European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Observational Study
Feasibility of continuous noninvasive arterial pressure monitoring in a prehospital setting, measurements during emergency transfer.
In severely injured or acutely ill patients close monitoring of blood pressure (BP) can be crucial. At the prehospital scene and during transfer to hospital, the BP is usually monitored using intermittent oscillometric measurements with an upper arm cuff every 3-5 min. The BP can be monitored noninvasively and continuously using the continuous noninvasive arterial pressure (CNAP) device. In this study, we investigated the feasibility of a CNAP device in a prehospital setting. ⋯ Continuous measurement of the BP obtained by the CNAP device is feasible and safe in a prehospital setting under potentially difficult conditions.
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Every year, several patients are bitten by the common European adder (Vipera berus). The aim of this study is to present a large consecutive case series of patients bitten by V. berus, and to identify signs and symptoms indicative of complicated illness. ⋯ Most patients only showed symptoms of no or mild envenomation. Fifteen percent were transferred to the ICU and five patients (all children) required fasciotomy because of suspected compartment syndrome. Only 10 patients received antivenom.
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Randomized Controlled Trial Comparative Study
'Knocking-fingers' chest compression technique in infant cardiac arrest: single-rescuer manikin study.
We designed a new chest compression technique, the 'knocking-fingers' chest compression (KF) technique, for a single rescuer in infant cardiac arrest. We compared the effectiveness and feasibility between the KF technique and the two-finger (TF) and two-thumb encircling hands (TT) techniques. ⋯ The single-rescuer KF chest compression technique is an effective alternative to the TF or TT techniques for infant cardiac arrest.