Resuscitation
-
Randomized Controlled Trial Comparative Study
A randomised, simulated study assessing auscultation of heart rate at birth.
Heart rate is a primary clinical indicator directing newborn resuscitation. The time taken to assess the heart rate by auscultation in relation to accuracy during newborn resuscitation is not known. ⋯ Mean time to estimate heart rate for the scenarios varied between 7.8 and 17.0s. Twenty-eight percent of all heart rate assessments would have prompted incorrect management during resuscitation or stabilization. Of incorrect assessments, 73% were overestimations. Further research is required to develop a rapid and accurate method for determining heart rate during newborn resuscitation.
-
Randomized Controlled Trial Comparative Study
Comparison of instructor-led automated external defibrillation training and three alternative DVD-based training methods.
Self-directed BLS-training, using a personal training manikin with video has been shown to be as effective as instructor-led training. This has not previously been investigated for AED-training. ⋯ DVD-based AED-training without scenario is not recommended. Scenario training is a useful addition, but instructor-facilitated training remains the best method.
-
Comparative Study
Survival and health care costs until hospital discharge of patients treated with onsite, dispatched or without automated external defibrillator.
This study aimed to determine whether automated external defibrillator (AED) use during resuscitation is associated with lower in-hospital health care costs. ⋯ Onsite AED use was associated with higher survival rates. Surviving patients of the onsite AED group had lower total costs, mainly due to the shorter ICU stay.
-
Comparative Study
Comparison of the efficacy of nifekalant and amiodarone in a porcine model of cardiac arrest.
To compare the efficacy of nifekalant and amiodarone in the treatment of cardiac arrest in a porcine model. ⋯ The effect of nifekalant was similar to that of amiodarone for improving defibrillation efficacy and for the treatment of cardiac arrest. Administration of either nifekalant or amiodarone before defibrillation increased the ROSC and 24-h survival rates and improved post-resuscitation cardiac function in this porcine model.
-
Comparative Study
Comparison of two instructional modalities for nursing student CPR skill acquisition.
The purpose of the study was to compare performance based measures of CPR skills (compressions, ventilations with bag-valve-mask (BVM), and single rescuer CPR) from two types of CPR courses: a computer-based course (HeartCode BLS) with voice advisory manikin (VAM) feedback and instructor-led (IL) training with traditional manikins. ⋯ Students who trained using HeartCode BLS and practiced with VAMs performed more compressions with adequate depth and ventilations with adequate volume than students who had IL courses. Results of this study provide evidence to support use of HeartCode BLS with VAM for training nursing students in CPR.