The American journal of emergency medicine
-
Randomized Controlled Trial
Proper target depth of an accelerometer-based feedback device during cardiopulmonary resuscitation performed on a hospital bed: a randomized simulation study.
Feedback devices are used to improve chest compression (CC) quality related to survival rates in cardiac arrest. However, several studies have shown that feedback devices are not sufficiently reliable to ensure adequate CC depth on soft surfaces. Here, we determined the proper target depth of feedback (TDF) using an accelerometer during cardiopulmonary resuscitation in hospital beds. ⋯ The target depth of the real-time feedback device should be at least 6 cm but should not exceed 7 cm for optimal CC on patients on hospital beds.
-
Randomized Controlled Trial
Should laryngeal tubes or masks be used for out-of-hospital cardiac arrest patients?
Few studies have compared airway management via laryngeal masks (LM) or laryngeal tubes (LT) in patients with out-of-hospital cardiac arrest (OHCA). This study evaluated whether LT insertion by emergency medical service (EMS) personnel affected ventilation and outcomes in OHCA patients (vs. the standard LM treatment). ⋯ Prehospital advanced airway management via LT provides similar outcomes to those of LM in OHCA patients.
-
Randomized Controlled Trial
Randomized single-blinded clinical trial on effects of nursery songs for infants and young children's anxiety before and during head computed tomography.
The objective of this clinical trial was to determine if an intervention of listening to nursery songs with integrated heartbeat sounds resulted in changes in anxiety levels in infants and children younger than 4 years in an emergent setting. ⋯ Measured on a VAS, there was a significant decrease in agitation in children undergoing a head CT when children's songs with integrated heartbeat sounds were played before and during the procedure.