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)
PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.
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 ...
Well known examples are cardiopulmonary resuscitation and mouth-to-mouth resuscitation. Look up resuscitation in Wiktionary, ... also known as Fluid resuscitation Hs and Ts Mouth-to-mouth resuscitation - Artificial ventilation using exhaled air from the ... Resuscitation is the process of correcting physiological disorders (such as lack of breathing or heartbeat) in an acutely ill ... Emergency medical care Advanced trauma life support Cardiopulmonary resuscitation - Emergency procedure for cardiac arrest ...
... , also known as newborn resuscitation, is an emergency procedure focused on supporting approximately 10% ... If a newborns score is 0-3, then resuscitation efforts are initiated. Neonatal resuscitation guidelines closely resemble those ... Neonatal Resuscitation 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency ... The most widely known training/certification for neonatal resuscitation is the Neonatal Resuscitation Program (NRP).[citation ...
Resuscitation is an album released by Detroit, Michigan electronic music duo ADULT. in 2001. Before this release, ADULT.'s ... A bulk of the songs are presented on Resuscitation in remixed or re-recorded forms. ADULT.'s members, Adam Lee Miller (music) ...
Resuscitation. 92: 38-44. doi:10.1016/j.resuscitation.2015.04.011. PMID 25917260. "European Resuscitation Council Guidelines ... The Cerebral Resuscitation Study Group". Resuscitation. 17 Suppl (Suppl S55-69): S55-69, discussion S199-206. doi:10.1016/0300- ... "European Resuscitation Council (2005). "Part 2: Adult basic life support". Guidelines for resuscitation. Archived from the ... "Cardiopulmonary resuscitation (CPR)". www.betterhealth.vic.gov.au. Retrieved 2022-10-20. "Resuscitation Council UK Paediatric ...
Resuscitation is a monthly peer-reviewed medical journal covering research on cardiac arrest and cardiopulmonary resuscitation ... It is an official journal of the European Resuscitation Council and is published by Elsevier. The editor-in-chief is Jerry ... List of medical journals European Resuscitation Council Editorial introductions. Current Opinion in Critical Care, 2013, ... Wolters Kluwer Health/Lippincott Williams & Wilkins "Resuscitation". 2018 Journal Citation Reports. Web of Science (Science ed ...
"2021 Resuscitation Guidelines". Resuscitation Council UK. Retrieved 21 September 2021. "Quality Standards". Resuscitation ... "National Resuscitation Councils". European Resuscitation Council. Retrieved 2009-01-05. "Who we are". Resuscitation Council UK ... Resuscitation Council UK aims to: establish appropriate guidelines for resuscitation encourage members of the public to respond ... Resuscitation Council UK (RCUK) is a healthcare charity focussed on resuscitation education and training for healthcare ...
The European Resuscitation Council (ERC) is the European Interdisciplinary Council for Resuscitation Medicine and Emergency ... The ERC's objective is "To preserve human life by making high quality resuscitation available to all". The ERC is the network ... of National Resuscitation Councils in Europe. Chair of the ERC is Koen Monsieurs. "ERC ,". Official site v t e (Articles ...
... (commonly known as ECPR) is a method of cardiopulmonary resuscitation (CPR) that ...
Overview and principles of resuscitation Initial steps in resuscitation Use of resuscitation devices for positive-pressure ... The Neonatal Resuscitation Program is an educational program in neonatal resuscitation that was developed and is maintained by ... This program focuses on basic resuscitation skills for newly born infants. With the rollout of the seventh edition of the ... Providers who take the Neonatal Resuscitation Program are diverse in their scope of practice. The course outline is flexible to ...
Kudenchuck Resuscitation Outcomes Consortium The Alabama Resuscitation Center The Dallas Center for Resuscitation Research The ... Resuscitation Outcomes Consortium OHSU ROC Study Rescu (Toronto RescuNET) ROC (Resuscitation Outcomes Consortium) Studies , UW ... The Resuscitation Outcomes Consortium (ROC) is a network of eleven regional clinical centers and a data coordinating center. ... Prehospital Resuscitation using an IMpedance valve and Early vs Delayed analysis) Seattle/King County did not participate in ...
... (EPR) is an experimental medical procedure where an emergency department patient is ... Kutcher, M. E., Forsythe, R. M., & Tisherman, S. A. (2016). "Emergency preservation and resuscitation for cardiac arrest from ... and fail to respond to ordinary resuscitation efforts. According to Tisherman, "The patient will probably have already lost ... "Induction of Profound Hypothermia for Emergency Preservation and Resuscitation Allows Intact Survival After Cardiac Arrest ...
Significant advances in resuscitation were made in Europe during the Age of Enlightenment. For example, in 1732, Scottish ... The history of cardiopulmonary resuscitation (CPR) can be traced as far back as the literary works of ancient Egypt (c. 2686 - ... However, the story of resuscitation does not stop in the early 1970s. Major advances have continued. In 1980 the first program ... The American Heart Association uses a metaphor of four links in a chain to describe the elements of successful resuscitation. ...
... is a part of most protocols for performing cardiopulmonary resuscitation (CPR) making it an ... Mouth-to-mouth resuscitation, a form of artificial ventilation, is the act of assisting or stimulating respiration in which a ... It is used on a patient with a beating heart or as part of cardiopulmonary resuscitation (CPR) to achieve the internal ... Wikibooks has a book on the topic of: First Aid Expired Air Resuscitation Archived 2007-03-11 at the Wayback Machine Basic ...
... is a novel by Denis Johnson published in 1991 by Farrar, Straus and Giroux. The story explores ... Critic David L. Ulin argues that the thematic center of The Resuscitation of a Hanged Man-"the key to the entire novel"-resides ... Critic Mona Simpson, testifying to Johnson's "ability to write a gorgeous sentence", registers this critique of Resuscitation ... becomes Resuscitation of a Hanged Man's one real weakness. For when he begins to focus on the conspiracy he thinks he sees ...
Resuscitation. 67 (2-3): 157-161. doi:10.1016/j.resuscitation.2005.05.011. PMID 16221520. "New ILCOR resuscitation guidelines ... the Resuscitation Councils of Southern Africa (RCSA), the Resuscitation Councils of Asia (RCA) and the Inter American Heart ... Foster scientific research in areas of resuscitation where there is a lack of data or where there is controversy. Provide for ... A further update appeared in 2015 The standard revisions cycle for resuscitation is five years. The next is therefore scheduled ...
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. ... resuscitation.2003.12.013. PMID 15050753. (Wikipedia articles incorporating a citation from the 1911 Encyclopaedia Britannica ...
Resuscitation. 85 (11): 1533-1540. doi:10.1016/j.resuscitation.2014.08.025. ISSN 1873-1570. PMID 25195073. Malouf JF, Edwards ...
Resuscitation. 74 (1): 27-37. doi:10.1016/j.resuscitation.2006.11.010. PMID 17306436. Jonasson B, Jonasson U, Saldeen T ( ...
Resuscitation. 50 (2): 189-204. doi:10.1016/s0300-9572(01)00333-1. PMID 11719148. Life extension Mondragon, Carlos (1992). " ...
Resuscitation. 81 (11): 1479-87. doi:10.1016/j.resuscitation.2010.08.006. PMID 20828914. Bougouin, W.; Marijon, E.; Puymirat, E ... Treatment is with cardiopulmonary resuscitation (CPR) and defibrillation. Biphasic defibrillation may be better than monophasic ... of all ventricular fibrillation resuscitations in patients under the age of 40. It follows then that, on the basis of the fact ... and patients in V-fib should be treated with cardiopulmonary resuscitation (CPR) and prompt defibrillation. Left untreated, ...
Resuscitation. 81 (2): 163-7. doi:10.1016/j.resuscitation.2009.10.025. PMID 19962225. EMS Division 2006, pg. 55 Eisenberg 2009 ... The paramedic medical director for the one of six Medic One programs that provided care reviews every resuscitation, intubation ... In King County outcomes of attempted out-of-hospital resuscitations are recorded, following the Utstein uniform reporting ... 2006). "Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital ...
Resuscitation. 85 (1): 104-108. doi:10.1016/j.resuscitation.2013.08.012. PMID 23994803. Beach, MC (2002). "The effect of do-not ... Resuscitation. 148: 98-107. doi:10.1016/j.resuscitation.2020.01.003. PMID 31945422. S2CID 210703171. Cohn, S (2013). "Do Not ... Resuscitation. 162: 343-350. doi:10.1016/j.resuscitation.2021.01.013. PMID 33482270. S2CID 231687872. Huxley, C (2021). " ... Fritz, Z (2017). "Resuscitation policy should focus on the patient, not the decision". BMJ. 356: j813. doi:10.1136/bmj.j813. ...
Resuscitation. 81 (10): 1400-33. doi:10.1016/j.resuscitation.2010.08.015. PMID 20956045. de Baaij JH, Hoenderop JG, Bindels RJ ... Resuscitation. 81 (10): 1400-33. doi:10.1016/j.resuscitation.2010.08.015. PMID 20956045. Soar, J; Perkins, GD; Abbas, G; ... "European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: ... "European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: ...
Resuscitation. 96: 49-50. doi:10.1016/j.resuscitation.2015.09.114. ISSN 0300-9572. Corfield AR, Adams J, Nicholls R, Hearns S ( ...
A bibliography". Resuscitation. 10 (4): 235-251. doi:10.1016/0300-9572(83)90026-6. PMID 6316444. "Red Research". Time. November ... is a 1940 motion picture which documents Soviet research into the resuscitation of clinically dead organisms. It is available ...
All knowledge on anesthesia caused by submergence and on resuscitation available at the time was collected. More recently, the ... Baskett, Peter J. F. (2003). "JD Herholdt and CG Rafn: two unsung heroes from Denmark". Resuscitation. 58 (3): 283-288. doi: ... much of which was visionary and subsequently has been proven to be of key relevance to resuscitation of the submerged victim as ...
"Cardio Pulmonary Resuscitation" (PDF). Centre for Excellence in Teaching and Learning. Morley, J and Sprenger C (2012), First ... Resuscitation Council(UK). ISBN 978-1-903812-12-9. "Recovery Position". Archived from the original on 2009-02-03. Retrieved ... In 1957, Peter Safar wrote the book ABC of Resuscitation, which established the basis for mass training of CPR. This new ... "A systematic approach to the acutely ill patient". Resuscitation Council (UK). June 2005. Archived from the original on 18 July ...
Baskett, Thomas F (Oct 2004). "Arthur Guedel and the oropharyngeal airway". Resuscitation. Ireland. 63 (1): 3-5. doi:10.1016/j. ... resuscitation.2004.07.004. ISSN 0300-9572. PMID 15451579. Keys, T E (1975). "Historical vignettes: Dr. Arthur Ernest Guedel ...
... smartphones to improve cardiopulmonary resuscitation". Resuscitation. 168: 35-43. doi:10.1016/j.resuscitation.2021.08.048. " ... Resuscitation. 121: 123-126. doi:10.1016/j.resuscitation.2017.10.020. "More people survived a cardiac arrest when first aiders ... Resuscitation. 105: 52-58. doi:10.1016/j.resuscitation.2016.05.007. ISSN 0300-9572. PMID 27211834. Smith, Christopher M.; ...
Resuscitation. 85 (8): 1088-1092. doi:10.1016/j.resuscitation.2014.04.022. PMID 24791690. "Bangladesh: Where swimming lessons ... The SwimSafe program consists of 21 lessons of instruction in survival swimming, rescue and resuscitation skills and water ... strategies designed to allow high-risk children to be safely included in SwimSafe and adds in-water rescue and resuscitation ...
... : Practice Prevents Errors If it seems as if Kimberly Yaeger and Kristine Boyle are unusually adept at ... Neonatal Resuscitation: Key Behavioral Skills Yaeger and Boyle outlined the 10 important behavioral skills that lead to success ... Neonatal Resuscitation: The Bottom Line Although Yaeger and Boyles workshop on neonatal simulation-based training was ... Yaeger K. Boyle K. Neonatal Resuscitation Central. Program of the 9th Annual Neonatal Advanced Practice Nursing Forum; May 31- ...
If you dont remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password ...
... hemorrhage is the leading cause of acute life-threatening intravascular volume loss requiring aggressive fluid resuscitation to ... Few contraindications exist to volume resuscitation. The benefit and need for fluid resuscitation to maintain adequate ... encoded search term (Volume Resuscitation) and Volume Resuscitation What to Read Next on Medscape ... Initial fluid resuscitation is generally accepted to begin with the infusion of crystalloids. [6] If no acceptable hemodynamic ...
Basically it costs between $5 and $12 to acquire a new customer in the industry.
... cardiopulmonary resuscitation) is an emergency technique used on someone whose heart or breathing has stopped. Learn it; you ... Article: Fit-cardiopulmonary resuscitation approach in public mass cardiopulmonary resuscitation teaching: A randomized... ... Cardiopulmonary Resuscitation (CPR): First Aid (Mayo Foundation for Medical Education and Research) Also in Spanish ... If you know how to perform cardiopulmonary resuscitation (CPR), you could save a life. CPR is an emergency procedure for a ...
The Resuscitation Outcomes Consortium (ROC) was created to learn which treatments work when people have a cardiac arrest or ... Treatments studied include promising resuscitation drugs, tools and techniques.. The ROC Investigators do studies in which ...
Cardiopulmonary resuscitation aid kit - Product Code OEV. Product. AirLife Resuscitation, Infant, 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 ...
Cardiopulmonary resuscitation: A life-saving emergency procedure that involves breathing for the victim and applying external ...
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Basic newborn resuscitation : a practical guide  World Health Organization. Maternal and Newborn Health/Safe Motherhood (‎ ...
... cardiopulmonary resuscitation - Sharing our stories on preparing for and responding to public health events ... Tags automated external defibrillator, carbon monoxide, cardiopulmonary resuscitation, choking, drowning, fire extinguisher, ...
... routine exclusion of relatives from the resuscitation room may no longer be appropriate. ... Findings: 25 patients underwent resuscitation (13 in witnessed resuscitation group, 12 in control group). Three patients in the ... relatives of patients who required resuscitation were given the option to remain with the patient during resuscitation or were ... Psychological effect of witnessed resuscitation on bereaved relatives Lancet. 1998 Aug 22;352(9128):614-7. doi: 10.1016/s0140- ...
Firefighters rescued a family dog from a garage fire and resuscitated it with oxygen mask in Indianapolis, Indiana.
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The purpose of this work is to make an update on the teaching of cardiopulmonary cerebral resuscitation. The website of the ... Its main treatment is the effective cardiopulmonary resuscitation and early defibrillation. It seems necessary to establish ...
As part of their role, the Resuscitation Officer will provide Basic Life Support training to members of the public to increase ... The Gibraltar Health Authority has recruited a Resuscitation Officer for its Cardiac Rehabilitation Services. ... As part of their role, the Resuscitation Officer will provide Basic Life Support training to members of the public to increase ... The Association has also engaged with the Resuscitation Officer and the Paramedic Services to identify more locations for ...
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Trauma Resuscitation Room Organization Using 5S Methodology: A Quality Improvement Initiative. Philipose, Jency MSN, RN; ... Trauma Resuscitation Room Organization Using 5S Methodology: A Quality Improvement Initiative Journal of Trauma Nursing , JTN29 ... Trauma Resuscitation Room Organization Using 5S Methodology: A Quality Improvement Initiative : Journal of Trauma Nursing , JTN ... Emergency department\r, 5S methodology\r, Organization\r, Restocking\r, Trauma bay\r, Trauma resuscitation room. ...
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Luce JM, Ross BK, OQuin RJ, Culver BH, Sivarajan M, Amory DW, Regional blood flow during cardiopulmonary resuscitation in dogs ... Survival after cardiopulmonary resuscitation in the hospital. N Engl J Med. 1983;309:569-76. DOIPubMedGoogle Scholar ... Possible SARS Coronavirus Transmission during Cardiopulmonary Resuscitation On This Page Methods Discussion Conclusion Cite ... In the emergency resuscitation described in this report, the delay in certain rescuers responding was due to the time required ...
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  • If you know how to perform cardiopulmonary resuscitation (CPR), you could save a life. (medlineplus.gov)
  • We investigated a possible cluster of SARS-CoV infections in healthcare workers who used contact and droplet precautions during attempted cardiopulmonary resuscitation of a SARS patient. (cdc.gov)
  • We present the results of an investigation of the first reported transmission of SARS-CoV to healthcare workers that occurred during attempted cardiopulmonary resuscitation of a completely unresponsive SARS patient. (cdc.gov)
  • Data were collected through interviews of healthcare workers present during the attempted cardiopulmonary resuscitation where transmission of SARS-CoV was thought to have occurred. (cdc.gov)
  • Laboratory specimens, collected with nasopharyngeal swabs, were obtained from healthcare workers with symptoms that fulfilled the SARS clinical case definition after exposure during the attempted cardiopulmonary resuscitation. (cdc.gov)
  • Especially if that emergency involves Cardiopulmonary Resuscitation (CPR). (jwplatform.com)
  • The EMS1 EMS CPR & Resuscitation product category is a collection of products and information for researching Cardiopulmonary Resuscitation (CPR) products. (ems1.com)
  • RCW 28A.230.179: Cardiopulmonary resuscitation instruction. (wa.gov)
  • Cardiopulmonary resuscitation instruction. (wa.gov)
  • 1) Each school district that operates a high school must offer instruction in cardiopulmonary resuscitation to students as provided in this section. (wa.gov)
  • Beginning with the 2013-14 school year, instruction in cardiopulmonary resuscitation must be included in at least one health class necessary for graduation. (wa.gov)
  • 3) School districts may offer the instruction in cardiopulmonary resuscitation directly or arrange for the instruction to be provided by available community-based providers. (wa.gov)
  • Certificated teachers providing the instruction are not required to be certified trainers of cardiopulmonary resuscitation. (wa.gov)
  • A student is not required to earn certification in cardiopulmonary resuscitation to successfully complete the instruction for the purposes of this section. (wa.gov)
  • 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. (wa.gov)
  • When administered immediately, cardiopulmonary resuscitation doubles or triples survival rates from cardiac arrest. (wa.gov)
  • Washington state has a long-standing history of training members of the public in cardiopulmonary resuscitation with community-based training programs. (wa.gov)
  • 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. (wa.gov)
  • After 8 min, cardiopulmonary resuscitation was given to the restoration of spontaneous circulation (ROSC). (spandidos-publications.com)
  • Although the success rate of resuscitation from cardiac arrest can reach 50% after the implementation of high-quality cardiopulmonary resuscitation (CPR), only 5-15% of cases can survive to discharge due to the poor prognosis ( 1 ). (spandidos-publications.com)
  • Cardiopulmonary resuscitation, or better know as Cpr is an emergency procedure used to revive the heart. (cram.com)
  • Cardiopulmonary resuscitation uses chest compressions and breathing to try to mimic and restore your heart's natural rhythm. (cram.com)
  • The purpose of the project is to teach professionals, faculty, students, Buddhist nuns, and others in advancing their understanding of Cardiopulmonary Resuscitation ("CPR"), and basic forms of first-aid focusing on splints and burns. (cram.com)
  • Family presence during cardiopulmonary resuscitation has been a topic of intense debate within the medical community. (cram.com)
  • Cardiopulmonary resuscitation, most commonly known as CPR, is a technique used in many emergencies such as a heart attack or a near drowning experience, in which someone's breathing, has stopped or their heartbeat has ceased (Mayo Clinic). (cram.com)
  • Many family members may experience uncertainty and fear when it comes to cardiopulmonary resuscitation (CPR) of a loved one. (cram.com)
  • Cardiopulmonary resuscitation in the elderly: patients' and relatives' views. (bmj.com)
  • Eighty per cent of elderly patients and their relatives were aware of cardiopulmonary resuscitation (CPR). (bmj.com)
  • Cardiopulmonary resuscitation in the elderly. (bmj.com)
  • The Cardiopulmonary Resuscitation Orders item in the National POLST Portable Medical Orders form, which specifies the action to take if the patient has no pulse and is not breathing [ https://polst.org/ ]. (loinc.org)
  • Important adverse effects of bystander cardiopulmonary resuscitation (CPR) are well known. (semanticscholar.org)
  • An early WBCT is feasible and provides added diagnostic value for patients with ROSC after non-traumaticCA and return of spontaneous circulation after cardiopulmonary resuscitation (CPR). (semanticscholar.org)
  • Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsy]. (semanticscholar.org)
  • Chest wall injuries following cardiopulmonary resuscitation. (semanticscholar.org)
  • Supraglottic airway devices are a logical alternative to tracheal intubation when cardiopulmonary resuscitation is undertaken by individuals who are not highly skilled and experienced intubators. (semanticscholar.org)
  • Time to resuscitate cardiopulmonary resuscitation! (researchsquare.com)
  • Sudden cardiac arrest (SCA) remains a major health issue worldwide with a gloomy outcome due to the inadequate organs' perfusion during cardiopulmonary resuscitation (CPR). (researchsquare.com)
  • Due to the lack of a do-not-resuscitate policy, full resuscitative measures including cardiopulmonary resuscitation (CPR) are applied for all patients admitted to our institution regardless of prognosis. (who.int)
  • This includes cardiopulmonary resuscitation (CPR), intravenous antibiotics, and mechanical ventilation. (who.int)
  • Cardiopulmonary resuscitation is an example of a lifesaving technique carried out in situations when an individual's breathing or heartbeat has stopped usually described by lack of blood flow. (gradeonfire.com)
  • In-hospital cardiopulmonary resuscitation (CPR) for chronic kidney disease (CKD) patients is shown to have lower survival1 and a higher proportion of survivors on maintenance. (annals.edu.sg)
  • Organ Donation after Extracorporeal Cardiopulmonary Resuscitation and Brain Death. (bvsalud.org)
  • Extracorporeal cardiopulmonary resuscitation was initiated and extracorporeal membrane oxygenation support was needed for 24 h. (bvsalud.org)
  • Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. (medscape.com)
  • lt;p>CPR (or cardiopulmonary resuscitation) combines chest compressions (pressing on the chest over the heart) and rescue breathing (mouth-to-mouth resuscitation). (kidshealth.org)
  • To develop, validate and validate a low cost simulator for cardiopulmonary resuscitation and resuscitation procedures in infants. (bvsalud.org)
  • The prototype was developed with the accessories for disengagement and cardiopulmonary resuscitation maneuvers. (bvsalud.org)
  • The Resuscitation Outcomes Consortium (ROC) was created to learn which treatments work when people have a cardiac arrest or severe injury. (ohsu.edu)
  • The microcirculation is correlated with the prognosis of patients with cardiac arrest and changes after resuscitation. (spandidos-publications.com)
  • The cardiac function was impaired after resuscitation, and a decrease of IFN‑γ as well as IL‑2 and an increase of IL‑4 as well as IL‑10 suggested the immune imbalance. (spandidos-publications.com)
  • AH could improve the immune imbalance after resuscitation and was beneficial to the recovery of cardiac function. (spandidos-publications.com)
  • This initiative will build upon many years of productive collaboration between our hospital and the American Heart Association to improve the quality of resuscitation practice and cardiac care dedicated exclusively to children," said Madeline Bell , President and CEO of CHOP. (biospace.com)
  • In 2020, the Association recognized CHOP with the Get With The Guidelines® - Resuscitation Gold Plus Award for meeting specific quality improvement measures in treating patients who suffer in-hospital cardiac arrest. (biospace.com)
  • A 2015 study demonstrated how effective the AutoPulse is in improving the quality of resuscitation during extrication and ambulance transport of patients with refractory cardiac arrest. (zoll.com)
  • The app is a blend of the Association's resuscitation science and MGH's innovative technology to provide a quick reference tool designed to assist those physicians and other medical personnel treating someone in cardiac arrest or other arrythmias. (heart.org)
  • In patients with poor neurologic recovery early after resuscitation from cardiac arrest, physicians appear to use the cortical evoked potential grade to estimate prognosis. (neurology.org)
  • Dr. Sun has also been active in the field of resuscitation science, specifically around optimizing the response and management of cardiac arrest. (ottawaheart.ca)
  • His body of work in this area has been recognized internationally by organizations like the American Heart Association (AHA) and International Liaison Committee on Resuscitation, which now recommend optimizing public access defibrillators placements as a potential strategy to improve cardiac outcomes. (ottawaheart.ca)
  • A prototype was developed that simulated the training activity in Basic Life Support, which made it possible to carry out the procedures appropriately in positioning and simulation of cardiac resuscitation, mouth / nose ventilation, and tapping in the scapular region. (bvsalud.org)
  • 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. (medscape.com)
  • Without adequate fluid resuscitation, tissue hypoperfusion leads to lactate production and metabolic acidosis. (medscape.com)
  • Disturbances between the intravascular and extravascular volumes or acute blood loss are all indications for fluid resuscitation. (medscape.com)
  • Assessment of the need for fluid resuscitation begins with the clinical history. (medscape.com)
  • Several physical examination findings may suggest the need for fluid resuscitation. (medscape.com)
  • Chest compressions, pure oxygen (fraction of inspired oxygen = 1) ventilation, discontinuation of sedation agents, and fluid resuscitation (1 l lactated Ringer's solution) were immediately started. (asahq.org)
  • All ACLS content in the app was provided by the Association and follows the most recent resuscitation science published in the 2020 American Heart Association Guidelines for CPR and ECC . (heart.org)
  • A study from St. Barnabas Hospital (SBH Health System Bronx) analyzed the perceptions and attitudes of the health care team about family presence during resuscitation (FPDR). (rtmagazine.com)
  • Families may desire to be present during resuscitation, while health care providers (HCP) may face a dilemma in allowing family presence during resuscitation (FPDR). (cram.com)
  • PHILADELPHIA , July 28, 2021 /PRNewswire/ -- Children's Hospital of Philadelphia (CHOP) and the American Heart Association have announced an enhanced collaboration to advance the next generation of pediatric emergency cardiovascular care and resuscitation practices. (biospace.com)
  • In the past few decades, significant strides have been made in our understanding of the cardiorespiratory transition at birth from a fetus to a newborn and the subsequent resuscitation. (nih.gov)
  • Direct observations of 138 newborn resuscitations were done in labor ward and maternity theatre. (hindawi.com)
  • IMSEAR at SEARO: Facemask resuscitation of the newborn. (who.int)
  • Vyas H. Facemask resuscitation of the newborn. (who.int)
  • Elements of essential newborn care and newborn resuscitation are also covered in this course. (iawg.net)
  • However, if participants are proficient in newborn resuscitation, time can be allocated to practicing other lifesaving skills and/or actual clinical practice (supervised) with clients, if the opportunity arises. (iawg.net)
  • Accurate and easy-to-use heart rate meter that provides continuous display of HR information to help guide newborn resuscitation efforts. (laerdalglobalhealth.com)
  • 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. (fda.gov)
  • With the limitation that the devices were tested with a test lung and not in a human field study, Apeks TX 100, Spiro Arctic and Buddy AutoAir might be used for emergency ventilation and probably ease in-water resuscitation for the dive buddy of the victim. (bmj.com)
  • The syndrome shown by myocardial dysfunction, cerebral injury and systemic organic ischemia-reperfusion injury (IRI) which could be illustrated as IRI and due to the systemic inflammatory responses is the core characteristic of post-resuscitation syndrome ( 2 ). (spandidos-publications.com)
  • However, it remains unclear whether the post-resuscitation syndrome will affect intestinal circulatory function. (spandidos-publications.com)
  • The authors prospectively studied a consecutive series of post-resuscitation comatose patients referred for neurologic prognostication at a single center for 4 years. (neurology.org)
  • Post resuscitation. (escardio.org)
  • SAN JUAN, Puerto Rico - Manual resuscitation bags might not be as clean as they appear, researchers warned here at the Society of Critical Care Medicine 42nd Critical Care Congress. (medscape.com)
  • Bacterial growth in manual resuscitation bags. (medscape.com)
  • Rasnake explained that the bags evaluated in the study were the manual resuscitation bags that are not attached to the ventilator circuitry, and that "replacing the bags poses no risk to the patient. (medscape.com)
  • In all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs. (healthstream.com)
  • Provides updates in technology and scientific knowledge to effectively translate the science of resuscitation into clinical care and improved outcomes. (apta.org)
  • Health care workers who participated in a mobile phone-based safe delivery intervention had greater skills and knowledge regarding neonatal resuscitation than control workers, according to a cluster-randomized clinical trial conducted at 70 health care facilities in rural Ethiopia. (guttmacher.org)
  • The American Heart Association is the leader in resuscitation science, and brings a full complement of training, education and quality improvement programs to measure and improve clinical performance and evaluate best practices 4 . (biospace.com)
  • The Laerdal ALS baby offers the opportunity to practice advanced resuscitation skills, including airway management, professional rescuer CPR, vascular access, and 4-lead ECG monitoring. (laerdal.com)
  • Hospitals that participate actively and consistently in Get With The Guidelines ® - Resuscitation are eligible for public recognition. (heart.org)
  • Download the Get With The Guidelines - Resuscitation fact sheet (PDF) for an overview of the recognition, quality, reporting, and descriptive measures reported on via Get With The Guidelines - Resuscitation. (heart.org)
  • The strategic CHOP and American Heart Association initiative is designed to accelerate the mission of CHOP's emerging Center for Pediatric Resuscitation to discover, establish, implement, disseminate, sustain and assess evidence-based resuscitation guidelines and pioneer new interventions that improve survival and quality of life for children and their families. (biospace.com)
  • http://dx.doi.org/10.1016/j.resuscitation.2016.01. (warwick.ac.uk)
  • Cite this: Bacteria Lurking in Resuscitation Bags - Medscape - Jan 24, 2013. (medscape.com)
  • The Laerdal® ALS Baby™ is a portable skill trainer for realistic infant resuscitation training. (laerdal.com)
  • Scenarios can be designed to incorporate the algorithms of the Neonatal Resuscitation Program (NRP) (delivery room simulation) or to review the important steps to manage any number of common neonatal emergencies. (medscape.com)
  • CPR-related injuries after manual or mechanical chest compressions with the LUCAS™ device: a multicentre study of victims after unsuccessful resuscitation. (semanticscholar.org)
  • Resuscitation efforts were unsuccessful. (cdc.gov)
  • Rarely, extensive resuscitation including chest compressions and medication may be required. (nih.gov)
  • Cayuga Medical Center, a member of Cayuga Health, was recently awarded Chest Pain Center Accreditation with Primary PCI and Resuscitation based on rigorous onsite evaluation of the staff's ability to evaluate, diagnose, and treat patients who may be experiencing a heart attack. (cayugamed.org)
  • Hospitals that have earned ACC Chest Pain Center with Primary PCI and Resuscitation Accreditation have proven exceptional competency in treating patients with heart attack symptoms and have primary PCI available 24/7 every day of the year. (cayugamed.org)
  • ACC Accreditation Services is proud to award Cayuga Medical Center with Chest Pain Center with Primary PCI and Resuscitation Accreditation. (cayugamed.org)
  • The purpose of this study was to assess the implementation of 5S methodology on trauma resuscitation room organization, efficiency, and cost-effectiveness. (lww.com)
  • This quality improvement pre- and postintervention study assessed the impact of 5S methodology on trauma resuscitation room organization. (lww.com)
  • Many also expressed concerns that family members could potentially interfere with the resuscitation efforts, suffer serious emotional trauma, or be more likely to pursue litigation. (rtmagazine.com)
  • The resuscitation room-also known as a trauma room or "resus" room-is where care teams take patients with life-threatening illnesses and injuries. (stantec.com)
  • Smith R, Davis N, Bouamra O, Lecky F. The utilisation of intraosseous infusion in the resuscitation of paediatric major trauma patients. (medscape.com)
  • It covers a variety of Automated External Defibrillators (AEDs) , training tools and other resuscitation products. (ems1.com)
  • Comparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins. (medscape.com)
  • Quality care during neonatal resuscitation (NR) can contribute to a reduction in neonatal mortality related to birth asphyxia by 30 percent. (hindawi.com)
  • Funds will help accelerate CHOP's current world-class emergency cardiovascular care systems into a new innovation incubator, learning laboratory and training academy rooted in the latest resuscitation science developed by the American Heart Association, the global leader in the field. (biospace.com)
  • Critical care and resuscitation / Australasian Academy of Critical Care Medicine. (bvs.br)
  • The R Series ® monitor/defibrillator is the worldwide choice of hospitals for in-patient resuscitation. (zoll.com)
  • Typical neonatal resuscitation scenarios can simulate problems with patients (meconium aspiration, perinatal depression, hemorrhage, congenital anomalies), equipment failure, or interpersonal interactions among members of the delivery room team. (medscape.com)
  • Do Formal Advance Directives Affect Resuscitation Decisions and the Use of Resources for Seriously Ill Patients? (rand.org)
  • The role of advance directives in resuscitation decision making and assessment of seriously ill patients. (rand.org)
  • Further research is required to find out how patients would feel about resuscitation if they were terminally ill or chronically confused, and how carers would feel about resuscitating such patients. (bmj.com)
  • The researchers studied resuscitation bags from 147 patients. (medscape.com)
  • We sought to characterize if prehospital transfer origin from the scene of injury (SCENE) or from a referral emergency department (REF) alters the survival benefit attributable to prehospital plasma resuscitation in patients at risk of hemorrhagic shock. (surgjournal.com)
  • Many patient care situations, such as neonatal resuscitation, require technically complex skills and a high level of interdependence among team members -- characteristics that are shared with fields such as aviation. (medscape.com)
  • In addition, facility health care workers' knowledge and skills regarding neonatal resuscitation were assessed by questionnaire and structured assessment tools (e.g., simulated scenarios using mannequins) before implementation of the intervention and at six and 12 months afterward. (guttmacher.org)
  • Descriptive and logistic regression analyses were used to compare perinatal mortality rates at intervention and control facilities, and to compare health care workers' neonatal resuscitation knowledge and skills index scores over time. (guttmacher.org)
  • PT at the Beverly Hilton despite resuscitation efforts, a police spokesman said per CNN . (okmagazine.com)
  • This article reviews the physiology behind neonatal transition at birth and various interventions during neonatal resuscitation. (nih.gov)
  • We are proud to support both CHOP and the American Heart Association to help deliver best-practice resuscitation training and produce next-generation interventions," said Lori Nicoletti Peruto, Esq. (biospace.com)
  • For more than 50 years, Laerdal Medical has been dedicated to supporting the advancement of Resuscitation Science. (laerdal.com)
  • A survey of resuscitation training in Canadian undergraduate medical programs. (mcmaster.ca)
  • Which allowed the validation of disengagement and resuscitation training as a low cost alternative for health education. (bvsalud.org)
  • After participants gave informed consent, convalescent-phase serum was collected from all consenting healthcare workers exposed to the attempted resuscitation event as part of a larger seroprevalence study of hospital staff. (cdc.gov)
  • We've worked on many of these rooms during our time in healthcare design, but we've noticed a recent change: the COVID-19 pandemic has forced a rethink of resuscitation room design. (stantec.com)
  • The demographics, injury characteristics, shock severity and resuscitation needs were compared. (surgjournal.com)
  • We believe CHOP's Center for Pediatric Resuscitation, in conjunction with the American Heart Association, will create meaningful advancements to current practices in Philadelphia and throughout the world. (biospace.com)
  • M. tuberculosis encodes for 5 homologues for the resuscitation promoting factor (Rpf), designated rpfA-E which have been shown to be important for reactivation from dormancy and critical for virulence during TB infection. (wits.ac.za)
  • Hospital and provincial policies in place at the time of the resuscitation were reviewed. (cdc.gov)
  • First time looking for a Neonatal Resuscitation Program Lessons professional and not sure where to start? (bark.com)
  • If significant volume loss is reported, volume resuscitation is likely required regardless of laboratory findings or relatively normal vital signs. (medscape.com)
  • If someone arrives at the emergency department with a serious illness or injury, a care team will bring the patient to the resuscitation area. (stantec.com)
  • Treatments studied include promising resuscitation drugs, tools and techniques. (ohsu.edu)