The restoration to life or consciousness of one apparently dead. (Dorland, 27th ed)
The artificial substitution of heart and lung action as indicated for HEART ARREST resulting from electric shock, DROWNING, respiratory arrest, or other causes. The two major components of cardiopulmonary resuscitation are artificial ventilation (RESPIRATION, ARTIFICIAL) and closed-chest CARDIAC MASSAGE.
Cessation of heart beat or MYOCARDIAL CONTRACTION. If it is treated within a few minutes, heart arrest can be reversed in most cases to normal cardiac rhythm and effective circulation.
Acute hemorrhage or excessive fluid loss resulting in HYPOVOLEMIA.
Instructions issued by a physician pertaining to the institution, continuation, or withdrawal of life support measures. The concept includes policies, laws, statutes, decisions, guidelines, and discussions that may affect the issuance of such orders.
Therapy whose basic objective is to restore the volume and composition of the body fluids to normal with respect to WATER-ELECTROLYTE BALANCE. Fluids may be administered intravenously, orally, by intermittent gavage, or by HYPODERMOCLYSIS.
Rhythmic compression of the heart by pressure applied manually over the sternum (closed heart massage) or directly to the heart through an opening in the chest wall (open heart massage). It is done to reinstate and maintain circulation. (Dorland, 28th ed)
Occurrence of heart arrest in an individual when there is no immediate access to medical personnel or equipment.
Services specifically designed, staffed, and equipped for the emergency care of patients.
Solutions having the same osmotic pressure as blood serum, or another solution with which they are compared. (From Grant & Hackh's Chemical Dictionary, 5th ed & Dorland, 28th ed)
Cardiac electrical stimulators that apply brief high-voltage electroshocks to the HEART. These stimulators are used to restore normal rhythm and contractile function in hearts of patients who are experiencing VENTRICULAR FIBRILLATION or ventricular tachycardia (TACHYCARDIA, VENTRICULAR) that is not accompanied by a palpable PULSE. Some defibrillators may also be used to correct certain noncritical dysrhythmias (called synchronized defibrillation or CARDIOVERSION), using relatively low-level discharges synchronized to the patient's ECG waveform. (UMDNS, 2003)
A potentially lethal cardiac arrhythmia that is characterized by uncoordinated extremely rapid firing of electrical impulses (400-600/min) in HEART VENTRICLES. Such asynchronous ventricular quivering or fibrillation prevents any effective cardiac output and results in unconsciousness (SYNCOPE). It is one of the major electrocardiographic patterns seen with CARDIAC ARREST.
The absence of a useful purpose or useful result in a diagnostic procedure or therapeutic intervention. The situation of a patient whose condition will not be improved by treatment or instances in which treatment preserves permanent unconsciousness or cannot end dependence on intensive medical care. (From Ann Intern Med 1990 Jun 15;112(12):949)
Hypertonic sodium chloride solution. A solution having an osmotic pressure greater than that of physiologic salt solution (0.9 g NaCl in 100 ml purified water).
A subspecialty of Pediatrics concerned with the newborn infant.
Respiratory failure in the newborn. (Dorland, 27th ed)
Hospital units equipped for childbirth.
The use of sophisticated methods and equipment to treat cardiopulmonary arrest. Advanced Cardiac Life Support (ACLS) includes the use of specialized equipment to maintain the airway, early defibrillation and pharmacological therapy.
A pathological condition manifested by failure to perfuse or oxygenate vital organs.
Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.
Patients' guests and rules for visiting.
A 3.5 per cent colloidal solution containing urea-cross-linked polymerized peptides. It has a molecular weight of approximately 35,000 and is prepared from gelatin and electrolytes. The polymeric solution is used as a plasma expander.
An electrical current applied to the HEART to terminate a disturbance of its rhythm, ARRHYTHMIAS, CARDIAC. (Stedman, 25th ed)
Starches that have been chemically modified so that a percentage of OH groups are substituted with 2-hydroxyethyl ether groups.
Any liquid used to replace blood plasma, usually a saline solution, often with serum albumins, dextrans or other preparations. These substances do not enhance the oxygen- carrying capacity of blood, but merely replace the volume. They are also used to treat dehydration.
Shock produced as a result of trauma.
Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.
A pathological condition caused by lack of oxygen, manifested in impending or actual cessation of life.
Emergency care or treatment given to a person who suddenly becomes ill or injured before full medical services become available.
An abnormally low volume of blood circulating through the body. It may result in hypovolemic shock (see SHOCK).
Abnormally low BODY TEMPERATURE that is intentionally induced in warm-blooded animals by artificial means. In humans, mild or moderate hypothermia has been used to reduce tissue damages, particularly after cardiac or spinal cord injuries and during subsequent surgeries.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Bleeding or escape of blood from a vessel.
An infant during the first month after birth.
Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.
Substances that are used in place of blood, for example, as an alternative to BLOOD TRANSFUSIONS after blood loss to restore BLOOD VOLUME and oxygen-carrying capacity to the blood circulation, or to perfuse isolated organs.
Elements of limited time intervals, contributing to particular results or situations.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
A vehicle equipped for transporting patients in need of emergency care.
Sepsis associated with HYPOTENSION or hypoperfusion despite adequate fluid resuscitation. Perfusion abnormalities may include, but are not limited to LACTIC ACIDOSIS; OLIGURIA; or acute alteration in mental status.
Continuous care and monitoring of newborn infants with life-threatening conditions, in any setting.
Two-phase systems in which one is uniformly dispersed in another as particles small enough so they cannot be filtered or will not settle out. The dispersing or continuous phase or medium envelops the particles of the discontinuous phase. All three states of matter can form colloids among each other.
A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
Fluids restored to the body in order to maintain normal water-electrolyte balance.
Injuries to tissues caused by contact with heat, steam, chemicals (BURNS, CHEMICAL), electricity (BURNS, ELECTRIC), or the like.
First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Inhalation of oxygen aimed at restoring toward normal any pathophysiologic alterations of gas exchange in the cardiopulmonary system, as by the use of a respirator, nasal catheter, tent, chamber, or mask. (From Dorland, 27th ed & Stedman, 25th ed)
The movement of the BLOOD as it is pumped through the CARDIOVASCULAR SYSTEM.
Any materials used in providing care specifically in the hospital.
The capability to perform acceptably those duties directly related to patient care.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Health care provided to a critically ill patient during a medical emergency or crisis.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
Multiple physical insults or injuries occurring simultaneously.
The active sympathomimetic hormone from the ADRENAL MEDULLA. It stimulates both the alpha- and beta- adrenergic systems, causes systemic VASOCONSTRICTION and gastrointestinal relaxation, stimulates the HEART, and dilates BRONCHI and cerebral vessels. It is used in ASTHMA and CARDIAC FAILURE and to delay absorption of local ANESTHETICS.
The care of women and a fetus or newborn given before, during, and after delivery from the 28th week of gestation through the 7th day after delivery.
The administration of medication or fluid through a needle directly into the bone marrow. The technique is especially useful in the management of pediatric emergencies when intravenous access to the systemic circulation is difficult.
The practice of medicine as applied to special circumstances associated with military operations.
Declarations by patients, made in advance of a situation in which they may be incompetent to decide about their own care, stating their treatment preferences or authorizing a third party to make decisions for them. (Bioethics Thesaurus)
Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).
The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.
Abnormally low BLOOD PRESSURE that can result in inadequate blood flow to the brain and other vital organs. Common symptom is DIZZINESS but greater negative impacts on the body occur when there is prolonged depravation of oxygen and nutrients.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.
Devices that cover the nose and mouth to maintain aseptic conditions or to administer inhaled anesthetics or other gases. (UMDNS, 1999)
The transfer of blood components such as erythrocytes, leukocytes, platelets, and plasma from a donor to a recipient or back to the donor. This process differs from the procedures undertaken in PLASMAPHERESIS and types of CYTAPHERESIS; (PLATELETPHERESIS and LEUKAPHERESIS) where, following the removal of plasma or the specific cell components, the remainder is transfused back to the donor.
A voluntary organization concerned with the prevention and treatment of heart and vascular diseases.
Measurement of oxygen and carbon dioxide in the blood.
The specialty or practice of nursing in the care of patients admitted to the emergency department.
Systemic inflammatory response syndrome with a proven or suspected infectious etiology. When sepsis is associated with organ dysfunction distant from the site of infection, it is called severe sepsis. When sepsis is accompanied by HYPOTENSION despite adequate fluid infusion, it is called SEPTIC SHOCK.
Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects.
Rapid and extreme blood loss leading to HEMORRHAGIC SHOCK.
A progressive condition usually characterized by combined failure of several organs such as the lungs, liver, kidney, along with some clotting mechanisms, usually postinjury or postoperative.
A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
Application of a life support system that circulates the blood through an oxygenating system, which may consist of a pump, a membrane oxygenator, and a heat exchanger. Examples of its use are to assist victims of smoke inhalation injury, respiratory failure, and cardiac failure.
A profound state of unconsciousness associated with depressed cerebral activity from which the individual cannot be aroused. Coma generally occurs when there is dysfunction or injury involving both cerebral hemispheres or the brain stem RETICULAR FORMATION.
The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)
Water-soluble proteins found in egg whites, blood, lymph, and other tissues and fluids. They coagulate upon heating.
General or unspecified injuries involving organs in the abdominal cavity.
Drugs that bind to and activate adrenergic receptors.
A composition in prose or verse presenting in dialogue or pantomime a story involving various characters, usually intended to be acted on a stage and to be regarded as a form of entertainment. (From Random House Unabridged Dictionary, 2d ed)
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
Computer disks storing data with a maximum reduction of space and bandwidth. The compact size reduces cost of transmission and storage.
A human infant born before 37 weeks of GESTATION.
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
Failing to prevent death from natural causes, for reasons of mercy by the withdrawal or withholding of life-prolonging treatment.
The use of communication systems, such as telecommunication, to transmit emergency information to appropriate providers of health services.
Professional medical personnel approved to provide care to patients in a hospital.
General or unspecified injuries to the chest area.
The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T.
Continuance of life or existence especially under adverse conditions; includes methods and philosophy of survival.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Application of heat to correct hypothermia, accidental or induced.
Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.
Hemorrhagic and thrombotic disorders that occur as a consequence of abnormalities in blood coagulation due to a variety of factors such as COAGULATION PROTEIN DISORDERS; BLOOD PLATELET DISORDERS; BLOOD PROTEIN DISORDERS or nutritional conditions.
The use of persons coached to feign symptoms or conditions of real diseases in a life-like manner in order to teach or evaluate medical personnel.
Injuries caused by impact with a blunt object where there is no penetration of the skin.
A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
Techniques for controlling bleeding.
Hospital units providing continuous surveillance and care to acutely ill patients.
The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).
The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine.
The circulation of blood through the BLOOD VESSELS supplying the abdominal VISCERA.
A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.
A pathologic condition of acid accumulation or depletion of base in the body. The two main types are RESPIRATORY ACIDOSIS and metabolic acidosis, due to metabolic acid build up.
The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.
Wounds caused by objects penetrating the skin.
On the job training programs for personnel carried out within an institution or agency. It includes orientation programs.
A disorder characterized by a reduction of oxygen in the blood combined with reduced blood flow (ISCHEMIA) to the brain from a localized obstruction of a cerebral artery or from systemic hypoperfusion. Prolonged hypoxia-ischemia is associated with ISCHEMIC ATTACK, TRANSIENT; BRAIN INFARCTION; BRAIN EDEMA; COMA; and other conditions.
A nursing specialty involving nursing care given to the pregnant patient before, after, or during childbirth.
The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.
Lower than normal body temperature, especially in warm-blooded animals.
A systemic inflammatory response to a variety of clinical insults, characterized by two or more of the following conditions: (1) fever >38 degrees C or HYPOTHERMIA 90 beat/minute; (3) tachypnea >24 breaths/minute; (4) LEUKOCYTOSIS >12,000 cells/cubic mm or 10% immature forms. While usually related to infection, SIRS can also be associated with noninfectious insults such as TRAUMA; BURNS; or PANCREATITIS. If infection is involved, a patient with SIRS is said to have SEPSIS.
The pressure that would be exerted by one component of a mixture of gases if it were present alone in a container. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
A ubiquitous sodium salt that is commonly used to season food.
Antidiuretic hormones released by the NEUROHYPOPHYSIS of all vertebrates (structure varies with species) to regulate water balance and OSMOLARITY. In general, vasopressin is a nonapeptide consisting of a six-amino-acid ring with a cysteine 1 to cysteine 6 disulfide bridge or an octapeptide containing a CYSTINE. All mammals have arginine vasopressin except the pig with a lysine at position 8. Vasopressin, a vasoconstrictor, acts on the KIDNEY COLLECTING DUCTS to increase water reabsorption, increase blood volume and blood pressure.
Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.

A resuscitated case from asphyxia by large bronchial cast. (1/1070)

A 62-year-old woman with bronchiectasis suffered from asphyxia due to a large bronchial cast that obstructed the bronchial tree. Immediate bronchoscopic suction of a bronchial cast of 17 cm in length through the intubated tube relieved the patients without any complications. Large bronchial casts appear to be rare in this century but it should be considered in patients with acute exacerbation of excessive sputa not only in patients with asthma or allergy but also in patients with respiratory tract infection.  (+info)

Intraosseous lines in preterm and full term neonates. (2/1070)

AIM: To evaluate the use of intraosseous lines for rapid vascular access in primary resuscitation of preterm and full term neonates. METHODS: Thirty intraosseous lines were placed in 27 newborns, in whom conventional venous access had failed. RESULTS: All the neonates survived the resuscitation procedure, with no long term side effects. CONCLUSION: Intraosseous infusion is quick, safe, and effective in compromised neonates.  (+info)

Should doctors practise resuscitation skills on newly deceased patients? A survey of public opinion. (3/1070)

Trainee doctors must acquire skills in resuscitation, but opportunities for learning on real patients are limited. One option is to practise these skills in newly deceased patients. We sought opinions from 400 multiethnic guests at an open-access dinner dance for members of a local community. The questionnaire could elicit the responses strongly agree, agree, unsure, disagree or strongly disagree. 332 (83%) guests responded. For non-invasive techniques, 32% of responders supported practice without consent, 74% with consent. Support diminished with increasing invasiveness of procedure. 91% of the sample were uncomfortable about the procedures, the commonest reason being 'respect for the body' (264/302). 86% of responders felt that practice should last for no more than 5 minutes. The most popular solutions were for people to carry a personal card giving consent (89%) and establishment of a central register of individuals consenting to be practised upon after death (79%).  (+info)

Survival after cardiac arrest or sustained ventricular tachycardia in patients with hypertrophic cardiomyopathy. (4/1070)

OBJECTIVES: The aim of this study was to evaluate the survival of patients with hypertrophic cardiomyopathy (HCM) after resuscitated ventricular fibrillation or syncopal sustained ventricular tachycardia (VT/VF) when treated with low dose amiodarone or implantable cardioverter defibrillators (ICDs). BACKGROUND: Prospective data on clinical outcome in patients with HCM who survive a cardiac arrest are limited, but studies conducted before the widespread use of amiodarone and/or ICD therapy suggest that over a third die within seven years from sudden cardiac death or progressive heart failure. METHODS: Sixteen HCM patients with a history of VT/VF (nine male, age at VT/VF 19 +/- 8 years [range 10 to 36]) were studied. Syncopal sustained ventricular tachycardia/ventricular fibrillation occurred during or immediately after exertion in eight patients and was the initial presentation in eight. One patient had disabling neurologic deficit after VT/VF. Before VT/VF, two patients had angina, four had syncope and six had a family history of premature sudden cardiac death. After VT/VF all patients were in New York Heart Association class I or II, three had nonsustained VT during ambulatory electrocardiography and 11 had an abnormal exercise blood pressure response. After VT/VF eight patients were treated with low dose amiodarone and six received an ICD. Prophylactic therapy was declined by two patients. RESULTS: Mean follow-up was 6.1 +/- 4.0 years (range 0.5 to 14.5). Cumulative survival (death or ICD discharge) for the entire cohort was 59% at five years (95% confidence interval: 33% to 84%). Thirteen (81%) patients were alive at last follow-up. Two patients died suddenly while taking low dose amiodarone, and one died due to neurologic complications of his initial cardiac arrest. Three patients had one or more appropriate ICD discharges during follow-up; the times to first shock after ICD implantation were 23, 197 and 1,124 days. CONCLUSIONS: This study shows that patients with HCM who survive an episode of VT/VF remain at risk for a recurrent event. Implantable cardioverter defibrillator therapy appears to offer the best potential benefit regarding outcome.  (+info)

Outcome of very severe birth asphyxia. (5/1070)

The aim of this study was to establish the outcome of very severe birth asphyxia in a group of babies intensively resuscitated at birth. 48 infants, born between 1966 and 1971 inclusive, were selected; 15 were apparently stillborn and 33 had not established spontaneous respirations by 20 minutes after birth. One-half of them died, but 3 to 7 years later three-quarters of the survivors are apparently normal. Later handicap was associated with factors leading to prolonged partial intrapartum asphyxia, while acute periods of more complete asphyxia were not necessarily harmful.  (+info)

Boerhaave's syndrome presenting as tension pneumothorax. (6/1070)

Boerhaave's syndrome can present initially as a case of tension pneumothorax. Mortality rate with delayed treatment is very high, therefore diagnosis should be made rapidly in the emergency department. Multidisciplinary cooperation, immediate radiological confirmation, prompt aggressive resuscitation, and surgical intervention offer the best chance of survival.  (+info)

Systemic and microcirculatory effects of autologous whole blood resuscitation in severe hemorrhagic shock. (7/1070)

Systemic and microcirculatory effects of autologous whole blood resuscitation after 4-h hemorrhagic shock with a mean arterial pressure (MAP) level of 40 mmHg were investigated in 63 conscious Syrian golden hamsters. Microcirculation of skeletal skin muscle and subcutaneous connective tissue was visualized in a dorsal skinfold. Shed blood was retransfused within 30 min after 4 h. Animals were grouped into survivors in good (SG) and poor condition (SP) and nonsurvivors (NS) according to 24-h outcome after resuscitation and studied before shock, during shock (60, 120, and 240 min), and 30 min and 24 h after resuscitation. Microvascular and interstitial PO2 values were determined by phosphorescence decay. Shock caused a significant increase of arterial PO2 and decrease of PCO2, pH, and base excess. In the microcirculation, there was a significant decrease in blood flow (QB), functional capillary density (FCD; capillaries with red blood cell flow), and interstitial PO2 [1.8 +/- 0.8 mmHg (SG), 1.3 +/- 1.3 mmHg (SP), and 0.9 +/- 1.1 mmHg (NS) vs. 23.0 +/- 6.1 mmHg at control]. Blood resuscitation caused immediate MAP recompensation in all animals, whereas metabolic acidosis, hyperventilation, and a significant interstitial PO2 decrease (40-60% of control) persisted. In NS (44.4% of the animals), systemic and microcirculatory alterations were significantly more severe both in shock and after resuscitation than in survivors. Whereas in SG (31.8% of the animals) there was only a slight (15-30%) but still significant impairment of microscopic tissue perfusion (QB, FCD) and oxygenation at 24 h, SP (23.8% of the animals) showed severe metabolic acidosis and substantial decreases (>/=50%) of FCD and interstitial PO2. FCD, interstitial PO2, and metabolic state were the main determinants of shock outcome.  (+info)

Early experience with simulated trauma resuscitation. (8/1070)

Although trauma resuscitation is best taught through direct exposure with hands-on experience, the opportunities for this type of teaching in Canada are limited by the relatively low incidence of serious injury and the consolidation of trauma care to a small number of centres. Simulators have been used extensively outside the health care environment and more recently have been used by anesthetists to simulate intraoperative crises. In this paper early experience using a realistic mannequin, controlled by a remote computer, that simulates a variety of physiologic and injury specific variables is presented. The resource implications of simulated resuscitation are reviewed, including one-time and operating costs. Simulated trauma resuscitation may be an educational alternative to "real-life" trauma resuscitation, but careful evaluation of the benefits and resource implications of this type of teaching through well-designed research studies will be important.  (+info)

This course has been designed to teach an evidence-based approach to resuscitation of the newborn. The causes, prevention, and management of mild to severe neonatal asphyxia are carefully explained so that health professionals may develop optimal knowledge and skill in resuscitation.. The Neonatal Resuscitation Program is an educational program that introduces the concepts and basic skills of neonatal resuscitation. Completion of the program does not imply that an individual has the competence to perform neonatal resuscitation. Each hospital is responsible for determining the level of competence and qualifications required for someone to assume clinical responsibility for neonatal resuscitation.. Register Today. ...
Appropriate resuscitation must be available for each of the more than 4 million infants born annually in the United States. Ninety percent of infants transition safely, and it is up to the physician to assess risk factors, identify the nearly 10 percent of infants who need resuscitation, and respond appropriately. A team or persons trained in neonatal resuscitation should be promptly available to provide resuscitation. The Neonatal Resuscitation Program, which was initiated in 1987 to identify infants at risk of needing resuscitation and provide high-quality resuscitation, underwent major updates in 2006 and 2010. Among the most important changes are to not intervene with endotracheal suctioning in vigorous infants born through meconium-stained amniotic fluid (although endotracheal suctioning may be appropriate in nonvigorous infants); to provide positive pressure ventilation with one of three devices when necessary; to begin resuscitation of term infants using room air or blended oxygen; and to have a
Globally, about one quarter of all neonatal deaths are caused by birth asphyxia. In this document, birth asphyxia is defined simply as the failure to initiate and sustain breathing at birth. Effective resuscitation at birth can prevent a large proportion of these deaths. The need for clinical guidelines on basic newborn resuscitation, suitable for settings with limited resources, is universally recognized. WHO had responded to this need by developing guidelines for this purpose that are contained in the document Basic newborn resuscitation: a practical guide. As this document is over a decade old, a process to update the guidelines on basic newborn resuscitation was initiated in 2009. The objective of these updated WHO guidelines is to ensure that newborns in resource-limited settings who require resuscitation are effectively resuscitated. These guidelines will inform WHO training and reference materials, such as Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice; ...
The International Liaison Committee on Resuscitation uses the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) working group method to evaluate the quality of evidence and the strength of treatment recommendations. This method requires guideline developers to use a numerical rating of the importance of each specified outcome. There are currently no uniform reporting guidelines or outcome measures for neonatal resuscitation science. We describe consensus outcome ratings from a survey of 64 neonatal resuscitation guideline developers representing seven international resuscitation councils. Among 25 specified outcomes, 10 were considered critical for decision-making. The five most critically rated outcomes were death, moderate-severe neurodevelopmental impairment, blindness, cerebral palsy and deafness. These data inform outcome rankings for systematic reviews of neonatal resuscitation science and international guideline development using the GRADE methodology. ...
Delivery room management follows standard Neonatal Resuscitation Program (NRP) guidelines. Close attention should be paid to appropriate oxygen delivery, perfusion status, avoidance of hypoglycemia an... more
Specific Aim: To determine if prehospital administration of 7.5% hypertonic saline /6% Dextran-70 (HSD) OR 7.5% hypertonic saline alone (HS), compared to current standard therapy with normal saline (NS), as an initial resuscitation fluid, affects survival following traumatic injury with hypovolemic shock.. Trauma is the leading cause of death among North Americans between the ages of 1 and 44 years. The majority of these deaths result from hypovolemic shock or severe brain injury. Patients in hypovolemic shock develop a state of systemic tissue ischemia then a subsequent reperfusion injury at the time of fluid resuscitation. Conventional resuscitation involves the IV administration of a large volume of isotonic or slightly hypotonic (lactated ringers, LR) solutions beginning in the prehospital setting. Although not conclusive, prior studies have suggested that alternative resuscitation with hypertonic saline (7.5%) solutions may reduce morbidity or mortality in these patients. Furthermore, ...
Around 10% of newborns will require some form of assistance after delivery, with babies born more prematurely more likely to require resuscitation. Current UK guidelines advise initial resuscitation with the delivery of five inflation breaths lasting 2-3 seconds with peak inflation pressure of 30cmH2O (20-25cm H2O in premature neonates). Previous studies have shown that despite resuscitation training, clinicians in both simulated and real resuscitation scenarios do not deliver the recommended duration of inflation breaths. This, combined with leaks around the facemask often being as large as 50% or greater, contributes to low expired tidal volumes during resuscitation, thus increasing the likelihood of hypoxia and delay in establishing effective respiration.. The use of sustained inflations (up to 15 seconds), rather than intermittent shorter inflation breaths, has shown promising results, with reduction in the need for intubation, and the need for and duration of mechanical ventilation. ...
Introduction: Fetal hypoxia from intrapartum events can lead to absent heart rate (HR) or bradycardia (BC) at birth requiring neonatal resuscitation. Neonatal resuscitation guidelines do not differentiate infants with BC (HR,100/min) from absent HR at birth;. Hypothesis: As HR is the primary determinant of resuscitation, we hypothesize that infants with no HR at 1min [determined by Apgar score (AS) of 0 @ 1min] would require more extensive resuscitation with worse clinical outcomes compared to infants with BC at 1min (determined by AS=1 @ 1 min).. Methods: A retrospective analysis was done on infants born from 1/1/00 - 12/31/15 with AS of 0 (ASZ grp) or AS of 1 (ASN grp) at 1min. Patient demographics, resuscitation characteristics & clinical outcomes were analyzed in both the groups. Descriptive statistics & logistic procedure was performed (SAS System, Cary, NC).. Results: Table.1 summarizes the resuscitation characteristics analyzed. AS were different between the groups over time (Fig.1). ...
Looking for neonatal resuscitation? Find out information about neonatal resuscitation. Restoration of consciousness or life functions after apparent death. McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The... Explanation of neonatal resuscitation
DART Mobile ED Sepsis Resuscitation Guide Assessing Fluid Responsiveness GNYHA Prompts to Encourage Lactate Screening GNYHA Severe Sepsis Resuscitation Protocol Invasive GNYHA Severe Sepsis Resuscitation Protocol Non Invasive GNYHA
TY - JOUR. T1 - The perinatal asphyxiated lamb model. T2 - A model for newborn resuscitation. AU - Vali, Payam. AU - Gugino, Sylvia. AU - Koenigsknecht, Carmon. AU - Helman, Justin. AU - Chandrasekharan, Praveen. AU - Rawat, Munmun. AU - Lakshminrusimha, Satyanarayana. AU - Nair, Jayasree. PY - 2018/8/15. Y1 - 2018/8/15. N2 - Birth asphyxia accounts for nearly one million deaths worldwide each year, and is one of the primary causes of early neonatal morbidity and mortality. Many aspects of the current neonatal resuscitation guidelines remain controversial given the difficulties in conducting randomized clinical trials owing to the infrequent and often unpredictable need for extensive resuscitation. Most studies on neonatal resuscitation stem from manikin models that fail to truly reflect physiologic changes or piglet models that have cleared their lung fluid and that have completed the transition from fetal to neonatal circulation. The present protocol provides a detailed step-by-step ...
by Sharon Jordan, Labour Ward Co-ordinator, North Bristol Trust.. I have been training midwives, obstetricians and anaesthetists in Neonatal Resuscitation for the last 11 years, and it is rewarding to see how confidence grows in a skill that is not practiced frequently. As Labour Ward Co-ordinator you are often first on the scene to answer an emergency bell and initiate resuscitation of a compromised baby, but midwives only really gain practice in this area if the baby they deliver themselves is sick, and even then, may hand over the resuscitation to the help that has arrived, as they need to attend to the womans care, usually to manage the third stage of labour. In the training sessions, role-play is used but the resuscitation is not carried out in real time. This enables the midwives to develop a deeper understanding of the physiological process in each step of the resuscitation. There is always an initial hesitation when a volunteer is requested to step forward to show how they would ...
TY - JOUR. T1 - Lactate as a hemodynamic marker in the critically ill. AU - Fuller, Brian M.. AU - Dellinger, R. Phillip. PY - 2012/6. Y1 - 2012/6. N2 - Purpose of review: An early quantitative resuscitation strategy improves outcome in critically ill patients. The hemodynamic endpoints of such a strategy have been a topic of debate in the literature. This review focuses on the use of lactate as a marker for risk stratification, lactate clearance as a hemodynamic endpoint, and its use compared to mixed venous oxygenation as a resuscitation goal. Recent findings: Lactate clearance is associated with improved outcome across several cohorts of critically ill patients. Lactate levels and central venous oxygen saturations are frequently discordant. Targeting lactate clearance as part of a quantitative resuscitation strategy may be as effective as targeting central venous oxygen saturation. Summary: Resuscitation of the critically ill patient should be aimed at the reversal of tissue hypoxia. The use ...
Restrictive Versus Massive Fluid Resuscitation Strategy (REFILL study), influence on blood loss and hemostatic parameters in obstetric hemorrhage: study protocol for a randomized controlled ...
TY - JOUR. T1 - Metabolic Resuscitation Strategies to Prevent Organ Dysfunction in Sepsis. AU - Reitsema, Vera A. AU - Star, Bastiaan S. AU - de Jager, Vincent D. AU - van Meurs, Matijs. AU - Henning, Robert H. AU - Bouma, Hjalmar R. PY - 2019/7/10. Y1 - 2019/7/10. N2 - Recent Advances: Mitochondrial dysfunction is emerging as a key process in the induction of organ dysfunction during sepsis, and metabolic resuscitation might reveal to be a novel cornerstone in the treatment of sepsis. Critical Issues: Here, we review novel strategies to maintain organ function in sepsis by precluding mitochondrial dysfunction by lowering energetic demand to allow preservation of adenosine triphosphate-levels, while reducing free radical generation. As the most common strategy to suppress metabolism, that is, cooling, does not reveal unequivocal beneficial effects and may even increase mortality, caloric restriction or modulation of energy-sensing pathways (i.e., sirtuins and AMP-activated protein kinase) may ...
Upcoming Baby Resuscitation Courses. Please see courses below. For each course you will see a date and start time along with a location map and route finder function. We currently run 2 types of courses, our Baby and Infant Resuscitation Training course and following on from feedback, we have developed a new course Treating Common Injuries and Accidents.. Both courses are run by trained professionals giving the best possible advice on care and appropriate responses. There are usually relevant handouts and hands on practising available during the course.. ...
TY - JOUR. T1 - Role of albumin, starches and gelatins versus crystalloids in volume resuscitation of critically ill patients. AU - Zazzeron, Luca. AU - Gattinoni, Luciano. AU - Caironi, Pietro. PY - 2016. Y1 - 2016. N2 - PURPOSE OF REVIEW: The review focuses on fluid resuscitation of critically ill patients with either colloid or crystalloid solutions. RECENT FINDINGS: In healthy patients, the volume expanding effect of colloids is greater than that of crystalloids. However, in critically ill patients, a similar amount of crystalloids and colloids is required for fluid resuscitation, suggesting a lower efficiency of colloids when capillary permeability is increased, and endothelial glycocalyx disrupted. Recent studies on synthetic colloids in surgical patients confirmed the increased risk of renal failure reported in large clinical trials performed in critically ill patients. Experimental studies suggest that albumin maintains plasma volume expansion efficiency even when the capillary ...
The Neonatal Resuscitation Program (NRP) is an educational program jointly sponsored with the American Heart Association (AHA). The course is designed to teach an evidence-based approach to resuscitation of the newborn to hospital staff who care for newbo
Venous-to-arterial carbon dioxide difference (Pv-aCO2) may reflect the adequacy of blood flow during shock states. We sought to test whether the development of Pv-aCO2 during the very early phases of resuscitation is related to multi-organ dysfunction and outcomes in a population of septic shock patients resuscitated targeting the usual oxygen-derived and hemodynamic parameters. We conducted a prospective observational study in a 60-bed mixed ICU in a University affiliated Hospital. 85 patients with a new septic shock episode were included. A Pv-aCO2 value ≥ 6 mmHg was considered to be high. Patients were classified in four predefined groups according to the Pv-aCO2 evolution during the first 6 hours of resuscitation: (1) persistently high Pv-aCO2 (high at T0 and T6); (2) increasing Pv-aCO2 (normal at T0, high at T6); (3) decreasing Pv-aCO2 (high at T0, normal at T6); and (4) persistently normal Pv-aCO2 (normal at T0 and T6). Multiorgan dysfunction at day-3 was compared for predefined groups and a
BACKGROUND: Competence in neonatal resuscitation, which represents the most urgent pediatric clinical situation, is critical in delivery rooms to ensure safety and health of newly born infants. The challenges experienced by health care providers during this procedure are unique due to different causes of cardio respiratory arrest. This study aimed at assessing the knowledge of health providers on neonatal resuscitation. METHODS: Data were gathered among 192 health providers drawn from all counties of Kenya. The clinicians were asked to complete questionnaires which were in two parts as; demographic information and assessment of their knowledge by different scenarios which were formatted in the multiple choice questions. Data were analyzed using SPSS version 15.0 for windows. The results are presented using tables. RESULTS: All the participants were aged 23 years and above with at least a certificate training. Most medical providers had heard of neonatal resuscitation (85.4%) with only 23 receiving
For patients who are already suffering unmanageable pain or face diminished quality of life, the pain and recovery of resuscitation may not be worth the suffering. Even elderly clients in good heath may choose to decline resuscitation out of concerns that, even if successful, the changes of their being on extended life support or living in a nursing home with major neurological damage is inconsistent with their choices about end of life. In such cases resuscitation may also be hard on the patients families as well. Declining resuscitation can be honestly thought of as letting the patient die a natural death without in anyway being the cause of it. Once resuscitation is performed and the patient is on life support machines and there is not open of their living without them, the family must make the choice to affirmatively end treatment which often feels very different ...
This page includes the following topics and synonyms: Newborn Resuscitation, Neonatal Resuscitation, Neonatal Advanced Life Support, Resuscitation of the Newborn, Advanced Life Support for Newborns, NALS, NRP.
This page includes the following topics and synonyms: Newborn Resuscitation, Neonatal Resuscitation, Neonatal Advanced Life Support, Resuscitation of the Newborn, Advanced Life Support for Newborns, NALS, NRP.
TY - JOUR. T1 - Clinical algorithm for initial fluid resuscitation in disasters. AU - Shoemaker, W. C.. AU - Kvetan, V.. AU - Fyodorov, V.. AU - Kram, H. B.. PY - 1991/1/1. Y1 - 1991/1/1. N2 - This article reviews past experience with branch-chain decision trees for fluid resuscitation of various emergency conditions and analyzes the effects of compliance with the algorithm on mortality and shock-related complications. On the basis of this analysis, the authors propose a new algorithm for fluid resuscitation of mass casualties when only palpable systolic blood pressure is available and when blood pressure, hematocrit, central venous pressure, urine output, and arterial blood gases are available.. AB - This article reviews past experience with branch-chain decision trees for fluid resuscitation of various emergency conditions and analyzes the effects of compliance with the algorithm on mortality and shock-related complications. On the basis of this analysis, the authors propose a new algorithm ...
At the 2013 Academic Emergency Medicine global health consensus conference, a breakout session to develop a research agenda for resuscitation was held. Two articles are the result of that discussion. This second article addresses data collection, management, and analysis and regionalization of postresuscitation care, resuscitation programs, and research examples around the world and proposes a strategy to strengthen resuscitation research globally. There is a need for reliable global statistics on resuscitation, international standardization of data, and development of an electronic standard for reporting data. Regionalization of postresuscitation care is a priority area for future research. Large resuscitation clinical research networks are feasible and can give valuable data for improvement of service and outcomes. Low-cost models of population-based research, and emphasis on interventional and implementation studies that assess the clinical effects of programs and interventions, are needed to ...
After failure of external defibrillation, return of cardiac activity with spontaneous circulation is contingent on rapid and effective reversal of myocardial ischemia. Closed-chest cardiopulmonary resuscitation (CPR) evolved about 30 years ago and was almost universally implemented by both professional providers and lay bystanders because of its technical simplicity and noninvasiveness. However, there is growing concern since the limited hemodynamic efficacy of precordial compression accounts for a disappointingly low success rate; especially so if there is a delay of more than 3 minutes before resuscitation is started. There is also increasing concern with the lack of objective hemodynamic measurements currently available for the assessment and quantitation of the effectiveness of resuscitation efforts. Accordingly, the resuscitation procedure proceeds without confirmation that it increases systemic and myocardial blood flows to levels that would be likely to restore spontaneous circulation. Continuous
ISBN-13:978-1610020244ISBN-10:9781610020244New 7th Edition!Powerful resource for interactive, simulation-based teaching and learning!The Neonatal Resuscitation Program (NRP) is an educational program jointly sponsored by the American Academy of Pediatrics (AAP) and the American Heart Association (AHA). The course is de
The Neonatal Resuscitation Program (NRP) is an educational program jointly sponsored with the American Heart Association (AHA). The course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care for healthcare professionals who care for newborns at the time of delivery. ...
The Neonatal Resuscitation Program (NRP) is an educational program jointly sponsored with the American Heart Association (AHA). The course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care for healthcare professionals who care for newborns at the time of delivery. ...
The extensively updated Neonatal Resuscitation Program materials represent a shift in approach to the education process, eliminating the slide and lecture
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The annual Heart and Stroke Foundation of Ontarios Resuscitation Report shares the highlights of our CPR and AED initiatives and shares stories about the effectiveness of CPR and AED use in saving lives.. The report is published following the end of each fiscal year.. 2013 Resuscitation Report. 2012 Resuscitation Report 2011 Resuscitation Report. 2010 Resuscitation Report. 2009 Resuscitation Report. ...
Responses were received from 439 hospitals (Table) with the same distribution of volume and teaching status as the sample population (p = 0.50). Resuscitation committees were more common in both teaching and higher volume hospitals, and when present, were chaired most commonly by pulmonary/critical care (29%) or emergency medicine (26%) clinicians. Hospitalists chaired 9% of the committees. Hospitals were more likely to routinely review cardiac arrest data, if they had a resuscitation committee (78.0% vs 49.3%; P , 0.001) or dedicated staff time for resuscitation (78.8% vs 58.4%, P , 0.001). These results were independent of teaching status and volume, the latter of which (intermediate or high volume) was an independent predictor for both having dedicated staff time and tracking resuscitations. Eighty nine percent of respondents reported that there was room for improvement in resuscitation practice at their institution and 77% reported at least one barrier to quality, of which lack of a ...
A new DCR textbook is now available with deep roots in the THOR Network. Damage Control Resuscitation: Identification and Treatment of Life-Threatening
Making a choice: initial fraction of inspired oxygen for resuscitation at birth of a premature infant less than 32 weeks gestational age Gregory P Moore,1-3 Behdad Navabi2 1Department of Pediatrics, Division of Neonatology, Childrens Hospital of Eastern Ontario, 2Department of Obstetrics and Gynecology, Division of Newborn Care, The Ottawa Hospital General Campus, 3Department of Pediatrics, University of Ottawa, Ottawa, ON, CanadaAs briefly noted by Abdel-Hady and Nasef in their 2012 publication in Research and Reports in Neonatology,1 the best initial fraction of inspired oxygen (FiO2) to use during resuscitation of preterm neonates |32 weeks gestational age (GA) has not been clearly elucidated. Most recent neonatal resuscitation guidelines leave the difficult choice of the actual FiO2 in the hands of individual physicians. We believe that this letter, through review and discussion of the recent published literature, will aid physicians in this choice and confirm that, as per the opinion of Abdel-Hady
Background: Nowadays, families expect that they should participate in their own care and decision in health care management. Traditionally, resuscitation is done by health care personnel where family members are excluded from witnessing of this procedure. However, in the last few decades, this idea has been changed into an offering support by allowing family members to be present during resuscitation. The presence of the family members during resuscitation remain controversial. Therefore, there is needed to analysis and argue that some opinions which are associated with the effects of family allowance during resuscitation. Purpose: The purpose of this paper is to discuss the current evidence that the systematic offering of family presence during resuscitation (FPDR) is an ethically sound practice, with minimal demonstrable harms to patients and family members. Methods: By reviewing the related data sources of family presence during resuscitation(FPDR), extensive review of the opinion of family ...
The Newborn Anne is a manikin designed for skills training in neonatal resuscitation. With anatomical accuracy and product features designed to focus on the critical resuscitation skills required in the first ten minutes of a newborns life, Newborn Anne meets the key components of the Neonatal Resuscitation Program and most other neonatal clinical training curricula.. ...
OBJECTIVE--To determine the circumstances, incidence, and outcome of cardiopulmonary resuscitation in British hospitals. DESIGN--Hospitals registered all cardiopulmonary resuscitation attempts for 12 months or longer and followed survival to one year. SETTING--12 metropolitan, provincial, teaching, and non-teaching hospitals across Britain. SUBJECTS--3765 patients in whom a resuscitation attempt was performed, including 927 in whom the onset of arrest was outside the hospital. MAIN OUTCOME MEASURE--Survival after initial resuscitation, at 24 hours, at discharge from hospital, and at one year, calculated by the life table method. RESULTS--There were 417 known survivors at one year, with 214 lost to follow up. By life table analysis for every eight attempted resuscitations there were three immediate survivors, two at 24 hours, 1.5 leaving hospital alive, and one alive at one year. Survival at one year was 12.5% including out of hospital cases and 15.0% not including these cases. Each hospital year ...
Administration of large volumes of fluid deficient in platelets and clotting factors will predictably lead to the development of a coagulopathy as a consequence of dilution. There has been much research into whether patients first become deficient in platelets of clotting factors during massive volume resuscitation. In the end, this question is not likely to be important. What is important is that after massive volume resuscitation, whether it be with PRBCs, crystalloid or colloid, your patient is likely to be thrombocytopenic and or deficient in clotting factors.. Most of the clotting factors are stable in stored blood except for factors V and VIII. These tend to decrease by up to 50% after 21 days of blood storage. PRBCs have fewer of all the clotting factors.. Total platelet activity is only 50% to 70% of the original in vivo activity after 6 hours of storage in bank blood at 4°C. After 24 or 48 hours of storage, platelet activity is only about 10% or 5% of normal, respectively. Infusion of ...
TY - JOUR. T1 - Near-infrared spectroscopy-guided closed-loop resuscitation of hemorrhage. AU - Chaisson, Neal F.. AU - Kirschner, Robert A.. AU - Deyo, Donald J.. AU - Lopez, J. Abraham. AU - Prough, Donald S.. AU - Kramer, George C.. PY - 2003/5/1. Y1 - 2003/5/1. N2 - Background: Endpoint resuscitation has been suggested as a better means to resuscitate penetrating injury. We performed computer-controlled closed-loop resuscitation using invasive cardiac output (CO) or noninvasive skeletal muscle oxygen saturation (SkMusSO2) via near infrared spectroscopy (NIRS). Methods: Conscious sheep received a 4.0-mm aortotomy and uncontrolled hemorrhage at t = 0 min (TO) while resuscitation started at T20 using lactated Ring. ers solution. Results: The aortotomy rapidly decreased the mean arterial pressure (MAP) to approximately 30 mm Hg and CO to 20% to 30% of baseline. The SkMusSO2 endpoint group required only half as much fluid through 4 hours of resuscitation as the CO endpoint group (34.9 ± 8.4 ...
Quality CPR, Optimal Resuscitation. Cardiovascular disease is the single greatest cause of death in the United States. Each year, upwards of a quarter of a million persons receive attempted resuscitation from cardiac arrest by Emergency Medical Services (EMS). The prognosis for the majority of these arrests remains poor.. Quality CPR is a means to improving survival from cardiac arrest. Scientific studies demonstrate when CPR is performed according to guidelines, the chances of successful resuscitation increase substantially. Minimal breaks in compressions, full chest recoil, adequate compression depth, and adequate compression rate are all components of CPR that can increase survival from cardiac arrest.. In order to have effective HP CPR ALL involved must work as a team, not as separate entities.. The Kitsap Resuscitation is about one unified team with one unified goal - Optimal Resuscitation!. ...
Emergency Department Resuscitation of the Critically Ill is a new, essential resource for the initial resuscitation of your sickest patients-and for their ongoing care when inpatient beds are in short supply.
Abstract:. Background: Hypertensive disorders in pregnancy (HDP) are the common cause of maternal, fetal and neonatal morbidity and mortality world over. Recent global estimates reported that their incidence is on decline, but in developing countries like India they rank second only to anemia. Objectives: Study the incidence of Hypertensive disorders in pregnancy and requirement of immediate postnatal resuscitation and outcome in babies born to these mothers. Materials and methods: Design: Cross sectional study. Setting: Tertiary care teaching hospital. Patients and methods: 778 neonates with maternal history of hypertensive disorders in pregnancy formed the study group and equal numbers of babies born to normotensive mothers were taken as controls. Relevant maternal and neonatal data was recorded in a structured proforma. Number of neonates who required resuscitation were identified and resuscitated as per neonatal resuscitation protocol by American Heart Association. Type of resuscitation ...
The NRP course format changed considerably in 2011. Prior to the course, students are responsible for the course content contained in the Textbook of Neonatal Resuscitation, 6th Edition including: an overview and principles of resuscitation; initial steps in resuscitation; use of resuscitation devices for positive-pressure ventilation; chest compressions; tracheal intubation; medication; special considerations; resuscitation of babies born pre-term; and ethics and care at the end of life. After study and preparation students must successfully complete the online examination offered by HealthStream ...
The meta-analysis by Schierhout and Roberts addresses the long-standing debate about colloids compared with crystalloids for fluid resuscitation. Strong features of the review include the comprehensive search strategy, evaluation of publication bias, critical appraisal of the primary studies, and exploration of heterogeneity of results using methodologic quality and patient characteristics. Different colloids (blood products, synthetic starches, dextrans, and gelatins) were compared with various crystalloids (isotonic and hypertonic solutions). Similar to previous meta-analyses (1, 2), this study detected no difference in mortality, despite pooling data from , 1300 patients from 19 trials. These findings do not suggest that fluid choice for resuscitation is unimportant. However, it is plausible that such factors as comorbid conditions, acute illness severity, and iatrogenic complications have a greater influence on mortality than does the choice of resuscitative fluid. Selection of crystalloids ...
The need for effective team leadership is probably one of the most important aspects of running a successful medical, trauma, & cardiac arrest resuscitation. The primary literature is littered with research aimed at describing effective leadership strategies during high-quality resuscitation teams. But at the end of the day, the key word here is… team.. Now I have to say, the ResCCU nurses, techs, and physicians are by far some of the most talented clinicians Ive ever worked along side. Our debriefings often highlight minor details that we all recognize collectively are important - but in general our teams work together very effectively. But in an effort to constantly be improving, this past year we regularly collected team feedback after acute medical resuscitations, and one common theme arose from the discussions - members frequently cited an inadequate understanding of their role during the resuscitation.. As a result, last month, our ResCCU reinvigorated our approach to team resuscitation ...
TY - JOUR. T1 - Challenges to effective research in acute trauma resuscitation. T2 - Consent and endpoints. AU - Holcomb, John B.. AU - Weiskopf, Richard. AU - Champion, Howard. AU - Gould, Steven A.. AU - Sauer, R. Michelle. AU - Brasel, Karen. AU - Bochicchio, Grant. AU - Bulger, Eileen. AU - Cotton, Bryan A.. AU - Davis, Daniel. AU - Dutton, Richard. AU - Hauser, Carl J.. AU - Hess, John R.. AU - Hides, George A.. AU - Knudson, Paula. AU - MacKenzie, Ellen. AU - McGinnis, Robert L.. AU - Michalek, Joel. AU - Moore, Frederick A.. AU - Omert, Laurel. AU - Pollock, Bradley H. AU - Tortella, Bartholomew. AU - Sugarman, Jeremy. AU - Schreiber, Martin A.. AU - Wade, Charles E.. PY - 2011/2. Y1 - 2011/2. N2 - Selection of study endpoints is one of the most important decisions in the design of effective clinical trials. Late mortality (e.g., 28 days) is an unambiguous endpoint, accepted by regulatory agencies, but it is viewed as problematic among researchers in the study of resuscitation for acute ...
Background. Resuscitation of patients occurs daily in emergency departments. Traditional practice entails family members remaining outside the resuscitation room. Objective. We explored the introduction of family-witnessed resuscitation (FWR) as it has been shown to allow closure for the family when resuscitation is unsuccessful and helps them to better understand the last moments of life. Results. Attending medical doctors have concerns about this practice, such as traumatisation of family members, increased pressure on the medical team, interference by the family, and potential medico-legal consequences. There was not complete acceptance of the practice of FWR among the sample group. Conclusion. Short-course training such as postgraduate advanced life support and other continued professional development activities should have a positive effect on this practice. The more experienced doctors are and the longer they work in emergency medicine, the more comfortable they appear to be with the concept of
Since the 1980s, significant advancements have been made in pediatric resuscitation training in the United States. In 1988, the American Heart Association (AHA) offered the first course in Pediatric Advanced Life Support (PALS).
AAP Neonatal Resuscitation Program® 8th Edition Code Medications Card-Neonatal Resuscitation Program® Code Medications Card. A quick two-sided ref
NRP Neonatal Resuscitation Program April 2, 2017 9 AM to 1 PM at Saving American Hearts, Inc. Colorado Springs CO from Saving American Hearts in Colorado Springs CO nrp certification colorado springs Training, Certification, Self-Help and Career Training
Saudi German Hospital Aseer will be conducting a Neonatal Resuscitation Program, from January 30 to 31, 2021, for all doctors and nurses involved in providing care for both mother and baby at the time of delivery, ensuring that they have the necessary knowledge and skills needed for neonatal resuscitation. Course Objectives Participants will be able to:
The Neonatal Resuscitation Program (NRP) is intended for healthcare professionals involved in any aspect of neonatal resuscitation
The Neonatal Resuscitation Program (NRP), co-sponsored by the American Academy of Pediatrics (AAP) and the American Heart Association (AHA), has been developed to help provide health care practitioners with the knowledge and skills necessary for resuscitating infants at birth. The program format has been designed to be self instructional with class time open for discussion and hands-on testing. Successful completion of the online examination and eSim cases is required before attendance at class. This requires thorough studying and review of all course materials prior to class.. This course is designed for physicians, nurses, paramedical personnel, and other health care providers who have responsibilities for resuscitation and management of the neonatal patient. The AAP and AHA highly recommend someone skilled in all portions of NRP to be in attendance at each delivery.. ...
The Neonatal Resuscitation Program (NRP) course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care for healthcare professionals who care for newborns at the time of delivery. The hands-on case-based simulation/debriefing focuses on critical leadership, communication, and team-work skills. The online portion must be completed prior to the hands-on simulation.. Come to class for the hands-on/Mega-Code with your Certificate for Part 1, your log-in information and your NRP book.. Click here for the Overview of the program.. ...
Eventbrite - McMaster Childrens Hospital, Simulation and Outreach presents Neonatal Resuscitation Program (NRP) Provider - Mar 13 - Tuesday, 13 March 2018 at McMaster Childrens Hospital, Hamilton, ON. Find event and registration information.
Eventbrite - McMaster Childrens Hospital Simulation&Outreach presents Neonatal Resuscitation Program (NRP) Provider - May 6 - Thursday, 6 May 2021 at McMaster Childrens Hospital, Hamilton, ON. Find event and registration information.
Neonatal Resuscitation Program (NRP) Certification/Recertification/Renewal/Update Course is organized by Lifesaver Education and will be held on Oct 21, 2019 at Lifesaver Education, South Pasadena, California, United States of America. (Oct 21, 2019)
Eventbrite - Jordan Valley Medical Center West Valley Campus presents Neonatal Resuscitation Program (NRP) - Tuesday, January 26, 2016 | Wednesday, November 16, 2016 at Jordan Valley Medical Center West Valley Campus, West Valley City, UT. Find event and ticket information.
TY - JOUR. T1 - Splanchnic perfusion during delayed, hypotensive, or aggressive fluid resuscitation from uncontrolled hemorrhage.. AU - Varela, J. Esteban. AU - Cohn, Stephen M.. AU - Diaz, I.. AU - Giannotti, Giovanni D.. AU - Proctor, Kenneth G. PY - 2003/11/1. Y1 - 2003/11/1. N2 - The purpose of this study was to determine the effect of three different fluid resuscitation strategies on splanchnic perfusion in a clinically relevant model of uncontrolled hemorrhage after liver trauma. Anesthetized swine were instrumented with a gastric near-infrared spectroscopy probe (GStO2), a jejunal tonometer (PrCO2), a portal vein catheter (SpvO2, lactate), and an ultrasonic blood flow probe on the superior mesenteric artery. The liver was lacerated to produce uncontrolled hemorrhage and a shock state characterized by a 40-60% decrease in cardiac output and a decrease in mean arterial pressure (MAP) to 42 +/- 1 mmHg. Animals were randomly assigned to either delayed resuscitation (n = 6); hypotensive ...
Despite less prior experience with the Broselow color-coded resuscitation cart, the pediatric health care providers in our study found it easier to use and preferred it over the standard resuscitation cart. In addition, the subjects retrieved intubation equipment, nasogastric tubes, and suction catheters faster from the Broselow cart and provided the resuscitation leader with the appropriately sized equipment 99% of the time. These data suggest that sites caring for pediatric patients should consider modeling their resuscitation equipment carts on the Broselow color-coded system to improve the response time of health care providers in pediatric arrest situations.. The Broselow color-coded resuscitation cart has intuitive advantages over the historically used, intervention-based standard resuscitation cart. In the field of pediatrics in which medication dosing and equipment size is determined by patient size, it seems logical that medications and equipment in a pediatric resuscitation cart also ...
TY - JOUR. T1 - Use of volume expansion during delivery room resuscitation in near-term and term infants. AU - Wyckoff, Myra H.. AU - Perlman, Jeffrey M.. AU - Laptook, Abbot R.. PY - 2005/4/1. Y1 - 2005/4/1. N2 - Objective. To characterize use of volume infusion (VI) for infants who are ≥34 weeks gestational age and receive intensive cardiopulmonary resuscitation (CPR; defined as ,1 minute of positive-pressure ventilation and chest compressions, with or without the administration of medications) in the delivery room and are admitted to the NICU. Methods. A retrospective review of a resuscitation registry between January 1999 and June 2001 was conducted. Results. Of 37 972 infants, 23 received CPR, including 13 with VI. Ten of 13 received VI for persistent bradycardia despite CPR, and only 3 of 13 received VI for suspicion of hypovolemia with poor perfusion. More VI versus no VI infants had Apgar scores ≤2 at 5 and 10 minutes. VI versus no VI infants had lower cord arterial pH, had higher ...
Cardiac arrest and cardiopulmonary resuscitation outcome reports : update of the Utstein resuscitation registry templates for out-of-hospital cardiac arrest : a statement for healthcare professionals from a task force of the international liaison committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation ...
TY - JOUR. T1 - Early Heterogenic Response of Renal Microvasculature to Hemorrhagic Shock/Resuscitation and the Influence of NF-κB Pathway Blockade. AU - Yan, Rui. AU - van Meurs, Matijs. AU - Popa, Eliane R. AU - Li, Ranran. AU - Zwiers, Peter J. AU - Zijlstra, Jan G. AU - Moser, Jill. AU - Molema, Grietje. PY - 2019/2. Y1 - 2019/2. N2 - Hemorrhagic shock (HS) is associated with low blood pressure due to excessive loss of circulating blood and causes both macrocirculatory and microcirculatory dysfunction. Fluid resuscitation after HS is used in the clinic to restore tissue perfusion. The persistent microcirculatory damage caused by HS and/or resuscitation can result in multiple organ damage, with the kidney being one of the involved organs. The kidney microvasculature consists of different segments that possess a remarkable heterogeneity in functional properties. The aim of this study was to investigate the inflammatory responses of these different renal microvascular segments, i.e., ...
Resuscitation. 2007;74:276-285. doi: 10.1016/j.resuscitation.2006.12.017, refnum:2},{id: IDLRT3, content: de Vries W, Turner NM, Monsieurs KG, Bierens JJ, Koster RW. Comparison of instructor-led automated external defibrillation training and three alternative DVD-based training methods. Resuscitation. 2010;81:1004-1009. doi: 10.1016/j.resuscitation.2010.04.006, refnum:3},{id: IDLRT4, content: Saraç L, Ok A. The effects of different instructional methods on students acquisition and retention of cardiopulmonary resuscitation skills. Resuscitation. 2010;81:555-561. doi: 10.1016/j.resuscitation.2009.08.030, refnum:4},{id: IDLRT5, content: Bobrow BJ, Vadeboncoeur TF, Spaite DW, Potts J, Denninghoff K, Chikani V, Brazil PR, Ramsey B, Abella BS. The effectiveness of ultrabrief and brief educational videos for training lay responders in hands-only cardiopulmonary resuscitation: implications for the future of citizen cardiopulmonary resuscitation training. Circ Cardiovasc Qual ...
A multidisciplinary simulation based program in neonatal resuscitation for clinicians in neonatal intensive care, obstetrics, OB anesthesia, postpartum, well baby nursery and antepartum.. ...
A multidisciplinary simulation based program in neonatal resuscitation for clinicians in neonatal intensive care, obstetrics, OB anesthesia, postpartum, well baby nursery and antepartum.. ...
Using an uncontrolled hemorrhagic shock rat model, we compared the resuscitative effects of infusion of LR solution, 6% HES130, LR + 6% HES130 (2:1), or LR+ whole blood to a target pressure of 50 (underresuscitation), 70 (mildly hypotensive resuscitation), and 90 (normotensive- resuscitation) mmHg after bleeding had stopped. The results showed that resuscitation at a target pressure of 50 mmHg, irrespective of whatever solution was used, did not maintain hemodynamic stability and did not maintain sufficient perfusion of tissue. A target resuscitation pressure maintained at 70 mmHg with LR solution, 6% HES130, LR + 6% HES130, or whole blood could better maintain hemodynamic stability and prolong the survival time than a target resuscitation pressure maintained at 50 and 90 mmHg. LR + 6% HES130 and whole blood had a better effect than LR solution and HES alone. LR+whole blood at 70 mmHg had the best effect. Resuscitation at a target pressure of 90 mmHg did not further improve the resuscitative ...
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Poly (ADP-ribose) polymerase (PARP-1) over-activation may lead to depletion of NAD+ and ATP within the cell and proceed to necrotic cell death. Recently, published reports demonstrate high levels of PARP-1 activity in a model of porcine hemorrhagic shock. There is also increased interest in hypotensive resuscitation used for battlefield-wounded soldiers and trauma patients. We wished to evaluate PARP-1 activity during a model of porcine hemorrhagic shock with the hypothesis that PARP-1 activity will be increased using a hypotensive resuscitation strategy. ...
Explosion is responsible for almost 80% of Coalition injuries in todays conflicts. Haemorrhage is the leading cause of death and blast lung injury is evident in 11% of Coalition casualties surviving to reach the (UK) Field Hospital. Military prehospital evacuation times can be prolonged and the combined insults of haemorrhage and blast injury present a double hit to oxygen delivery. Resuscitation strategies must be capable of preserving life from such trauma for several hours. Alongside fluid therapy, adjuncts to resuscitation might improve battlefield survival. This randomized controlled animal trial assessed two adjuncts: supplemental inspired oxygen and recombinant activated Factor VII (rFVIIa). Neither adjunct is currently available in the far-forward military echelon, but with modern technology, both are potentially deployable. 18 terminally anaesthetized swine were exposed to blast, controlled haemorrhage and grade IV liver laceration (uncontrolled haemorrhage). Animals were allocated ...
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Ten percent of neonates do not successfully make the transition from fetus to newborn and need some level of medical assistance. This means that every medical
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TY - JOUR. T1 - Small-volume resuscitation using hypertonic saline improves organ perfusion in burned rats. AU - Kien, Nguyen D.. AU - Antognini, Joseph F.. AU - Reilly, Debra A.. AU - Moore, Peter G.. PY - 1996. Y1 - 1996. N2 - Resuscitation using small volumes (3-5 mL/kg) of 7.5% hypertonic saline (HTS) is effective for hemorrhagic shock. Whether HTS is beneficial for the initial resuscitation of burn injury is not clear. We compared the hemodynamic effects of HTS versus lactated Ringers solution (LR) and examined organ tissue perfusion during burn resuscitation (R). Full thickness scald burn (35% of total body surface area) was induced in pentobarbital- anesthetized rats. Regional blood flows were measured using radioactive microspheres before and 30 min after burn, and after R with either HTS (4 mL/kg) or LR (at a dose required for equivalent restoration of arterial blood pressure). Data from the HTS-or LR-resuscitated groups were compared to those from a nonresuscitated group (n = 10 in ...
In a system and a method of testing a person in the performance of cardiopulmonary resuscitation and for evaluating training exercises therein, a training device simulating a patient includes sensors for detecting various resuscitation procedures performed thereon. Parameter signals from the sensors are fed to a computer including a series of counters, a timing means and various memories, for analyzing the parameter signals and assessing whether the corresponding operations have been correctly or incorrectly performed. The values processed by the computer are then displayed on a display providing a clear moving representation of the procedures performed on the training device, the representation taking place in real time on the basis of corresponding signals from the timing means, whereby, by viewing the display, the trainee operator can directly check and if appropriate correct the resuscitation procedures he is performing. The display can display the whole of the cardiopulmonary resuscitation
This resuscitation room guide is designed to be a portable, accessible, and practical guide to the various conditions that present in the resuscitation room. It covers their recognition, assessment and management, and the equipment and investigative procedures used.
This brief update reviews the recent literature available on fluid resuscitation from hemorrhagic shock and considers the applicability of this evidence for use in resuscitation of combat casualties in the combat casualty care (CCC) environment. A number of changes need to be incorporated in the CCC guidelines: (1) dried plasma (DP) is added as an option when other blood components or whole blood are not available; (2) the wording is clarified to emphasize that Hetastarch is a less desirable option than whole blood, blood components, or DP and should be used only when these preferred options are not available; (3) the use of blood products in certain tactical field care settings where this option might be feasible (FSC, GH) is discussed; (4) 1:1:1 damage control resuscitation (DCR) with plasma: packed red blood cells (PRBC): platelets is preferred to 1:1 DCR with plasma: PRBC when platelets are available; and (5) the 30-min wait between increments of resuscitation fluid administered to achieve clinical
Makley AT, Pritts TA. (03-2009. )Update to USAF Air Mobility Command on effects of altitude after injury .Cincinnati, Ohio. Makley AT. (03-2009. )Hemorrhagic shock and resuscitation strategy .. Makley AT, Goodman MD, Friend LAW, Johannigman JA, Dorlac WC, Lentsch AB, Pritts TA. (05-2009. )Transfusion of stored blood components increases systemic inflammation following hemorrhage .. Makley AT, Goodman MD, Friend LAW, Johannigman JA, Dorlac WC, Lentsch AB, Pritts TA. (05-2009. )Transfusion of stored blood components increases the inflammatory response to hemorrhagic shock .. Makley AT. (06-2009. )Effects of different resuscitation strategies on inflammation and organ dysfunction following hemorrhagic shock .. Makley AT. (07-2009. )Damage control resuscitation with aged blood worsens the inflammatory response following hemorrhage in mice .. Huber NL, Sonnier DI, Goodman MD, Makley AT, Bailey SR, Schuster RM, Clarke CN, Friend LAW, Lentsch AB, Dorlac WC, Johannigman JA, Pritts TA. (08-2009. ...
Objective: Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in the prevention of death or delaying it in a person with cardiac arrest. In this regard, demographic information about patients who need CPR is vital. Methods: In this cross-sectional study patients with cardiopulmonary arrest or arrhythmias admitted to Imam Reza and Sina educational hospitals of Tabriz University of Medical Sciences from 22 December 2013 to 21 December 2014 entered the study. Demographic information such as age, sex, cardiopulmonary resuscitation time, the place of cardiopulmonary arrest (outside or inside the hospital), the duration of resuscitation process, success or failure of the resuscitation process and the mechanism of cardiopulmonary arrest were obtained. Results: From a total of 354 cases of cardiopulmonary resuscitation, 281 cases (79%) were unsuccessful and 73 cases (21%) were successful. The average age of patients was 59 ± 22 years. The average time of the resuscitation process was 31 ± 12
Background-Out-of-hospital cardiac arrest (OHCA) claims millions of lives worldwide each year. OHCA survival from shockable arrhythmias (ventricular fibrillation/tachycardia) improved in several communities after implementing American Heart Association resuscitation guidelines that eliminated stacked shocks and emphasized chest compressions. Non-shockable rhythms are now the predominant presentation of OHCA, upon which the benefit of such treatments is uncertain. Methods and Results-We studied 3960 patients with nontraumatic OHCA from non-shockable initial rhythms treated by pre-hospital providers in King County, WA over a 10 year period. Outcomes during a 5 year intervention period after adoption of new resuscitation guidelines were compared to the previous 5 year historical control period. The primary outcome was 1-year survival. Patient demographics and resuscitation characteristics were similar between control (n=1774) and intervention (n=2186) groups, among whom 471/1774 (27%) versus ...
Patients with burn shock can be challenging to resuscitate. Burn shock produces a variety of physiologic derangements: Patients are hypovolemic from volume loss, have a increased systemic vascular resistance, and may have a depressed cardiac output depending on the extent of the thermal injury. Additionally, the burn wound produces a significant inflammatory cascade of events that contributes to the shock state. Fluid resuscitation is foundational for the initial treatment of burn shock. Typical resuscitation is with intravenous lactated Ringers in accordance with well-established formulas based on burn wound size. In the past century, as therapies to treat thermal injuries were being developed, plasma was the fluid used for burn resuscitation; in fact, plasma was used in World War II and throughout the 1950s and 1960s. Plasma was abandoned because of infectious risks and complications. Despite huge strides in transfusion medicine and the increased safety of blood products, plasma has never ...
© 2016 Haemorrhagic and severe hypovolaemic shock can be rapidly fatal unless identified and resuscitated quickly. Monitoring of haemodynamic and cellular end points is crucial in guiding treatment and improving outcomes. This review therefore focuses on the pathophysiology of hypovolaemic shock, volume resuscitation, haemostasis and approaches to management. Fluid resuscitation saves lives but considerable debate remains regarding the ideal fluid type and strategy to use. Blood transfusion is also a critical therapy in the shocked, bleeding patient with a lower threshold for transfusion being appropriate in the elderly patient with less physiological reserve. Reversal of anticoagulant medications and the administration of coagulation products should support both fluid and red cell therapy to counteract the multifactorial coagulopathy that can accompany severe trauma, haemorrhage and shock. The aim is to stabilize the patient such that any interventional strategies (both percutaneous and surgical) can
The most relevant results of this small phase II trial include (A) time to spontaneous breathing and total ventilation time were significantly shorter in the LMA arm than in FM arm; (B) almost half (44%) of the neonates who did not respond to FMV were successfully rescued with the LMA; (C) use of neonatal LMA was safe, even in the hands of inexperienced health staff.. A few observational studies and RCTs have evaluated the use of cuffed laryngeal masks during neonatal resuscitation and have unanimously concluded that laryngeal mask allowed effective PPV in most of the treated patients (range 95%-99%).11 13 14 One quasirandomised study showed that successful resuscitation with the laryngeal mask was significantly higher, and the total ventilation time with the laryngeal mask was significantly shorter than with FMV. The authors concluded: the laryngeal mask is safe, effective and easy to implement for the resuscitation of neonates with a gestational age of 34 or more weeks.15 Another recent ...
TY - JOUR. T1 - Hydrogen inhalation protects against acute lung injury induced by hemorrhagic shock and resuscitation. AU - Kohama, Keisuke. AU - Yamashita, Hayato. AU - Aoyama-Ishikawa, Michiko. AU - Takahashi, Toru. AU - Billiar, Timothy R.. AU - Nishimura, Takeshi. AU - Kotani, Joji. AU - Nakao, Atsunori. PY - 2015/8/1. Y1 - 2015/8/1. N2 - Introduction Hemorrhagic shock followed by fluid resuscitation (HS/R) triggers an inflammatory response and causes pulmonary inflammation that can lead to acute lung injury (ALI). Hydrogen, a therapeutic gas, has potent cytoprotective, antiinflammatory, and antioxidant effects. This study examined the effects of inhaled hydrogen on ALI caused by HS/R. Methods Rats were subjected to hemorrhagic shock by withdrawing blood to lower blood pressure followed by resuscitation with shed blood and saline to restore blood pressure. After HS/R, the rats were maintained in a control gas of similar composition to room air or exposed to 1.3% hydrogen. Results HS/R ...
The International Guidelines 2000 Conference on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC) formulated new evidenced-based recommendations for neonatal resuscitation. These guidelines comprehensively update the last recommendations, published in 1992 after the Fifth National Conference on CPR and ECC. As a result of the evidence evaluation process, significant changes occurred in the recommended management routines for: * Meconium-stained amniotic fluid: If the newly born infant has absent or depressed respirations, heart rate ...
"ABC of resuscitation. BMJ Books. 327 (7427): 1336-1338. doi:10.1136/bmj.327.7427.1336. PMC 286328. PMID 14656846.. ... Mads Gilbert, an anesthesiologist and the chief of the hospital's emergency room, proceeded with the resuscitation attempt.[6] ... Gilbert, Mads; Gilbert M; Busund R; Skagseth A; Nilsen P; Solbo J (2000). "Resuscitation from accidental hypothermia of 13.7°C ... The key success factors of such marginal resuscitation efforts are early bystander actions with vigorous CPR and early warning ...
"AWARE-AWAreness during REsuscitation-a prospective study". Resuscitation. 85 (12): 1799-1805. doi:10.1016/j.resuscitation. ... Some theories explain reported NDE experiences as resulting from drugs used during resuscitation (in the case of resuscitation- ... Awareness during Resuscitation (AWARE) study[edit]. While at University of Southampton, Parnia was the principal investigator ... Primary Trial ID Number 17129, entitled "AWARE II (AWAreness during REsuscitation) A Multi-Centre Observational Study of the ...
Sternbach GL, Varon J (2004). "Resuscitation Great. John Mayow and oxygen". Resuscitation. 60 (3): 235-7. doi:10.1016/j. ... Sternbach GL, Varon J (2004). "Resuscitation Great. John Mayow and oxygen". Resuscitation. 60 (3): 235-7. doi:10.1016/j. ... resuscitation.2003.12.013. PMID 15050753. "John Mayow (1641-1679)". JAMA. 197 (5): 364-5. 1966. doi:10.1001/jama.197.5.364b. ...
doi:10.1016/j.resuscitation.2010.04.014. PMID 20637974.. *^ Cadman, Jeni. "PEWS - NHS Institute for Innovation and Improvement" ... doi:10.1016/j.resuscitation.2013.01.022. PMID 23376581.. *^ Prytherch DR, Smith GB, Schmidt PE, Featherstone PI (2010). "ViEWS- ... Towards a national early warning score for detecting adult inpatient deterioration". Resuscitation. 81 (8): 932-937. ...
Soar, Perkins, et al (2010) European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in ... doi:10.1016/j.resuscitation.2014.03.008. PMID 24642404.. *^ Mark S, Link; Lauren C, Berkow; Peter J, Kudenchuk (2015). "Part 7 ... Resuscitation. Oct. pp.1400-1433 *^ Fisher, Brown, Cooke (Eds) (2006) Joint Royal Colleges Ambulance Liaison Committee. UK ... Australian Resuscitation Council. December 2010. Archived from the original on 12 March 2015. Retrieved 7 March 2015.. ...
A review of 100 tape recordings of true cardiac arrest cases". Resuscitation. 56 (1): 25-34. doi:10.1016/S0300-9572(02)00278-2 ...
doi:10.1016/j.resuscitation.2010.08.015. PMID 20956045.. *^ a b c d e f g h i j k Fong, J; Khan, A (February 2012). " ... "European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: ...
Resuscitation. Immediate, life-saving intervention required without delay. Cardiac arrest. Massive bleeding ...
1998). "Respiratory system compliance decreases after cardiopulmonary resuscitation and stomach inflation: impact of large and ... small tidal volumes on calculated peak airway pressure". Resuscitation. 38 (2): 113-8. doi:10.1016/S0300-9572(98)00095-1. PMID ...
371-8 International Liaison Committee on Resuscitation, American Heart Association, and European Resuscitation Council (2005 ... Resuscitation. 67: 213-47. doi:10.1016/j.resuscitation.2005.09.018. PMID 16324990. CS1 maint: Multiple names: authors list ( ... Salem, MR; Sellick, BA; Elam, JO (1974). "The historical background of cricoid pressure in anesthesia and resuscitation". ... Because of this, recent editions of the American Heart Association's Guidelines for Cardiopulmonary Resuscitation have de- ...
Resuscitation. 81 (10): 1400-33. doi:10.1016/j.resuscitation.2010.08.015. PMID 20956045. Viering, Daan H. H. M.; Baaij, Jeroen ... "European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: ...
doi:10.1016/j.resuscitation.2005.07.022. PMID 16378674.. *^ "Entropy is more resistant to artifacts than bispectral index in ...
"Resuscitation Journal". Retrieved 2008-09-16.. *^ "Govt Media Release". Archived from the original on 21 March 2012. Retrieved ... "International EMS systems in South Africa: past, present, and future", C . MacFarlane et al., Resuscitation, Volume 64, Issue 2 ... Resuscitation. 64 (2): 145-8. doi:10.1016/j.resuscitation.2004.11.003. PMID 15680521.. ...
Adult resuscitation. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical ... 1977; 60(6). [4] Donoghue AJ, Berg RA, Nadkarni V. Pediatric resuscitation. In: Marx JA, Hockberger RS, Walls RM, et al., eds. ... Cessation of unsuccessful pediatric resuscitation -- how long is too long? Mayo Clin Proc 1993;68:332-336. ...
To find a safer method of cardiac resuscitation, Lown enlisted the help of Baruch Berkowitz, an electrical engineer employed by ... In 1956 American cardiologist Paul Zoll described resuscitations during open-heart surgery and later after sudden cardiac death ... Lidocaine was also used in coronary units to prevent the need for resuscitation. Previously, lidocaine was used almost ... Lown developed the direct current defibrillator for cardiac resuscitation and the cardioverter for correcting rapid disordered ...
... resuscitation). These are combined to form kata for the various sections of jūjutsu taught, including toride (capturing and ... and resuscitation techniques (sakkatsuhō). Its jūjutsu techniques have been influential in the founding of many other schools ...
Apply vasopressors, usually noradrenaline for hypotension not responding to initial fluid resuscitation to maintain mean ... arterial pressure (MAP) , 65 mm Hg, in the event of persistent hypotension despite fluid resuscitation (septic shock) and/or ...
A Birmingham gauge of 14 is a very large cannula (used in resuscitation settings) and 24-26 is the smallest. The most common ...
Cardiopulmonary resuscitation (CPR). *Mouth-to-mouth resuscitation. *Basic life support (BLS). *Advanced cardiac life support ( ...
"Trauma: Emergency Resuscitation, Perioperative Anesthesia, Surgical Management. 1. New York: CRC Press. p. 18. ISBN 978- ... A Level III trauma center does not have the full availability of specialists but has resources for emergency resuscitation, ...
Cardiopulmonary resuscitation (CPR). *Mouth-to-mouth resuscitation. *Basic life support (BLS). *Advanced cardiac life support ( ...
"Resuscitation Council UK. Archived from the original on 29 May 2007. Retrieved 2 June 2007.. ... and whose job is to provide early critical care such as cardiopulmonary resuscitation (CPR) or using an automated external ...
... was previously included in international resuscitation guidelines for use in cardiac arrest associated with asystole ... "Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation ... "Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency ...
... such as performing cardiopulmonary resuscitation (CPR) while awaiting an ambulance, as well as the complete treatment of minor ... physician William Hawes began publicizing the power of artificial respiration as means of resuscitation of those who appeared ... Resuscitation, Volume 41, Issue 1, June 1999, Pages 3-18, ...
Cardiopulmonary resuscitation (CPR). *Care of the Critically Ill Surgical Patient (CCrISP). *First aid ...
Cardiopulmonary resuscitation (CPR). *Mouth-to-mouth resuscitation. *Basic life support (BLS). *Advanced cardiac life support ( ...
"Original data supporting the 'Golden Hour' concept produced from French World War I data," Trauma Resuscitation at, ...
Early cardiopulmonary resuscitation (CPR). *Early defibrillation. *Early advanced life support (ALS). Clinical response[edit]. ...
Cardiopulmonary resuscitation (CPR). *Mouth-to-mouth resuscitation. *Basic life support (BLS). *Advanced cardiac life support ( ...
Cardiopulmonary resuscitation (CPR). References[edit]. *^ Marino, Paul L. (2014). Marino's the ICU book (Fourth edition. ed.). ... and is the most effective resuscitation measure for cardiac arrest associated with ventricular fibrillation and pulseless ... 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. ...
doi:10.1016/j.resuscitation.2017.07.013. ISSN 1873-1570. PMID 28736324.. *^ a b c d e f Ehlenbach WJ, Barnato AE, Curtis JR, ... Resuscitation. 67 (1): 145-8. doi:10.1016/j.resuscitation.2005.05.002. PMID 16129537. Archived (PDF) from the original on 2008- ... Belgian Cerebral Resuscitation Study Group". Resuscitation. 26 (1): 47-52. doi:10.1016/0300-9572(93)90162-J. PMID 8210731.. ... Resuscitation. 70 (1): 44-51. doi:10.1016/j.resuscitation.2005.11.017. PMID 16759784. Archived from the original on 2007-07-16. ...
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... cardiopulmonary resuscitation [2] or CPR) and any intense intervention that will prevent imminent death. ... Resuscitation The term resuscitation, as used by medical personnel, means both trying to revive those who have gone into ... Resuscitation. The term resuscitation, as used by medical personnel, means both trying to revive those who have gone into ... Resuscitation involves supporting each of these systems.. Other resuscitations involve patients with severely abnormal ...
Dear Anonymous. Here is the best article I have found on the subject of DO NOT RESUSCITATE orders:. Note that it says in part. This principle [excessive burden or not] can be expressed as follows: "A do-not- resuscitate order is morally permissible if one can judge that CPR is excessively burdensome for this patient, taking into account his situation and his physical and moral resources, or that CPR imposes excessive expense on the family or community.". CPR can be administered either in a hospital to a patient who suffers cardiac arrest or outside a hospital by a rescue team to a person who stops breathing because of cardiac arrest. Examples illustrating how the moral principle justifying a "do-not-resuscitate order" in a hospital or outside a hospital will now be given.. Judie ...
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Is apply correct? Any colloquial or quick way to say cardiopulmonary resuscitation? Thanks ... Doctors will apply cardiopulomary resuscitation to patients whose hearts stop suddenly. ... Re: resuscitation Doctors will apply/administer cardiopulomary resuscitation (CPR) to patients whose hearts stop suddenly/ ... Doctors will apply cardiopulomary resuscitation to patients whose hearts stop suddenly.. Is apply correct?. Any colloquial or ...
The Center of Excellence will use simulation as an integral step in optimizing the translation of resuscitation science from ... Its been 50 years now since researchers at Johns Hopkins Medicine in Baltimore discovered that cardiopulmonary resuscitation ... pleased to announce our intention to capitalize on this innovative facility to develop a Center of Excellence in resuscitation ... how The Johns Hopkins University School of Medicine has played an integral part in the history of cardiopulmonary resuscitation ...
The Neonatal Resuscitation Program was developed by the American Heart Association and the American Academy of Pediatrics to ... > Professional Education > Life Support > Neonatal Resuscitation Program > About the Neonatal Resuscitation Program ... The Neonatal Resuscitation Program was developed by the American Heart Association and the American Academy of Pediatrics to ...
Cardiopulmonary resuscitation instruction.. (1) Each school district that operates a high school must offer instruction in ... Beginning with the 2013-14 school year, instruction in cardiopulmonary resuscitation must be included in at least one health ... 2) Instruction in cardiopulmonary resuscitation under this section must:. (a) Be an instructional program developed by the ... Washington state has a long-standing history of training members of the public in cardiopulmonary resuscitation with community- ...
Cardiopulmonary resuscitation aid kit - Product Code OEV. Product. AirLife Resuscitation, Adult, with mask, oxygen reservoir ... The AirLife Resuscitation devices are manual resuscitation devices that are used to provide positive pressure ventilation to ... The mask component on various lots of the resuscitation devices have been identified as having the potential to exhibit a ...
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... significant advancements have been made in pediatric resuscitation training in the United States. In 1988, the American Heart ... Pediatric Resuscitation. Updated: Apr 17, 2016 * Author: Marc Auerbach, MD, MSCI; Chief Editor: Dharmendra J Nimavat, MD, FAAP ... Section III: Resuscitation. Strange G, Ahrens W, Schafermeyer R, Wiebe R. Pediatric Emergency Medicine. 3rd. McGraw-Hill; 2009 ... William H. Resuscitation of Children. Tintinalli J et al (eds.). Tintinallis Emergency Medicine: A Comprehensive Study. 7th. ...
... and 1 in 1,000 newborns require more intensive resuscitation measures. ... Emergency video telemedicine positively impacts newborn resuscitation. Published Thursday 24 November 2016 Published Thu 24 Nov ... "Emergency video telemedicine positively impacts newborn resuscitation." Medical News Today. MediLexicon, Intl., 24 Nov. 2016. ... Clinic, M. (2016, November 24). "Emergency video telemedicine positively impacts newborn resuscitation." Medical News Today. ...
Vodafone Australia resuscitation starts with insourcing. Vodafone Australia CEO Bill Morrow told ZDNet that bringing call ...
... with the wikiHow Resuscitation (CPR) Category. Learn about topics such as How to Do Basic First Aid, How to Carry an Injured ... Resuscitation (CPR). Learn everything you want about Resuscitation (CPR) with the wikiHow Resuscitation (CPR) Category. Learn ... Learn everything you want about Resuscitation (CPR) ...
Now, an innovative new resuscitation mat is set to help inexperienced first responders resuscitate victims in cases of ... Video: Demonstration first aid resuscitation matVideo: Demonstration first aid resuscitation mat ... Now, an innovative new resuscitation mat is set to help inexperienced first responders resuscitate victims in cases of ... With Rescue Aid, an innovative new resuscitation mat, the physicist hopes to relieve first-aiders of their anxiety in stepping ...
... hemorrhage is the leading cause of acute life-threatening intravascular volume loss requiring aggressive fluid resuscitation to ... encoded search term (Volume Resuscitation) and Volume Resuscitation What to Read Next on Medscape. Related Conditions and ... Few contraindications exist to volume resuscitation. The benefit and need for fluid resuscitation to maintain adequate ... Adequate volume resuscitation should lead to stabilization of vital signs and the ability of the body to recover from whatever ...
... Aristomenis K. Exadaktylos,1 Marc A. de Moya,2 Fiona Lecky,3 Peter Driscoll,4 Heinz ... Aristomenis K. Exadaktylos, Marc A. de Moya, Fiona Lecky, et al., "Imaging and Resuscitation in Trauma," Emergency Medicine ...
Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015," Resuscitation, vol. 95, pp. 202-222, 2015. ... perioperative and resuscitation," Resuscitation, vol. 98, pp. 97-104, 2016. View at Publisher · View at Google Scholar · View ... European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, ... InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American ...
Adrenaline, which paramedics inject when CPR (Cardiopulmonary resuscitation) and electric shocks are failing to work, barely ...
Having resuscitation training can help you be more prepared to care for your premature or sick baby after leaving the neonatal ... Having resuscitation training can help you be more prepared to care for your premature or sick baby after leaving the neonatal ...
Unfortunately, resuscitation of dormant bacteria is still poorly studied and very little is known about resuscitation of ... To illustrate how different can be persister resuscitation in vivo compared to the in vitro conditions we draw an example from ... Oliver, J. D., Hite, F., McDougald, D., Andon, N. L., & Simpson, L. M. (1995). Entry into, and resuscitation from, the viable ... Pinto, D., Almeida, V., Almeida Santos, M., & Chambel, L. (2011). Resuscitation of Escherichia coli VBNC cells depends on a ...
Jordan Valley Medical Center West Valley Campus presents Neonatal Resuscitation Program (NRP) - Tuesday, January 26, 2016 , ... Neonatal Resuscitation Program (NRP) Things to do in West Valley City, UT Class Health ... Neonatal Resuscitation Program (NRP). Jordan Valley Medical Center West Valley Campus West Valley City, UT ... AHA-AAP Neonatal Resuscitation Program. The course is designed for health care professionls involved in any aspect of neonatal ...
GEMC- Pediatric Resuscitation: A Practical Overview- for Residents * 1. Project: Ghana Emergency Medicine Collaborative ... 8. Resuscitation Outcomes Consortium Vancouver Seattle Data Coordinating Center Ottawa Milwaukee Portland Toronto Pittsburgh ... 3. Objectives • Background/Significance • Pearls and common mistakes • Resuscitation board review questions and cases • Stay ... 6. Background: • Limited data regarding pediatric cardiopulmonary resuscitations • Whats known: - WHO?: Young age: median (5 ...
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  • Cardiopulmonary resuscitation ( CPR ) is an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest . (
  • The term resuscitation, as used by medical personnel, means both trying to revive those who have gone into cardiac arrest ( cardiopulmonary resuscitation or CPR) and any intense intervention that will prevent imminent death. (
  • The most obvious and dramatic measure is cardiopulmonary resuscitation (CPR), in which clinicians pump on the sternum to generate circulation of blood. (
  • Any colloquial or quick way to say cardiopulmonary resuscitation? (
  • It's been 50 years now since researchers at Johns Hopkins Medicine in Baltimore discovered that cardiopulmonary resuscitation could prolong someone's life long enough to get them to a medical professional. (
  • RCW 28A.230.179: Cardiopulmonary resuscitation instruction. (
  • Cardiopulmonary resuscitation instruction. (
  • 1) Each school district that operates a high school must offer instruction in cardiopulmonary resuscitation to students as provided in this section. (
  • Beginning with the 2013-14 school year, instruction in cardiopulmonary resuscitation must be included in at least one health class necessary for graduation. (
  • 3) School districts may offer the instruction in cardiopulmonary resuscitation directly or arrange for the instruction to be provided by available community-based providers. (
  • Certificated teachers providing the instruction are not required to be certified trainers of cardiopulmonary resuscitation. (
  • A student is not required to earn certification in cardiopulmonary resuscitation to successfully complete the instruction for the purposes of this section. (
  • The legislature finds that more than three hundred sixty thousand people in the United States experience cardiac arrest outside of a hospital every year, and only ten percent survive because the remainder do not receive timely cardiopulmonary resuscitation. (
  • When administered immediately, cardiopulmonary resuscitation doubles or triples survival rates from cardiac arrest. (
  • Washington state has a long-standing history of training members of the public in cardiopulmonary resuscitation with community-based training programs. (
  • Therefore, the legislature intends to create a generation of lifesavers by putting cardiopulmonary resuscitation skills in the hands of all high school graduates and providing schools with a flexible framework to prepare for an emergency. (
  • These poor outcomes may be attributable in part to the fact that only one third to one half of these patients receives bystander cardiopulmonary resuscitation (CPR). (
  • an advisory statement by the advanced life support task force of the international liaison committee on resuscitation and the american heart association emergency cardiovascular care committee and the council on cardiopulmonary, critical care, perioperative and resuscitation," Resuscitation , vol. 98, pp. 97-104, 2016. (
  • Dynamic prediction of patient outcomes during ongoing cardiopulmonary resuscitation," Resuscitation , 2016. (
  • Adrenaline, which paramedics inject when CPR (Cardiopulmonary resuscitation) and electric shocks are failing to work, barely improves the chances of living but nearly doubles serious neurological harm among those who do survive. (
  • The Emergency Medical Services (EMS) Division administers Cardiopulmonary Resuscitation (CPR) Education Programs to provide CPR education and training to targeted groups. (
  • Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in many emergencies, including a heart attack or near drowning, in which someone's breathing or heartbeat has stopped. (
  • Clinical research should focus on improved cardiopulmonary resuscitation, re-oxygenation/ reperfusion strategies, therapeutic hypothermia, neuroprotection, neurorehabilitation, and consideration of drowning in advances made in treatment of other central nervous system disorders. (
  • Cardiopulmonary resuscitation (CPR) is given when someone's breathing or pulse unexpectedly stops. (
  • During neonatal cardiopulmonary resuscitation , early establishment of vascular access is crucial. (
  • Well known examples are cardiopulmonary resuscitation and mouth-to-mouth resuscitation. (
  • MEASUREMENTS: Baseline surveys of patients' characteristics, health status, desires for participation in medical decision making, and cardiopulmonary resuscitation. (
  • Cardiopulmonary Resuscitation (CPR) requires an individual to manually perform chest compressions in an attempt manually pump blood throughout the body. (
  • Cardiopulmonary resuscitation in palliative care cancer patients. (
  • Should hospices be exempt from following national cardiopulmonary resuscitation guidelines? (
  • If they're unresponsive and not breathing, you'll need to do CPR (cardiopulmonary resuscitation). (
  • This research study is titled as "Global Cardiopulmonary Resuscitation CPR Market" 2017 which presents an in-depth study about the production, consumption, market volume, revenue (million USD) and market share across different geographical regions. (
  • This paper reports a successful cardiopulmonary resuscitation during neurosurgical procedure in which high-quality chest compressions was performed in the prone position. (
  • D. Gomes and C. Bersot, "Cardiopulmonary Resuscitation in the Prone Position," Open Journal of Anesthesiology , Vol. 2 No. 5, 2012, pp. 199-201. (
  • Successful Cardiopulmonary Resuscitation of Two Patients in the Prone Position Using Reversed Precordial Compression", Anesthesiology, Vol. 77, No. 1, 1992, pp. 202-204. (
  • S. L. Beltran and G. A. Mashour, "Unsuccessful Cardiopulmonary Resuscitation in Neurosurgery: Is the Supine Position Always Optimal? (
  • ECC Committee, Subcommittees and Task Forces of the American Heart Association, "2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care," Circulation, Vol. 112, No. 24, 2005, p. 27. (
  • If you know how to perform cardiopulmonary resuscitation (CPR), you could save a life. (
  • In order to help the 92% of cardiac arrest patients who die before reaching the hospital, the American Heart Association (AHA) has traditionally recommended a CPR (for cardiopulmonary resuscitation) protocol that includes chest compressions and mouth-to-mouth "rescue breathing. (
  • Content updates throughout the text reflect the 2015 American Academy of Pediatric (AAP)/American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care of the Neonate. (
  • METHODS: We evaluated 2-month cardiopulmonary resuscitation (CPR) preference stability in a cohort of 1590 seriously ill hospitalized patients at 5 acute care teaching hospitals. (
  • Outcome of OHCA and cardiopulmonary resuscitation (CPR) is very poor: Less than 1/3 of the victims regain spontaneous circulation (ROSC), 40-60% of those achieving ROSC suffer significant neurological disability due to brain hypoxia and only 1.7-6.4% are discharged from the hospital. (
  • [2] The rescuer may also provide artificial ventilation by either exhaling air into the subject's mouth or nose ( mouth-to-mouth resuscitation ) or using a device that pushes air into the subject's lungs ( mechanical ventilation ). (
  • CPR uses heart massage and mouth-to-mouth resuscitation to get the heart or lungs working again. (
  • A disposable mouth to mouth resuscitation device includes a one way valve for preventing the victim's breath, saliva, mucus or disease agents from contact with the resuscitator's mouth or respiratory tract. (
  • The invention relates to mouth to mouth resuscitation equipment, and more specifically to a disposable resuscitation device which protects the resuscitator from contamination while permitting him freedom of movement and use of at least one hand for other life saving functions. (
  • Conventional mouth to mouth resuscitation equipment exhibits several problems. (
  • No. 3,957,046 disclosed a mouth to mouth resuscitation device of simple design and construction, inexpensive in cost so as to be disposable after use. (
  • These advantages are accomplished by a disposable mouth to mouth resuscitation structure comprising a flexible air tube for reaching from the victim to the resuscitator, with a mouth piece for the resuscitator connected to one end of the flexible air tube, and a valve body connected at its other end to the opposite end of the air tube. (
  • CPR and mouth-to-mouth resuscitation were the most effective types for the prevention of death or severe anoxic encephalopathy. (
  • Three recent studies have found that when untrained bystanders perform mouth-to-mouth resuscitation as part of CPR on people who are in cardiac arrest, it does not improve patient survival rates. (
  • BARCELONA -- Older patients in their 80s who experienced out-of-hospital cardiac arrest appeared to benefit from resuscitation, researchers said here. (
  • J. Brown, J. Rogers and J. Soar, "Cardiac Arrest during Surgery and Ventilation in the Prone Position: A Case Report and Systematic Review", Resuscitation, Vol. 50, No. 2, 2001, pp. 233-238. (
  • Further, a new study just released by the Arizona Department of Health Services reviewed survival rates and resuscitation care of 4,415 people who collapsed after cardiac arrest from 2005 to 2009. (
  • Must-know new material includes the latest recommendations across key areas of change, including: Timing of umbilical cord clamping, Concentration of oxygen during resuscitation, Use of continuous positive airway pressure (CPAP) during and after resuscitation, Management of meconium-stained amniotic fluid, Electronic cardiac (ECG) monitoring during resuscitation, Estimation of endotracheal tube insertion depth, Methods of thermoregulation for preterm newborns. (
  • The Resuscitation Institute at Rosalind Franklin University is committed to improving outcomes after cardiac arrest through a multifaceted approach that involves not only efforts to promote vigorous implementation of the chain of survival but also education and research on novel and more effective methods for cardiac resuscitation. (
  • The project is designed to assess whether myocardial effects of vitamin-C - for its antioxidant effect - could be beneficial for resuscitation from cardiac arrest when administered coincident with the start of CPR (2009-2010). (
  • The Newborn Anne is a manikin designed for skills training in neonatal resuscitation. (
  • In children that require resuscitation, blood pressure may be normal. (
  • The recommendations are also applicable to neonates who have completed perinatal transition and require resuscitation during the first few weeks to months following birth. (
  • It has been brought to CPS' attention that a large number of counterfeit Textbook of Neonatal Resuscitation (7th edition) are being sold in the United States. (
  • European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015: Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015," Resuscitation , vol. 95, pp. 202-222, 2015. (
  • It is a standardised national course teaching evidence-based resuscitation guidelines and skills to healthcare professionals in the United Kingdom. (
  • Clinical trial evidence suggests that resuscitation using air probably reduces the risk of death and the 2010 ILCOR guidelines recommend the use of normal air rather than 100% oxygen. (
  • Current UK guidelines advise initial resuscitation with the delivery of five 'inflation breaths' lasting 2-3 seconds with peak inflation pressure of 30cmH2O (20-25cm H2O in premature neonates). (
  • Resuscitation guidelines from the USA, UK and Europe suggest that sustained inflations should be researched further. (
  • The updated guidelines also provide indications for chest compressions and for the use of intravenous epinephrine, which is the preferred route of administration, and recommend not to use sodium bicarbonate or naloxone during resuscitation. (
  • The Neonatal Resuscitation Program was developed by the American Heart Association and the American Academy of Pediatrics to teach an evidence-based approach to newborn care. (
  • She has numerous publications and has served as a consultant and editor for the American Academy of Pediatrics Neonatal Resuscitation Program since 1998. (
  • These infrequent, high-risk deliveries may present challenges to community hospitals less familiar with advanced newborn resuscitation interventions. (
  • The enhanced access to neonatologists, who could remotely assess the newborn and guide the local care team through the resuscitation, allowed one-third of the babies to stay with their families in the local hospital," says Dr. Fang. (
  • Emergency Video Telemedicine Consultation for Newborn Resuscitations , Jennifer L. Fang, MD et al. (
  • Neonatal resuscitation also known as newborn resuscitation is an emergency procedure focused on supporting the approximately 10% of newborn children who do not readily begin breathing, putting them at risk of irreversible organ injury and death. (
  • Before neonatal resuscitation can continue, the newborn baby needs to be dried and placed under heat lamps to help maintain its temperature. (
  • For a newborn requiring positive-pressure ventilation (PPV), the American Heart Association recommends bag-and-mask ventilation, a challenging procedure for those inexperienced in neonatal resuscitation. (
  • This person must be capable of initiating resuscitation, including administration of positive-pressure ventilation and chest compressions. (
  • Prehospital data, based on Utstein criteria , and post-resuscitation care data were collected. (
  • Your donation can help us to achieve our goal: to preserve human life by making high-quality resuscitation available to all. (
  • The Neonatal Resuscitation Program, which was initiated in 1987 to identify infants at risk of needing resuscitation and provide high-quality resuscitation, underwent major updates in 2006 and 2010. (
  • citation needed] The International Liaison Committee on Resuscitation (ILCOR) has published Consensus on science and treatment recommendations for neonatal resuscitation in 2000, 2005 and 2010. (
  • Cardio Pulmonary Resuscitation (CPR) offered free of charge to the public. (
  • The flexible tube, the mouth and nose seal and the location of the exhaust port allow the resuscitator to have one hand free to perform, when necessary, cardio-pulmonary resuscitation, monitoring of vital signs, or steps for stemming the flow of blood. (
  • Doctors will apply cardiopulomary resuscitation to patients whose hearts stop suddenly. (
  • The Center of Excellence will use simulation as an integral step in optimizing the translation of resuscitation science from research laboratories to patients' bedside. (
  • The AirLife Resuscitation devices are manual resuscitation devices that are used to provide positive pressure ventilation to patients who are not breathing or cannot adequately breathe on their own. (
  • This is believed to be attributable to earlier recognition and management of critical conditions, earlier CPR, and the implementation of medical emergency teams with specialists trained in the acute resuscitation of pediatric patients using the PALS and APLS algorisms. (
  • Fluid resuscitation of trauma patients has been an ongoing challenge, constantly reviewed and debated, resulting in recommendations changing for the use of crystalloids/colloids/packed red blood cells/warm fresh whole blood and clotting factors. (
  • Of those, 80 hospitals that treated 13,470 patients had policies allowing families to observe resuscitation. (
  • Hospital policies on family presence during resuscitation had no impact on whether patients survived to leave the hospital. (
  • The study is limited by its lack of data linking results for individual patients to whether their family members were present during resuscitation, Goldberger said. (
  • Resuscitation procedures can be quite violent, and more research is needed on how watching them might impact families and patients who survive the incident, said Lisa Salberg, founder and chief executive of the Hypertrophic Cardiomyopathy Association, a patient advocacy group. (
  • OBJECTIVE: To evaluate prospectively seriously ill patients' characteristics, perceptions, and preferences associated with discussing resuscitation (CPR) with their physicians. (
  • Two month follow-up surveys of patients' communication of resuscitation preference. (
  • RESULTS: Thirty percent of patients communicated their resuscitation preference to their physician during a 2 month-period following hospital admission. (
  • CONCLUSIONS: Communication about resuscitation preferences occurred infrequently after hospital admission for a serious illness, even among patients wishing to forego resuscitation. (
  • Dr. Klinkner explains that the concern with the previous resuscitation scheme was giving pediatric patients, whose blood volume is typically around 80 cc/kg, about half of their total blood volume in crystalloid, which does not give them oxygen-carrying capacity. (
  • The new ATLS resuscitation scheme should prompt low-volume trauma centers to provide blood to injured children as they would for adult patients. (
  • Resuscitation should be part of broader discussions around advance care planning with patients and their families. (
  • 1] Another study found that the provision of written information about resuscitation was acceptable to patients but needed to be accompanied by a discussion regarding prognosis. (
  • Explain to patients that the findings came from an observational study and therefore cannot prove the association between infant resuscitation and low IQ. (
  • This organization has conducted case study on global need of resuscitation devices by neonatal patients. (
  • The one-page form is signed by a physician and spells out patients' wishes on medical interventions, including resuscitation, intubation and artificial nutrition or hydration, Pope said. (
  • Acute hemorrhage is the leading cause of acute life-threatening intravascular volume loss requiring aggressive fluid resuscitation to maintain tissue perfusion until the underlying cause can be corrected. (
  • Disturbances between the intravascular and extravascular volumes or acute blood loss are all indications for fluid resuscitation. (
  • According to a study by Christopher Moir, M.D. , a pediatric surgeon at Mayo Clinic's campus in Minnesota, and colleagues - published in the July 2018 issue of the Journal of Trauma Acute Care Surgery - children who received a second bolus of crystalloid often proceeded to need blood, providing supporting evidence for the current change of moving to administering blood earlier in resuscitation. (
  • In the heat of an acute resuscitation, we cannot have random people running up to us and saying 'I'm the brother' or 'I'm the husband. (
  • Although the vast majority of newly born infants do not require intervention to make the transition from intrauterine to extrauterine life, because of the large number of births, a sizable number will require some degree of resuscitation. (
  • This study compares a fifteen second sustained inflation (SI) to five repeated two - three second 'inflation breaths' during resuscitation at delivery of infants born prematurely. (
  • Appropriate resuscitation must be available for each of the more than 4 million infants born annually in the United States. (
  • Ninety percent of infants transition safely, and it is up to the physician to assess risk factors, identify the nearly 10 percent of infants who need resuscitation, and respond appropriately. (
  • Nearly 10 percent of the more than 4 million infants born in the United States annually need some assistance to begin breathing at birth, with approximately 1 percent needing extensive resuscitation 1 , 2 and about 0.2 to 0.3 percent developing moderate or severe hypoxic-ischemic encephalopathy. (
  • Signs of orthostatic or persistent hypotension should prompt the provider to begin resuscitation as well. (
  • In contrast, the need for active resuscitation specifically signals delayed onset of respiration. (
  • The objective is to delay tissue death and to extend the brief window of opportunity for a successful resuscitation without permanent brain damage . (
  • Several studies have shown that for several lengths of inflation breaths, the expired tidal volume achieved is higher if the baby makes respiratory effort during the inflation (active inflation) and that stimulation of spontaneous respiratory effort is a key part in establishing an FRC, enabling spontaneous breathing, and increasing the likelihood of successful resuscitation. (
  • Hospitals that have been hesitant to set policies that allow families to be in the room during resuscitation should be encouraged that this didn't lead to worse outcomes or errors," said Dr. Zachary Goldberger, the study's lead author from the University of Washington Harborview Medical Center in Seattle. (
  • If the out-of-hospital arrest is due to massive myocardial infarction, then resuscitation may not accomplish much, but if the underlying cause is another condition, such as infection, then the outcomes could be more favorable, he explained. (
  • These decisions and management strategies appear relevant for further discussion and research, as this fluid resuscitation attempts to provide adequate organ perfusion and oxygen delivery in a system compromised by the physiological consequences of injury. (
  • For example, Medical Equipment & Gases Australia Pty Ltd offers Oxy-Viva 3 Resuscitator Kit that provides suction, resuscitation and oxygen therapy kit in one compact kit. (
  • In the resuscitation of an infant, initial oxygen concentration of 21 percent is recommended. (
  • This short resuscitation course is essential for all state registered healthcare professionals and others working in a healthcare setting. (
  • For example, ZOLL Medical Corporation provides a comprehensive set of resuscitation technologies and devices that helps clinicians and healthcare professionals. (
  • These devices provide clinicians and healthcare professionals comprehensive support for resuscitation. (
  • It is sated by the case study that there will be high demand of resuscitation devices among healthcare providers and facilities in near future. (
  • This program is planed for neonatal resuscitation, which is similar to ACLS in adult. (
  • In select circumstances, naloxone hydrochloride, sodium bicarbonate, and volume expanders may be used to aid in neonatal resuscitation, although research is varied on the effectiveness of these medications. (
  • Naloxone and sodium bicarbonate are rarely needed and are not recommended during neonatal resuscitation. (
  • At the Johns Hopkins Medicine Simulation Center, we are pleased to announce our intention to capitalize on this innovative facility to develop a Center of Excellence in resuscitation science. (
  • Jeanette leads Positive Pressure , her business enterprise that provides consultation and program development for neonatal resuscitation, simulation and debriefing, and instructor development. (
  • This course is for participants who want to become a Neonatal Resuscitation Program Instructor . (
  • This, combined with leaks around the facemask often being as large as 50% or greater, contributes to low expired tidal volumes during resuscitation, thus increasing the likelihood of hypoxia and delay in establishing effective respiration. (
  • HOUSTON, April 20 -- Babies who needed resuscitation at birth had an increased risk of low IQ eight years later, whether the child had encephalopathy in the neonatal period or not, according to a large-scale British study. (
  • The study group comprised 815 children who needed resuscitation at birth but were asymptomatic for encephalopathy, 58 children who needed resuscitation and had symptoms of encephalopathy, and a reference group of children who had normal births. (
  • Assessment of the need for fluid resuscitation begins with the clinical history. (
  • It should be remembered, however, that clinical scenarios are often complicated, and blood pressure goals should be individualized according to patient physiology, comorbidities and physiological compensation to shock during the time of resuscitation. (
  • Although many methods have been proposed to assess clinical performance during resuscitation, robust and generalizable metrics are still lacking. (
  • We aimed to establish evidence for validity of a previously published scoring instrument--the Clinical Performance Tool (CPT)--designed to evaluate clinical performance during simulated pediatric resuscitations. (
  • During resuscitations, medical personnel may place a large monitor/infusion catheter, such as Swan-Ganz or triple-lumen catheter, to assess a patient's state of hydration, heart functioning, and the amount of fluid in the lungs. (
  • Without adequate fluid resuscitation, tissue hypoperfusion leads to lactate production and metabolic acidosis. (
  • Several physical examination findings may suggest the need for fluid resuscitation. (
  • Fluid resuscitation in diabetic emergencies--a reappraisal. (
  • This article emphasizes different types of fluid available, when they should be used, and recommendations on how to tailor fluid resuscitation through monitoring techniques. (
  • Fluid Resuscitation Strategy. (
  • Approximately 10 percent of newborns require help breathing after birth, and 1 in 1,000 newborns require more intensive resuscitation measures. (
  • With careful consideration of risk factors, the majority of newborns who will need resuscitation can be identified before birth. (
  • Moreover, companies like MedChannel and St John Ambulance provides online customer services for resuscitation devices. (
  • The leading players competing in resuscitation devices market are ZOLL Medical Corporation, Medical Equipment & Gases Australia Pty Ltd, Life Medical Supplier, St John Ambulance, MedChannel, Opto Circuits India Limited (OCI), General Electric Company, NIHON KOHDEN CORPORATION and others. (
  • Women had a significantly lower chance of successful survival after a resuscitation attempt than men (13 percent women vs. 20 percent men). (
  • Current resuscitation methods yield an average survival rate to hospital discharge with intact neurological function that approaches only 5 percent nationwide. (
  • Resuscitation Council UK (RCUK) is providing free online training to the thousands of former clinicians returning to NHS frontlines during the COVID-19 crisis. (
  • Previous studies have shown that despite resuscitation training, clinicians in both simulated and real resuscitation scenarios do not deliver the recommended duration of inflation breaths. (
  • The Resuscitation Council (UK) Advanced Life Support (ALS) course was launched 1993. (
  • The ALS course has also been adopted by the European Resuscitation Council (ERC) and the Australian Resuscitation Council (ARC). (
  • ALS courses are held at centres throughout the UK and are approved and certified by the Resuscitation Council (UK). (
  • Successful candidates receive a Resuscitation Council (UK) ALS provider certificate, which is valid for 4 years. (
  • the Resuscitation Council (UK) only charges the course centre £26 per candidate registration and £28 per ALS manual. (
  • Resuscitation Council UK outline their stance on PPE during COVID-19. (
  • I am happy for Resuscitation Council UK to send me regular newsletters by email. (
  • Resuscitation Council (UK) is a registered Charity No. 1168914. (
  • Resuscitation Council (UK) Trading Ltd is registered as a Company limited by guarantee in England & Wales No. 0299414. (
  • Efforts of many organizations such as Resuscitation Council of Southern Africa and United Nations Foundation in order to increase the awareness and knowledge about these devices will further drive the market growth. (
  • A case-control study was designed to determine if immediate resuscitation by rescuers or bystanders reduces the frequency of severe neurological damage or death in children with a documented submersion event. (
  • Immediate resuscitation before the arrival of paramedical personnel is associated with a significantly better neurological outcome in children with submersion injury. (
  • When it first dropped in 2001, Resuscitation served as a de facto introduction to the duo, collecting a bunch of songs on CD that had only previously been available on hard-to-find singles and EPs. (
  • Professor Emeritus Leonard Cobb was honored for his pioneering work in prehospital care in the July issue of the journal Resuscitation . (
  • 2 ) Although this failure to document a DNR preference is concerning, the absence of a DNR order did not result in resuscitation being performed against a person's wishes in SUPPORT. (
  • To date, there are no studies directly comparing whether prolonged inflations are more successful at provoking an inspiration than other methods of resuscitation. (
  • The other problem with the past resuscitation scheme was that the lungs, while trying to heal, would get extra volume, which the lungs can't tolerate and leads to longer intubation. (
  • Either that person or someone else who is immediately available should have the skills required to perform a complete resuscitation, including endotracheal intubation and administration of medications. (
  • Note that intubation should only be performed by proficient personnel and should not delay other resuscitation efforts. (
  • A team or persons trained in neonatal resuscitation should be promptly available at all deliveries to provide complete resuscitation, including endotracheal intubation and administration of medications. (
  • The mask component on various lots of the resuscitation devices have been identified as having the potential to exhibit a sticking condition which may result in a difficult to/unable to disconnect condition of the mask from the elbow of the resuscitator. (
  • A mouth and nose mask is connected to the plastic body, adjacent to the curved airway tube, for sealing over the nose and mouth of the victim during resuscitation. (
  • 2. The resuscitation device of claim 1, further including a mouth and nose mask connected to the lower end of the valve body, for sealing off the victim's mouth and nose by downward pressure on the mask during resuscitation. (
  • Primary Survey: Initial Priorities Resuscitation.Definitive Airway Management.Intravenous Access Considerations. (
  • Following initial stabilization, victims should be transferred to centers with expertise in age-specific post-resuscitation neurocritical care. (
  • The initial steps of resuscitation are to provide warmth by placing the baby under a radiant heat source, position the head in a "sniffing" position to open the airway, clear the airway with a bulb syringe or suction catheter, and dry the baby and stimulate breathing. (
  • This course was designed to be more comprehensive and covered a spectrum of pediatric emergencies in addition to basic resuscitation. (