Resuscitation
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Heart and breathing rates are predictors of disease severity and of a poor outcome. However, few reports have compared their machine measurements with traditional manual methods. ⋯ There is a poor correlation between breathing and heart rates measured by traditional methods and those obtained by the BT16 device. BT16 derived breathing and heart rates, but not those measured manually, were independent predictors of in-hospital mortality.
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Clinical Trial
Blood pressure during resuscitation in man--the effect of pause during rhythm analysis revisited.
This study reports invasive arterial pressures before and after the rhythm analysing pauses during CPR and evaluates the possible association of the quality of CPR and the length of the pause with blood pressure around the pause. ⋯ Contrary to the previous animal studies, this preliminary study in humans demonstrates that blood pressures achieved before the rhythm analysis pause do not necessarily decrease after the pause but may even increase if the duration of the pause is under ten seconds and the quality of CPR is good both before and after the pause.
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Illness severity scores are commonly employed in critically ill patients to predict outcome. To date, prior scores for post-cardiac arrest patients rely on some event-related data. We developed an early, novel post-arrest illness severity score to predict survival, good outcome and development of multiple organ failure (MOF) after cardiac arrest. ⋯ Initial illness severity explains much of the variation in cardiac arrest outcome. This model provides prognostic information at hospital arrival and may be used to stratify patients in future studies.
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This article is a report of a study which developed and tested the validity and reliability of the RAPIDS-Tool to measure student nurses' simulation performance in assessing, managing and reporting of clinical deterioration. ⋯ The RAPIDS-Tool provides a valid and reliable tool to evaluate nurses' simulation performances in clinical deterioration. This may prove useful for future studies that investigate outcomes of simulation training.