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Rachel Sunley, Karen Moloney, Jessica Parker, Christopher Arrowsmith, Kirsty Brown, Alex Wilson
: Emergency Medicine requires a highly skilled workforce who are passionate about delivering excellent patient care. Shift patterns linked with the ever increasing numbers of patients who attend Emergency Departments puts strain on educating the workforce and fostering team togetherness.Our objective in devising and instigating the 'Mini Sim' programme was to embed regular in-situ simulation training to enhance the learning of all staff within our Emergency Department team, building a highly trained workforce to deliver excellent care within the remit of our busy department...
December 2017: Emergency Medicine Journal: EMJ
Balraj Jagdev, Hannah Gardiner, Chris Turner
: Patient Experience of the Trauma System (PETS)Trauma care is highly organised, time critical medicine. Changes to patient management in trauma care are often the result of Random Control Trials, and expert opinion following rigorous evaluation of the evidence. Highly efficient, injury focused care is required to achieve the best outcomes for patients. One area that has not been researched so thoroughly however, is the patient experience of trauma care. As evidence already suggests that patients with high stress levels have poorer outcomes, we wanted to investigate the patient perception of the trauma system...
December 2017: Emergency Medicine Journal: EMJ
Marije K Verheul, Michel P M Vierboom, Bert A 't Hart, Rene E M Toes, Leendert A Trouw
BACKGROUND: Rheumatoid factor (RF), anti-citrullinated protein antibodies (ACPA) and anti-carbamylated protein (anti-CarP) antibodies are rheumatoid arthritis (RA)-associated autoantibodies. Besides their presence in human serum, anti-CarP antibodies have also been described in rodent models of arthritis, while ACPA are not consistently detectable. Data on these RA-associated autoantibodies in primates are not available. Therefore, we investigated the presence of RF, anti-CarP antibodies and ACPA in rhesus monkeys before and after collagen-induced arthritis immunizations...
November 2, 2017: Arthritis Research & Therapy
Fabio Baratto, Giulia Gabellini, Anrdea Paoli, Annalisa Boscolo
No abstract text is available yet for this article.
June 2017: American Journal of Emergency Medicine
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...
December 2016: Postgraduate Medical Journal
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
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
(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
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
Kathryn Godfrey
No abstract text is available yet for this article.
July 30, 2014: Nursing Times
(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
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
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
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
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
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
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
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
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
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