri, Eva Fuentes, Kathryn Butler, Reza Askari, Rahul J Anand, Emil Petrusa, Haytham M A Kaafarani, D Dante Yeh, Noelle Saillant, David King, Susan Briggs, George C Velmahos, Marc de Moya
OBJECTIVE: Resuscitative Thoracotomy or Emergency Department Thoracotomy (EDT) is a time-sensitive and potentially life-saving procedure. Yet, trainee experience with this procedure is often limited in both clinical and simulation settings. We sought to develop a high-fidelity EDT simulation module and assessment tool to facilitate trainee education. DESIGN: Using the Kern model for curricular development, a group of expert trauma surgeons identified EDT as a high-stakes, low-frequency procedure...
February 26, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29026410/the-effect-of-reflexotherapy-and-massage-therapy-on-vital-signs-and-stress-before-coronary-angiography-an-open-label-clinical-trial
#2
Ali Khaledifar, Marzeih Nasiri, Borzoo Khaledifar, Arsalan Khaledifar, Ali Mokhtari
BACKGROUND: Complementary medicine interventions are now successfully used to reduce stress as well as to stabilize hemodynamic indices within different procedures. The present study aimed to examine the effect of massage therapy and reflexotherapy on reducing stress in patients before coronary angiography. METHODS: In this open-label clinical trial, 75 consecutive patients who were candidate for coronary angiography were randomly assigned to receive reflexotherapy (n = 25), or massage therapy (n = 25), or routine care (n = 25) before angiography...
March 2017: ARYA Atherosclerosis
https://www.readbyqxmd.com/read/28801040/extracorporeal-cardiopulmonary-resuscitation-for-blunt-cardiac-rupture
#3
Shunsuke Kudo, Keiji Tanaka, Kunihiko Okada, Takahiro Takemura
Extracorporeal cardiopulmonary resuscitation (ECPR) followed by operating room sternotomy, rather than resuscitative thoracotomy, might be life-saving for patients with blunt cardiac rupture and cardiac arrest who do not have multiple severe traumatic injuries. A 49-year-old man was injured in a vehicle crash and transferred to the emergency department. On admission, he was hemodynamically stable, but a plain chest radiograph revealed a widened mediastinum, and echocardiography revealed hemopericardium. A computed tomography scan revealed hemopericardium and mediastinal hematoma, without other severe traumatic injuries...
November 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28427001/emergency-room-thoracotomy-for-acute-traumatic-cardiac-tamponade-caused-by-a-blunt-cardiac-injury-a-case-report
#4
Kenichiro Ishida, Yoshihiro Kinoshita, Nobutaka Iwasa, Masaro Nakae, Masayuki Sakaki, Yohei Ieki, Kyosuke Takahashi, Yumiko Shimahara, Taku Sogabe, Keiichiro Shimono, Mitsuhiro Noborio, Daikai Sadamitsu
INTRODUCTION: Traumatic blunt cardiac injuries have a high mortality rate, and prompt diagnosis and treatment can be lifesaving in cardiac tamponade. PRESENTATION OF CASE: A 62-year-old man was transferred to the emergency department after a motor vehicle accident. He was hemodynamically unstable. A focused assessment with sonography in trauma (FAST) showed pericardial fluid with right ventricular collapse consistent with cardiac tamponade in the subxiphoid view...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26846253/does-touch-massage-facilitate-recovery-after-stroke-a-study-protocol-of-a-randomized-controlled-trial
#5
RANDOMIZED CONTROLLED TRIAL
Kristina Lämås, Charlotte Häger, Lenita Lindgren, Per Wester, Christine Brulin
BACKGROUND: Despite high quality stroke care, decreased sensorimotor function, anxiety and pain often remain one year after stroke which can lead to impaired health and dependence, as well as higher healthcare costs. Touch massage (TM) has been proven to decrease anxiety and pain, and improve quality of health in other conditions of reduced health, where reduced anxiety seems to be the most pronounced benefit. Thus there are reasons to believe that TM may also reduce anxiety and pain, and improve quality of life after stroke...
February 4, 2016: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/26114517/sir-william-arbuthnot-lane-and-his-contributions-to-plastic-surgery
#6
Richard William F Breakey, John B Mulliken
Surgical subspecialties were just emerging at the turn of the 20th Century, before this time, general surgeons had to adjust their operative skills to address disorders throughout the body. Sir William Arbuthnot Lane was a British surgeon, whose restless mind led him to wander throughout the field of general surgery and beyond. Although controversial, he advanced in the repair of cleft lip and palate, introduced the "no touch" operative technique, internal fixation of fractures, and is credited as the first surgeon to perform open massage of the heart...
July 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26068645/clamshell-thoracotomy-and-open-heart-massage-a-potential-life-saving-procedure-can-be-taught-to-emergency-physicians-an-educational-cadaveric-pilot-study
#7
Paul Puchwein, Florian Sommerauer, Hans G Clement, Veronika Matzi, Norbert P Tesch, Barbara Hallmann, Tim Harris, Marcel Rigaud
AIMS: Selected patients in traumatic cardiac arrest may benefit from pre-hospital thoracotomy. Pre-hospital care physicians rarely have surgical training and the procedure is rarely performed in most European systems. Limited data exists to inform teaching and training for this procedure. We set out to run a pilot study to determine the time required to perform a thoracotomy and the a priori defined complication rate. METHODS: We adapted an existing system operating procedure requiring four instruments (Plaster-of-Paris shears, dressing scissors, non-toothed forceps, scalpel) for this study...
September 2015: Injury
https://www.readbyqxmd.com/read/25771524/-a-brief-history-of-resuscitation-the-influence-of-previous-experience-on-modern-techniques-and-methods
#8
REVIEW
Tomasz Kucmin, Małgorzata Płowaś-Goral, Adam Nogalski
Cardiopulmonary resuscitation (CPR) is relatively novel branch of medical science, however first descriptions of mouth-to-mouth ventilation are to be found in the Bible and literature is full of descriptions of different resuscitation methods - from flagellation and ventilation with bellows through hanging the victims upside down and compressing the chest in order to stimulate ventilation to rectal fumigation with tobacco smoke. The modern history of CPR starts with Kouwenhoven et al. who in 1960 published a paper regarding heart massage through chest compressions...
February 2015: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/25334378/superior-vena-cava-perforation-with-cardiac-tamponade-during-laser-lead-extraction
#9
John Myers, Dalip Singh, Hossein Almassi
Surgery Student/Resident Case Report PostersSESSION TYPE: Medical Student/Resident Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Removal of fractured, infected or retained pacemaker and defibrillator leads has become a common practice. The removal however can be associated with major cardiovascular complications, such as cardiac or vascular avulsion and tamponade.CASE PRESENTATION: Our patient was a 68 year old man with a pacemaker implant for complete heart block five years ago, who presented with skin erosion of the generator pocket and exposure of the leads...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/25183981/qualitative-study-of-women-s-experience-after-therapeutic-massage
#10
Mohammad Garakyaraghi, Mahshid Givi, Mahin Moeini, Ameneh Eshghinezhad
BACKGROUND: Hypertension has become a major problem throughout the world, especially in developing countries like Iran. As it is a major risk factor for coronary heart disease, even small reductions in the prevalence can have potentially large public health benefits. Among the complementary methods, massage provides an effective means to lower the blood pressure. If nurses perceive the experiences of hypertensive patients receiving massage, they can use massage more effectively in their care plan...
July 2014: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/24390285/transdiaphragmatic-resuscitative-open-cardiac-massage-description-of-the-technique-and-a-first-case-series-of-an-alternative-approach-to-the-heart
#11
Beat Schnüriger, Peter Studer, Daniel Candinas, Christian A Seiler
BACKGROUND: The purpose of this paper is to describe the transdiaphragmatic approach to the heart for open CPR in patients that arrest at laparotomy and to present a first case series of patients that have undergone this procedure. METHODS: All patients who had undergone intraperitoneal transdiaphragmatic open CPR between January 1, 2002 and December 31, 2012 were retrieved from the operation registry at Bern University Hospital, Switzerland. Transdiaphragmatic access to the heart is initiated with a 10-cm-long anterocaudal incision in the central tendon of the diaphragm--approximately at 2 o'clock...
July 2014: World Journal of Surgery
https://www.readbyqxmd.com/read/24035052/one-hand-chest-compression-and-hands-off-time-in-single-lay-rescuer-cpr-a-manikin-study
#12
RANDOMIZED CONTROLLED TRIAL
Athanasios Chalkias, Nikolaos Vogiatzakis, Konstantinos Tampakis, Maria Kalafati, Lila Papadimitriou, Theodoros Xanthos
PURPOSE: To evaluate the effect of one-hand chest compression while continuously maintaining an open airway (OCOA) on rescue breath-associated hands-off time (RAHO) during single-lay rescuer cardiopulmonary resuscitation (CPR). METHODS: In this study, 193 CPR/automated external defibrillator certified lay rescuers were randomly allocated into 2 groups and were tested in a standard scenario using a mannequin. In control group (group A), the participants provided standard CPR...
October 2013: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/23960370/characteristics-of-patients-that-experience-cardiopulmonary-arrest-following-aortic-dissection-and-aneurysm
#13
Youichi Yanagawa, Toshihisa Sakamoto
AIM: The aim of this study is to investigate the characteristics of patients experience cardiopulmonary arrest (CPA) in the acute phase following aortic dissection and aneurysm (AD). MATERIALS AND METHODS: Patients who were transported to this department from January 2005 to December 2010 and subsequently diagnosed with AD were included in this study. Patients with asymptomatic AD or those with AD that did not develop CPA were excluded. The AD was classified into four categories: Stanford A (SA), Stanford B (SB), thoracic aortic aneurysm (TAA) and abdominal aortic aneurysm (AAA)...
July 2013: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/23884562/-successful-preclinical-thoracotomy-in-a-17-year-old-man
#14
P Puchwein, G Prenner, B Fell, M Sereinigg, R Gumpert
We report the case of a 17-year-old man who sustained multiple stab wounds after a knife attack. After arrival of the emergency medical team the patient suffered a cardiac arrest caused by cardiac tamponade. After emergency thoracotomy and open heart massage the patient developed ROSC and could be discharged 13 days later without neurological deficits. Prehospital thoracotomy is rarely performed in Austria but is the only realistic chance for survival in cases of hematopericardium and tamponade. Better training of emergency physicians in Austria concerning surgical resuscitation could increase survival rates especially after penetrating thoracic trauma...
September 2014: Der Unfallchirurg
https://www.readbyqxmd.com/read/23833593/effectiveness-of-massage-therapy-on-the-mood-of-patients-after-open-heart-surgery
#15
Sima Babaee, Zahra Shafiei, Mohsen Mir Mohammad Sadeghi, Ahmadreza Yazdan Nik, Mahboobeh Valiani
BACKGROUND: Cardiovascular diseases have the highest death rates in human society. Coronary artery disease is among the most important of these diseases. No treatment of cardiovascular disease has as much impact on the quality of life of the patients as the heart surgery. The recovery from heart surgery is associated with symptoms of pain and psychological distress. In the early recovery period, the patients will face moderate symptoms of anxiety and depression. In this regard, various measures of nursing, as complementary therapy practices have been performed to help the patients for overcoming the physical and psychological needs...
February 2012: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/23741161/shirodhara-a-psycho-physiological-profile-in-healthy-volunteers
#16
Kalpana D Dhuri, Prashant V Bodhe, Ashok B Vaidya
BACKGROUND: Shirodhara is a classical and a well-established ayurvedic procedure of slowly and steadily dripping medicated oil or other liquids on the forehead. This procedure induces a relaxed state of awareness that results in a dynamic psycho-somatic balance. OBJECTIVES: The objective of the study is to evaluate the psychological and physiological effects of Shirodhara in healthy volunteers by monitoring the rating of mood and levels of stress, electrocardiogram (ECG), electroencephalogram (EEG), and selected biochemical markers of stress...
January 2013: Journal of Ayurveda and Integrative Medicine
https://www.readbyqxmd.com/read/23667069/immediate-rescue-operations-after-failed-diagnostic-or-therapeutic-cardiac-catheterization-procedures
#17
Sven M Almdahl, Terje Veel, Per Halvorsen, Stein E Rynning
OBJECTIVES: Although rare, life-threatening complications requiring emergency cardiac surgery do occur after diagnostic and therapeutic cardiac catheterization procedures. The operative mortality has been persistently reported to remain high. The purpose of this observational study was to evaluate and report the outcomes, with particular emphasis on early mortality, of these risky operations that were performed in a single highly specialized cardiac centre. METHODS: Between June 1997 and August 2007, 100 consecutive patients, 13 after diagnostic complicated cardiac catheterization (0...
August 2013: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/23494076/emergency-thoracotomies-two-center-study
#18
Sameh Ibrahim Sersar, Mohammed Adel Alanwar
INTRODUCTION AND AIM: Emergency thoracotomy is performed either immediately at the scene of injury, in the emergency department or in the operating room. It aims to evacuate the pericardial tamponade, control the haemorrhage, to ease the open cardiac massage and to cross-clamp the descending thoracic aorta to redistribute blood flow and maybe to limit sub-diaphragmatic haemorrhage, bleeding and iatrogenic injury are the common risk factors. We aimed to review our experience in the field of emergency thoracotomies, identify the predictors of death, analyze the early results, detect the risk factors and asses the mortalities and their risk factors...
January 2013: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/23278482/cardiac-arrest-associated-with-reperfusion-of-the-liver-during-transplantation-incidence-and-proposal-for-a-management-algorithm
#19
David D Aufhauser, Tom Rose, Matthew Levine, Rebecca Barnett, E Andrew Ochroch, Stanley Aukburg, Eric Greenblatt, Kim Olthoff, Abraham Shaked, Peter Abt
Cardiac arrest associated with reperfusion of the liver allograft in a euvolemic patient is a rare but potentially devastating event. There are few case series describing experience with this complication and no published management protocols guiding treatment. This article is a retrospective case series of patients experiencing post-reperfusion intraoperative cardiac arrest between 1997 and 2011. Among 1581 liver transplants, 16 (1%) patients experienced post-reperfusion cardiac arrest. Among patients with intraoperative arrests, 14 (88%) patients required open cardiac massage...
March 2013: Clinical Transplantation
https://www.readbyqxmd.com/read/23103069/successful-resuscitation-after-multiple-injuries-in-the-wilderness
#20
Jonathan G Hill, Savanna J Hardekopf, Jefferson W Chen, James C Krieg, Raymond B Bracis, Raymond J Petrillo, William B Long, Julie A Garrison, Richard F Edlich
BACKGROUND: Survival of blunt trauma associated with hypothermic and hemorrhagic cardiac arrest in wilderness areas is extremely rare. CASE REPORT: We describe a case of a 19-year-old female college sophomore who, while glissading down Mt. Adams, had a 400-pound boulder strike her back and left pelvis, propelling her 40 feet down the mountain to land face down in the snow at 7000 feet. It took 4 h from the time of injury until the arrival of the helicopter at our Emergency Department and Trauma Center...
February 2013: Journal of Emergency Medicine
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