Resuscitation
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To demonstrate that successful intraosseous infusion in critically ill patients does not require bone that contains a medullary cavity. ⋯ Successful intraosseous infusion does not always require injection into a bone with a medullary cavity. Practitioners attempting intraosseous access on critically ill patients in the emergency department or prehospital setting need not restrict themselves to such bones. Calcaneus and radial styloid are both an acceptable alternative to traditional recommended sites.
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Biography Historical Article
The Resuscitation Greats: Andreas Vesalius, the concept of an artificial airway.
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Randomized Controlled Trial Comparative Study Clinical Trial
Is the orientation of the apical defibrillation paddle of importance during manual external defibrillation?
Transthoracic impedance (TTI) is a factor determining the magnitude of the transmyocardial current during external defibrillation. Minimising TTI increases the chances of successful defibrillation. Most external defibrillation paddles are rectangular in shape and can, therefore, be placed in a transverse or longitudinal orientation. The apical paddle is often placed in a transverse orientation. This may theoretically result in a higher TTI than a longitudinal orientation because of poorer contact at the lateral paddle edges. We compared TTI with the apical paddle in both a transverse and longitudinal orientation. ⋯ The longitudinal orientation of a rectangular defibrillation paddle provides a lower TTI than orientation horizontally.