Resuscitation
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The Abdominal Aortic and Junctional Tourniquet (AAJT) increased systemic vascular resistance, mean arterial pressure, carotid blood flow and rate of return of spontaneous circulation (ROSC) in animals with hypovolaemic traumatic cardiac arrest (TCA). The objective of this study was to report the first experience of the use of the AAJT as part of a pre-hospital TCA algorithm. ⋯ Physiological changes were demonstrated but there were no survivors. Further research focusing on faster application times may be associated with improved outcomes.
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Review
Acute clinical deterioration and consumer escalation in the hospital setting: A literature review.
Consumer escalation systems that allow patients and/or their family/carers to escalate concerns about clinical deterioration have been proposed as a way of enhancing patient safety. However, evidence to guide implementation or to support system effectiveness remains unclear. ⋯ The ability of consumer escalation processes to achieve their underlying goals is still to be adequately assessed. Further research is required to inform how to best implement, support and optimise consumer escalation systems.
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Review Meta Analysis
Interfaces for non-invasive neonatal resuscitation in the delivery room: A systematic review and meta-analysis.
To perform a systematic review of trials comparing interfaces for delivering non-invasive PPV to a newborn in the delivery room (DR). ⋯ PROSPERO CRD42020151870.