Peripheral perfusion index and diagnostic accuracy of the post-ROSC electrocardiogram in patients with medical out-of-hospital cardiac arrest.

Aim: A 12-lead electrocardiogram (ECG) after the return of spontaneous circulation (ROSC) is recommended to diagnose a ST-segment elevation myocardial infarction (STEMI). In the early post-ROSC phase, the ECG can show signs of ischemia not necessarily of coronary origin and post-ROSC hypoperfusion could affect ECG reliability. We sought for an association between peripheral perfusion index (PI) values after ROSC and the percentage of false-positive ECG for STEMI.

[The prison nurse: analysis of the evolution of the legislative framework].

The evolution of the role of prison nurses through the Italian legislation is presented, analyzing the implication of the transfer of competences from the Law ministry to the National Health Service. Until 60 years ago scarce attention was paid to the health of prisoners and only in the years 70' nurses were formally included in the staff of the prisons.

Care to relieve pain-stress in preterm newborns.

Background And Aim Of The Work: A variety of non-pharmacological pain-prevention and relief techniques have been studied to evaluate the pain reduction in neonates. The aim of our study was to compare the analgesic effect of sucking a pacifier with the use of eutectic mixture of local anaesthetics (EMLA) during venipuncture in preterm newborns, using physiological and behavioural parameters as indicators of pain.

Methods: We analysed the reaction to invasive procedures in 17 preterm newborns.