Ugeskrift for laeger
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Ugeskrift for laeger · Aug 2008
Comparative Study[Insufficient implementation of guidelines for basic life support in Denmark].
Early bystander cardiopulmonary resuscitation (CPR) improves survival following out of hospital cardiac arrest. Bystanders perform basic life support in less than one third of witnessed cardiac arrests. Furthermore, the quality of CPR differs considerably. Unambiguous course material may improve education in resuscitation and further the provision and efficiency of CPR. In 2005 the European Resuscitation Council (ERC) published guidelines for adult basic life support. The objective of this investigation is to evaluate the adherence of Danish course material for laypeople to the ERC Guidelines. ⋯ We demonstrate substantial differences between Danish course material and the ERC Guidelines. This may have implications for CPR provided by bystanders.
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The aim of medical emergency teams (MET) is to identify and treat deteriorating patients on general wards, and to avoid cardiac arrest, unplanned intensive care unit admission and death. The effectiveness of METs has yet to be proven, as the only two randomised, controlled trials on the subject show conflicting results. Despite the lack of evidence, METs are gaining popularity and are being implemented in Danish hospitals as part of Operation Life.
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Charcot's arthropathy is a rare complication to diabetes with peripheral neuropathy. The diagnosis is based on a red, oedematous foot with 2 degrees C difference in skin temperature between the affected foot compared to the unaffected foot. ⋯ When the off-loading treatment is completed, the patient should gradually adjust to wearing bespoken shoes. Lifelong control of the feet and shoes is necessary.