Resuscitation
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Randomized Controlled Trial
A randomized controlled feasibility trial comparing safety and effectiveness of prehospital pacing versus conventional treatment: 'PrePACE'.
To evaluate the feasibility of a prehospital randomized controlled trial comparing transcutaneous pacing (TCP) with dopamine for unstable bradycardia. ⋯ It is feasible to conduct a prehospital randomized controlled trial of TCP for unstable bradycardia and a definitive trial would require a multi-centre study.
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Randomized Controlled Trial
Disposable laryngeal tube suction--a randomized comparison of two insertion techniques performed by novice users in anaesthetised patients.
Laryngeal tubes are supraglottic airway devices that can be used in alternative to a tracheal tube to provide ventilation during cardiopulmonary resuscitation. The product line has recently been expanded by the disposable laryngeal tube suction (LTS-D). We tested the hypothesis that, with a modified insertion technique (MIT), the rate of correct placement attempts within 45 s could be significantly increased compared to the standard insertion technique (SIT) recommended by the manufacturer. ⋯ Applying a MIT significantly reduced the time for successful insertion of an LTS-D by first-time users. Insertion within 45 s was significantly more frequent with this technique. Further studies need to be conducted to determine if the LTS-D can be recommended as a first-line airway during cardiopulmonary resuscitation.
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Ventricular fibrillation occurs in 10-20% of pediatric cardiac arrests. Survival rates in children with ventricular fibrillation can be as high as 30% when the rhythm is identified and treated promptly. In the last 5 years, recommendations have been made for the use of automated external defibrillators in children between 1 and 8 years of age. ⋯ At the present time, publication of new or interim guidelines in the scientific literature alone is insufficient to ensure that new protocols are implemented. An effective and efficient method to disseminate new pediatric out-of-hospital protocols emergency care to become standard of care in a timely matter must be developed.
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The study was conducted to investigate the retention of CPR and AED skills, first aid knowledge and perceived levels of confidence for a sample of 35 cabin crew 12 months after recurrent training. The 35 cabin crew undertook a mock resuscitation scenario using the AED and bag-valve-mask carried in the medical kit. ⋯ The results of this study indicate that cabin crew may not have sufficiently high levels of skill to manage a cardiac arrest adequately. This suggests that existing approaches to training of cabin crew require further investigation and modification.