Resuscitation
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Comparative Study
Continuous chest compression resuscitation in arrested swine with upper airway inspiratory obstruction.
This study was designed to compare 24-h survival rates and neurological function of swine in cardiac arrest treated with one of three forms of simulated basic life support CPR. ⋯ There were no differences in 24-h survival with good neurological function among these three different CPR protocols.
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Two simple questions have been used to classify neurologic outcome in patients with stroke. Could they be similarly applied to patients with cardiac arrest? ⋯ Neurologic outcomes based on the two simple questions after cardiac arrest can be easily determined, sensibly applied, and readily interpreted. These preliminary findings justify further evaluation of this simple and practical approach to classify neurologic outcome in survivors of cardiac arrest.
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There is no study regarding the influence of cardiopulmonary resuscitation (CPR) guideline renewal on citizen's attitude towards all basic life support (BLS) actions. ⋯ Future guidelines should emphasise the significance and benefit of early call in relation to telephone-assisted instruction of CPR or chest compression. The course instructors should be aware of the backgrounds of participants as to how this may relate to their willingness to participate.
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A common reason for bystanders' failure to perform CPR in real or hypothetical situations is their lack of confidence in themselves. CPR self-training, which uses learner-operated virtual media rather than a live instructor, has not been assessed for its ability to influence learners' attitudes toward performing CPR in a real emergency. The aim of this study was to compare attitude effects associated with traditional, live instruction versus self-training or no instruction. ⋯ Live training does not pose any measurable advantage for developing learners' positive attitudes. The counterintuitive finding that controls experienced similar levels of attitude change suggests that mere exposure to CPR testing can have positive effects on attitudes.
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Although computed tomography (CT) signs of ischaemia, including loss of boundary (LOB) between grey matter and white matter and cortical sulcal effacement, in cardiac arrest (CA) survivors are known, their temporal profile and prognostic significance remains unclear; their clarification is necessary. ⋯ A time window may exist for ischaemic CT signs in CA survivors. The LOB sign may develop when the CA-ROSC interval exceeds 20 min, whereas the sulcal effacement sign may develop later. However, their temporal profile and outcome predictability should be verified by multicentre studies.