Resuscitation
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To compare the variety and incidence of internal injuries after manual and mechanical chest compressions during CPR. ⋯ Mechanical chest compressions with the LUCAS device appear to be associated with the same variety and incidence of injuries as manual chest compressions.
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To analyse the neurological status of survivors after cardiac arrest (CA) treated with hypothermia. ⋯ Mild cognitive impairment is common following hypothermia-treated cardiac arrest but has little effect on activities of daily living or quality of life.
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Quality of chest compressions (CC) is an important determinant of resuscitation outcome for cardiac arrest patients. ⋯ The quality of CC performed by personnel at US hospitals as judged by their performance on a manikin is often suboptimal. Quality of CC can be improved with use of CPR feedback technologies.
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Biography Historical Article
Resuscitation Great. Rudolf Juchems--a pioneer of cardiopulmonary resuscitation in Germany.
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Randomized Controlled Trial Multicenter Study Comparative Study
Advanced life support performance with manual and mechanical chest compressions in a randomized, multicentre manikin study.
Clinical mechanical chest compression studies report diverging outcomes. Confounding effects of variability in hands-off fraction (HOF) and timing of necessary tasks during advanced life support (ALS) may contribute to this divergence. Study site variability in these factors coupled to randomization of cardiopulmonary resuscitation (CPR) method was studied during simulated cardiac arrest prior to a multicentre clinical trial. ⋯ In this manikin study, HOF for manual vs. mechanical chest compressions varied between sites. Study protocol implementation should be simulation tested before launching multicentre trials, to optimize performance and improve reliability and scientific interpretation.