81 results match your criteria: "Intensive Care and Prehospital Emergency.[Affiliation]"

Background: Various regional anesthesia techniques have been studied for blunt chest wall trauma over the past decades, but their impact on patient outcomes remains unclear. This systematic review and Bayesian network meta-analysis aimed to identify the most effective regional anesthesia techniques for different outcomes in blunt thoracic trauma patients.

Methods: We searched Medline, EMBASE, Scopus, and Cochrane databases for randomized controlled trials comparing regional anesthesia techniques (thoracic epidural, erector spinae plane block, serratus anterior plane block, intercostal block, paravertebral block, intrapleural block, retrolaminar block) and standard intravenous analgesia.

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Cardiac arrest (CA) is associated with high incidence and mortality rates. Among patients who survive the acute phase, brain injury stands out as a primary cause of death or disability. Effective intensive care management, including targeted temperature management, seizure treatment and maintenance of normal physiological parameters, plays a crucial role in improving survival and neurological outcomes.

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Perspective on cardiac arrest survivorship: Findings from an Italian landmark survey.

Resuscitation

December 2024

Fondazione Policlinico Universitario A. Gemelli, IRCCS, Institute of Anaesthesia and Intensive Care, Catholic University of the Sacred Heart, Rome, Italy; Italian Resuscitation Council, Bologna, Italy.

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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.

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Young adults: How much impact does a social media post have on CPR awareness?

Resuscitation

December 2024

Italian Resuscitation Council, Bologna, Italy; Fondazione Policlinico Universitario A. Gemelli, IRCCS, Institute of Anaesthesia and Intensive Care, Catholic University of the Sacred Heart, Rome, Italy.

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Background: The Extended Focused Assessment with Sonography for Trauma (E-FAST) is a diagnostic ultrasound technique used in hospital and pre-hospital settings for patients with torso trauma. While E-FAST is common in emergency departments, its pre-hospital use is less routine. This study aims to establish a set of variables for designing studies on pre-hospital E-FAST through a Delphi consensus process involving international experts.

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Takotsubo syndrome (TS) is an acute cardiac dysfunction that typically presents hypokinesis of the apical segment of the left ventricle beyond a single coronary artery territory. The pathological mechanisms of TS remain unclear, and several possible theories have been postulated, including catecholamine excess, coronary artery spasm, microvascular dysfunction, and metabolic disturbances. Based on the etiology, a primary and secondary form is distinguished.

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Background: Out-of-hospital cardiac arrest (OHCA) is a major health concern in Europe, leading to significant morbidity and mortality. Survivors often suffer from cognitive deficits, anxiety, and depression, that affect significantly their quality of life. Current post-discharge care is inconsistent and frequently overlooks subtle but disabling symptoms.

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Article Synopsis
  • * There is hope, as some people can survive TCA and recover well with the right treatment right away.
  • * The HOTT protocol helps doctors focus on fixing issues like low blood volume and lack of oxygen, while advanced methods can make treatment even better.
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Factors affecting the accuracy of prehospital triage application and prehospital scene time in simulated mass casualty incidents.

Scand J Trauma Resusc Emerg Med

September 2024

CRIMEDIM - Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, Novara, Italy.

Article Synopsis
  • - The study aimed to evaluate the accuracy of first responders in applying the START triage protocol during simulated mass casualty incidents and to identify factors influencing their performance and triage times.
  • - Out of 1,090 simulated casualties, 83.6% were accurately triaged, with specific factors like heart rate and injury severity influencing overtriage, while factors like blood pressure were linked to undertriage.
  • - The analysis also found that triage codes and the experience level of responders were significant in determining how quickly they could exit the scene after triaging patients.
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Background: Metabolic acidosis is a frequent finding in patients admitted to the intensive care unit (ICU). It can be caused by prolonged fasting due to surgical procedures or by medical conditions that lead to starvation ketoacidosis (SKA). Early recognition and treatment of SKA could prevent several life-threatening complications, improving survival and reducing the ICU length of stay.

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Introduction: Cardiac arrest (CA) is the third leading cause of death, with persistently low survival rates despite medical advancements. This article evaluates the potential of emerging technologies to enhance CA management over the next decade, using predictions from the AI tools ChatGPT-4 and Gemini Advanced.

Methods: We conducted an exploratory literature review to envision the future of cardiopulmonary arrest (CA) management.

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Although cardiopulmonary resuscitation (CPR) includes lifesaving maneuvers, it might be associated with a wide spectrum of iatrogenic injuries. Among these, acute lung injury (ALI) is frequent and yields significant challenges to post-cardiac arrest recovery. Understanding the relationship between CPR and ALI is determinant for refining resuscitation techniques and improving patient outcomes.

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Algor-ethics: charting the ethical path for AI in critical care.

J Clin Monit Comput

August 2024

Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Via Gramsci 14, Parma, 43125, Italy.

Article Synopsis
  • The use of AI in Clinical Decision Support Systems (CDSS) can really change healthcare and help doctors make better decisions, especially in emergencies.
  • However, creating these AI systems comes with challenges, like making sure they are fair and don’t have biases.
  • To make sure AI is used ethically and effectively, hospitals need to set up special departments that focus on combining human judgment with smart algorithms.
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Objective: Hemorrhage remains the most common cause of preventable death after trauma. Prehospital blood product (PHBP) administration may improve outcomes. No data are available about PHBP use in Italian helicopter emergency medical services (HEMS).

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Assessing quality of care is essential for improving the management of patients experiencing traumatic brain injury (TBI). This study aimed at devising a rigorous framework to evaluate the quality of TBI care provided by intensive care units (ICUs) and applying it to the Collaborative Research on Acute Traumatic Brain Injury in Intensive Care Medicine in Europe (CREACTIVE) consortium, which involved 83 ICUs from seven countries. The performance of the centers was assessed in terms of patients' outcomes, as measured by the 6-month Glasgow Outcome Scale-Extended (GOS-E).

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