The goal of the development phase of the CPR Instructor Real-time Review through Use of Simulation (CIRRUS) research program was to create a video library portraying a spectrum of objectively verified simulation chest compression performances. Investigators scripted and recorded 12 two-person cardiopulmonary resuscitation (CPR) videos with specific chest compression parameters encompassing a range of hand positions, rates, depths, and chest releases in combinations that proportionately reflected typical learner cohort performances. Six videos were designated to portray adequate chest compressions, whereas the other six videos were to feature inadequate compressions. All 12 final 2-minute videos showed chest compression parameters as originally specified within tolerances to comply with American Heart Association recommendations. Deviations from specification were 1 to 10 cpm (mode = 4 cpm) for compression rate and -1.4 to 1.3 cm (mode = 0.9 cm) for depth. The program's collection of simulated CPR videos with objectively verified chest compression performances may help researchers and educators study and improve CPR instruction and provider preparation for the effective delivery of optimal patient care.
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http://dx.doi.org/10.3928/00220124-20121203-19 | DOI Listing |
Cureus
December 2024
Pediatric Medicine, Rajendra Institute of Medical Sciences, Ranchi, IND.
Spondylo-thoracic dysplasia (STD) is a set of rare congenital abnormalities involving the vertebrae and thorax, leading to significant morbidity and mortality due to respiratory insufficiency and associated anomalies. Clinically, neonates present with scoliosis, vertebral segmentation defects, and severe respiratory compromise, resulting in early neonatal death. These children have a unique patho-anatomy of volume depletion deformity of the thorax, resulting in thoracic insufficiency.
View Article and Find Full Text PDFAnn Burns Fire Disasters
December 2024
Centre des Grands Brûlés IMTR Loverval, Grand Hôpital de Charleroi, Belgique.
Combustion of surgical drapes during surgery is a rare event which can nonetheless lead to serious consequences. Iatrogenic burns caused by this complication are often deep and lead to functional and aesthetic sequelae. Nevertheless, awareness of the triggering factors and mechanisms, as well as knowledge of the proper use of various at-risk products such as alcohol-based antiseptic agents and compressed oxygen can reduce the incidence of these undesirable events.
View Article and Find Full Text PDFCRSLS
January 2025
Northwell Health-Lenox Hill Hospital, New York, NY. (Drs. Chu, Alden, and Seckin).
Introduction: There is a risk of iatrogenic vascular injuries during robotic-assisted laparoscopic excision of diaphragmatic endometriosis. Although studies are limited, the first reported case of a suprahepatic inferior vena cava (IVC) injury during robotic diaphragmatic endometriosis excision was successfully treated using a fibrin sealant patch, preventing exsanguination and conversion to laparotomy.
Case Description: A 36-year-old female with a history of recurrent catamenial pneumothorax and two prior video-assisted thoracoscopic surgeries to treat diaphragmatic endometriosis presented to our clinic with right-sided shoulder pain and a chest tube in place.
Am J Crit Care
January 2025
Christine A. Schindler is a critical care pediatric nurse practitioner, critical care advanced practice provider program director, Children's Wisconsin/Medical College of Wisconsin, and a clinical professor, Marquette University, Milwaukee, Wisconsin.
Background: The quality cardiopulmonary resuscitation (CPR) coach role was developed for hospital-based resuscitation teams. This supplementary team member (CPR coach) provides real-time, verbal feedback on chest compression quality to compressors during a cardiac arrest.
Objectives: To evaluate the impact of a quality CPR coach training intervention on resuscitation teams, including presence of coaches on teams and physiologic metrics of quality CPR delivery in real compression events.
BMC Med Educ
December 2024
Emergency Department, Maribor University Medical Centre, Maribor, Slovenia.
Background: A mnemonic is a cognitive aid frequently used in health-related education. The main goal of this study was to develop and test a 5-finger mnemonic for teaching schoolchildren the theoretical aspects of adult Basic Life Support (BLS) steps, a process rarely described in the context of instructing laypersons.
Methods: Experts from the European Resuscitation Council's Basic Life Support Science and Education Committee (ERC BLS SEC), specializing in teaching adult BLS, participated in the first phase of the pilot study.
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