Resuscitation
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Comparative Study
Is enteral feeding tolerated during therapeutic hypothermia?
To determine whether patients undergoing therapeutic hypothermia following cardiac arrest tolerate early enteral nutrition. ⋯ Patients undergoing therapeutic hypothermia following cardiac arrest may be able to tolerate a substantial proportion of their daily nutritional requirements. It is possible that routine use of prokinetic drugs during this period may increase the success of feed delivery enterally and this could usefully be explored.
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Comparative Study
A simple solution for improving reliability of cardiac arrest equipment provision in hospital.
Effective and safe cardiac arrest care in the hospital setting is reliant on the immediate availability of emergency equipment. The patient safety literature highlights deficiencies in current approaches to resuscitation equipment provision, highlighting the need for innovative solutions to this problem. ⋯ The implementation of a sealed tray system led to a significant and sustained improvement in resuscitation equipment provision, but had no effect on resuscitation trolley checking frequency.
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Comparative Study Clinical Trial
Complications Associated with the Prehospital Use of Laryngeal Tubes A Systematic Analysis of Risk Factors and Strategies for Prevention.
With the increasing spread of laryngeal tubes (LT) in emergency medicine, complications and side-effects are observed. We sought to identify complications associated with the use of LTs in emergency medicine, and to develop strategies to prevent these incidents. ⋯ The prehospital use of LTs may result in severe and even life-threatening complications. Likely, such complications could have been prevented by using gastric drainage and cuff pressure adjustment. Both, prehospital health care providers and emergency department staff should develop a greater awareness of such complications to best avoid them in the future.