tailieunhanh - Báo cáo y học: " In-hospital resuscitation evaluated by in situ simulation: a prospective simulation study"

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: In-hospital resuscitation evaluated by in situ simulation: a prospective simulation study | Mondrup et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 55 http content 19 1 55 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access In-hospital resuscitation evaluated by in situ simulation a prospective simulation study Frederik Mondrup 1 Mikkel Brabrand1 Lars Folkestad1 Jakob Oxlund2 Karsten R Wiborg2 Niels P Sand3 4 and Torben Knudsen4 5 Abstract Background Interruption in chest compressions during cardiopulmonary resuscitation can be characterized as no flow ratio NFR and the importance of minimizing these pauses in chest compression has been highlighted recently. Further documentation of resuscitation performance has been reported to be insufficient and there is a lack of identification of important issues where future efforts might be beneficial. By implementing in situ simulation we created a model to evaluate resuscitation performance. The aims of the study were to evaluate the feasibility of the applied method and to examine differences in the resuscitation performance between the first responders and the cardiac arrest team. Methods A prospective observational study of 16 unannounced simulated cardiopulmonary arrest scenarios was conducted. The participants of the study involved all health care personel on duty who responded to a cardiac arrest. We measured NFR and time to detection of initial rhythm on defibrillator and performed a comparison between the first responders and the cardiac arrest team. Results Data from 13 out of 16 simulations was used to evaluate the ability of generating resuscitation performance data in simulated cardiac arrest. The defibrillator arrived after median 214 seconds 180-254 and detected initial rhythm after median 311 seconds 283-349 . A significant difference in no flow ratio NFR was observed between the first responders median NFR 38 32-46 and the resuscitation teams median NFR 25 19-29 p . The difference was significant even after adjusting .

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