Resuscitation
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Letter Case Reports
Absence of arrhythmias in the extremely preterm heart with severe hyperkalaemia.
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Randomized Controlled Trial Comparative Study
Using e-learning for maintenance of ALS competence.
A well-suited e-learning program might be a feasible strategy to maintain competence following a resuscitation course. ⋯ This study did not demonstrate an effect of an e-learning program as a booster of competence acquired from an ALS course. The primary factor influencing the use of e-learning was the lack of social interaction.
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Comparative Study
Willingness to perform mouth-to-mouth ventilation by health care providers: a survey.
During cardiopulmonary resuscitation (CPR), mouth-to-mouth ventilation (MTM) is only effective if rescuers are willing to perform it. ⋯ HIV infection is not the only condition for which rescuers hesitate to perform MTM. Bag-valve-mask devices for mechanical ventilation should be available in all locations where health care workers may be called upon to resuscitate apneic patients making the decision to perform MTM moot.
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Continuous cardiac index (CCI) monitoring can provide information to assist in hemodynamic support. However, pulmonary artery catheters (PAC) pose logistic challenges in acute care settings. We hypothesized that CCI measured with a calibrated minimally invasive technique (LiDCO/PulseCO, UK) would have good agreement with the PAC. ⋯ This calibrated minimally invasive (i.e. radial arterial line and peripheral IV) technique demonstrated low bias compared with CCI measured by PAC. However, the relatively wide confidence limits indicate that differences in the two measurements could still be clinically significant.