Resuscitation
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The 1-day immediate life support course (ILS) was started in the United Kingdom and adopted by the ERC to train healthcare professionals who attend cardiac arrests only occasionally. Currently, there are no reports about the ILS course from outside the UK. In this paper we describe our initial Italian experience of teaching ILS to nurses. We have also measured the impact that ILS has on the resuscitation knowledge of nurses. ⋯ We have reproduced the ILS course in Italy successfully. ILS teaching resulted in an improvement in resuscitation knowledge of the first group of nurses trained.
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Review Meta Analysis
Room air resuscitation of the depressed newborn: a systematic review and meta-analysis.
Understanding of the potential dangers of hyperoxia in the newborn is growing. Several studies have examined the use of room air for the resuscitation of newborns. ⋯ This meta-analysis supports the hypothesis that room air is superior to 100% oxygen as the initial choice for resuscitating clinically depressed newborns as it may result in a lower mortality rate. However, adequately powered studies of long-term neurodevelopmental outcomes are not yet available.
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The unintentional print-out by two different software programmes of the same resuscitation-related events stored on a data card of a Laerdal FR2-automated external defibrillator (AED), led to the discovery of flaws in the registration of the time line by one of the commercially available Laerdal software programmes. This observation stresses the need for a continuation of the medical supervision of AED projects, the close co-operation between clinicians and AED manufacturers, the well-controlled introduction of new devices and strict postmarket surveillance programmes.
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To characterize out-of-hospital cardiac arrest (OHCA) and factors that affect survival in a medium sized city that uses system status management for dispatch. ⋯ This study finds a 5% survival to 1 year among OHCA patients in Rochester, NY. A presenting rhythm of VF/VT and bystander CPR were associated with increased survival.
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Randomized Controlled Trial Multicenter Study
Compression force-depth relationship during out-of-hospital cardiopulmonary resuscitation.
Recent clinical studies reporting the high frequency of inadequate chest compression depth (<38 mm) during CPR, have prompted the question if adult human chest characteristics render it difficult to attain the recommended compression depth in certain patients. ⋯ In most out-of-hospital cardiac arrest victims adequate chest compression depth can be achieved by a force<50 kg, indicating that an average sized and fit rescuer should be able to perform effective CPR in most adult patients.