88 research outputs found

    Resuscitation in Intensive Care

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    European Resuscitation Council Guidelines for Resuscitation 2015

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    This chapter contains guidance on the techniques used during the initial resuscitation of an adult cardiac arrest victim. This includes basic life support (BLS: airway, breathing and circulation support without the use of equipment other than a protective device) and the use of an automated external defibrillator (AED). Simple techniques used in the management of choking (foreign body airway obstruction) are also included. Guidelines for the use of manual defibrillators and starting in-hospital resuscitation are found in the section Advanced Life Support Chapter

    Compression Wrapping for Acute Closed Extremity Joint Injuries: A Systematic Review

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    OBJECTIVE: Current prehospital recommendations for an acute closed extremity joint injury (ACEJI) are to apply compression in some manner. However, the effectiveness of compression is unclear. We performed a systematic review to summarize and synthesize the evidence for the use of a compression bandage for ACEJI in the prehospital setting. DATA SOURCES: Cochrane Library, PubMed, and Embase were searched for relevant literature in November 2019. STUDY SELECTION: Controlled trials involving adults in the prehospital setting with a recent ACEJI were included when compressive, nonimmobilizing interventions, feasible in a first aid setting, were applied and compared with no compression or any noncompressive intervention, such as braces, splints, or noncompressive stockings. Articles in all languages were included if an English abstract was available. DATA EXTRACTION: Data on study design, study population, intervention, outcome measures, and methodologic quality were extracted from each included article. DATA SYNTHESIS: Eight studies out of 1193 possibly relevant articles were included. All authors examined compression in the treatment of acute ankle sprains; no studies involved compression for the treatment of other ACEJIs. No difference in the major outcomes of pain reduction or swelling, ankle-joint function, or range of motion could be demonstrated. For the outcome of recovery time, no benefit was shown when comparing compression with no compression. Evidence was insufficient to inform a conclusion about the outcomes of time to return to work or sport. All evidence was of low to very low certainty. CONCLUSIONS: The evidence for the use of a compression wrap was limited to patients with closed ankle injuries. In this systematic review, we could not demonstrate either a beneficial or harmful effect from the application of a compression or elastic bandage compared with no compression or a noncompressive stocking, splint, or brace as a first aid treatment in the prehospital environment.sponsorship: Drs Borra and De Buck are employees of the Belgian Red Cross and receive no other funding. One activity of the Belgian Red Cross is to provide first aid training to laypeople. This work was made possible through funding from the Foundation for Scientific Research of the Belgian Red Cross (Mechelen, Belgium). The American Heart Association and ILCOR supplied the resources to assemble the Task Force and manage records and data. (Foundation for Scientific Research of the Belgian Red Cross (Mechelen, Belgium))status: Publishe

    Facts, Legends and Myths on the Evolution of Resuscitation

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    This study aimed to overview in chronological order a number of "facts" and "myths" that have been reported in the literature on the history of resuscitation. In particular, this review presents remarkable resuscitation attempts, innovative techniques and landmarked events that enhanced resuscitation in terms of science, history and intervention from ancient times until today. The resuscitation methods were designed for victims needing help in various locations of three-dimensional space, with emphasis on those occurring on, or brought to, land. These methods required single or double rescues to be carried out. Some of them were either empirically or scientifically designed. In some techniques, the stimuli used to revive the victim were rather painful and dangerous or at least disturbing. In some techniques, respiration was attempted with various more or less sophisticated devices. Finally, a small number of cases have been mistakenly reported by previous scholars as resuscitation attempts
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