Resuscitation
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To determine public attitudes towards emergency research, exception from informed consent (EFIC) and a specific proposed clinical trial using EFIC. ⋯ Emergency research and the proposed EFIC trial is supported in this community. The concept of EFIC is less well supported but is more acceptable when a specific trial is described or when respondents consider EFIC for themselves. Specific respondent characteristics are associated with attitudes about research; this can assist in development of meaningful community consultation activities.
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Multicenter Study
The first documented cardiac arrest rhythm in hospitalized patients with heart failure.
Patients with heart failure (HF) have abnormal cellular anatomy and myocardial mechanics that may impact the initial rhythm and subsequent outcomes in cardiac arrest (CA). ⋯ Hospitalized patients with HF are more likely than those without HF to have VF/pVT as the FDR in CA, however the clinical magnitude of this difference is small. Overall survival and neurological outcomes are no different than hospitalized arrest patients without HF.
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To collect data regarding prehospital paediatric tracheal intubation by emergency physicians skilled in advanced airway management. ⋯ Anaesthesia-trained emergency physicians working in our system report high success rates for prehospital tracheal intubation in children. Survival and neurological outcomes were considerably better than reported in previous studies.
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Clinical emergency response systems such as medical emergency teams (MET) have been implemented in many hospitals worldwide, but the effect that these systems have on injuries to hospital staff is unknown. The objective of this study was to determine the rate and nature of injuries occurring in hospital staff attending MET calls. ⋯ The rate of injuries occurring to hospital staff attending MET calls is relatively low, and many injuries could be considered relatively minor.
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The study aims to evaluate the optimal chest compression site in two-rescuer infant cardiopulmonary resuscitation (CPR). ⋯ The left ventricle was located in the lower quarter of the sternum, lower than S(total/3). However, more studies are needed to validate the efficiency and safety of compressing the lower quarter of the sternum in two-rescuer infant CPR.