European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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We evaluated the relationship of lactate measured in a preclinical setting with outcome. Simultaneously, we evaluated the feasibility of implementing blood lactate measurement in a prehospital setting as part of a quality improvement project. ⋯ Implementation of lactate measurement in prehospital setting is feasible, and potentially clinical relevant. Lactate measured in a preclinical setting is related to outcome. Subsequent studies should evaluate whether treatment of shock patients based on prehospital lactate measurement will improve outcome.
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We aim to determine whether the duration of paediatric training and previous real life intraosseous (IO) insertion experience influence a trainee paediatrician's decision on emergency vascular access choices. ⋯ Nothing helps more than previous real life IO needle insertion experience to reduce trainee paediatricians' reluctance in using IO access in an emergency, but this experience was only found more frequently among the more experienced trainees. IO access-specific workshops may provide useful supplemental training to traditional resuscitation courses, and may reduce trainees' reluctance in its use.
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United States regulations allow a narrow exception from informed consent for a subset of resuscitation research. Such an exception is also allowed under the Declaration of Helsinki. In 2001, a European Union (EU) Directive was passed, which, if enforced literally, could prohibit resuscitation research. The purpose of this study is to assess the knowledge and attitudes of healthcare workers, specifically emergency physicians, with regard to the EU Directive as it applies to resuscitation research and informed consent. ⋯ The international regulatory status of consent in resuscitation research is in flux; yet, most emergency physicians are unaware of the potential implications of the EU Directive or the provisions in the Declaration of Helsinki allowing an exemption from informed consent for resuscitation research.