Scand J Trauma Resus
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Scand J Trauma Resus · Feb 2016
Selection of quality indicators for hospital-based emergency care in Denmark, informed by a modified-Delphi process.
In 2013, Danish policy-makers on a nationwide level decided to set up a national quality of care database for hospital-based emergency care in Denmark including the selection of quality indicators. The aim of the study was to describe the Delphi process that contributed to the selection of quality indicators for a new national database of hospital-based emergency care in Denmark. ⋯ The two-round modified Delphi process contributed to the selection of an initial set of nine quality indicators for a new a national database for hospital-based emergency care in Denmark. Final selection was made by the database steering group informed by the Delphi process.
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Scand J Trauma Resus · Feb 2016
Review Meta Analysis Comparative StudyMechanical versus manual chest compressions for cardiac arrest: a systematic review and meta-analysis.
The aim of this paper was to conduct a systematic review of the published literatures comparing the use of mechanical chest compression device and manual chest compression during cardiac arrest (CA) with respect to short-term survival outcomes and neurological function. ⋯ The ability to achieve ROSC with mechanical devise was inferior to manual chest compression during resuscitation. The use of mechanical chest compression cannot be recommended as a replacement for manual CPR, but rather a supplemental treatment in an overall strategy for treating CA patients.
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Scand J Trauma Resus · Jan 2016
Multicenter Study Observational StudyShockOmics: multiscale approach to the identification of molecular biomarkers in acute heart failure induced by shock.
The ShockOmics study (ClinicalTrials.gov identifier NCT02141607) is a multicenter prospective observational trial aimed at identifying new biomarkers of acute heart failure in circulatory shock, by means of a multiscale analysis of blood samples and hemodynamic data from subjects with circulatory shock. ⋯ ShockOmics will provide new insights into the pathophysiological mechanisms underlying shock as well as new biomarkers for the timely diagnosis of cardiac dysfunction in shock and quantitative indices for assisting the therapeutic management of shock patients.
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Scand J Trauma Resus · Jan 2016
Randomized Controlled TrialA randomised controlled trial of cognitive aids for emergency airway equipment preparation in a Paediatric Emergency Department.
Safety of emergency intubation may be improved by standardising equipment preparation; the efficacy of cognitive aids is unknown. ⋯ The use of a cognitive aid for emergency airway equipment preparation reduces errors of omission. Template utilisation reduces variation in equipment location.
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Scand J Trauma Resus · Jan 2016
Multicenter StudyRoutine whole body CT of high energy trauma patients leads to excessive radiation exposure.
Whole body computed tomography (WBCT) is an important adjunct in trauma care, which is often part of standard protocol in initial management of trauma patients. However, WBCT exposes patients to a significant dose of radiation. The use of WBCT was assessed in a modern trauma cohort in Sweden. ⋯ Risk stratification criteria could in this retrospective study identify high energy trauma patients not in need of radiological imaging. WBCT in high-energy trauma does not affect patient care if the patient is mentally alert, not intoxicated nor shows signs of other than minor injuries when evaluated by a trauma-team. The risk of missing important traumatic findings in these patients is very low. Observation of the patient with reexamination instead of imaging may be considered in this group of often young patients where radiation dose is an issue.