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Special Report-Pediatric Basic Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

PEDIATRICS (Impact Factor: 5.3). 10/2010; 126(5):e1345-60. DOI: 10.1542/peds.2010-2972C
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    ABSTRACT: Abstract Aim. This study was aimed to evaluate the changes in the cardiopulmonary resuscitation (CPR) skills of nursing students during a two year interval. Background. CPR skills are of vital skills every healthcare worker should posses. Several studies are available on CPR skills of nursing students, however, changes in the students' skills have rarely been studied. Method. This time series study was conducted on all graduating nursing students who were passing their internship period during 2011-2012. Data collection instrument had two parts including demographics form and a checklist for assessment of CPR skills (including closed chest compression, tracheal intubation, using of defibrillator and CPR management). Descriptive statistics were used for reporting the findings. Findings. Seeking no help was the most frequent mistake made by the students in the domain of cardiac massage and artificial ventilation, both in the first and the third assessment. Only 41.67% and 32.61% of the students sought help in the first and the third assessment, respectively. Pressing the laryngoscope blade on the teeth was also the most common mistake in the domain of using the laryngoscope; so that only 50% of the students performed this action correctly in all the three assessments. The most common error in the domain of defibrillation was ignoring repetition of the defibrillation in cases the patient’s cardiac rhythm did not returned to normal, so that only 52.08%, 28% and 21.74% of the students performed defibrillation correctly in all the three assessments, respectively. Conclusion: Most of the students were evaluated as weak, especially in the CPR management domain. Retraining the CPR skills are suggested, especially when the students are near graduation. Keywords: Skills, Cardiopulmonary resuscitation, Nursing students
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    ABSTRACT: mask fixation in the lateral position is difficult during CPR. the aim of this study is to compare the lateral CPR for the use of bag-valve mask by single paramedic rescuer as well as over-the-head CPR on the chest compression and ventilation on the manikin. Mazandaran University of Medical Sciences. The design of this study was a randomized cross-over trial. participants learned a standardized theoretical introduction CPR according to the 2010 guidelines. The total number of chest compressions per two minutes was measured. Total number of correct and wrong ventilation per two minutes was evaluated. we used Wilcoxon signed-rank test to analyze the non-normally distributed data in dependence groups A. P-value of more than 0.05 was considered to show statistical significance. there were 100 participants (45 women and 55 men) who participated in the study from September to March, 2011. The compression and ventilation rate in lateral CPR was lower than OTH CPR. Around 51% of participants had correct chest compression rate more than 90 beats per minute in lateral CPR and 65% of them had equal or more than ten correct ventilations per minute. in conclusion, this study confirmed that in a simulated CPR model over-the-head position CPR led to a better BLS than the lateral position CPR by a single paramedic student with a BVM device. We also concluded that by this new BVM fixation method on the face of the patients in the lateral position CPR can be a good alternative over-the-head mask fixation by a single trained rescuer.
    03/2014; 8(1):30-7. DOI:10.4103/1658-354X.125923
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    ABSTRACT: BACKGROUND:Spinal muscular atrophy type 1 (SMA1) is a progressive disease and is usually fatal in the first year of life.METHODS:A retrospective chart review was performed of SMA1 patients and their outcomes according to the following choices: letting nature take its course (NT); tracheostomy and invasive mechanical ventilation (TV); continuous noninvasive respiratory muscle aid (NRA), including noninvasive ventilation; and mechanically assisted cough.RESULTS:Of 194 consecutively referred patients enrolled in this study (103 males, 91 females), NT, TV, and NRA were chosen for 121 (62.3%), 42 (21.7%), and 31 (16%) patients, respectively. Survival at ages 24 and 48 months was higher in TV than NRA users: 95% (95% confidence interval: 81.8%-98.8%) and 67.7% (95% confidence interval: 46.7%-82%) at age 24 months (P < .001) and 89.43% and 45% at age 48 months in the TV and NRA groups, respectively (P < .001). The choice of TV decreased from 50% (1992-1998) to 12.7% (2005-2010) (P < .005) with a nonstatistically significant increase for NT from 50% to 65%. The choice of NRA increased from 8.1% (1999-2004) to 22.7% (2005-2010) (P < .001).CONCLUSIONS:Long-term survival outcome is determined by the choice of the treatment. NRA and TV can prolong survival, with NRA showing a lower survival probability at ages 24 and 48 months.
    PEDIATRICS 04/2013; 131(5). DOI:10.1542/peds.2012-2278 · 5.30 Impact Factor

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