Resuscitation
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Cerebral Performance Category (CPC), Modified Rankin Scale (mRS) and discharge disposition are commonly used to determine outcomes following cardiac arrest. This study tested the association between these outcome measures. ⋯ Determination of the CPC, mRS and discharge disposition at hospital discharge is reliable from chart review. These instruments provide widely differing estimates of "good outcome". Agreement between these measures ranges from poor to fair. A more nuanced outcome measure designed for the post-cardiac arrest population is needed.
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Editorial Comment
Surgical skills training: does it improve clinical outcome?
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Randomized Controlled Trial
Hands-off time during insertion of six airway devices during cardiopulmonary resuscitation: a randomised manikin trial.
Cardiopulmonary resuscitation (CPR) guidelines recommend limiting interruptions of chest compressions because prolonged hands-off (i.e., non-compression) time compromises tissue perfusion. 2010 European Resuscitation Council guidelines suggest that chest compressions should be paused less than 10 s during airway device insertion. ⋯ Supraglottic devices appear to be a reasonable emergency airway management strategy, even for inexperienced personnel.