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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Conclusions: In the population studied, total costs and staff costs were lower in the PT-24 group than in the PT-12 group. The h/day availability of physiotherapy services was found to be a significant predictor of ICU costs.RESUMO Objetivo: Determinar se a disponibilidade de servi ços de fisioterapia 24 h/dia reduz os custos de UTI comparada à disponibilidade padrão de 12 h/dia entre pacientes admitidos pela primeira vez na UTI. Métodos: Estudo de prevalência observacional, envolvendo 815 pacientes ≥ 18 anos de idade que estavam em ventila ção mecânica invasiva (VMI...
Source: Jornal Brasileiro de Pneumologia - Category: Respiratory Medicine Source Type: research
Conditions:   Pelvic Floor Disorders;   Ultrasound Therapy; Complications;   Physical Disorder;   Obstetric Labor Complications Intervention:   Other: Physiotherapy treatment Sponsors:   Hospital Universitario de Valme;   Instituto de Salud Carlos III Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions The Kalman decoder showed increased accuracies as the longitudinal training intervention progressed in the stroke participants. These results demonstrate the feasibility of studying changes in patterns of neuroelectric cortical activity during poststroke rehabilitation and represent the first step in developing a brain-machine interface for controlling powered exoskeletons.
Source: American Journal of Physical Medicine and Rehabilitation - Category: Rehabilitation Tags: Original Research Articles Source Type: research
AbstractParkinson ’s disease is the second most common neurodegenerative disorder. It is characterised by a typical movement disorder that occurs in part because of the selective degeneration of the dopaminergic neurons of the substantia nigra pars compacta. Current treatment for the motor disorder of Parkinson’s disease consists of dopaminergic medications, but these come with significant adverse effects, themselves an important part of the clinical course of Parkinson’s disease, particularly in advanced stages. Therefore, treatment is needed that can restore dopaminergic tone in the striatum in a physio...
Source: BioDrugs - Category: Drugs & Pharmacology Source Type: research
Condition:   Chronic Pelvic Pain Interventions:   Other: Graded exposure therapy;   Other: Physiotherapy Sponsor:   Universidad de Granada Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSIONS: While patterns such as foot health, flexibility and lightness are reflected in the footwear preferences of those who have lower back pain, those who have pain or problems in their feet take into consideration the quality, lightness, fitness to foot health. The relationship determined in the present study shows that those who experience pain are more selective in their footwear preferences. PMID: 30010103 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research
DiscussionContinuous quadratus lumborum block may be used to relieve postoperative acute pain in hip surgery because it provides one-sided anesthesia without muscle weakness.ResumoIntroduçãoA cirurgia de quadril é uma cirurgia de grande porte que causa dor intensa no pós-operatório. Em geral, a dor em repouso é consideravelmente reduzida, mas a mobilização é importante para evitar complicações tromboembólicas. O bloqueio do quadrado lombar é uma técnica analgésica regional que bloqueia os ramos nervosos de T6-L3. Esse b...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Abstract Improving the health of populations is critical to meeting global health targets. The purpose of this article is to define population health and differentiate it from related concepts and introduce a framework that can be used to inform the population-based practice of physical therapists. The Population-Based Practice (PBP) Framework is modified from the Public Health Nursing Intervention Wheel and can be used to understand levels (i.e., systems, community, and individual) and types (i.e., screening and outreach, referral and follow-up, health teaching and coaching, consultation and collaboration, advoca...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
Condition:   Soccer Interventions:   Diagnostic Test: FMS;   Other: TICS;   Other: CONFERENCE Sponsor:   Cardenal Herrera University Terminated
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION: The AHS neonatal multi-trace element formulation seem to be physio-chemically stable up to 7 days in all three storage conditions when kept in vials.  A decline in iodine concentration is seen after 7 days irrespective of storage conditions. This article is open to POST-PUBLICATION REVIEW. Registered readers (see "For Readers") may comment by clicking on ABSTRACT on the issue's contents page. PMID: 30011392 [PubMed - in process]
Source: J Pharm Pharm Sci - Category: Drugs & Pharmacology Authors: Tags: J Pharm Pharm Sci Source Type: research
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