Out-of-hospital cardiac arrest (OHCA) is a major cause of death worldwide. This systematic review aimed to assess the effects of continuous chest compression CPR (with or without rescue breathing) versus conventional CPR plus rescue breathing (interrupted chest compression with pauses for breaths) of non-asphyxial OHCA. It identified 4 randomized controlled trials. Three studies assessed CPR provided by untrained bystanders and 1 assessed CPR provided by trained professionals. When CPR was performed by bystanders, survival to hospital discharge was higher with chest compression alone than with interrupted chest compression with pauses for rescue breathing. When CPR was performed by professionals, survival to hospital discharge was slightly lower with continuous chest compressions plus asynchronous rescue breathing compared with interrupted chest compression plus rescue breathing. The number of people who survived to hospital admission was slightly higher in those treated with interrupted chest ...

The primary aim of the trial is to compare survival to hospital discharge after continuous chest compressions (CCC) versus standard American Heart Association (AHA) recommended cardiopulmonary resuscitation (CPR) with interrupted chest compressions (ICC) in patients with out-of-hospital cardiac arrest (OOHCA). For this study, CCC consists of a series of three cycles of continuous chest compressions without pauses for ventilation followed by rhythm analysis or until restoration of spontaneous circulation (ROSC), whichever occurs first. ICC consists of series of three cycles of standard CPR each cycle comprised of chest compressions with interposed ventilations at a compression:ventilation ratio of 30:2 (per AHA guidelines) followed by rhythm analysis or until ROSC, whichever occurs first. In either patient group, the duration of manual CPR before the first rhythm analysis will be 30 seconds or 120 seconds. This treatment period will be followed by two cycles of compressions then rhythm analysis ...

The primary aim of the trial is to compare survival to hospital discharge after continuous chest compressions (CCC) versus standard American Heart Association (AHA) recommended cardiopulmonary resuscitation (CPR) with interrupted chest compressions (ICC) in patients with out-of-hospital cardiac arrest (OOHCA). For this study, CCC consists of a series of three cycles of continuous chest compressions without pauses for ventilation followed by rhythm analysis or until restoration of spontaneous circulation (ROSC), whichever occurs first. ICC consists of series of three cycles of standard CPR each cycle comprised of chest compressions with interposed ventilations at a compression:ventilation ratio of 30:2 (per AHA guidelines) followed by rhythm analysis or until ROSC, whichever occurs first. In either patient group, the duration of manual CPR before the first rhythm analysis will be 30 seconds or 120 seconds. This treatment period will be followed by two cycles of compressions then rhythm analysis ...

OBJECTIVE: LUCAS is a new device for mechanical compression and decompression of the chest during cardiopulmonary resuscitation (CPR). The aim of this study was to compare the efficacy of this new device with standard manual external chest compressions using cerebral cortical blood flow, cerebral oxygen extraction, and end-tidal CO2 for indirect measurement of cardiac output. Drug therapy, with adrenaline (epinephrine) was eliminated in order to evaluate the effects of chest compressions alone. METHODS: Ventricular fibrillation (VF) was induced in 14 anaesthetized pigs. After 8 min non-intervention interval, the animals were randomized into two groups. One group received external chest compressions using a new mechanical device, LUCAS. The other group received standard manual external chest compressions. The compression rate was 100 min(-1) and mechanical ventilation was resumed with 100% oxygen during CPR in both groups. No adrenaline was given. After 15 min of CPR, external defibrillatory ...

Most of us will not remember when closed chest compressions, proposed by Dr. James Jude and colleagues, were a novelty, a research project that mandated further study. EMS dinosaurs will remember when CPR rates were 60 compressions per minute. Then rates increases to 80 beats per minute. And two-person ratios for CPR were 5 compressions for each ventilation given to the patient.. Sadly, over the second half of the 20th century most resuscitation efforts focused on the advanced portion of resuscitation - drugs, advanced airways and invasive procedures. Hindsight being 20/20, it is likely the resuscitation profession lost real progress by not focusing on the basics of ventilation and perfusion.. In the 1990s research began validating the effectiveness of high-quality chest compressions and prompt defibrillation. A Resuscitation Outcomes Consortium study comparing continuous chest compression and standard CPR, published this week in the New England Journal of Medicine, continues the tradition of ...

TY - JOUR. T1 - External Cardiac Compression. T2 - A Randomized Comparison of Mechanical and Manual Techniques. AU - Taylor, George J.. AU - Rubin, Richard. AU - Tucker, Michael. AU - Greene, H. Leon. AU - Rudikoff, Michael T.. AU - Weisfeldt, Myron L.. PY - 1978/8/18. Y1 - 1978/8/18. N2 - To compare the effectiveness of manual and mechanical chest compression during cardiopulmonary resuscitation, 50 patients who suffered cardiac arrest were randomly allocated to receive manual or mechanical chest compression. Randomization was performed after failure of initial resuscitative measures but within ten minutes after the onset of cardiac arrest (mean, 6.4 ±1.2 min). Ten patients from each group survived longer than one hour following resuscitation. Three from the mechanical group and two from the manual group were eventually able to leave the hospital. Thus mechanical compression appears comparable with manual compression when manual compression is performed under ideal conditions. Mechanical chest ...

Resuscitation after cardiac arrest (CA) in the catheterization laboratory (cath-lab) using mechanical chest compressions (CC) during simultaneous percutaneous coronary intervention (PCI) is a strong recommendation in the 2015 European Resuscitation Council (ERC) guidelines. This study aimed at re-evaluating survival to hospital discharge and assess long term outcome in this patient population. Patients presenting at the cath lab with spontaneous circulation, suffering CA and requiring prolonged mechanical CC during cath lab procedures between 2009 and 2013 were included. Circumstances leading to CA, resuscitation parameters and outcomes were evaluated within this cohort. For comparison, patients needing prolonged manual CC in the cath lab in the pre-mechanical CC era were evaluated. Six-month and one year survival with a mechanical CC treatment strategy from 2004 to 2013 was also evaluated. Thirty-two patients were included between 2009 and 2013 (24 ST-elevation myocardial infarction (STEMI), 4 non

The study was designed to show a better 4-hour survival in the group treated with mechanical chest compressions, and this was not achieved, said lead investigator Sten Rubertsson, MD, PhD.

BACKGROUND: Mechanical chest compression devices have the potential to help maintain high-quality cardiopulmonary resuscitation (CPR), but despite their increasing use, little evidence exists for their effectiveness. We aimed to study whether the introduction of LUCAS-2 mechanical CPR into front-line emergency response vehicles would improve survival from out-of-hospital cardiac arrest. METHODS: The pre-hospital randomised assessment of a mechanical compression device in cardiac arrest (PARAMEDIC) trial was a pragmatic, cluster-randomised open-label trial including adults with non-traumatic, out-of-hospital cardiac arrest from four UK Ambulance Services (West Midlands, North East England, Wales, South Central). 91 urban and semi-urban ambulance stations were selected for participation. Clusters were ambulance service vehicles, which were randomly assigned (1:2) to LUCAS-2 or manual CPR. Patients received LUCAS-2 mechanical chest compression or manual chest compressions according to the first trial

South pole…North pole, hot…cold, on earth…in space, below the sea…on Mount Everest, alone and far, far away. Ultrasound will.... ...

The aim of this paper was to conduct a systematic review of the published literatures comparing the use of mechanical chest compression device and manual chest compression during cardiac arrest (CA) with respect to short-term survival outcomes and neurological function. Databases including MEDLINE, EMBASE, Web of Science and the ClinicalTrials.gov registry were systematically searched. Further references were gathered from cross-references from articles by handsearch. The inclusion criteria for this review must be human prospective controlled studies of adult CA. Random effects models were used to assess the risk ratios and 95 % confidence intervals for return of spontaneous circulation (ROSC), survival to admission and discharge, and neurological function. Twelve trials (9 out-of-hospital and 3 in-hospital studies), involving 11,162 participants, were included in the review. The results of this meta-analysis indicated no differences were found in Cerebral Performance Category (CPC) scores, survival to

The aim of this paper was to conduct a systematic review of the published literatures comparing the use of mechanical chest compression device and manual chest compression during cardiac arrest (CA) with respect to short-term survival outcomes and neurological function. Databases including MEDLINE, EMBASE, Web of Science and the ClinicalTrials.gov registry were systematically searched. Further references were gathered from cross-references from articles by handsearch. The inclusion criteria for this review must be human prospective controlled studies of adult CA. Random effects models were used to assess the risk ratios and 95 % confidence intervals for return of spontaneous circulation (ROSC), survival to admission and discharge, and neurological function. Twelve trials (9 out-of-hospital and 3 in-hospital studies), involving 11,162 participants, were included in the review. The results of this meta-analysis indicated no differences were found in Cerebral Performance Category (CPC) scores, ...

Friedrich Maass, who resuscitated a teenager for 60 minutes with closed-chest cardiac massage in 1891 (with return of mental function), described that the optimal technique was to apply forceful pressure and to do so at a rapid rate.24 The quality of modern chest compression efforts in and out of hospitals has been quantified through use of an accelerometer placed on the sternum. Results demonstrated that chest compressions were frequently interrupted, and cardiac massage was withheld for an astonishing 48% of pulseless resuscitation time. Furthermore, compression depth was frequently too shallow.72,78 The observation that modern chest compressions are not performed adequately is disconcerting in the context of the current statistics of survival and neurological recovery after cardiac arrest, with the healthy appreciation that cerebral perfusion is zero in the absence of both native and artificial circulation. The 2005 American Heart Association resuscitation guidelines therefore advocate that ...

Cardiac surgery patients are different from many other patients for a number of reasons when it comes to resuscitation post arrest. arterial line, Swan-ganz catheter (generally), and cardiac monitor; thus allowing for very early defibrillation without the use of external cardiac massage (ECM). ECM should be avoided if at all possible due to risk of […]. ...

an emergency procedure consisting of external cardiac massage and artificial respiration; the first treatment for a person who has collapsed and has no pulse and has stopped breathing; attempts to restore circulation of the blood and prevent death or brain damage due to lack of oxygen. ...

I was shown the room in Al Wafa rehabilitation hospital where two nurses were killed in April 2002 by a sniper firing from a nearby building. They went into the room to tend a paraplegic patient who had to be turned every two hours. A bullet passed through the heart of the first nurse, killing him instantly, and then entered the chest of his colleague who died shortly afterwards. The patient managed to get to one of the nurses and was doing external cardiac massage when the staff arrived. Although the sniper had fired deliberately, the BBC reported that the two nurses had been killed in cross fire. The name of the hospital is painted clearly on its walls.. In the next room we were introduced to a man in his 20s, shot in his home in Khan Younis near the border with ...

usage: an emergency procedure consisting of external cardiac massage and artificial respiration; the first treatment for a person who has collapsed and has no pulse and has stopped breathing; attempts to restore circulation of the blood and prevent death or brain damage due to lack of ...

METHODS AND RESULTS Twenty-four animals were randomly assigned to two groups: one that received ventilation during the first 10 minutes of chest compression and one that did not. Coronary perfusion pressure and minute ventilation were continuously recorded. Arterial and mixed venous blood gases were measured at intervals. Return of spontaneous circulation was defined prospectively as an aortic systolic blood pressure of , 80 mm Hg for , 5 minutes and was the primary outcome variable. All animals were anesthetized, paralyzed, and intubated. Ventricular fibrillation was induced and persisted for 6 minutes without chest compression, followed by mechanical chest compression for 10 minutes and then attempted defibrillation. Animals without return of spontaneous circulation were given epinephrine, ventilation, and chest compression for an additional 3 minutes. Defibrillation was again attempted, and animals were assessed for return of spontaneous circulation. There were no significant differences ...

Metronome guidance corrected chest compression rates for each compression cycle to within guideline recommendations, but did not affect chest compression quality or rescuer fatigue.

Clinical trials prove that compression only CPR leads to comparable outcomes as those achieved through chest compression together with rescue breathingz

An algorithm capable of diagnosing heart rhythm with just 3 seconds worth of signal, and the demonstration that it is possible to come up with the diagnosis without stopping cardiac massage, constitute the types of solutions and proposals being developed by researchers in the Signal and Communications Group of the Faculty of Engineering in Bilbao (UPV/EHU-University of the Basque Country).. We dont save lives, we just do research, as Jesús Ruiz, leader of the Signal and Communications Group, makes it clear. But what has been confirmed is that it is cardiac massage that saves lives. During a cardiorespiratory arrest it is essential to apply immediately and continuously thoracic compressions that ensure minimum blood perfusion to the brain and the heart itself. And this is where the automated external defibrillator (AED) plays an important role. They are simple pieces of equipment that can be used by people with the minimum of training, and are common in airports, shopping centres, sports ...

A combination of mouth to mouth resuscitation (E.A.R.) to oxygenate the blood, and external chest compression (E.C.C.) to compress the heart to help pump this artificially oxygenated blood around the body to maintain tissue oxygen concentration and prevent death.. ...

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Whatever the reason, once a chest is opened its a thrustle (I like making new words. Thrash/hustle. Did you like snork in the previous post? I was thinking of snore/speak) to get the patient to the OR asap. If the aorta is clamped, youve effectively cut off blood flow to the entire belly and below: kidneys, liver, guts, feet. No time for doodling. You may or may not be squeezing the heart in your hand: external chest compressions have little effect when the heart is empty, so until those people I mentioned in the previous post -- working on several IVs and pumping the tank full again -- accomplish their goal, to get blood circulating you hold that heart and work it, even as its still beating. And you can feel the engorgement, the ventricles filling more of your hand, the more powerful squirt in response to your grasp as the blood volume is restored. Carefully, with hope, you can begin to relax your grip, keeping your hand near, sensing the more effective beats; and finally, extract your ...

a CAB sequence (chest compressions airway respiration/ventilations). immediately. On the other hand positioning the top and attaining a seal for mouth-to-mouth or a bag-mask equipment for rescue respiration devote some time and delays the initiation of upper body compressions. Asphyxial cardiac arrest is usually more common than PNU-120596 VF cardiac arrest in infants and children and ventilations are extremely important in pediatric resuscitation. Animal studies28-30 and a recent large pediatric study3 show that resuscitation results for asphyxial arrest are better with a combination of ventilations and chest compressions. It is however unknown whether it makes a difference if the sequence begins with ventilations (ABC) or with chest compressions (CAB). Starting CPR with 30 compressions followed by 2 ventilations should theoretically delay ventilations by only about 18 seconds for the lone rescuer and by an even a shorter interval for 2 rescuers. The CAB sequence for infants and children is ...

Editor,. Insect venoms commonly cause immunoglobulin E-mediated anaphylactic reactions. Increased vascular permeability may lead to urticaria, dyspnoea and hypotension. In severe cases, anaphylaxis can be life threatening due to airway and cardiovascular compromise. Gastrointestinal symptoms are rarely reported and seldom detected, although mucosal damage in anaphylactic reactions is well recognised.1. Prior to submission of this case report, the patient consented for the publication. The husband of a 57-year-old female patient in respiratory distress following a hornet sting in the right eyelid called the local emergency medical service for help. He had performed vigorous mouth-to-mouth ventilation to his still conscious wife before the arrival of emergency medical service; he subsequently stated that it had been difficult to get air into his wifes lungs. The emergency physician diagnosed anaphylaxis with obstructed upper airways. The patient immediately received intravenous corticosteroid and ...

People who have a cardiac arrest that cant be helped by a defibrillator shock are more likely to survive if given cardiopulmonary resuscitation (CPR) based on updated guidelines that emphasize chest compressions, according to the American Heart Association (AHA).. AHA changed its CPR guidelines in 2005 to recommend more chest compressions with fewer interruptions. The emphasis on chest compressions continued in the 2010 guidelines update.. After the 2005 guidelines, several studies showed improved survival from shockable cardiac arrest.. However, new evidence shows that most cardiac arrests-nearly 75%- are due to conditions that dont respond to shocks. Researchers identified 3,960 patients in King County, Washington, who had a type of cardiac arrest that doesnt respond to shock from a defibrillator, or nonshockable cardiac arrest.. They compared survival rates among patients who had nonshockable cardiac arrests from 2000-2004-before the 2005 guidelines changes-to those who had nonshockable ...

TY - JOUR. T1 - Chest compressions for bradycardia or asystole in Neonates. AU - Kapadia, Vishal. AU - Wyckoff, Myra H.. PY - 2012/12/1. Y1 - 2012/12/1. N2 - When effective ventilation fails to establish a heart rate of greater than 60 bpm, cardiac compressions should be initiated to improve perfusion. The 2-thumb method is the most effective and least fatiguing technique. A ratio of 3 compressions to 1 breath is recommended to provide adequate ventilation, the most common cause of newborn cardiovascular collapse. Interruptions in compressions should be limited to not diminishing the perfusion generated. Oxygen (100%) is recommended during compressions and can be reduced once adequate heart rate and oxygen saturation are achieved. Limited clinical data are available to form newborn cardiac compression recommendations.. AB - When effective ventilation fails to establish a heart rate of greater than 60 bpm, cardiac compressions should be initiated to improve perfusion. The 2-thumb method is the ...

Unlike studies already published, our study measured the actual success of training measured as the outcome of learning in terms of an improvement or deterioration in chest compression. The performance of the whole group and of each participant before and after the course were analyzed and compared. Quantification of the net benefit, i.e. of the improvement and deterioration combined, assisted in highlighting better the strengths and weaknesses than just comparing the groups, where no differentiation is made between the proportion showing an improvement, deterioration or no change. It appears that after a 10 minute video presentation, three components of chest compression (compression rate, depth and decompression) can largely be performed correctly without any practical training. However, the net benefit of the course, i.e. subtracting deteriorations from improvements, was only moderate, with improvements of 43% in hand positioning (total 74% correct), 29% in compression depth (94%), 20% in ...

Simple, this blue economical training manikin allows the focus to be on giving proper chest compressions while performing CPR. Each foam-body manikin includes a bellow with clicker and 50 replacement clickers. This CPR Prompt® Compression Only, Blue, 5-Pack is manufactured by Nasco and sold by GTSimulators.

Emory University Hospital study finds interruptions greater than 10 seconds during CPR was associated with increased mortality at each of four milestones on path to survival Newswise - Cardiac arrests are high-stress and high-stakes events, with prompt, high-quality CPR a vital element on the path to survival. Despite advances in healthcare technology, treatment and training, survival for individuals who experience cardiac arrest has improved only slightly over the past decade. Mortality remains about 85% for patients who experience in-hospital cardiac arrest (IHCA) and even higher when cardiac arrest happens outside the hospital. An analysis of CPR interventions after IHCAs at an Atlanta hospital found the sole factor that consistently impacted survival was the number of pauses in chest compressions greater than 10 seconds during resuscitation...

The second annual American Medical Response (AMR) World CPR Challenge recently rolled across the United States. AMR teams from 80 operational locations came together for one mission: to teach people how to save a life by learning compression-only CPR. At

JOB SUMMARY Under general supervision, administers respiratory care and performs pulmonary diagnostic testing in a full-service public medical research institution. PRIMARY DUTIES 1. Administers all forms of respiratory care and pulmonary diagnostic procedures such as mechanical ventilation, chest physio-therapy, deep tracheal suctioning, incentive spirometry, oxygen therapy, and aerosolization of medication. 2. Documents all patient care services rendered and outcomes. 3. Sets up, maintains, and records log entries on all types of oxygen, humidity, and ventilation equipment. 4. Interprets arterial blood gas results, basic x-rays and laboratory results, and relates them to the clinical setting. 5. Participates in cardiopulmonary resuscitation (CPR) procedures including resuscitation, cardiac massage, and emergency oral intubation. 6. Accepts and transcribes physicians verbal orders related to respiratory care and pulmonary diagnostic procedures. 7. Participates in research studies through data ...

It is important to exclude fine ventricular fibrillation in the patient presumed to have asystole. If VF is present, then cardioversion should be performed. While the heart is asystolic, there is no blood flow to the brain unless CPR or internal cardiac massage (when the chest is opened and the heart is manually compressed) is performed, and even then, it is still a small amount. After many emergency treatments have been applied but the heart is still unresponsive, it is time to consider pronouncing the patient dead. Even in the rare case that a rhythm should reappear, if asystole has persisted for fifteen minutes or more the brain will have been deprived of oxygen long enough to cause brain death. ...

A new study carried out by Swedish doctors including a professor at Stockholms South General Hospital shows that heart massage is just as effective as ...

An editorial in the BMJ (2008;336:782-3) summarises recent developments in the debate regarding compression only cardiopulmonary resuscitation (CPR) in the prehospital environment. Arguments in favour of moving to compression only CPR include it being easier to learn and perform as well as being more aesthetically acceptable. On the basis that by encouraging bystanders to at least perform chest compressions the chance of survival is likely to be enhanced, the American Heart Association has published a statement which received considerable press attention (Circulation 2008; Mar 31 Epub ahead of print). The issue is certain to be a central focus when current resuscitation guidelines are next reviewed and revised. ...

Absorption in healthy subjects. In a decreased rate and extent of excretion of tramadol include nausea, vomiting, diarrhea due to both parent drug. Cardiac disorders: palpitations, myocardial ischemia, ekg abnormality, hypotension, tachycardia. Cardiac arrest or arrhythmias may require cardiac massage or defibrillation. is there a generic for tramadol Patients should be aware if anyone is using your medicine improperly or without food, it may take several days for the most frequently by tramadol-treated subjects, table 1. ultram pictures A total of 820 patients, alternative non-opioid analgesics should be cautioned accordingly. Follow patients closely for seizures and serotonin re-uptake inhibitors use ultram read the fda-approved patient labeling (medication guide). Tramadol can slow or stop using this medication stops working well (such as overuse of or toxicity to epinephrine/norepinephrine receptors. The clinical assessment of patients in the double-blind or open-label extension periods in ...

If people received an acute exposure, it should be taken from the lesion (space) in the fresh air. To release from tight clothing - a tie, scarf, unbutton the top buttons of clothes. A specific antidote does not exist. Therefore, the victim need to quickly get to a hospital. Nausea and vomiting man lay on his side to avoid aspiration of the respiratory tract.. If the person is unconscious, you need to constantly monitor his breathing. You can give the pair a sniff of ammonia. In the absence of pulmonary activity is urgent to begin to perform artificial respiration and cardiac massage the victim.. In chronic poisoning it is important to determine the source of constant intoxication of the organism and eliminate it. The patient, symptomatic treatment is prescribed, depending on the degree of destruction of the body:. ...

on the way to theater, if the patient is not intubated or if we are not doing active cardiac massage, i often peel off to the change room and rejoin the activity as the anaesthetist receives the patient in the theater entrance area. i help with getting the patient onto the bed and then...well then i take a moment. it is a moment before the storm. it is a time when i try to prepare myself for the fight ahead. i also often think about the dissociation between the humanity and the biology of what is about to happen. it is always poignant for me to think that during the operation i will be totally focused on getting the life threatening problem fixed and i will have no place to reflect on the bigger picture. i wont have time to wonder what the person is like or what his hopes and dreams are or who is praying for him to pull through. yes, i wont be able to see him as human until its all over ...

Methods and Results-In 319 patients with ventricular tachycardia/fibrillation out-of-hospital cardiac arrest, we analyzed recordings from all defibrillators used during resuscitation and measured durations of all CPR pauses. Median (25th, 75th percentile) durations in seconds were 32 (22, 52) for the longest pause for any reason, 23 (14, 34) for the longest peri-shock pause, and 24 (11, 38) for the longest non-shock pause. Multivariable regression models showed lower odds for survival per five second increase of the longest overall pause (OR 0.89, 95%CI 0.83-0.95), longest peri-shock pause (OR 0.85, 95%CI 0.77-0.93), and longest non-shock pause (OR 0.83, 95%CI 0.75-0.91). In 36% of cases, the longest pause was a non-shock pause; this subgroup had lower survival than cases where the longest pause was a peri-shock pause (27% vs 44% respectively, p less than 0.01) despite a higher chest compression fraction. Pre-shock pauses were 8 seconds (4, 17) for shock that terminated ventricular fibrillation ...

The chance that a person in cardiac arrest will survive increases when rescuers doing cardiopulmonary resuscitation (CPR) spend more time giving chest compressions, according to a multi-center study reported in Circulation: ...

Efficacy of Feed Forward and Feedback Signaling for Inflations and Chest Compression Pressure During Cardiopulmonary Resuscitation in a Newborn Mannequin

Efficacy of Feed Forward and Feedback Signaling for Inflations and Chest Compression Pressure During Cardiopulmonary Resuscitation in a Newborn Mannequin

Looking for online definition of heart massage in the Medical Dictionary? heart massage explanation free. What is heart massage? Meaning of heart massage medical term. What does heart massage mean?

We compared the efficacy of manual and mechanical chest percussion during hospitalization for acute exacerbations of cystic fibrosis by evaluating changes in spirometry values. Fifty-one participants were randomly assigned to receive manual or mechanical chest percussion three times a day. Twenty-tw …

We present a case in which a patient with a previous sternotomy and left ventricular assist device (LVAD) implantation developed cardiac arrest during resternotomy for LVAD exchange. The surgeon refused chest compressions for fear of potential damage to the inflow cannula directly beneath the sternum. The perioperative team had no alternatives to external cardiac massage other than rapid deployment of extra-corporeal membrane oxygenation for mechanical support, so the anesthesiologist advised the nursing personnel to perform abdominal only cardiopulmonary resuscitation while the surgeon performed a femoral bypass to cannulate the groin for extra-corporeal membrane oxygenation support.

Objective: While cardiopulmonary resuscitation (CPR) chest compression fraction (CCF) is associated with out-of-hospital cardiac arrest (OHCA) outcomes, there is no standard method for the determination of CCF. We compared nine methods for calculating CCF. Methods: We studied consecutive adult OHCA patients treated by Alabama Emergency Medical Services (EMS) agencies of the Resuscitation Outcomes Consortium (ROC) during January 1, 2010 to October 28, 2010. Paramedics used portable cardiac monitors with real-time chest compression detection technology (LifePak 12, Physio-Control, Redmond, WA). We performed both automated CCF calculation for the entire care episode as well as manual review of CPR data in 1-min epochs, defining CCF as the proportion of each treatment interval with active chest compressions. We compared the CCF values resulting from 9 calculation methods: (1) mean CCF for the entire patient care episode (automated calculation by manufacturer software), (2) mean CCF for first 3. min ...

Fingerprint Dive into the research topics of A reappraisal of mouth-to-mouth ventilation during bystander-initiated cardiopulmonary resuscitation. Together they form a unique fingerprint. ...

One study will compare continuous chest compressions combined with pause-free rescue breathing to standard cardiopulmonary resuscitation. The other trial will compare treatment with the drug amiodarone, another drug called lidocaine or a salt-water placebo in participants with shock-resistant ventricular fibrillation, a condition in which the heart beats chaotically instead of pumping blood.. Although immediate CPR can be lifesaving, more than 90 percent of people who experience a cardiac arrest outside of a hospital die before reaching a hospital or soon thereafter, said Jeffrey Kerby, M.D., Ph.D., UAB trauma surgeon and lead investigator at UAB. The goal of both of these trials is to reduce that number. Increasing survival rates for people who experience out-of-hospital cardiac arrest is a major public health goal, said Susan B. Shurin, M.D., acting director of the NIHs National Heart, Lung, and Blood Institute, which is the lead federal sponsor of the studies. These new trials could ...

AIM: The primary aim of this study was to evaluate the association between chest compression rates and 1) arterial blood pressure and 2) survival outcomes during pediatric in-hospital cardiopulmonary resuscitation (CPR).. METHODS: Prospective observational study of children ≥37 weeks gestation and ,19 years old who received CPR in an intensive care unit (ICU) as part of the Pediatric Intensive Care Unit Quality of CPR Study (PICqCPR) of the Collaborative Pediatric Critical Care Research Network (CPCCRN). Arterial blood pressure and compression rate were determined from manually extracted arterial line waveform data during the first 10 min of CPR. The primary outcome was survival to hospital discharge. Modified Poisson regression models assessed the association between rate categories (80-,100, 100-120 [Guidelines], ,120-140, ,140) and outcomes.. RESULTS: Compression rate data were available for 164 patients. More than half (98/164; 60%) were ,1 year old. Return of circulation was achieved in ...

Implement standard: AHA (American Heart Association) 2010 guideline for CPR and ECC. CPR manikin features: 1. Clear anatomic characteristic, realistic touch feeling and lifelike skin color, vivid appearance;. 2. Simulate vital signs:. 1) Pupil state: contrast observation of pupils, one is dilated, the other one is contracted;. 2) Carotid artery response: squeeze the rubber ball to simulate carotid artery pulse;. 3. Open airway, the airway indicator will turn green;. 4. Can perform artificial breathing and external cardiac compression. CPR screen features: 1. Available CPR training;. 2. Electronic monitoring of compression site;. 3. Indicators show inflation volume, correct inflation volume: 500/600ml-1000ml;. 1) Insufficient inflation volume, yellow indicator. 2) Proper inflation volume, green indicator. 3) Excessive inflation volume, red indicator. 4. Indicators show compression depth: correct compression depth: 5-6cm. 1) Insufficient compression depth, yellow indicator;. 2) Proper compression ...

The subject of oesophageal length is discussed. The great variations in the length of the oesophagus in individual patients is noted, and the practical use of its recognition in oesophageal surgery is stressed. An apprasial of the various methods available for this measurement is made; this includes the use of external chest measurement, endoscopic measurement, and the measurement of the level of the electrical mucosal potential change. Correlative studies of these various methods are made, and these show a very high degree of significance. These studies involved simultaneous measurement of external and internal oesophageal length in 26 patients without a hiatal hernia or gastro-oesophageal length in 26 patients without a hiatal hernia or gastro-oesophageal reflux symptoms, 42 patients with sliding type hiatal hernia, and 17 patients with a peptic stricture in association with hiatal hernia. The method of measuring oesophageal length by the use of the external chest measurement, that is, the ...

William Bennet Kouwenhoven (13 January 1886 - 10 November 1975), also known as the father of cardiopulmonary resuscitation (CPR), is famous for his development of the closed-chest cardiac massage and his invention of the cardiac defibrillator. After obtaining his doctorate degree in engineering from the Karlsruhe Technische Hochschule in Germany, Kouwenhoven began his career as the dean at the Johns Hopkins University. Kouwenhoven focused his research mainly on improving and saving lives of patients through the application of electricity. With the help and cooperation of the Johns Hopkins Medical Schools Department of Surgery and an Edison Electric Institution grant, Kouwenhoven was able to develop a closed-chest defibrillator. For his contributions to the field of medical science, he became the first ever recipient of an honorary degree conferred by the Johns Hopkins School of Medicine. Two years before his death, Kouwenhoven was also awarded the Albert Lasker Award for Clinical Medical ...

Traditional, instructor led, in-person training of CPR skills has become more challenging due to COVID-19 pandemic. We compared the learning outcomes of standard in-person CPR training (ST) with alternative methods of training such as hybrid or online-only training (AT) on CPR performance, quality, and knowledge among laypersons with no previous CPR training. We searched PubMed and Google Scholar for relevant articles from January 1995 to May 2020. Covidence was used to review articles by two independent researchers. Effective Public Health Practice Project (EPHPP) Quality Assessment Tool was used to assess quality of the manuscripts. Of the 978 articles screened, twenty met the final inclusion criteria. All included studies had an experimental design and moderate to strong global quality rating. The trainees in ST group performed better on calling 911, time to initiate chest compressions, hand placement and chest compression depth. Trainees in AT group performed better in assessing scene safety,

A resuscitative thoracotomy (sometimes referred to as an emergency department thoracotomy, trauma thoracotomy or, colloquially, as cracking the chest) is a thoracotomy performed to resuscitate a major trauma patient who has sustained severe thoracic or abdominal trauma and who has entered cardiac arrest because of this. The procedure allows immediate direct access to the thoracic cavity, permitting rescuers to control hemorrhage, relieve cardiac tamponade, repair or control major injuries to the heart, lungs or thoracic vasculature, and perform direct cardiac massage or defibrillation. For most persons with thoracic trauma the procedure is not necessary; only 15% of those with thoracic injury require the procedure. A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life. The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac ...

Resuscitation. 2014 Sep;85(9):1287-90. doi: 10.1016/j.resuscitation.2014.06.013. Epub 2014 Jun 28. Randomized Controlled Trial; Research Support, Non-U.S. Govt

Press Release issued May 22, 2017: The Global Cardiac Resuscitation Device Market 2017 Industry Research Report is a in-depth study and professional analysis on the current state of the Cardiac Resuscitation Device market.

BACKGROUND: The Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care recommend that for adult cardiac arrest the single rescuer performs two quick breaths followed by 15 chest compressions. This cycle is continued until additional help arrives. Previous studies have shown that lay persons and medical students take 16 +/- 1 and 14 +/- 1 s, respectively, to perform these two quick breaths. The purpose of this study was to determine the time required for trained professional paramedic firefighters to deliver these two breaths and the effects that any increase in the time it takes to perform rescue breathing would have on the number of chest compressions delivered during single rescuer BLS CPR. We hypothesized that trained professional rescuers would also take substantially longer then the Guidelines recommendation for delivering the two rescue breaths before every 15 compressions during simulated single rescuer BLS CPR.. METHODS: Twenty-four paramedic firefighters ...

Investigation of non-uniform airflow signal oscillation during high frequency chest compression. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.

The combination of ACD-CPR with an ITD has been studied in 4 RCTs reported in 5 publications.80,84-87 Two of these trials evaluated ACD-CPR with the ITD in comparison with ACDCPR alone.80,84 The first of these used femoral artery catheters to measure improved hemodynamic parameters but found no difference in ROSC, 24-hour survival, or survival to hospital discharge.80 In a follow-up RCT of 400 patients, the ACD-CPR with a functioning ITD increased 24-hour survival, but again there was no difference in survival to hospital discharge or survival with good neurologic function as compared with the ACD-CPR with sham ITD group.84. The remaining 2 RCTs compared ACD-CPR with the ITD versus conventional CPR. The first was a single-center RCT in which 210 patients were randomly assigned to ACD-CPR+ITD or conventional CPR after intubation by the advanced life support team, which arrived on scene a mean of 9.5 minutes after the 9-1-1 call.85 The chest compression and ventilation rates in both arms were ...

Voice prompts match the live FR2 and FR3 AED defibrillator provided on the AED Trainer 2 and AED Trainer 3.. LEDs illuminate on the manikin to allow comparison of ideal pad placement and accuracy.. Audible feedback reinforces correct compression depth. An optional clicker feature signals correct compression depth.. Realistic resistance for chest compression allows the students to experience the amount of pressure needed to perform proper chest compressions in a real-life situation ...

Voice prompts match the live FR2 and FR3 AED defibrillator provided on the AED Trainer 2 and AED Trainer 3.. LEDs illuminate on the manikin to allow comparison of ideal pad placement and accuracy.. Audible feedback reinforces correct compression depth. An optional clicker feature signals correct compression depth.. Realistic resistance for chest compression allows the students to experience the amount of pressure needed to perform proper chest compressions in a real-life situation ...

In the American Heart Association (AHA) 2015 Guidelines, continuous waveform capnography is a Class I, LOE A recommendation for confirming and monitoring correct placement of an endotracheal tube.1. Because a sustained increase in PETCO2 during CPR is an indicator of return of spontaneous circulation (ROSC), the AHA Guidelines also recommend using capnography in intubated patients to monitor CPR quality, optimize chest compressions, and detect ROSC during chest compressions or when the rhythm check reveals an organized rhythm (Class IIb, LOE C).1 ...

This manikin provides a high fidelity airway for practicing establishing an advanced airway during CPR. It requires head tilt-chin lift and has visible vocal cords. It will provide feedback on the intubation process itself and it is designed to provide feedback when intubating during ongoing Chest compressions. This manikin has a unique physical build so that the interaction of the chest compressions and the ventilations can be felt when practicing and there is real time feedback on the interaction. It also provides for excellent BLS training (chest compressions, ventilations and CPR). The software is plug and play with free updates, no user fees and no requirement to register. Internet is not required and there are no batteries. SmartMan features state of the art feedback with visual color feedback for chest depth, rate and recoil of the chest, as well as too deep and hitting the bottom. Ventilations use the same easy to understand colors for volume, rate and interval. You always receive a ...

ZOLLs platform of products promotes consistent, high-quality, high-perfusion CPR and high-current defibrillation for adults and pediatrics. Our technologies include a patented CPR Dashboard™ that provides real-time feedback on compression quality, See-Thru CPR® to reduce the duration of pauses during CPR by filtering out CPR artifact, and EtCO2 to signal the earliest changes in patient condition. To maximize blood flow and increase perfusion to vital organs during high-quality CPR, ZOLL also offers intrathoracic pressure regulation (IPR) therapy with the ResQPOD ITD.. Hospitals that use our unmatched CPR technologies and focus on targeted training are doubling survival-with good neurological outcomes.1. 1Davis DP, et al. Resuscitation. 2015 Jul;92:63-69. ...

ZOLL Medical designs manufactures, AED ( automated external defibrillator ) devices and a complete line of cardiac resuscitation devices and accessories related to defibrillation and cardioversion.

We all know that early defibrillation and quality compressions are what matters in cardiac arrest. The end-point of compressions is generate cardiac output and coronary perfusion pressure.. Coronary perfusion pressure (CPP) is the difference between aortic diastolic pressure and the left ventricular end-diastolic pressure. In the working heart the coronary perfusion pressure is cycling between 0 and 70-80 mmHg. At least 60 mmHg or so is required for normal coronary blood flow.. When performing CPR we need to achieve a CPP of at least 15 mmHg in order to achieve ROSC. 15 mmHg certainly doesnt guarantee ROSC but thats how good our compressions need to be. There is an important paper in JAMA 1990 where Paradis et al demonstrated how a CPP of less than 15 mmHg resulted in 100% failure to resuscitate. With closed chest CPR we rarely achieve that outside the lab. Several studies report abysmal CPPs with averages ranging from 1-9 mmHg (1,2).. Here is where open chest direct heart compressions might ...

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Discuss the pros and cons of massage with your doctor, especially if you are pregnant or you have cancer or unexplained pain.. Some forms of massage can leave you feeling a bit sore the next day. But massage shouldnt ordinarily be painful or uncomfortable. If any part of your massage doesnt feel right or is painful, speak up right away. Most serious problems come from too much pressure during massage.. You dont need any special preparation for massage. Before a massage therapy session starts, your massage therapist should ask you about any symptoms, your medical history and what youre hoping to get out of massage. Your massage therapist should explain the kind of massage and techniques he or she will use.. In a typical massage therapy session, you undress or wear loose-fitting clothing. Undress only to the point that youre comfortable. You generally lie on a table and cover yourself with a sheet. You can also have a massage while sitting in a chair, fully clothed. Your massage therapist ...

Im not dead yet! KDEs new goal proposals have been announced, and the voting has started. But in the meantime, the Usability & Productivity initiative continues, and were onto week 85! Weve got some nice stuff, so have a look: New Features Gwenview now allows the user to configure the JPEG compression/quality level with a…

Im not dead yet! KDEs new goal proposals have been announced, and the voting has started. But in the meantime, the Usability & Productivity initiative continues, and were onto week 85! Weve got some nice stuff, so have a look: New Features Gwenview now allows the user to configure the JPEG compression/quality level with a…

The ref stopped the match at 27:03. There was a doctor in the audience (they didnt have one at ringside like New Japan does!?) who tried heart massage. All the NOAH wrestlers (plus Yoshihiro Takayama and Kensuke Sasaki who were also on the card) came into the ring. The heart massage brought back some pulse, and he was carried into a hospital but never came back ...

Knowing what puts your heart at risk and how to control these factors is empowering and allows you to better manage your health and well-being.

RECOMMENDATIONS. The Heart and Stroke Foundation of Canada recommends that:. Canadians. 1. Activate their community emergency medical system by calling 9-1-1 or the local emergency number in the event of a cardiac arrest emergency.. 2. Be trained in conventional CPR and apply CPR skills when needed.. 3. Who witness an adult suddenly collapse and are either not trained in conventional CPR or unsure of their ability to perform it effectively should activate the emergency medical system (call 9-1-1 or the local emergency number or have someone else do it) and use Hands-Only CPR. This means pushing down hard and fast on the centre of the chest at a rate of 100 compressions per minute.. 4. Learn about the Heart and Stroke Foundations CPR Anytime™ Family & Friends™, an easy way for Canadians to learn CPR in only twenty-two minutes. For additional information or to order a kit, contact your local Heart and Stroke Foundation office.. Governments. 1. Ensure provincial regulations and/or legislation ...

2015-2017 Something Therapeutic Massage Therapy © All rights reserved. The Something Therapeutic Massage Therapy name and logo may not be reproduced by any means or in any form whatsoever without express written permission from Something Therapeutic Massage Therapy owners. Something Therapeutic Massage Therapy and the Something Therapeutic Massage Therapy logo are privately owned. 5005 W. 34th St Houston TX 77092. Something Therapeutic Massage Therapy focuses on preventive, restorative, and relaxing modalities. Our massage therapists use a range of Massage techniques from reflexology, neuromuscular therapy, oncology massage, deep tissue massage, hot stone massage, sports massage or Swedish Massage to provide relief from chronic pain, improve blood flow , and to reduce stress. ...

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BLS Course is instructor-led, hands-on class that reinforces skills proficiency trains students to recognize life-threatening emergencies, give high-quality chest compressions, deliver appropriate ventilations and provide early use of an AED. Students participate in simulated clinical scenarios and learning stations. Students work with an Instructor to complete BLS skills practice and skills testing. Students also complete a written exam.. The primary skills taught in the BLS course include cardiopulmonary resuscitation and involves chest compressions to help blood circulation. Training will include CPR for all age groups.. The course consists of practicing the resuscitation exercises on state of the art equipment and demonstrating a correct response in role-play situations during an emergency. This is vital because hands on practice builds muscle memory and helps you remain calm in an emergency. BLS training focuses on both single-rescuer situations as well as team rescues when more than one ...

While there are lots of interesting things to read on the Internet, only a few have the potential to help you save a life in the real world. This article intends to help you potentially save a life by equipping you with the tools you will need to rescue a person who has suffered a…

A ventricular assist device for a heart includes a compression band-stay-pad assembly for encircling substantially the heart perimeter and comprising an elongated band member or chain disposed in a sealed protective structure filled with a lubricating medium. The band member may be fixed at one end and wound upon, or unwound from, a rotatable spool by a drive motor through a speed reducer. Force-transmitting support or stay assemblies are disposed in the protective structure between the band member and a resilient pad assembly for encircling the heart and promoting heart tissue ingrowth therein. The force-transmitting stay assemblies are biased circumferentially, and thus radially outward, by compression return springs disposed therebetween. The resilient pad assembly includes a corrugated surface provided with vertical coil springs, which help prevent damage to heart tissue and facilitate return of the pad assembly to an initial condition, embedded defibrillator electrodes and relatively soft portions

Allergic reactions to massage therapy oils or creams. What you can expect throughout a massage. You dont require any type of special prep work for massage therapy. Before a massage therapy session begins, your massage therapy specialist need to ask you regarding any kind of symptoms, your medical history as well as exactly what youre hoping to leave massage. Your massage specialist must discuss the sort of massage and strategies she or he will utilize.. In a regular massage treatment session, you undress or use loosened fitting clothing. Undress just to the factor that youre comfortable. You usually push a table and also cover yourself with a sheet. You could also have a massage while being in a chair, fully dressed. Your massage therapy specialist must execute an assessment with touch to locate agonizing or tense locations and also to figure out what does it cost? stress to use.. Depending upon choice, your massage specialist may use oil or lotion to decrease rubbing on your skin. Tell your ...