tailieunhanh - Báo cáo y học: " Year in review 2009: Critical Care – cardiac arrest, trauma and disasters"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Year in review 2009: Critical Care – cardiac arrest, trauma and disasters. | Metzger et al. Critical Care 2010 14 242 http content 14 6 242 CRITICAL CARE REVIEW L_ Year in review 2009 Critical Care - cardiac arrest trauma and disasters Jeffery C Metzger Alexander L Eastman and Paul E Pepe Abstract During 2009 Critical Care published nine papers on various aspects of resuscitation prehospital medicine trauma care and disaster response. One article demonstrated that children as young as 9 years of age can learn cardiopulmonary resuscitation CPR effectively although depending on their size some may have difficulty performing it. Another paper showed that while there was a trend toward mild therapeutic hypothermia reducing S-100 levels there was no statistically significant change. Another predictor study also showed a strong link between acute kidney injury and neurologic outcome while another article described a program in which kidneys were harvested from cardiac arrest patients and showed an 89 graft survival rate. One experimental investigation indicated that when a pump-less interventional lung assist device is present leaving the device open unclamped while performing CPR has no harmful effects on mean arterial pressures and it may have positive effects on blood oxygenation and CO2 clearance. One other study conducted in the prehospital environment found that end-tidal CO2 could be useful in diagnosing pulmonary embolism. Three articles addressed disaster medicine the first of which described a triage system for use during pandemic influenza that demonstrated high reliability in delineating patients with a good chance of survival from those likely to die. The other two studies both drawn from the 2008 Sichuan earthquake experience showed success in treating crush injured patients in an on-site tent ICU and in the second case how the epidemiology of earthquake injuries and related factors predicted mortality. Correspondence Department of Surgery Emergency Medicine University of Texas Southwestern