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https://www.readbyqxmd.com/read/29351495/implementing-prehospital-evidence-based-guidelines-a-systematic-literature-review
#1
Jennifer N Fishe, Remle P Crowe, Rebecca E Cash, Nikiah G Nudell, Christian Martin-Gill, Christopher T Richards
OBJECTIVE: As prehospital research advances, more evidence-based guidelines (EBGs) are implemented into emergency medical services (EMS) practice. However, incomplete or suboptimal prehospital EBG implementation may hinder improvement in patient outcomes. To inform future efforts, this study's objective was to review existing evidence pertaining to prehospital EBG implementation methods. METHODS: This study was a systematic literature review and evaluation following the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology...
January 19, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29347956/what-should-be-included-in-the-assessment-of-laypersons-paediatric-basic-life-support-skills-results-from-a-delphi-consensus-study
#2
Asbjørn Børch Hasselager, Torsten Lauritsen, Tim Kristensen, Cathrine Bohnstedt, Claus Sønderskov, Doris Østergaard, Martin Grønnebæk Tolsgaard
BACKGROUND: Assessment of laypersons' Paediatric Basic Life Support (PBLS) skills is important to ensure acquisition of effective PBLS competencies. However limited evidence exists on which PBLS skills are essential for laypersons. The same challenges exist with respect to the assessment of foreign body airway obstruction management (FBAOM) skills. We aimed to establish international consensus on how to assess laypersons' PBLS and FBAOM skills. METHODS: A Delphi consensus survey was conducted...
January 18, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29313566/factors-influencing-high-quality-chest-compressions-during-cardiopulmonary-resuscitation-scenario-according-to-2015-american-heart-association-guidelines
#3
Halla Kaminska, Wojciech Wieczorek, Pawel Matysiuk, Lukasz Czyzewski, Jerzy Robert Ladny, Jacek Smereka, Krzysztof J Filipiak, Lukasz Szarpak
BACKGROUND AND AIM: Recent American Heart Association Guidelines from 2010 and 2015 year stressed the importance of high quality chest compression and define standards for compression rate, depth, recoil and maximal acceptable time for interruptions. High - quality cardiopulmonary resuscitation (CPR) is the "cornerstone" of a system of care that can optimize outcomes beyond return of spontaneous circulation Methods: 100 medical students were enrolled to the study. Study participants after Basic Life Support Course according to American Heart Association 2015 guidelines performed 2-min cardiopulmonary resuscitation on Resusci Anne® QCPR Manikin...
January 9, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29305251/cardiac-arrest-during-pregnancy-ongoing-clinical-conundrum-an-expert-review
#4
REVIEW
Carolyn M Zelop, Sharon Einav, Jill M Mhyre, Stephanie Martin
While global maternal mortality has decreased in the last 25 years, the maternal mortality ratio in the United States has actually increased. Maternal mortality is a complex phenomenon involving multifaceted socioeconomic and clinical parameters including inequalities in access to health care, racial and ethnic disparities, maternal comorbidities and epidemiologic ascertainment bias. Escalating maternal mortality underscores the importance of clinician preparedness to respond to maternal cardiac arrest that may occur in any maternal health care setting...
January 2, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29297195/the-impact-of-the-use-of-cprmeter-monitor-on-the-chest-compressions-quality-a-prospective-randomized-trial-cross-simulation
#5
Lukasz Iskrzycki, Jacek Smereka, Antonio Rodriguez-Nunez, Roberto Barcala Furelos, Cristian Abelarias Gomez, Halla Kaminska, Wojciech Wieczorek, Lukasz Szarpak, Klaudiusz Nadolny, Robert Galazkowski, Kurt Ruetzler, Jerzy Robert Ladny
BACKGROUND: Drowning is a common issue at many pools, beaches and seas all over the world. Lifeguards often act as bystanders and therefore, adequate training in high-quality CPR and use of adequate equipment by lifeguards is essential. The aim of this study was to evaluate the impact of the recently introduced CPRMeter (Laerdal, Stavanger, Norway) on quality of CPR, if used by moderately experienced CPR providers. In particular, we tested the hypothesis, that using the CPRMeter improves quality of chest compression by lifeguards compared to standard non-feedback CPR...
January 3, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29294798/revisiting-the-link-between-economic-distress-race-and-domestic-violence
#6
J Sebastian Leguizamon, Susane Leguizamon, Wesley Howden
Male unemployment may decrease the incidence of domestic violence, due to loss of economic power in the relationship, or increase the incidence of domestic violence, due to emotional outbursts fueled by increased stress. We hypothesize that Black men may face a greater loss of expected future earnings after an unemployment shock due to a more unfavorable labor market relative to White men. Consequently, we would expect that Black men would, on net, exhibit a greater reduction (or a smaller increase) in incidences of domestic violence following an employment shock...
June 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29279681/awareness-of-basic-life-support-among-saudi-dental-students-and-interns
#7
Hashem Motahir Al-Shamiri, Sadeq Ali Al-Maweri, Bassam Shugaa-Addin, Nader Ahmed Alaizari, Abdulrahman Hunaish
Objective: Fatal medical emergencies may occur at any time in the dental clinic. The present study assessed the level of awareness and attitudes toward basic life support (BLS) among Saudi dental students and interns. Materials and Methods: A self-administered questionnaire comprising 23 closed-ended questions was used in this survey. The first part of the questionnaire assessed the demographical profile of the students such as age, gender, and educational level...
October 2017: European Journal of Dentistry
https://www.readbyqxmd.com/read/29279346/correction-to-2017-american-heart-association-focused-update-on-adult-basic-life-support-and-cardiopulmonary-resuscitation-quality-an-update-to-the-american-heart-association-guidelines-for-cardiopulmonary-resuscitation-and-emergency-cardiovascular-care
#8
https://www.readbyqxmd.com/read/29251518/evaluation-of-the-targeted-delivery-of-5-fluorouracil-and-ascorbic-acid-into-the-brain-with-ultrasound-responsive-nanobubbles
#9
Yusuke Miura, Yuki Fuchigami, Masayori Hagimori, Hiroki Sato, Koki Ogawa, Chie Munakata, Mitsuhiro Wada, Kazuo Maruyama, Shigeru Kawakami
Recently, ultrasound-induced drug delivery into the brain using bubble formulations has been developed. After the brain delivery, however, the information on pharmacokinetics of hydrophilic drugs in the brain is lacking. In this study, to clarify the time-course pharmacokinetics of hydrophilic drugs, we used a brain microdialysis method. Using ultrasound-responsive nanobubbles (bubble liposomes [BLs]) with ultrasound irradiation, two hydrophilic drugs, 5-fluorouracil (5-FU) and ascorbic acid, were delivered into the brain of mice and rats, and their time-course pharmacokinetics were evaluated with microdialysis...
December 18, 2017: Journal of Drug Targeting
https://www.readbyqxmd.com/read/29249316/immunization-of-guinea-pigs-with-salmonella-delivered-anti-brucella-formulation-reduces-organs-bacterial-load-and-mitigates-histopathological-consequences-of-brucella-abortus-544-challenge
#10
Jonathan Lalsiamthara, John Hwa Lee
With an objective to generate safe and effective anti-Brucella vaccine, an attenuated live Salmonella Typhimurium vector delivering heterologous Brucella immunogenic proteins SOD, Omp19, BLS, and PrpA formulated with purified Brucella abortus lipopolysaccharide was evaluated on a guinea pig model. This model represents high susceptibility to Brucella infections and showed similarities in reproducing human pathologies. On safety perspectives, the vaccine formulation induced no observable alterations on general health and histology of the vaccinated guinea pigs...
January 2018: Veterinary Immunology and Immunopathology
https://www.readbyqxmd.com/read/29233493/-a-first-step-to-teaching-basic-life-support-in-schools-training-the-teachers
#11
María Pichel López, Santiago Martínez-Isasi, Roberto Barcala-Furelos, Felipe Fernández-Méndez, David Vázquez Santamariña, Luis Sánchez-Santos, Antonio Rodríguez-Nuñez
INTRODUCTION: Teachers may have an essential role in basic life support (BLS) training in schoolchildren. However, few data are available about their BLS learning abilities. AIM: To quantitatively assess the quality of BLS when performed by school teachers after a brief and simple training program. MATERIALS AND METHODS: A quasi-experimental study with no control group, and involving primary and secondary education teachers from four privately managed and public funded schools was conducted in 3 stages: 1st...
December 7, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/29231187/-emergency-medical-technician-profile-in-spain
#12
Santiago Martínez-Isasi, María José Rodríguez-Lorenzo, David Vázquez-Santamariña, Javier Abella-Lorenzo, Diana Josefa Castro Dios, Daniel Fernández García
OBJECTIVE: The emergency medical technician plays a fundamental role and is the most important figure quantitatively in pre-hospital emergencies. The aim was to asses the socio-demographic, work-related, health characteristics and technical skills of an Emergency Medical Technician in Spain. METHODS: Cross-sectional descriptive study. An ad hoc questionnaire was managed using Google Docs® that was delivered between April-June 2014 via email and social networks...
December 11, 2017: Revista Española de Salud Pública
https://www.readbyqxmd.com/read/29218377/genetic-mapping-of-a-major-gene-in-triticale-conferring-resistance-to-bacterial-leaf-streak
#13
Aimin Wen, Malini Jayawardana, Jason Fiedler, Suraj Sapkota, Gongjun Shi, Zhao Peng, Sanzhen Liu, Frank F White, Adam J Bogdanove, Xuehui Li, Zhaohui Liu
A major gene conferring resistance to bacterial leaf streak was mapped to chromosome 5R in triticale. Bacterial leaf streak (BLS), caused by Xanthomonas translucens pv. undulosa (Xtu), is an important disease of wheat and triticale around the world. Although resistance to BLS is limited in wheat, several triticale accessions have high levels of resistance. To characterize the genetic basis of this resistance, we developed triticale mapping populations using a resistant accession (Siskiyou) and two susceptible accessions (UC38 and Villax St...
December 7, 2017: TAG. Theoretical and Applied Genetics. Theoretische und Angewandte Genetik
https://www.readbyqxmd.com/read/29206063/age-discrimination-in-out-of-hospital-cardiac-arrest-care-a-case-control-study
#14
Eric Wiel, Christophe Di Pompéo, Nicolas Segal, Gérald Luc, Jean-Baptiste Marc, Carine Vanderstraeten, Carlos El Khoury, Joséphine Escutnaire, Karim Tazarourte, Pierre-Yves Gueugniaud, Hervé Hubert
BACKGROUND: Although some studies have questioned whether cardiopulmonary resuscitation (CPR) in older people could be futile, age is not considered an essential out-of-hospital cardiac arrest (OHCA) prognostic factor. However, in the daily clinical practice of mobile medical teams (MMTs), age seems to be an important factor affecting OHCA care. AIMS: The purpose of this study was to compare OHCA care and outcomes between young patients (<65 years old) and older patients...
December 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29205424/multi-source-surveillance-for-work-related-crushing-injuries
#15
Joanna Kica, Kenneth D Rosenman
BACKGROUND: Work-related crushing injuries are serious but preventable. For 2013 through 2015, the U.S. Bureau of Labor Statistics' (BLS) Survey of Occupational Injuries and Illnesses (SOII) reported 1260 crushing injuries in Michigan. In 2013, Michigan initiated multi-data source surveillance of work-related crushing injuries. METHODS: Records from all 134 of Michigan's hospitals/emergency departments (EDs), the Workers Compensation Agency (WCA) and Michigan's Fatality Assessment Control and Evaluation (MIFACE) program were used to identify work-related crushing injuries...
December 4, 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/29204773/circumstances-and-causes-of-sudden-circulatory-arrests-in-the-dutch-province-of-limburg-and-the-involvement-of-citizen-rescuers
#16
R W M Pijls, P J Nelemans, B M Rahel, A P M Gorgels
BACKGROUND: Recently we showed that a citizen volunteer system using text message alerts improves survival of out-of-hospital sudden circulatory arrest (OHCA). It is important to characterise the OHCA population encountered by the volunteers regarding circumstances and causes of the arrests. METHODS AND RESULTS: Eligible for this study were 968 OHCAs that occurred between April 2012 and April 2014 in the Dutch province of Limburg. The distribution of causes of OHCA, patient characteristics and resuscitation settings were compared between 492 arrests wherein volunteers were notified and 476 arrests where the dispatcher decided not to do so...
December 4, 2017: Netherlands Heart Journal
https://www.readbyqxmd.com/read/29202698/safety-and-applicability-of-a-pre-stage-public-access-ventilator-for-trained-laypersons-a-proof-of-principle-study
#17
Patricia Fuchs, Juliane Obermeier, Svend Kamysek, Martin Degner, Hannes Nierath, Henning Jürß, Hartmut Ewald, Jens Schwarz, Martin Becker, Jochen K Schubert
BACKGROUND: Contemporary resuscitation guidelines for basic life support recommend an immediate onset of cardiac compressions in case of cardiac arrest followed by rescue breaths. Effective ventilation is often omitted due to fear of doing harm and fear of infectious diseases. In order to improve ventilation a pre-stage of an automatic respirator was developed for use by laypersons. METHODS: Fifty-two healthy volunteers were ventilated by means of a prototype respirator via a full-face mask in a pilot study...
December 4, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/29188113/label-free-fiber-optic-optrode-for-the-detection-of-class-c-%C3%AE-lactamases-expressed-by-drug-resistant-bacteria
#18
Simona Zuppolini, Giuseppe Quero, Marco Consales, Laura Diodato, Patrizio Vaiano, Alberto Venturelli, Matteo Santucci, Francesca Spyrakis, Maria P Costi, Michele Giordano, Antonello Cutolo, Andrea Cusano, Anna Borriello
This paper reports the experimental assessment of an automated optical assay based on label free optical fiber optrodes for the fast detection of class C β-lactamases (AmpC BLs), actually considered as one of the most important sources of resistance to β-lactams antibiotics expressed by resistant bacteria. Reflection-type long period fiber gratings (RT-LPG) have been used as highly sensitive label free optrodes, while a higher affine boronic acid-based ligand was here selected to enhance the overall assay performances compared to those obtained in our first demonstration...
November 1, 2017: Biomedical Optics Express
https://www.readbyqxmd.com/read/29180657/the-electron-phonon-interaction-at-deep-bi-2-te3-semiconductor-interfaces-from-brillouin-light-scattering
#19
M Wiesner, A Trzaskowska, B Mroz, S Charpentier, S Wang, Y Song, F Lombardi, P Lucignano, G Benedek, D Campi, M Bernasconi, F Guinea, A Tagliacozzo
It is shown that the electron-phonon interaction at a conducting interface between a topological insulator thin film and a semiconductor substrate can be directly probed by means of high-resolution Brillouin light scattering (BLS). The observation of Kohn anomalies in the surface phonon dispersion curves of a 50 nm thick Bi2Te3 film on GaAs, besides demonstrating important electron-phonon coupling effects in the GHz frequency domain, shows that information on deep interface electrons can be obtained by tuning the penetration depth of optically-generated surface phonons so as to selectively probe the interface region, as in a sort of quantum sonar...
November 27, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29179407/basic-life-support-cardiopulmonary-resuscitation
#20
(no author information available yet)
No abstract text is available yet for this article.
September 15, 2017: Pediatric Dentistry
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