Resuscitation
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Evaluate the roles of water temperature and submersion duration in the outcome of drowning victims. ⋯ A protective effect of cold water for drowning victims was not found; estimated submersion duration was the most powerful predictor of outcome. Recommendations for initiation of rescue and resuscitation efforts should be revised to reflect the very low likelihood of good outcome following submersion greater than 10 min.
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Randomized Controlled Trial Comparative Study
Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial.
To compare integrated automated load distributing band CPR (iA-CPR) with high-quality manual CPR (M-CPR) to determine equivalence, superiority, or inferiority in survival to hospital discharge. ⋯ Compared to high-quality M-CPR, iA-CPR resulted in statistically equivalent survival to hospital discharge.
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To evaluate the performance of a real-time feedback algorithm for chest compression (CC) during cardiopulmonary resuscitation (CPR), which provides accurate estimation of the CC depth based on dual accelerometer signal processing, without assuming full CDC. Also, to explore the influence of incomplete chest decompression (CDC) on the CC depth estimation performance. ⋯ CPR feedback systems which utilize an assumption of full CDC may be unreliable especially in long duration CPR events where rescuer fatigue can strongly influence CC quality. In addition, these systems may increase the risk of thoracic and abdominal injury during CPR since rescuers may apply excessive compression forces due to underestimation of the CC depth when incomplete CDC occurs. Hence, there is a strong need for CPR feedback systems to accurately measure CDC in order to improve their clinical effectiveness.