Resuscitation
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Most people who die in hospital do so with a DNACPR order in place, these orders are the focus of considerable debate. ⋯ Significant variability was identified in DNACPR decision-making and implementation. The evidence base is weak but the absence of evidence does not indicate an absence of good practice. Issues are complex, and dependent on a number of factors. Misunderstandings and poor discussions can be overcome such as with an overall care plan to facilitate discussions and reduce negative impact of DNACPR orders on aspects of patient care.
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Multicenter Study
Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: A multi-centre survey.
To identify factors underlying attitudes towards the medical emergency team (MET) and barriers to its utilisation among ward nurses and physicians. ⋯ The MET was well accepted in participating hospitals. Nurse referral to the covering physician was the major barrier to MET activation. Medical status, working in surgical vs. medical wards, seniority and participation in the METal educational programme were associated with lower likelihood of showing barriers to MET activation.
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Multicenter Study
Do early emergency calls before patient collapse improve survival after out-of-hospital cardiac arrests?
Some out-of-hospital cardiac arrests (OHCAs) are witnessed after emergency calls. This study aimed to confirm the benefit of early emergency calls before patient collapse on survival after OHCAs witnessed by bystanders and/or emergency medical technicians (EMTs). ⋯ Early emergency calls before patient collapse efficiently increases the proportion of EMT-witnessed cases and promotes survival after witnessed OHCAs. However, early emergency call before collapse may worsen the outcome when the patient's condition deteriorates to cardiac arrest before EMT arrival.
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Multicenter Study
Out-of-Hospital Cardiac Arrests in Children and Adolescents: Incidences, Outcomes, and Household Socioeconomic Status.
There is insufficient knowledge of out-of-hospital cardiac arrest (OHCA) in the very young. ⋯ OHCA incidences and survival rates varied significantly between age groups. High parental education was found to be associated with improved survival after OHCA.