Scand J Trauma Resus
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Scand J Trauma Resus · Mar 2016
Randomized Controlled TrialComparison of Miller and Airtraq laryngoscopes for orotracheal intubation by physicians wearing CBRN protective equipment during infant resuscitation: a randomized crossover simulation study.
The purpose of this study was to evaluate the performance of orotracheal intubation with the Miller laryngoscope compared with the Airtraq laryngoscope by emergency and pediatric physicians wearing CBRN-PPE type III on infant manikins with conventional airway. We hypothesized that in this situation, the orotracheal intubation with the Airtraq laryngoscope would be faster and more effective than with the Miller laryngoscope. ⋯ It seems useful to train the physicians in emergency departments in the use of pediatric Airtraq and for the management of CBRN risks.
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Scand J Trauma Resus · Jan 2016
Randomized Controlled TrialA randomised controlled trial of cognitive aids for emergency airway equipment preparation in a Paediatric Emergency Department.
Safety of emergency intubation may be improved by standardising equipment preparation; the efficacy of cognitive aids is unknown. ⋯ The use of a cognitive aid for emergency airway equipment preparation reduces errors of omission. Template utilisation reduces variation in equipment location.
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Scand J Trauma Resus · Nov 2015
Randomized Controlled TrialInfluence of low ambient temperature on epitympanic temperature measurement: a prospective randomized clinical study.
Epitympanic temperature (Tty) measured with thermistor probes correlates with core body temperature (Tcore), but the reliability of measurements at low ambient temperature is unknown. The aim of this study was to determine if commercially-available thermistor-based Tty reflects Tcore in low ambient temperature and if Tty is influenced by insulation of the ear. ⋯ Epitympanic temperature measurements are influenced by ambient temperature and deviate from Tes at room and low ambient temperature. Insulating the ear with ear protectors markedly reduced the difference between Tty and Tes and improved the stability of measurements. The use of models to correct Tty may be possible, but results should be validated in larger studies.
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Scand J Trauma Resus · Jun 2015
Randomized Controlled Trial Comparative StudyThe novel intubating laryngeal tube (iLTS-D) is comparable to the intubating laryngeal mask (Fastrach) - a prospective randomised manikin study.
Supraglottic devices are helpful for inexperienced providers who perform ventilation in emergency situations. Most supraglottic devices do not allow secondary tracheal intubation through the device. The novel intubating laryngeal tube (iLTS-D) and the intubating laryngeal mask (Fastrach) are devices that offer supraglottic ventilation and secondary tracheal intubation. ⋯ The iLTS-D performed similarly to the ILMA in insertion and intubation times in a manikin setting.
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Scand J Trauma Resus · Apr 2015
Randomized Controlled TrialOptimal chest compression technique for paediatric cardiac arrest victims.
The aim of this study was to assess the quality of chest compressions performed by inexperienced rescuers using three different techniques: two-hand, right one-hand, and left one-hand. ⋯ For paediatric cardiopulmonary resuscitation by inexperienced rescuers, the two-hand technique has the advantage of producing deeper compressions than the one-hand technique, but it is accompanied by more frequent residual leaning. For the one-hand techniques, the right and left hand produced chest compressions of similar quality.