Resuscitation
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Comparative Study
Long-term prognosis after out-of-hospital cardiac arrest and primary percutaneous coronary intervention.
To study the long-term survival after out-of-hospital cardiac arrest and successful cardiopulmonary resuscitation (CPR) in patients with acute ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI). ⋯ Long-term prognosis is good in selected patients after successful out-of-hospital CPR and STEMI treated with primary PCI.
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At present, there is no reliable information indicating the best option of rescuing a non-breathing drowning victim in the water. Our objectives were to compare the outcomes of performing immediate in-water resuscitation (IWR) or delaying resuscitation until the victim is brought to shore. ⋯ Delaying resuscitation efforts were associated with a worse outcome for non-breathing drowning victims. In the cases studied, IWR was associated with improvement of the likelihood of survival. An algorithm was developed for its indications and to avoid unnecessary risks to both victim and rescuer.
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To create a predictive scale of neurological outcome following cardiac arrest (CA) that incorporates radiological and clinical markers of brain injury. ⋯ BrANOS is a reliable predictor of neurological outcome following CA. It is the first scale to incorporate clinical and radiological markers of brain injury.
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The use of automated external defibrillators (AEDs) by lay rescuers can reduce the time to defibrillation, improving survival after out-of-hospital cardiac arrest. However, some people have hearing defects that can prevent them from understanding the AED verbal prompts. Moreover, even rescuers with normal hearing function may not easily understand the AED verbal prompts when operating in a noisy environment. This study was designed to assess the capability of rescuers to defibrillate effectively using an AED which included visual prompts. ⋯ This study demonstrates that untrained deaf rescuers can use AEDs appropriately providing that the defibrillator has visual instructions. Training improves defibrillator use and reduces time to defibrillation.
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The EMS (Emergency Medical Service) system in France is a centrally based, two-tiered, physician-manned system. The first level is composed of BLS (Basic Life Support) fire department ambulances (called "VSAB") based at fire stations. The second level is composed of ALS (Advanced Life Support) physician staffed-ambulances. ⋯ In France medical schools are part of free public universities. The length of medical training varies from 8 to 11 years according to speciality. Emergency Medicine is not recognised as a stand alone specialty.