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https://www.readbyqxmd.com/read/28063720/a-case-of-cardiac-arrest-that-occurred-on-a-high-mountain-in-which-a-favorable-outcome-was-obtained
#1
Youichi Yanagawa, Kazuhiko Omori, Ikuto Takeuchi, Kei Jitsuiki, Toshihiko Yoshizawa, Kouhei Ishikawa, Yumi Kando, Mutsumu Fukata, Hiromichi Ohsaka
A 36-year-old man started to climb Mount Fuji (3776m above sea level: ASL), from the Gotemba new fifth station (2400m ASL). He had no significant medical history, and this was his first attempt to climb such a high mountain. He began feeling chest discomfort but continued to climb. When he reached the ninth station of the mountain (3600mASL), he lost consciousness. One individual immediately provided basic life support using an automated external defibrillator (AED) that was located in the station. After electroshocks, he regained consciousness...
October 24, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28062467/basic-life-support-education-in-secondary-schools-a-cross-sectional-survey-in-london-uk
#2
Justin D Salciccioli, Dominic C Marshall, Mark Sykes, Alexander D Wood, Stephanie A Joppa, Madhurima Sinha, P Boon Lim
OBJECTIVES: Basic life support (BLS) training in schools is associated with improved outcomes from cardiac arrest. International consensus statements have recommended universal BLS training for school-aged children. The current practice of BLS training in London schools is unknown. The aim of this study was to assess current practices of BLS training in London secondary schools. SETTING, POPULATION AND OUTCOMES: A prospective audit of BLS training in London secondary schools was conducted...
January 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28059635/naloxone-administration-for-suspected-opioid-overdose-an-expanded-scope-of-practice-by-a-basic-life-support-collegiate-based-emergency-medical-services-agency
#3
Ryan M Jeffery, Laura Dickinson, Nicholas D Ng, Lindsey M DeGeorge, Jose V Nable
Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol allowing providers to administer intranasal naloxone for patients with suspected opioid overdose. While normally not within the scope of practice of basic life support prehospital agencies, the recognition of an increasing epidemic of opioid abuse has led many states, including the District of Columbia, to expand access to naloxone for prehospital providers of all levels of training...
January 6, 2017: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/28059603/retention-of-basic-life-support-in-laypeople-mastery-learning-vs-time-based-education
#4
Sylvain Boet, M Dylan Bould, Ashlee-Ann Pigford, Bernhard Rössler, Pratheeban Nambyiah, Qi Li, Alexandra Bunting, Karl Schebesta
OBJECTIVE: To compare the effectiveness of a mastery learning (ML) versus a time-based (TB) BLS course for the acquisition and retention of BLS knowledge and skills in laypeople. METHODS: After ethics approval, laypeople were randomized to a ML or TB BLS course based on the American Heart Association (AHA) Heartsaver course. In the ML group, subjects practiced and received feedback at six BLS stations until they reached a pre-determined level of performance. The TB group received a standard AHA six-station BLS course...
January 6, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28056076/use-of-a-real-time-training-software-laerdal-qcpr%C3%A2-compared-to-instructor-based-feedback-for-high-quality-chest-compressions-acquisition-in-secondary-school-students-a-randomized-trial
#5
Andrea Cortegiani, Vincenzo Russotto, Francesca Montalto, Pasquale Iozzo, Roberta Meschis, Marinella Pugliesi, Dario Mariano, Vincenzo Benenati, Santi Maurizio Raineri, Cesare Gregoretti, Antonino Giarratano
: High-quality chest compressions are pivotal to improve survival from cardiac arrest. Basic life support training of school students is an international priority. The aim of this trial was to assess the effectiveness of a real-time training software (Laerdal QCPR®) compared to a standard instructor-based feedback for chest compressions acquisition in secondary school students. After an interactive frontal lesson about basic life support and high quality chest compressions, 144 students were randomized to two types of chest compressions training: 1) using Laerdal QCPR® (QCPR group- 72 students) for real-time feedback during chest compressions with the guide of an instructor who considered software data for students' correction 2) based on standard instructor-based feedback (SF group- 72 students)...
2017: PloS One
https://www.readbyqxmd.com/read/28046078/immune-response-in-calves-vaccinated-with-type-three-secretion-system-antigens-and-shiga-toxin-2b-subunit-of-escherichia-coli-o157-h7
#6
Luisina Martorelli, Sergio Garbaccio, Daniel A Vilte, Adriana A Albanese, María P Mejías, Marina S Palermo, Elsa C Mercado, Cristina E Ibarra, Angel A Cataldi
Ruminants are the primary reservoir of Shiga-toxin producing Escherichia coli (STEC) O157:H7 and the main source of infection for humans. The aim of this study was to assess the immunogenic properties of a candidate vaccine consisting on the recombinant proteins of E. coli O157:H7 IntiminC280, the carboxy-terminal fraction of Intimin γ, EspB and the fusion protein between the B subunit of Stx2 and Brucella Lumazine Synthase (BLS)(BLS-Stx2B), in Holstein Fresian calves.To accomplish this goal we vaccinated calves with two doses of different vaccine formulations: 2 antigens (IntiminC280, EspB), 3 antigens (IntiminC280, EspB, BLS-Stx2B), BLS-Stx2B alone and a control non-vaccinated group...
2017: PloS One
https://www.readbyqxmd.com/read/28041711/bifurcation-lesions-involved-in-the-recanalization-process-of-coronary-chronic-total-occlusions-incidence-treatment-and-clinical-implications
#7
Soledad Ojeda, Manuel Pan, Alejandro Gutiérrez, Miguel Romero, Jorge Chavarría, Javier Suárez de Lezo, Francisco Mazuelos, Laura Pardo, Francisco Hidalgo, Francisco Carrasco, José Segura, Enrique Durán, Carlos Ferreiro, José J Sánchez, Sara Rodríguez, Jesús Oneto, Jose Suárez de Lezo
BACKGROUND: The presence of a bifurcation (BL) in the context of a coronary chronic total occlusion (CTO) represents an additional difficulty. This study analyzes the incidence of BLs in CTO recanalization, the treatment, predictors of bifurcation technical success and their clinical impact. METHODS AND RESULTS: BLs with a side branch (SB) ≥2.0mm located proximally, distally or within the occluded segment were observed in 130 (33%) of 391 CTO. Provisional stenting was the strategy more frequently used (94%)...
December 21, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/28027016/opioid-overdose-prevention-training-with-naloxone-an-adjunct-to-basic-life-support-training-for-first-year-medical-students
#8
Noah Berland, Aaron Fox, Babak Tofighi, Kathleen Hanley
BACKGROUND: Opioid overdose deaths have reached epidemic proportions in the United States. This problem stems from both licit and illicit opioid use. Physicians play a role in prescribing opioids, recognizing risky use, and initiating prevention, including Opioid Overdose Prevention Training (OOPT). The American Heart Association (AHA) modified their basic life support (BLS) algorithms to consider naloxone in high risk populations and when a pulse is appreciated; however, the AHA did not provide OOPT...
December 27, 2016: Substance Abuse
https://www.readbyqxmd.com/read/28011473/comparison-of-tumor-recurrence-after-resection-of-highly-and-poorly-metastatic-triple-negative-breast-cancer-in-orthotopic-nude-mouse-models
#9
Shuya Yano, Kiyoto Takehara, Hiroyuki Kishimoto, Hiroshi Tazawa, Yasuo Urata, Shunsuke Kagawa, Toshiyoshi Fujiwara, Michael Bouvet, Robert M Hoffman
BACKGROUND: Triple-negative breast cancer (TNBC), defined by the absence of receptors for estrogen, progesterone and human epithelial receptor 2, is a recalcitrant disease in need of effective therapy. We previously isolated highly-metastatic variants of the human TNBC cell line MDA-MB-231 using serial orthotopic implantation in nude mice. MATERIALS AND METHODS: In the present report, we compared local and metastatic recurrence in lymph nodes in orthotopic nude-mouse models after bright-light surgery (BLS) of tumors from highly-metastatic variants or poorly-metastatic parental MDA-MB-231-RFP cells...
January 2017: Anticancer Research
https://www.readbyqxmd.com/read/28011290/the-effect-of-a-specialized-content-knowledge-workshop-on-teaching-and-learning-basic-life-support-in-elementary-school-a-cluster-randomized-controlled-trial
#10
Peter Iserbyt, Lieselot Theys, Phillip Ward, Nathalie Charlier
BACKGROUND: Research investigating the effect of specialised content knowledge (SCK) on teaching and learning Basic Life Support (BLS) is lacking. PURPOSE: To investigate the effect of a specialised content knowledge workshop on teaching behaviour, lesson context and student learning of BLS. Specialised content knowledge comprises knowledge of content progressions, skill analysis, and how to correct common errors. METHODS: A cluster randomized controlled trial...
December 20, 2016: Resuscitation
https://www.readbyqxmd.com/read/27990811/effect-of-sodium-oxide-modifier-on-structural-and-elastic-properties-of-silicate-glass
#11
Hicham Jabraoui, Yann Vaills, Abdellatif Hasnaoui, Michael Badawi, Said Ouaskit
Molecular dynamics (MD) simulations and Brillouin light scattering (BLS) spectroscopy experiments have been carried to study the structure of sodium silicate glasses (SiO2)(100-X)(Na2O)X, where X ranges from 0 to 45 at room temperature. The MD-obtained glass structures have been subjected to energy minimization at zero temperature to extract the elastic constants also obtained by BLS spectroscopy. The structures obtained are in good agreement with the structural experimental data realized by different techniques...
December 29, 2016: Journal of Physical Chemistry. B
https://www.readbyqxmd.com/read/27957491/teaching-life-saving-manoeuvres-in-primary-school
#12
Sara Calicchia, Giovanna Cangiano, Silvia Capanna, Mariangela De Rosa, Bruno Papaleo
Introduction. In the event of sudden cardiac arrest (SCA) early intervention provided by a layperson can be life-saving. Teaching first aid in primary school may increase the lifelong ability and motivation of young people to take action in an emergency. Objective. The aim of this article is to report a training experience on BLSD (Basic Life Support and Defibrillation) designed for a group of pupils in an Italian primary school, with assessment of its effectiveness at a distance. Methods. The assessment was carried out using a multiple choice questionnaire on a sample of 130 pupils aged 11-12, 62 trained in BLSD and 68 as a control group...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27943170/comparison-of-multiple-fluid-status-assessment-methods-in-patients-on-chronic-hemodialysis
#13
Giannis Alexiadis, Stelios Panagoutsos, Stefanos Roumeliotis, Ilias Stibiris, Angelos Markos, Konstantia Kantartzi, Ploumis Passadakis
PURPOSE: Control of hydration status is an important constituent of adequate and efficient hemodialysis (HD) treatment. Nevertheless, there are no precise clinical indices for early recognition of small changes in fluid status of patients undergoing chronic hemodialysis therapy. This study aimed to evaluate and compare the widely used and reliable method of indexed inferior vena cava diameter (IVCDi) with established and more recently available techniques (bioelectrical impedance analysis [BIA], continuous blood volume monitoring [Crit-line], and the B-line score [BLS] with lung ultrasonography) for estimating the hydration status of patients on HD...
December 10, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27942342/is-current-training-in-basic-and-advanced-cardiac-life-support-bls-acls-effective-a-study-of-bls-acls-knowledge-amongst-healthcare-professionals-of-north-kerala
#14
Madavan Nambiar, Nisanth Menon Nedungalaparambil, Ottapura Prabhakaran Aslesh
BACKGROUND: Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support (BLS/ACLS) guidelines to revive unresponsive patients. METHODS: A cross-sectional study was conducted to evaluate the current practices and knowledge of BLS/ACLS principles among healthcare professionals of North-Kerala using pretested self-administered structured questionnaire. Answers were validated in accordance with American Heart Association's BLS/ACLS teaching manual and the results were analysed...
2016: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27942341/short-lessons-in-basic-life-support-improve-self-assurance-in-performing-cardiopulmonary-resuscitation
#15
Mario Kobras, Sascha Langewand, Christina Murr, Christiane Neu, Jeannette Schmid
BACKGROUND: There are several reasons why resuscitation measures may lead to inferior results: difficulties in team building, delayed realization of the emergency and interruption of chest compression. This study investigated the outcome of a new form of in-hospital cardiopulmonary resuscitation (CPR) training with special focus on changes in self-assurance of potential helpers when faced with emergency situations. METHODS: Following a 12-month period of CPR training, questionnaires were distributed to participants and non-participants...
2016: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27942055/students-satisfaction-to-hybrid-problem-based-learning-format-for-basic-life-support-advanced-cardiac-life-support-teaching
#16
Geetanjali Chilkoti, Medha Mohta, Rachna Wadhwa, Ashok Kumar Saxena, Chhavi Sarabpreet Sharma, Neelima Shankar
BACKGROUND AND AIMS: Students are exposed to basic life support (BLS) and advanced cardiac life support (ACLS) training in the first semester in some medical colleges. The aim of this study was to compare students' satisfaction between lecture-based traditional method and hybrid problem-based learning (PBL) in BLS/ACLS teaching to undergraduate medical students. METHODS: We conducted a questionnaire-based, cross-sectional survey among 118 1(st)-year medical students from a university medical college in the city of New Delhi, India...
November 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27932900/a-student-s-perspective-are-medical-students-adequately-trained-in-bls
#17
COMMENT
Tobi Oyewole, Folashade Oyewole
No abstract text is available yet for this article.
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27931502/basic-life-support-cardiopulmonary-resuscitation
#18
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Pediatric Dentistry
https://www.readbyqxmd.com/read/27927227/adult-termination-of-resuscitation-tor-criteria-may-not-be-suitable-for-children-a-retrospective-analysis
#19
Victoria Maria Rotering, Sonja Trepels-Kottek, Konrad Heimann, Jörg-Christian Brokmann, Thorsten Orlikowsky, Mark Schoberer
BACKGROUND: Only a small number of patients survive out-of-hospital-cardiac-arrest (OHCA). The duration of CPR varies considerably and transportation of patients under CPR is often unsuccessful. Termination-of-resuscitation (TOR)-criteria aim to preclude futile resuscitation efforts. Our goal was to find out to which extent existing TOR-criteria can be transferred to paediatric OHCA-patients with special regard to their prognostic value. METHODS: We performed a retrospective analysis of an eleven-year single centre patient cohort...
December 7, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27918847/left-ventricular-compressions-improve-hemodynamics-in-a-swine-model-of-out-of-hospital-cardiac-arrest
#20
Kenton L Anderson, Maria G Castaneda, Susan M Boudreau, Danny J Sharon, Vikhyat S Bebarta
INTRODUCTION: We hypothesized that chest compressions located directly over the left ventricle (LV) would improve hemodynamics, including coronary perfusion pressure (CPP), and return of spontaneous circulation (ROSC) in a swine model of cardiac arrest. METHODS: Transthoracic echocardiography (echo) was used to mark the location of the aortic root and the center of the left ventricle on animals (n = 26) which were randomized to receive chest compressions in one of the two locations...
December 5, 2016: Prehospital Emergency Care
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