Singap Med J
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Despite years of medical advances, bystander cardiopulmonary resuscitation (CPR) remains the most important factor in the saving of out-of-hospital cardiac arrest victims. However, the prevalence of bystander CPR remains low. New international recommendations, which aim to increase bystander CPR prevalence, allow for hands-only CPR under certain circumstances. More should be done to increase the awareness and training of CPR in Singapore as well as encourage the public to perform bystander CPR.
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Mechanical devices for cardiopulmonary resuscitation have been in use for decades. Significant advances in the understanding of cardiac arrest physiology have led to improvements and new devices. Piston, load distribution band, active compression decompression and the impedance threshold device are discussed.
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Randomized Controlled Trial Comparative Study
Low- versus high-dose combination of midazolam-ketamine for oral premedication in children for ophthalmologic surgeries.
Midazolam and ketamine are useful for oral premedication in children to allay anxiety. We compared the effects of midazolam with a combination of high- and low-dose ketaminemidazolam as an oral premedication. ⋯ A combination of low-dose midazolam and ketamine is as effective as high-dose midazolam and ketamine for achieving optimum anxiolysis and a faster recovery, with a lower incidence of excessive salivation in children undergoing ophthalmic surgery.
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Case Reports
Intravenous zanamivir in critically ill patients due to pandemic 2009 (H1N1) influenza A virus.
The 2009 (H1N1) influenza A pandemic started in April 2009 and has since spread globally. We have noticed that critically ill patients with confirmed pandemic 2009 (H1N1) influenza A require mechanical ventilation. This paper describes the use of intravenous zanamivir in this group of patients. ⋯ Physicians can consider using intravenous zanamivir for the treatment of critically ill patients with 2009 (H1N1) influenza A infection.