Resuscitation
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Comparative Study
Feasibility of intra-arrest hypothermia induction: A novel nasopharyngeal approach achieves preferential brain cooling.
In patients with cardiopulmonary arrest, brain cooling may improve neurological outcome, especially if applied prior to or during early reperfusion. Thus it is important to develop feasible cooling methods for pre-hospital use. This study examines cerebral and compartmental thermokinetic properties of nasopharyngeal cooling during various blood flow states. ⋯ While nasopharyngeal cooling in swine is effective at producing preferential cerebral hypothermia in various blood flow states, initial brain cooling is most efficient with normal circulation.
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Letter Case Reports
Cooling of six centigrades in an hour during avalanche burial.
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Randomized Controlled Trial Multicenter Study Comparative Study
The effect of pre-course e-learning prior to advanced life support training: a randomised controlled trial.
The role of e-learning in contemporary healthcare education is quickly developing. The aim of this study was to examine the relationship between the use of an e-learning simulation programme (Microsim, Laerdal, UK) prior to attending an Advanced Life Support (ALS) course and the subsequent relationship to candidate performance. ⋯ Distributing Microsim to healthcare providers prior to attending an ALS courses did not improve either cognitive or psychomotor skills performance during cardiac arrest simulation testing. The challenge that lies ahead is to identify the optimal way to use e-learning as part of a blended approach to learning for this type of training programme.