Crit Care Resusc
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To ascertain whether cardiopulmonary resuscitation (CPR) is effective when performed on a mannequin in the prone position. ⋯ Efficient CPR can be performed on a mannequin in the prone position, although additional instruction in technique is required. This may be applicable to patients turned to the prone position.
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To review human thermoregulation and the pathophysiology and management of induced and accidental hypothermia. ⋯ Operative hypothermia reduces ischaemic injury during cardiac and neurosurgical procedures. Hypothermia induced following tissue injury has not yet been shown to be of benefit. Management of accidental hypothermia requires passive and active warming methods, the indication of each depending on the availability of the method and severity of hypothermia.
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To review pathophysiology and management of hypovolaemic, cardiogenic and septic shock in a two-part presentation. ⋯ Hypovolaemic shock requires urgent management of the underlying defect and replacement of the intravascular volume loss. Recent studies in management of cardiogenic shock using urgent revascularisation and intra-aortic Balloon counterpulsation in patients with acute myocardial infarction have shown a reduction in mortality in selected cases.