Resuscitation
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Randomized Controlled Trial Comparative Study
A comparison of paediatric airway anatomy with the SimBaby high-fidelity patient simulator.
The SimBaby high-fidelity patient simulator is a widely used paediatric simulator for the training of standard and critical airway management scenarios. Furthermore this simulator is frequently used for the evaluation of different airway devices and techniques. However, the anatomic structures of the SimBaby have not been compared to actual patients' anatomy. ⋯ The anatomic features of the SimBaby do not adequately simulate the upper airway anatomy of infants. These results imply inadequate realism of this simulator for airway training and compromise the validity of comparative trials of different airway devices with the SimBaby as airway model.
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Randomized Controlled Trial Comparative Study
Glidescope(®) videolaryngoscope improves intubation success rate in cardiac arrest scenarios without chest compressions interruption: a randomized cross-over manikin study.
The aim of this study was to assess the performance of the Glidescope(®) in a manikin cardiopulmonary resuscitation (CPR) scenario. ⋯ Using the GlideScope(®) in a manikin CPR scenario provides extremely high intubation success rates in short times with the first attempt, in medical practitioners inexperienced in intubation.
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Randomized Controlled Trial Comparative Study
Effects of monthly practice on nursing students' CPR psychomotor skill performance.
The study examined the effects of brief monthly practice on nursing students' CPR psychomotor skill performance at 3, 6, 9, and 12 months compared to a control group with no practice, and of repeating the initial BLS course at 12 months. ⋯ The findings confirmed the importance of practicing CPR psychomotor skills to retain them and also revealed that short monthly practices could improve skills over baseline.
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Randomized Controlled Trial Comparative Study
Quality of resuscitation: flight attendants in an airplane simulator use a new mechanical resuscitation device--a randomized simulation study.
Cardiopulmonary resuscitation (CPR) during flight is challenging and has to be sustained for long periods. In this setting a mechanical-resuscitation-device (MRD) might improve performance. In this study we compared the quality of resuscitation of trained flight attendants practicing either standard basic life support (BLS) or using a MRD in a cabin-simulator. ⋯ Using the MRD resulted in significantly less "absolute hands-off time", but less effective ventilation. The translation of higher chest compression rate into better outcome, as shown in other studies previously, has to be investigated in another human outcome study.
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Randomized Controlled Trial Comparative Study
Performance of an automated external defibrillator during simulated rotor-wing critical care transports.
This study aimed to evaluate whether an automated external defibrillator (AED) was accurate enough to analyze the heart rhythm during a simulated rotor wing critical care transport. We hypothesized that AED analysis of the simulated rhythms during a helicopter flight would result in significant errors (i.e., inappropriate shocks, analysis delay). ⋯ This study suggested that current AEDs could analyze the heart rhythm correctly during simulated helicopter transport. Further studies using an animal model would be needed before applying to patients.