Medical instrumentation
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Medical instrumentation · Nov 1977
Case ReportsApplication of portable cardiopulmonary bypass to emergency instrumentation.
Although most emergency conditions may be reversed with standard treatment protocols, mechanical cardiopulmonary bypass may be utilized to resuscitate highly selective patients who are in extremis. The addition of a battery mode to drive the pump oxygenator allows for portability from one area of the hospital to another. With the extensive availability of pump teams for elective heart surgery, cardiopulmonary bypass is applicable to patients with emergency conditions.
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Medical instrumentation · Nov 1977
Comparative StudyThe clinical assessment of cardiovascular emergencies.
Data are given for a 2-year study of fire department ambulance runs in Houston, Texas. Comparisons are made between those runs in which telemetry was used and those in which telemetry was not used. ⋯ Criteria used for clinical assessment and classification of emergencies are discussed. Emergency life-support systems with telemetry can have significant benefit for certain selected acute, recognizable cardiovascular emergencies, but the majority of ischemic heart disease fatalities do not appear to be deriving benefit from these systems.
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The Esophageal Obturator Airway, a device designed for use in the management of cardiopulmonary arrest, obstructs the esophagus while simultaneously ventilating the lungs. The EOA was clinically tested in 29,000 patients with a low incidence of false entries and complications. ⋯ It was concluded that whenever optimal conditions for endotracheal intubation are unavailable, the EOA should be first choice in the management of the airway in aneflexic, apneic patients. Specific contraindications are listed.