Scand J Trauma Resus
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Scand J Trauma Resus · Jul 2012
Multicenter StudyA one-year observational study of all hospitalized acute poisonings in Oslo: complications, treatment and sequelae.
Changes in poisoning trends may affect both complications and outcomes in patients with acute poisoning. This study reports the treatments given and the frequency of complications, also related to treatment, mortality and sequelae related to various toxic agents. ⋯ Few patients stayed more than two days. The use of the ICU was liberal, considering that only one out of five presented in a coma. Antidotes were frequently given diagnostically. Although N-acetylcysteine induced allergic reactions, most were mild and treatment discontinuation was only necessary once. The frequency of complications had almost doubled in five years, although the poisoning pattern was largely unchanged. However, few patients developed permanent sequelae.
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Scand J Trauma Resus · Apr 2012
Multicenter Study Comparative StudyBasic life support skills of high school students before and after cardiopulmonary resuscitation training: a longitudinal investigation.
Immediate bystander cardiopulmonary resuscitation (CPR) significantly improves survival after a sudden cardiopulmonary collapse. This study assessed the basic life support (BLS) knowledge and performance of high school students before and after CPR training. ⋯ BLS training in high school seems highly effective considering the minimal amount of previous knowledge the students possess. We observed significant improvement and a good retention rate four months after training. Increasing the number of trained students may minimize the reluctance to conduct bystander CPR and increase the number of positive outcomes after sudden cardiopulmonary collapse.
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Scand J Trauma Resus · Apr 2012
Multicenter Study Comparative StudyThe impact of CPR and AED training on healthcare professionals' self-perceived attitudes to performing resuscitation.
Healthcare professionals have shown concern about performing mouth-to-mouth ventilation due to the risks to themselves with the procedure. However, little is known about healthcare professionals' fears and attitudes to start CPR and the impact of training. ⋯ In this hospital-based setting, we found a positive outcome of education and training in CPR concerning healthcare professionals' attitudes to perform CPR. They felt more secure in their knowledge of cardiopulmonary resuscitation. In some aspects of attitudes to resuscitation nurses and assistant nurses appeared to be the groups that were most markedly influenced. The concern of being infected by a disease was low.
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Scand J Trauma Resus · Jan 2012
Multicenter StudyFactors impacting on the activation and approach times of helicopter emergency medical services in four Alpine countries.
The outcome of severely injured or ill patients can be time dependent. Short activation and approach times for emergency medical service (EMS) units are widely recognized to be important quality indicators. The use of a helicopter emergency medical service (HEMS) can significantly shorten rescue missions especially in mountainous areas. We aimed to analyze the HEMS characteristics that influence the activation and approach times. ⋯ An improvement in HEMS activation and approach times is possible. We found 17 factors associated with shorter times.
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Scand J Trauma Resus · Jan 2012
Randomized Controlled Trial Multicenter StudyThe development of simple survival prediction models for blunt trauma victims treated at Asian emergency centers.
For real-time assessment of the probability of survival (Ps) of blunt trauma victims at emergency centers, this study aimed to establish regression models for estimating Ps using simplified coefficients. ⋯ These equations allow physicians to perform real-time assessments of survival by easy mental calculations at Asian emergency centers, which are overcrowded with blunt injury victims of traffic accidents.