Resuscitation
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There are a variety of manual bagging devices used for neonatal resuscitation. To our knowledge, there has been no comparison of the ability of different operators to utilize such devices for the delivery of predetermined inspiratory and end-expiratory pressures. In addition, the use of prolonged inflation may be of benefit for infants who require bag and mask ventilation, and there has been no evaluation of the ability of a variety of operators to reliably deliver such breaths using currently available equipment. ⋯ Our experience suggests that the Neopuff, a purpose-built neonatal resuscitator ventilator, facilitates the delivery of the desired airway pressures while maximizing the operators ability to obtain and maintain a patent airway, and facilitates the delivery of prolonged inflations. Further research is required to determine the clinical benefit of end-expiratory pressure and prolonged inflations in neonatal resuscitation.
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To determine the incidence and risk factors of potential adverse drug interactions occurring in patients in the emergency department. ⋯ Potential adverse drug interactions were more common in elderly patients because of the higher number of concurrent medications rather than age-based factors. Safeguards need to be introduced to prevent patients from receiving medications in the emergency departments that have the potential to cause adverse interactions.
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Comparative Study
Hyperthermia: is it an ominous sign after cardiac arrest?
To clarify the clinical characteristics of hyperthermia at an early stage after resuscitation from cardiac arrest (CA). ⋯ Hyperthermia at an early stage after resuscitation from CA may be associated with the outcome of brain death.