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The evidence supporting AHA guidelines on adult cardiopulmonary resuscitation (CPR).
PLoS One
December 2024
Center for Resuscitation Science, Department of Science and Education KI SOS, Karolinska Institutet, Solna, Sweden.
Article Synopsis
- Guidelines for cardiac arrest management were analyzed to assess the strength and quality of the evidence supporting them, revealing both strengths and significant gaps in knowledge.
- The review of the 2020 American Heart Association (AHA) Guidelines identified 254 recommendations, mostly classified under advanced life support (ALS) and basic life support (BLS), but only 1% of recommendations were based on the strongest level of evidence (LOE A).
- Only 32% of the highest class recommendations were backed by strong evidence (LOE A or B), highlighting the need for more rigorous research, especially randomized trials, to improve the quality of guidelines.
Cardiopulmonary resuscitation in obese patients: A scoping review.
Resusc Plus
December 2024
School of Public Health and Preventive Medicine, Monash University, VIC, Australia.
Article Synopsis
- The scoping review commissioned by ILCOR focused on the treatment and outcomes of obese patients in cardiac arrest, highlighting the growing concern of obesity's impact on health.
- A total of 36 studies were analyzed, with findings indicating that while adult outcomes varied, obese children generally showed worse survival rates and neurological outcomes compared to their normal-weight peers.
- The review concluded that though results were inconsistent, there's no immediate need to change standard CPR protocols, but it noted that resuscitation efforts might take longer for obese adults, which could affect resources.
The importance of combined use of spacing and testing effects for complex skills training: A quasi-experimental study.
Med Teach
November 2024
School of Medical Sciences, University of Campinas, Campinas, Brazil.
Article Synopsis
- A study was conducted to evaluate the effectiveness of combining spaced training and testing for retaining complex clinical skills, specifically Basic Life Support (BLS) and Advanced Life Support (ALS) skills, among nursing students.
- The intervention group, which underwent spaced training and testing, showed better retention of BLS knowledge and skills compared to the control group, which had single-session training without testing.
- The findings suggest that using both spaced training and testing can be an effective approach for improving retention of complex clinical skills over time.
Willingness and skills among students from non-health academic fields in providing efficient basic life support.
Clinics (Sao Paulo)
November 2024
Education, Assessment and Intervention in Cardiovascular Group, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil. Electronic address:
Unlabelled: Education in basic life support is widely proposed to increase survival in out-of-hospital sudden cardiac arrest. The authors aimed to assess knowledge, skills, and attitudes, including willingness to help, regarding myocardial infarction and sudden cardiac arrest among university students of all fields of knowledge.
Methods: An Ethical Research Committee approved this cross-sectional study.
The rate and predictors of violence against EMS personnel.
BMC Emerg Med
October 2024
University of Turku, Turku, Finland.
Background: Violence against Emergency Medical Services (EMS) personnel vary between studies. Current studies are mainly based on self-reporting, thus other designs are needed to provide more perspective. The purpose of this study was to explore the rate and predictors of violent behavior targeted at EMS personnel by exploring the Electronic patient care records (ePCR) documentation by EMS personnel.
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