scholarly journals CARDIOPULMONARY RESUSCITATION AS A PRIORITY IN PROVIDING EMERGENCY ASSISTANCE TO AN EMERGENCY DIVER

2021 ◽  
Vol 7 (1) ◽  
pp. 85-91
Author(s):  
P. A. Yemushintsev ◽  
V. V. Mikulich ◽  
G. S. Soloviev
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Emergency Care ◽  
Negative Impact ◽  
Clinical Death ◽  
Medical Support ◽  
Emergency Assistance ◽  
Unified Algorithm ◽  
A Priority

Purpose: to improve the organization of emergency assistance to an emergency diver in a state of clinical death. Clarification of the priority of cardiopulmonary resuscitation by persons providing diving descents.Materials and methods. Аnalysis of guidelines governing medical support for diving descents and documents for the provision of emergency and urgent assistance, study of emergencies with naval divers.Results and discussion. Сonsidered one of the reasons that has a negative impact on the approach to emergency care — the lack of a unified algorithm of actions in the guideline documents for diagnosing clinical death in a diver, as well as ambiguous interpretation of the priority of cardiopulmonary resuscitation.

scholarly journals Implementation of a National 5‐Year Plan for Prehospital Emergency Care in Singapore and Impact on Out‐of‐Hospital Cardiac Arrest Outcomes From 2011 to 2016

2020 ◽  
Vol 9 (21) ◽  
Author(s):  
Andrew Fu Wah Ho ◽  
Nurun Nisa Amatullah De Souza ◽  
Audrey L. Blewer ◽  
Win Wah ◽  
Nur Shahidah ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Care ◽  
Survival Rates ◽  
Prehospital Emergency Care ◽  
Shockable Rhythm ◽  
Automated External Defibrillation ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Prehospital Emergency ◽  
Hospital Cardiac Arrest

Background Outcomes of patients from out‐of‐hospital cardiac arrest (OHCA) vary widely globally because of differences in prehospital systems of emergency care. National efforts had gone into improving OHCA outcomes in Singapore in recent years including community and prehospital initiatives. We aimed to document the impact of implementation of a national 5‐year Plan for prehospital emergency care in Singapore on OHCA outcomes from 2011 to 2016. Methods and Results Prospective, population‐based data of OHCA brought to Emergency Departments were obtained from the Pan‐Asian Resuscitation Outcomes Study cohort. The primary outcome was Utstein (bystander witnessed, shockable rhythm) survival‐to‐discharge or 30‐day postarrest. Mid‐year population estimates were used to calculate age‐standardized incidence. Multivariable logistic regression was performed to identify prehospital characteristics associated with survival‐to‐discharge across time. A total of 11 465 cases qualified for analysis. Age‐standardized incidence increased from 26.1 per 100 000 in 2011 to 39.2 per 100 000 in 2016. From 2011 to 2016, Utstein survival rates nearly doubled from 11.6% to 23.1% ( P =0.006). Overall survival rates improved from 3.6% to 6.5% ( P <0.001). Bystander cardiopulmonary resuscitation rates more than doubled from 21.9% to 56.3% and bystander automated external defibrillation rates also increased from 1.8% to 4.6%. Age ≤65 years, nonresidential location, witnessed arrest, shockable rhythm, bystander automated external defibrillation, and year 2016 were independently associated with improved survival. Conclusions Implementation of a national prehospital strategy doubled OHCA survival in Singapore from 2011 to 2016, along with corresponding increases in bystander cardiopulmonary resuscitation and bystander automated external defibrillation. This can be an implementation model for other systems trying to improve OHCA outcomes.

Stress and distress: the art and science of dispatcher’s assisted cardiopulmonary resuscitation.

2016 ◽  
Vol 2 (8) ◽  
Author(s):  
Régine Zandona ◽  
Aline Gillet ◽  
Céline Stassart ◽  
Laura Nothelier ◽  
Anne-Sophie Delfosse ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Coping Strategies ◽  
Negative Impact ◽  
Post Traumatic Stress ◽  
Psychological Burden ◽  
Key Factor ◽  
Chain Of Survival ◽  
Bystander Cpr ◽  
The Cost

<p>Chances of survival following a cardiac arrest are very low and inversely proportional to the duration of cardiovascular arrest. It is of critical importance to perform cardiopulmonary resuscitation (CPR) as soon as possible, even before the arrival of emergency medical team (EMT) on the scene. Therefore, early bystander CPR is a key factor in improving survival from out-of-hospital cardiac arrest (OOH-CA). In Belgium, the ALERT algorithm (Algorithme Liégeois d’Encadrement à la Réanimation par Téléphone<a title="" href="#_ftn1">[1]</a> offers the opportunity to help bystanders perform CPR. Dispatchers’ assisted telephone CPR has introduced a new link in the chain of survival, that contributes to a reduced OOH-CA mortality rate but at the cost of increased responsibilities and stress. ALERT also gives a new role to bystanders; they are no longer just spectators but become actors when they witness a cardiac arrest. Our team was interested in the psychological burden of ALERT. Therefore, we evaluated the effects of CPR performed by untrained persons. We studied the potential influence of different coping strategies on this impact, as well as the possible correlation with the degree of attachment to the victim and the risk of developing PTSD (Post Traumatic Stress Disorder). We noticed that some psychological negative impact on the bystanders could be recognized. We also identified beneficial and detrimental coping strategies.  In the future, we wonder if Video-CPR (V-CPR) might improve the quality of resuscitation.</p><div><br clear="all" /><hr align="left" size="1" width="33%" /><div><p><a title="" href="#_ftnref1">[1]</a> Algorithm for CPR guidance over the phone originating from Liege, Belgium</p></div></div>

scholarly journals Competences In Cardiopulmonary Resuscitation Matters In Pregnancy

2020 ◽  
Vol 5 (5) ◽  
pp. 1-7
Author(s):  
Ana Álvarez Bartolomé ◽  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Pregnant Women ◽  
Emergency Care ◽  
Hospital Emergency ◽  
Level Of Knowledge ◽  
The Creation ◽  
In Pregnancy

To analyse the level of knowledge of out-of-hospital emergency care personnel on the management of Cardiac Arrest (CA) in pregnant women, to determine whether there are deficiencies in training and to assess the creation of a course on cardiopulmonary resuscitation in pregnant women for non-obstetric personnel.

scholarly journals Nurses’ Experiences as Care Providers for Refugees in Emergency and Critical Care in Jordan: A Qualitative Interview Study

2021 ◽  
Vol 8 ◽  
pp. 233339362110569
Author(s):  
Maja Backlund ◽  
Sepideh Olausson
Keyword(s):  
Critical Care ◽  
Emergency Care ◽  
Negative Impact ◽  
Public Hospitals ◽  
Refugee Camps ◽  
Care Providers ◽  
Structured Interviews ◽  
Refugee Status ◽  
Qualitative Interview Study ◽  
Nurses Perceptions

During the global refugee crisis of the 2010s, hundreds of thousands of Syrians fled to Jordan. As displaced Palestinians have had refugee status for several decades in Jordan already, this study aimed to explore nurses’ perceptions of caring for Palestinian and Syrian refugees within the context of critical and emergency care. The qualitative design was executed through twelve semi-structured interviews with nurses working in refugee camps and public hospitals. Three main themes were identified describing the nurses’ empathetic understanding of the refugees’ situation, various challenging factors, as well as different aspects of the opportunities that they perceived in critical care and emergency care. The experiences of publicly employed nurses generally differed from those working in the camps. In addition, the findings indicate the importance of further research conducted locally, as it suggests several elements that have a negative impact on the quality of advanced healthcare for refugees.

scholarly journals Maintaining Your Emotional Wellness During COVID-19

2020 ◽  
Vol 17 (6) ◽  
Author(s):  
Deirdre Logan
Keyword(s):  
Mental Health ◽  
Implementation Science ◽  
Negative Impact ◽  
Research Center ◽  
Emotional Wellness ◽  
The World ◽  
A Priority ◽  
Taking Care

The world is a little scary and stressful right now because the COVID-19 outbreak has impacted many people’s lives in one way or another. Being anxious during a time like this is completely normal, but the fear and uncertainty can have a negative impact on your mental health. Now more than ever taking care of your mental health is a priority. We here at the Implementation Science and Practice Advances Research Center (iSPARC) have seen many great resources and tips come out to help people support their mental health during this crisis. We’ve pointed out some of the ones we think are the most helpful and listed them below. The resources we got these tips from are also available at the end of this tip sheet.

Abstract 92: Evaluation Of Knowledge And Practice Of Cardiopulmonary Resuscitation Of Children And Infants By An Out-of-hospital Emergency Care Team

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Nathalie S Goddet ◽  
François Dolveck ◽  
Alexis Descatha ◽  
Noella Lode ◽  
Jean-Louis Chabernaud ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Emergency Care ◽  
Life Support ◽  
Prehospital Emergency Care ◽  
Emergency Response System ◽  
First Aid Training ◽  
Life Threatening ◽  
Prehospital Emergency ◽  
Job Title ◽  
Knowledge And Practice

Introduction The French emergency response system in life threatening situations is the deployment of fully equipped ambulances with paramedic, nurse and emergency physician. The 2005 ILCOR and ERC guidelines concerning cardiopulmonary resuscitation (CPR) have led to significant changes, especially in terms of basic life support (BLS). We aimed to review fundamental knowledge and practice by our personnel concerning CPR in children and infants to determine current training needs for our teams. Materials and methods Paper questionnaires were filled out by our personnel and immediately collected. Inclusion criteria: physicians, nurses, and paramedics (refusals to fill out questionnaire were not included). We recorded: profile of personnel, knowledge of 2005 guidelines, basic CPR and advanced CPR parameters. Majors results were compared based on job title. Results Sixty-one questionnaires were filled out (25 paramedics, 13 nurses, and 23 physicians). Personnel was mostly aged under 40 (70,5%, n=43), with over 2 years experience in prehospital emergency care(75,4%, n=46); 47,5% (n=\29) had no training in pediatrics; 68,9% (n=42) had BLS certification and 31,1% (n=19) reported regular participation in first aid training programs. A minority of subjects declared knowing the 2005 Guidelines (11,5%, n=7), even among physician (17,4%, n=4). Table 1 shows major results about CPR parameters according to job title. Conclusion This study emphasizes the lack of knowledge and the repeated changes witch require more frequent and more extensive training for entire personnel on the team, focusing on basic CPR for physicians and advanced CPR for paramedics and nurses. Table 1: Answers according to job title AED : Automatic External Defibrillator

scholarly journals Making Recording and Analysis of Chief Complaint a Priority for Global Emergency Care Research in Low-income Countries

2013 ◽  
Vol 20 (12) ◽  
pp. 1241-1245 ◽  
Author(s):  
Hani Mowafi ◽  
Daniel Dworkis ◽  
Mark Bisanzo ◽  
Bhakti Hansoti ◽  
Phil Seidenberg ◽  
...  
Keyword(s):  
Emergency Care ◽  
Low Income ◽  
Chief Complaint ◽  
Low Income Countries ◽  
Care Research ◽  
A Priority
Sign in / Sign up

Export Citation Format

Share Document