Resuscitation
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Letter Case Reports
Cardiac arrest after air travel successfully treated by presumptive fibrinolysis.
Thromboembolic events should be strongly suspected in cases where medical events occur after prolonged air travel. Pulmonary embolism should be suspected in patients with sudden cardiac arrest. Consequently, patients should be managed according to this eventuality. We report a case of sudden cardiac arrest after air travel in which the patient survived after fibrinolysis was prescribed on a presumptive basis.
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Review Meta Analysis
Severity of illness and risk of readmission to intensive care: a meta-analysis.
Almost one in every 10 patients who survive intensive care will be readmitted to the intensive care unit (ICU) during the same hospitalisation. The association between increasing severity of illness (widely calculated in ICU patients) with risk of readmission to ICU has not been systematically summarized. ⋯ A relationship between increasing intensive care severity of illness and risk of readmission to ICU was found. The effect was the same regardless of the time of measurement of severity of illness (at admission to ICU or the time of discharge from ICU). However, further research is required to develop more comprehensive tools to identify patients at risk of readmission to ICU to allow the targeted interventions, such as ICU-outreach to follow-up these patients to minimize adverse events.
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Recent evidence suggested that the quality of cardio-pulmonary resuscitation (CPR) during adult advanced life support training was suboptimal. This study aimed to assess the CPR quality of a paediatric resuscitation training programme, and to determine whether it was sufficiently addressed by the trainee team leaders during training. ⋯ The quality of CPR performance was suboptimal during paediatric resuscitation training and team leaders-in-training had little awareness of this inadequacy. Detailed CPR quality assessment and feedback should be integrated into paediatric resuscitation training to ensure optimal performance in real life resuscitations.