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Prehospital Cath Lab Activation Criteria for Cardiac Arrest

Alerts for witnessed, shockable cardiac arrest yield dramatic results in Lincoln, Neb. The successful treatment of sudden cardiac arrest is dependent upon the chain of survival. In order for a patient to survive, each link in the chain of survival must work. Sudden cardiac arrest is a survivable disease! In 2013, Lincoln (Neb.) Fire &Rescue (LFR) partnered with community stakeholders to initiate a comprehensive effort to improve survival from sudden out-of-hospital cardiac arrest (OHCA) and improve upon each link in our chain of survival. In order to impact survival on a community level, the rate-limiting steps in the chain of survival must each be addressed. Accurate measurement is critical in improving performance. Thus, the first step in our journey was for LFR to join the Cardiac Arrest Registry to Enhance Survival (CARES), which provides an accurate and transparent method to measure OHCA survival rates using the Utstein model. Upon understanding LFR's baseline performance, we explored proven treatment modalities to improve survival. Dispatchers were educated on prompt recognition of cardiac arrest as well as the timely initiation of dispatcher-directed chest compressions. Time and effort were also spent on educating the public on the importance of bystander CPR. LFR invested in billboard advertisements to emphasize hands-only CPR, and our providers began educating people at mass gatherings. The bystander CPR app PulsePoint was also launched and has grown to over 13,...
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Patient Care Cardiac & Resuscitation Source Type: news

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ConclusionThe results suggest that easy‐to‐use observational approaches for clinical settings are valid and that there may not be any clinically important advantages to using more resource‐intensive coding approaches based on FACS. We acknowledge, as a limitation of our study, that we used as baseline a quiet condition that did not involve significant patient movement. In contrast, our pain condition involved systematic patient movement. Future research should be aimed at replicating our results using a baseline condition that involves non‐painful movements. SignificanceExamining older adults with and without demen...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
This study comprised 74 patients with nontraumatic, inoperable painful shoulder. Patients were randomized into two groups: (1) in intervention, patients underwent group rehabilitation exercises supervised by a physical therapist and (2) in control, patients performed the same exercises as the intervention group but in their own home. The main variables were the differences preintervention and postintervention between scores on the visual analog scale, Constant-Murley scale, and Disabilities of the Arm, Shoulder and Hand scale. The mean differences in the main variables were compared between the two interventions (t test). ...
Source: American Journal of Physical Medicine and Rehabilitation - Category: Rehabilitation Tags: Original Research Articles Source Type: research
Conditions:   Joint Disease;   Rheumatoid Arthritis Interventions:   Behavioral: Education, Fitbit/self-management app, physiotherapist counselling.;   Behavioral: Same intervention with a 6 month delay Sponsors:   University of British Columbia;   Simon Fraser University;   Arthritis Research Centre of Canada;   Vancouver General Hospital;   The Arthritis Society, Canada;   Fraser Health Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
In conclusion, in adults with SAPS, scapular focused interventions can improve short-term shoulder pain and function. PMID: 29351510 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
DISCUSSION: LLA rehabilitation is a topic that requires the focus of current and future studies; evidence-based studies are required on the approaches to rehabilitation for specific LLA groups. PMID: 29351504 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
Abstract BACKGROUND: The unsupported upper-limb exercise (UULEX) and 6-min peg board ring tests (6PBRTs) have been developed to measure peak unsupported arm exercise capacity and arm endurance, respectively, in individuals with chronic obstructive pulmonary disease. These tests are valid and reproducible in this population; however, the reproducibility of healthy adults is currently unknown. OBJECTIVE: To determine the within-day test-retest reliability of the UULEX and 6PBRT in healthy adults. METHOD: The study included 41 healthy adults, aged 38.3 ± 17.9 years old, who performed b...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
CONCLUSION: Goal setting is common practice for CLBP and is perceived as a high priority. It is more often a collaboration between therapist and patient rather than patient-led with treatment orientation of the physiotherapist a predictor of patient involvement. Education of healthcare professionals needs to include better understanding of chronic pain to orient them away from a biomedical treatment approach, as well as to enhance skills in facilitating patient involvement in goal setting. PMID: 29345522 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
The study objective was to examine the efficacy of plinth and Swiss ball-based trunk exercise regimes on balance, mobility, physical function, and community reintegration compared with standard physiotherapy in chronic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Source Type: research
ny A, La Touche R Abstract The purpose of this prospective case series was to observe and describe changes in patients with chronic cervico-craniofacial pain of muscular origin treated with multimodal physiotherapy based on a biobehavioral approach. Nine patients diagnosed with chronic myofascial temporomandibular disorder and neck pain were treated with 6 sessions over the course of 2 weeks including: (1) orthopedic manual physiotherapy (joint mobilizations, neurodynamic mobilization, and dynamic soft tissue mobilizations); (2) therapeutic exercises (motor control and muscular endurance exercises); and (3) patien...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
Source: St. Michael's Hospital News and Media - Category: Hospital Management Tags: Hospital News Source Type: news
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