Article
Emergency Medicine
Nathan Bahr, Garth Meckler, Matthew Hansen, Jeanne-Marie Guise
Summary: This study evaluated the performance of EMS teams in pediatric out-of-hospital cardiac arrest scenarios based on PALS guidelines. It found that while teams were proficient in certain aspects of care, such as equipment selection, there were delays and deviations from guidelines in areas such as chest compressions and medication administration. A scoring tool was developed to assess compliance with guidelines and individual performance.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Medicine, General & Internal
Stig Nikolaj Blomberg, Helle Collatz Christensen, Freddy Lippert, Annette Kjaer Ersboll, Christian Torp-Petersen, Michael R. Sayre, Peter J. Kudenchuk, Fredrik Folke
Summary: This randomized clinical trial found that using machine learning model to identify out-of-hospital cardiac arrest in emergency calls did not significantly improve dispatchers' ability to recognize cardiac arrest, despite artificial intelligence surpassing human recognition.
Article
Emergency Medicine
David B. Crabb, Joshua E. Hurwitz, Austin C. Reed, Zachary J. Smith, Emmett T. Martin, J. Adrian Tyndall, Michael Taasan, Michelle A. Plourde, Lars K. Beattie
Summary: The study demonstrates that the use of the ACLS Clinical Decision Display System (CDDS) can improve the accuracy and consistency of timed ACLS interventions in simulated settings. Resuscitation teams favor utilizing the CDDS in clinical practice to enhance team organization and decision-making efficiency.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Jochen Hinkelbein, Janusz Andres, Bernd W. Boettiger, Luca Brazzi, Edoardo De Robertis, Sharon Einav, Carl Gwinnutt, Bahar Kuvaki, Pawel Krawczyk, Matthew D. McEvoy, Pieter Mertens, Vivek K. Moitra, Jose Navarro-Martinez, Mark E. Nunnally, Michael O'Connor, Marcus Rall, Kurt Ruetzler, Jan Schmitz, Karl Thies, Jonathan Tilsed, Mauro Zago, Arash Afshari
Summary: This article discusses the recognition, treatment, and prevention of cardiac arrest in the operating room, and includes recommendations for open chest cardiac massage, resuscitative endovascular balloon occlusion, resuscitative thoracotomy, pericardiocentesis, needle decompression, and thoracostomy. Successful prevention and management of cardiac arrest during anaesthesia and surgery requires anticipation, early recognition, clear treatment plans, expert staff, and well-equipped facilities, as well as a culture of safety and continuous education and training.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Review
Critical Care Medicine
Gavin D. Perkins, Jerry P. Nolan
Summary: This article is one of the ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2022, and more information can be found online.
Article
Medicine, General & Internal
Sangsoo Han, Hye Ji Park, Won Jung Jeong, Gi Woon Kim, Han Joo Choi, Hyung Jun Moon, Kyoungmi Lee, Hyuk Joong Choi, Yong Jin Park, Jin Seong Cho, Choung Ah Lee
Summary: The study validates the efficiency of the TEAM as a valid and reliable tool for evaluating the non-technical skills of paramedics performing CPR.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Critical Care Medicine
Thomas Rea, Peter J. Kudenchuk, Michael R. Sayre, Ann Doll, Mickey Eisenberg
Summary: Advances in resuscitation following out-of-hospital cardiac arrest offer an opportunity to improve public health. Through scientific progress and efficient emergency systems, early recognition, CPR, and defibrillation are key components in improving treatment outcomes.
Review
Medicine, General & Internal
Qin Xiang Ng, Ming Xuan Han, Yu Liang Lim, Shalini Arulanandam
Summary: Despite improvements in technology and medical care, out-of-hospital cardiac arrests still have poor survival rates and neurological outcomes. Various studies have explored the use of high-quality prehospital resuscitation efforts, with terms like HP CPR showing promising results. However, more research with randomized controlled trials is needed to confirm these findings due to high heterogeneity and bias risks in current studies.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Emergency Medicine
Faruk Danis, Emre Kudu
Summary: This study analyzed scientific articles on CPR published between 1980 and 2020 using statistical methods, presenting key information on the trending topics, countries, institutions, and journals in global CPR research.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Computer Science, Information Systems
Yushun Gong, Liang Wei, Supeng Yan, Feng Zuo, Hehua Zhang, Yongqin Li
Summary: In this study, a self-supervised UNet deep learning network is designed to restore the underlying ECG signals during CPR and provide accurate shock advice without interrupting CPR. The proposed method significantly improves the overall signal-to-noise ratio and rhythm detection accuracy.
INFORMATION SCIENCES
(2023)
Article
Critical Care Medicine
Lorenzo Gamberini, Carlo Alberto Mazzoli, Davide Allegri, Tommaso Scquizzato, Simone Baroncini, Martina Guarnera, Marco Tartaglione, Valentina Chiarini, Cosimo Picoco, Federico Semeraro, Giovanni Gordini, Carlo Coniglio
Summary: This study investigates factors associated with clinicians' decision to initiate or continue advanced life support (ALS) and finds significant inter-physician variability. Factors such as age, location of event, bystander cardiopulmonary resuscitation, and physician experience are found to be related. The observed variability calls for addressing ethical concerns within the EMS team.
Article
Multidisciplinary Sciences
Marie S. Thommes, Michelle Schmidt, Sophie I. Lambert, Michael T. Schauwinhold, Martin Klasen, Sasa Sopka
Summary: Reflective practice can enhance acquisition and retention of Basic Life Support (BLS) skills, improving outcomes in life-threatening situations.
Article
Critical Care Medicine
Lorenzo Gamberini, Donatella Del Giudice, Stefano Saltalamacchia, Benjamin Taylor, Isabella Sala, Davide Allegri, Antonio Pastori, Carlo Coniglio, Giovanni Gordini, Federico Semeraro
Summary: This retrospective observational study aimed to identify the factors associated with first responders' arrival before EMS in a regional first responder program. The study found that the immediate availability of a defibrillator for the responder and special categories of responders, such as taxi drivers and police, were significantly associated with arriving before EMS. Additionally, the study suggested that first responder programs may have a greater impact in rural areas.
Article
Emergency Medicine
Pitsucha Sanguanwit, Kanthicha Sutthisuwan, Phatthranit Phattharapornjaroen, Malivan Phontabtim, Yahya Mankong
Summary: This study compared the return of spontaneous circulation (ROSC) in emergency department (ED) after out-of-hospital cardiac arrest (OHCA) between emergency medical services (EMS) and non-EMS modes of transportation. The results showed that EMS transportation did not significantly improve the survival outcomes and cerebral performance of OHCA patients.
PREHOSPITAL EMERGENCY CARE
(2023)
Article
Critical Care Medicine
Julia Yu Xin Ng, Zariel Jiaying Sim, Fahad Javaid Siddiqui, Nur Shahidah, Benjamin Sieu-Hon Leong, Ling Tiah, Yih Yng Ng, Audrey Blewer, Shalini Arulanandam, Shir Lynn Lim, Marcus Eng Hock Ong, Andrew Fu Wah Ho
Summary: This study aimed to investigate the characteristics and clinical outcomes of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) initiated for non-out-of-hospital cardiac arrest (OHCA) cases in the Singapore population. The study found that 40.0% of patients recognized as having OHCA were not actually in cardiac arrest, and 52.7% of these patients received DA-CPR. Results showed that chest compressions initiated by dispatchers on patients not in cardiac arrest did not result in any reported complications and were not associated with in-hospital mortality.
Article
Health Care Sciences & Services
Marie Danielle Le Lagadec, Trudy Dwyer, Matthew Browne
Summary: The study compared the efficiency of different early warning systems in small hospitals and found that none of the systems were able to accurately predict deteriorating patients. It emphasizes the importance of integrating clinical judgment when using these systems.
JOURNAL OF PATIENT SAFETY
(2021)
Article
Health Care Sciences & Services
Tracy Flenady, Trudy Dwyer, Agnieszka Sobolewska, Danielle Le Lagadec, Justine Connor, Julie Kahl, Tania Signal, Matthew Browne
BMC HEALTH SERVICES RESEARCH
(2020)
Article
Nursing
Marc Broadbent, Lorna Moxham, Trudy Dwyer
CONTEMPORARY NURSE
(2020)
Article
Geriatrics & Gerontology
Hannah E. Carter, Xing J. Lee, Trudy Dwyer, Barbara O'Neill, Dee Jeffrey, Christopher M. Doran, Lynne Parkinson, Sonya R. Osborne, Kerry Reid-Searl, Nicholas Graves
Article
Nursing
Robert Stanton, Talitha Best, Susan Williams, Corneel Vandelanotte, Christopher Irwin, Penny Heidke, Amornrat Saito, Amanda L. Rebar, Trudy Dwyer, Saman Khalesi
Summary: Australian nursing students experience high levels of stress, anxiety, and depression, with snack intake and prolonged sitting time closely associated with depression and stress scores. More support should be provided to nursing students to manage psychological distress and mental health.
NURSE EDUCATION IN PRACTICE
(2021)
Article
Geriatrics & Gerontology
Hannah E. Carter, Xing J. Lee, Alison Farrington, Carla Shield, Nicholas Graves, Elizabeth V. Cyarto, Lynne Parkinson, Florin I. Oprescu, Claudia Meyer, Jeffrey Rowland, Trudy Dwyer, Gillian Harvey
Summary: The EDDIE program aims to reduce unnecessary hospital admissions by empowering staff in aged care homes to detect and manage early signs of resident deterioration. The trial will assess the program's impact on hospital bed days, emergency department transfer rates, admission rates, and costs, among other outcomes. Process evaluation will help support broader implementation of the intervention.
Article
Health Policy & Services
Tracy Flenady, Trudy Dwyer, Julie Kahl, Agnieszka Sobolewska, Kerry Reid-Searl, Tania Signal
Summary: This study explores the characteristics of the research facilitator role in an educational workshop phase of a research capacity-building program. The findings highlight the importance of research facilitators in engaging clinicians in the research process and provide insights into their skills and approaches to fostering relationships with clinicians. The results of this study will inform the development of future research capacity-building programs.
HEALTH RESEARCH POLICY AND SYSTEMS
(2022)
Article
Nursing
Lyn Ebert, Debbie Massey, Tracy Flenady, Samantha Nolan, Trudy Dwyer, Kerry Reid-Searl, Bridget Ferguson, Elaine Jefford
Summary: This study investigated the attitudes and usage of the Maternal Early Warning Trigger Tool (MEWT) among Australian midwives. The midwives generally valued the tool but faced barriers such as inadequate training and professional tension.
BIRTH-ISSUES IN PERINATAL CARE
(2023)
Review
Nursing
Justine Connor, Tracy Flenady, Deb Massey, Trudy Dwyer
Summary: The aim of this study was to develop a contemporary operational definition of Clinical Judgement in nursing. Using Rodgers' evolutionary method of concept analysis, a detailed definition was developed, describing the characteristics and elements of the process of clinical judgement.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Geriatrics & Gerontology
Barbara J. O'Neill, Trudy Dwyer, Lynne Parkinson, Kerry Reid-Searl, Dee Jeffrey
Summary: This study identifies the core components of a nursing home hospital avoidance programme by comparing the implementation of these components at two different sites. The core components include decision support tools, advanced clinical skills training, specialist clinical support and collaboration, facility policy and procedures, family and care recipient education and engagement, culture of staff readiness, supportive executive and facility management.
INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING
(2023)
Article
Health Policy & Services
Tracy Flenady, Trudy Dwyer, Julie Kahl, Agnieszka Sobolewska, Kerry Reid-Searl, Tania Signal
Summary: This article introduces a study on the implementation and evaluation of a structured academic-clinician research capacity-building model in healthcare settings. The authors have developed a multi-disciplinary practice-research partnership model called RRGP, and plan to conduct a process and outcome evaluation of this model. They aim to promote research capacity of clinician-led multidisciplinary research teams through a structured mentor model, while identifying key factors that affect the research capacity of health professionals.
HEALTH RESEARCH POLICY AND SYSTEMS
(2022)
Article
Medicine, General & Internal
Ella Bracci, Michelle Allen, Hannah E. Carter, Liz Cyarto, Trudy Dwyer, Nicholas Graves, Xing Ju Lee, Claudia Meyer, Florin Oprescu, Gillian Harvey
Summary: The EDDIE+ program is a multi-component intervention aimed at improving the ability of nurses and caregivers to identify and manage early signs of deterioration in elderly residents. It aims to reduce unnecessary hospital admissions from aged care facilities. A process evaluation will be conducted alongside a randomized controlled trial to assess the effectiveness and acceptability of the intervention.
Article
Critical Care Medicine
Jessica E. Clack, Sandra B. Walker, Trudy A. Dwyer
Summary: This study investigates factors contributing to the restoration of normothermia in burn patients with a TBSA of 10% or more. The initial recorded temperature on admission to the emergency department was found to be the main predictor of the time it takes for body temperature to return to normothermia. Women took longer to reach normothermia than men. The study emphasizes the need for guidelines and education programs to provide optimal care for burn patients.
AUSTRALIAN CRITICAL CARE
(2022)
Article
Health Policy & Services
Trudy Dwyer, Alison Craswell, Matthew Browne
Summary: Despite limited awareness of the NP role, a large proportion of the Australian population, across different demographic groups, are willing to be seen and treated by an NP. Expansion of this role to support medical services in areas of need could improve healthcare delivery.
HUMAN RESOURCES FOR HEALTH
(2021)
Review
Nursing
Lyn Maxine Ebert, Michelle Guilhermino, Tracy Flenady, Trudy Dwyer, Elaine Jefford
INTERNATIONAL JOURNAL OF CHILDBIRTH
(2020)
Article
Critical Care Medicine
Veerle Heesters, Janneke Dekker, Timothy J. R. Panneflek, Kristel L. A. M. Kuypers, Stuart B. Hooper, Remco Visser, Arjan B. te Pas
Summary: This study visualized the closure of vocal cords during apnea, in between breaths, and during breath holds in preterm infants using ultrasonography. The closure of vocal cords impaired the effect of respiratory support.