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https://www.readbyqxmd.com/read/27281816/cardiac-arrest-leadership-in-need-of-resuscitation
#1
Philip S Robinson, Emma Shall, Roby Rakhit
BACKGROUND: Leadership skills directly correlate with the quality of technical performance of cardiopulmonary resuscitation (CPR) and clinical outcomes. Despite an improved focus on non-technical skills in CPR training, the leadership of cardiac arrests is often variable. AIMS: To assess the perceptions of leadership and team working among members of a cardiac arrest team and to evaluate future training needs. METHODS: Cross-sectional survey of 102 members of a cardiac arrest team at an Acute Hospital Trust in the UK with 892 inpatient beds...
June 8, 2016: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27239303/seeking-sepsis-in-the-emergency-department-identifying-barriers-to-delivery-of-the-sepsis-6
#2
James Bentley, Susan Henderson, Shobhan Thakore, Michael Donald, Weijie Wang
The Sepsis 6 is an internationally accepted management bundle that, when initiated within one hour of identifying sepsis, can reduce morbidity and mortality. This management bundle was advocated by the Scottish Patient Safety Programme as part of its Acute Adult campaign launched in 2008 and adopted by NHS Tayside in 2012. Despite this, the Emergency Department (ED) of Ninewells Hospital, a tertiary referral centre and major teaching hospital in Scotland, was displaying poor success in the Sepsis 6. We therefore set out to improve compliance by evaluating the application of all aspects of the NHS Tayside Sepsis 6 bundle within one hour of ED triage time, to identify what human factors may influence achieving the one hour The Sepsis 6 bundle...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/26964602/resuscitation-in-the-dental-practice
#3
P Jevon
The Resuscitation Council (UK) published new resuscitation guidelines in October 2015. The aim of this article is to understand these new guidelines and how dental practices should implement them. A 'resuscitation in the dental practice poster' has been designed which incorporates the new Resuscitation Council (UK) adult basic life support algorithm. This poster, endorsed by the British Dental Association, is included with this issue of the British Dental Journal. Further copies can be downloaded from: https://www...
March 11, 2016: British Dental Journal
https://www.readbyqxmd.com/read/25466744/resus-algorithms
#4
(no author information available yet)
THE RESUS Algorithms app provides access to all the algorithms contained in the Resuscitation Council UK 2010 guidelines.
December 2014: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/25370256/resus-algorithms-app
#5
Valerie McGurk
The Resus Algorithms app provides access to all the algorithms contained in the Resuscitation Council (UK) 2010 guidelines. Now available in version 2.0.1, it is a useful pocket guide to reinforce basic knowledge, rather than personal medical advice.
November 5, 2014: Nursing Standard
https://www.readbyqxmd.com/read/25222998/refresh-your-knowledge-on-the-resus-trolley
#6
Kathryn Godfrey
No abstract text is available yet for this article.
July 30, 2014: Nursing Times
https://www.readbyqxmd.com/read/25185921/reorganising-resuscitation
#7
(no author information available yet)
A recurring nightmare for emergency nurses is finding out, in the middle of resuscitating a patient, that an essential item is missing. Checking and restocking resus rooms are important activities, but they take up time that nurses could spend on other essential activities.
September 2014: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/23822630/pharmacological-interventions-in-acute-respiratory-distress-syndrome
#8
Antoine Roch, Sami Hraiech, Stéphanie Dizier, Laurent Papazian
Pharmacological interventions are commonly considered in acute respiratory distress syndrome (ARDS) patients. Inhaled nitric oxide (iNO) and neuromuscular blockers (NMBs) are used in patients with severe hypoxemia. No outcome benefit has been observed with the systematic use of iNO. However, a sometimes important improvement in oxygenation can occur shortly after starting administration. Therefore, its ease of use and its good tolerance justify iNO optionally combined with almitirne as a rescue therapy on a trial basis...
2013: Annals of Intensive Care
https://www.readbyqxmd.com/read/23810369/dual-phenotypic-transmission-in-brugada-syndrome
#9
Jean-Sylvain Hermida, Elise Arnalsteen-Dassonvalle, Maciej Kubala, Amel Mathiron, Sarah Traulle, Kolandaswamy Anbazhagan, Alexis Hermida, Jacques Rochette
BACKGROUND: Brugada syndrome is a genetic heart disease with autosomal dominant inheritance. Family screening commonly detects one parent responsible for transmission of the disease. AIMS: To describe atypical transmission of Brugada syndrome. METHODS: Between 2001 and 2007, systematic screening, including an electrocardiogram, ajmaline challenge and DNA sequencing of the SCN5A gene, of the first-degree relatives of 62 probands with Brugada syndrome was performed (Programme Hospitalier de Recherche Clinique)...
June 2013: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/23778517/do-not-resuscitate-orders-in-trauma-patients-may-bias-mortality-based-effect-estimates-an-evaluation-using-the-prommtt-study
#10
MULTICENTER STUDY
Charles E Wade, Deborah J del Junco, Erin E Fox, Bryan A Cotton, Mitchell J Cohen, Peter Muskat, Martin A Schreiber, Mohammad H Rahbar, R Michelle Sauer, Karen J Brasel, Eileen M Bulger, John G Myers, Herb A Phelan, Louis H Alarcon, John B Holcomb
BACKGROUND: The impact of do-not-resuscitate (DNR) orders has not been systematically evaluated in acute trauma research. We determined the frequency, timing, and impact on mortality-based effect estimates for patients with DNR orders in the Prospective Observational Multicenter Major Trauma Transfusion (PROMMTT) study. METHODS: Trauma patients surviving at least 30 minutes and transfused one or greater unit of red blood cell within 6 hours of admission (n = 1,245) from 10 Level 1 centers were enrolled...
July 2013: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/23778073/fluid-administration-and-the-kidney
#11
REVIEW
John R Prowle, Rinaldo Bellomo
PURPOSE OF REVIEW: To review recent studies and information on the relationship between fluid administration and kidney function in critically ill patients. RECENT FINDINGS: There is little evidence from large multicenter trials to direct fluid therapy in patients at risk of acute kidney injury (AKI). Evidence of benefit for fluid administration from single center studies of fluid resuscitation to hemodynamic goals needs to be weighed against evidence of harm associated with fluid overload in large observational studies...
August 2013: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/22796405/the-resus-station-the-use-of-clinical-simulations-in-a-randomised-crossover-study-to-evaluate-a-novel-resuscitation-trolley
#12
RANDOMIZED CONTROLLED TRIAL
Susanna T Walker, Stephen J Brett, Anthony McKay, Rajesh Aggarwal, Charles Vincent
BACKGROUND AND AIM: Inadequately designed equipment has been implicated in poor efficiency and critical incidents associated with resuscitation. A novel resuscitation trolley (Resus:Station) was designed and evaluated for impact on team efficiency, user opinion, and teamwork, compared with the standard trolley, in simulated cardiac arrest scenarios. METHODS: Fifteen experienced cardiac arrest teams were recruited (45 participants). Teams performed recorded resuscitation simulations using new and conventional trolleys, with order of use randomised...
November 2012: Resuscitation
https://www.readbyqxmd.com/read/22516716/testing-of-a-prototype-of-calibration-facility-for-noble-gas-monitoring-using-41ar
#13
Holnisar Saibathulham, Gatot Wurdiyanto, Pujadi Marsum
A prototype of a calibration facility for noble gas monitoring using (41)Ar in the PTKMR-BATAN has been tested. The facility was designed in such a way that the standard source of gas can be reused. The radioactive (41)Ar source was obtained by thermal neutron reaction of (40)Ar(n, γ)(41)Ar using a thermal neutron flux of 4.8×10(13) neutrons per cm(2) per second in two minutes on the multipurpose G.A. Siwabessy Reactor (Batan, Serpong, Indonesia). Gamma spectrometry was used to measure the radioactivity and purity of (41)Ar...
September 2012: Applied Radiation and Isotopes
https://www.readbyqxmd.com/read/22349474/-septic-shock-and-septic-cardiomyopathy
#14
REVIEW
H Ebelt, K Werdan
Patients suffering from septic shock often present with not only severe reduction of afterload induced by vasodilation but are also affected by sepsis-induced cardiac dysfunction. Elevated troponin levels, which are typically not caused by coronary ischemia, may indicate septic cardiomyopathy which is characterized both by altered systolic function as well as by disturbances in the regulation of heart rate and heart rate variability. The latter findings are based not only on the dysfunction of the autonomous nervous system but are also the result of the direct interaction of endotoxins with cardiac pacemaker cells...
February 2012: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/22100532/valproic-acid-reversed-pathologic-endothelial-cell-gene-expression-profile-associated-with-ischemia-reperfusion-injury-in-a-swine-hemorrhagic-shock-model
#15
COMPARATIVE STUDY
Marlin Wayne Causey, Shashikumar Salgar, Niten Singh, Matthew Martin, Jonathan D Stallings
BACKGROUND: Vascular endothelial cells serve as the first line of defense for end organs after ischemia and reperfusion injuries. The full etiology of this dysfunction is poorly understood, and valproic acid (VPA) has proven to be beneficial after traumatic injury. The purpose of this study was to determine the mechanism of action through which VPA exerts its beneficial effects. METHODS: Sixteen Yorkshire swine underwent a standardized protocol for an ischemia-reperfusion injury through hemorrhage and a supraceliac cross-clamp with ensuing 6-hour resuscitation...
April 2012: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/21958930/quality-controlled-manual-chest-compressions-and-cerebral-oxygenation-during-in-hospital-cardiac-arrest
#16
RANDOMIZED CONTROLLED TRIAL
Antti Kämäräinen, Marko Sainio, Klaus T Olkkola, Heini Huhtala, Jyrki Tenhunen, Sanna Hoppu
AIM: The quality of cardiopulmonary resuscitation (CPR) is associated with the rate of return of spontaneous circulation (ROSC) during human cardiac arrest. Current advances in defibrillator technology enable measurement of CPR quality during resuscitation, but it is not known whether this is directly reflected in cerebral oxygenation. In this descriptive study we aimed to evaluate whether the quality of feedback-monitored CPR during in-hospital cardiac arrest is reflected in near infrared frontal cerebral spectroscopy (NIRS)...
January 2012: Resuscitation
https://www.readbyqxmd.com/read/21431395/cpr-in-the-nursing-home-fool-s-errand-or-looming-dilemma
#17
D Lyons, N Gormley, W Zulfiquar, M Silverman, M Philpot
BACKGROUND: The indications for CPR (cardiopulmonary resuscitation) have expanded greatly since the technique was introduced and theoretically it can be attempted on all prior to death. Policy initiatives (such as the British Medical Association/Royal College of Nursing guidelines) have attempted to provide a clinical rationale for the withholding of inappropriate CPR. Traditionally a care home was felt to be an inappropriate environment to attempt CPR but increased use of advance directives may bring the issue to the fore in this setting...
September 2011: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/21200058/treatment-of-local-anesthetic-toxicity-with-lipid-emulsion-therapy
#18
Melissa S Burch, Russell K McAllister, Tricia A Meyer
PURPOSE: The use of lipid emulsion to treat local-anesthetic toxicity is discussed. SUMMARY: Systemic toxicity from local anesthetics is a rare but potentially fatal complication of regional anesthesia. There is increasing evidence that lipid emulsion may be an effective treatment to reverse the cardiac and neurologic effects of local-anesthetic toxicity. A literature search identified seven case reports of local-anesthetic toxicity in which lipid emulsion was used...
January 15, 2011: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/21143065/crossing-over-to-the-other-side
#19
Michael J Mackay
What happened when a doctor on duty in the emergency department suddenly made the transition to "patient in Resus 2"?
December 6, 2010: Medical Journal of Australia
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