Resuscitation
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The purpose of this study was to assess the long-term survival after OHCA. ⋯ Long-term survival after out-of-hospital cardiac arrest in a physician-staffed emergency system was comparable to survival after myocardial infarction with 46% being alive after ten years.
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Methylene blue (MB) administered with a hypertonic-hyperoncotic solution reduces the myocardial and cerebral damage due to ischaemia and reperfusion injury after experimental cardiac arrest and also increases short-term survival. As MB precipitates in hypertonic sodium chloride, an alternative mixture of methylene blue in hypertonic sodium lactate (MBL) was developed and investigated during and after cardiopulmonary resuscitation (CPR). ⋯ Methylene blue in hypertonic sodium lactate may be used against reperfusion injury during experimental cardiac arrest, having similar effects as MB with hypertonic saline-dextran, but in addition better myocardial protection than MB with normal saline. The neuroprotective effects did not differ.
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Biography Historical Article
Resuscitation great. Sven-Ivar Seldinger: the revolution of radiology and acute intravascular access.
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Randomized Controlled Trial
Assessment of Advanced Life Support competence when combining different test methods--reliability and validity.
Robust assessment of Advanced Life Support (ALS) competence is paramount to the credibility of ALS-provider certification and for estimating the learning outcome and retention of ALS competence following the courses. The European Resuscitation Council (ERC) provides two sets of MCQs and four Cardiac Arrest Simulation Test (CASTest) scenarios for the assessments according to guidelines 2005. ⋯ ERC sub-tests of ALS competence possess sufficient reliability and validity. A combined ALS score with equal weighting of one MCQ and one CASTest can be used as a single measurement of ALS competence.
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Randomized Controlled Trial
The voice advisory manikin (VAM): an innovative approach to pediatric lay provider basic life support skill education.
To determine the efficacy of immediate, standardized, corrective audio feedback training as supplied by the voice advisory manikin (VAM) compared to high quality standardized instructor feedback training for the initial acquisition of 1-rescuer lay provider pediatric BLS skills. ⋯ Immediate, standardized, corrective audio feedback training as supplied by the voice advisory manikin (VAM) can improve initial pediatric basic life support skill acquisition for lay providers even when compared to one-on-one, standardized instructor-led training.