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Canales, Francisco. "History of Cardiopulmonary Resuscitation." The University of Arizona, 2018. http://hdl.handle.net/10150/626860.
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Reichel, Rachel. "Comparing Subjective Fatigue During Two Cardiopulmonary Resuscitation (CPR) Models." Thesis, North Dakota State University, 2019. https://hdl.handle.net/10365/31697.
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Bystanders are the first rescuers to perform CPR for patients suffering from cardiac arrest. Compression-only CPR decreases the amount of interruption time between compressions but increases the fatigue of the rescuer. In this study, participants were certified as lay rescuers and performed two compression-only CPR protocols for eight minutes and 59 seconds. The two protocols were 30 compressions to a 10-second break and continuous compressions with as many 10-second breaks as needed. Body mass index and hand grip strength were collected before the CPR protocols. Rate of Perceived Exertion scores were taken at three, six and nine minutes during each protocol. There were increased fatigue levels during the continuous compressions protocol at all three time intervals. A relationship between hand grip strength and the proper depth was determined for the 30:10 protocol as well as a relationship between hand grip strength and the continuous compressions fatigue levels.
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Stohler, Fiona Cathrin. "Alternative concept of ventilation during cardiopulmonary resuscitation (CPR) in dental chairs /." Zürich : [s.n.], 2009. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000297939.
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Kihlberg, Emelie, and Nadine Rosenkvist. "Vietnamese nursing students' knowledge in Cardiopulmonary resuscitation (CPR) and perceptions of training in CPR." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-376662.
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Background Cardiopulmonary resuscitation (CPR) increases significantly the chance of survival in cases of a cardiac arrest. The ability to respond quickly and effectively to a cardiac arrest rests on nurses being competent, prepared and up-to-date. Nursing student’s knowledge in CPR and perceptions of their own training are crucial for the pursuit of the education of professional nurses. Aim Investigate the prerequisites for a good care of patients in need of CPR by assessing Vietnamese nursing students' knowledge in CPR as well as their perceptions on their education in CPR. Method A quantitative, cross sectional-study was conducted. A modified version of a questionnaire developed by the Swedish council of CPR was used. Nursing students at University of Medicine and Pharmacy in Ho Chi Minh City were asked to participate. The gathered data were analyzed with descriptive statistics, t-test and chi2 -test. Result The participants answered right on 41 % of the questions (571/1404). The mean-score was 5.25 and the score ranged from 0 to 9 out of 13 points on the questionnaire. Participants answered correctly on most questions regarding basic CPR and were foremost wrong about questions regarding defibrillation. There was no association between a high result on the questionnaire and students rating a high grading on preparedness and/or satisfaction. No significant difference could be found based on gender. Conclusion The knowledge in CPR, based on this survey, is generally low. One plausible explanation could be that the questionnaire did not fit the education of the participants.Bakgrund Hjärt- och lungräddning (HLR) ökar avsevärt chanserna att överleva vid ett hjärtstopp. Att kunna reagera snabbt och effektivt på hjärtstillestånd kräver att sjuksköterskor är kompetenta och förberedda. Sjuksköterskestudenters kunskaper i HLR och deras uppfattningar om sin utbildning är avgörande för den fortsatta utbildningen av professionella sjuksköterskor. Syfte Undersöka förutsättningarna för en patientsäker vård inom HLR, genom att kartlägga vietnamesiska sjuksköterskestudenters kunskaper i HLR samt att undersöka deras uppfattning om sin utbildning i HLR. Metod En kvantitativ, tvärsnittsstudie genomfördes. En modifierad version av ett frågeformulär utvecklat av Svenska rådet för hjärt- och lungräddning (HLR-rådet) användes. Sjuksköterskestudenter i en klass från University of Medicine and Pharmacy, i Ho Chi Minh City blev ombedda att delta. Den insamlade informationen analyserades med beskrivande statistik, t-test och chi2-test. Resultat Deltagarna svarade rätt på 41% av frågorna (571/1404). Det totala medelvärdet var 5.25 och poängen skilde sig från 0 till 9 av 13 poäng på frågeformuläret. Deltagarna svarade korrekt på de flesta frågor angående grundläggande HLR och svarade främst fel på frågor angående defibrillering. Det fanns inget samband mellan ett högt resultat på frågeformuläret och elever som ansåg sig vara förberedda och/eller nöjda med sin utbildning. Ingen signifikant skillnad i resultat kunde hittas baserat på kön. Slutsats Kunskaperna i HLR, baserat på den genomförda studien, är generellt låga. När det kommer till vissa frågor kan en orsak vara att frågeformuläret inte var anpassat efter deltagarnas utbildning.
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Wattanasoontorn, Voravika. "Serious games for health and medicine. A cardiopulmonary resuscitation (CPR) case study." Doctoral thesis, Universitat de Girona, 2013. http://hdl.handle.net/10803/128270.
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Serious games are video games designed to provide specific expertise, knowledge and skills to the player, going beyond pure entertainment. In this thesis we present a classification of serious games for health and medicine that have been proposed in the last decade. We propose LISSA a serious game designed to teach the cardiopulmonar resuscitation protocol (RCP). In the context of LISSA, we study the visual realism of 3D serious games and their elements, evaluating photorealistic and non-photorealistic effects and camera position in first and third person. In addition, we study the physical realism to improve the interaction between game and player. We propose a new technique based on Kinect able to reproduce the key factors of the CPR protocol. Finally, we evaluate LISSA in a real scenarioEls anomenats jocs seriosos (de l’anglès serious games), són videojocs dissenyats per donar una experiència específica, coneixements i habilitats al jugador, és a dir van més enllà de l’entreteniment pur. En aquesta tesi presentarem una classificació dels jocs seriosos de l’àmbit mèdic i de la salut que s’han proposat en aquesta darrera dècada. Proposarem LISSA, un joc seriós dissenyat per ensenyar el protocol de reanimació cardiopulmonar (RCP). En el context del LISSA, estudiarem el realisme visual dels jocs seriosos 3D i els seus elements, avaluarem els efectes fotorealistes i no-fotorealistes i la posició de la càmera en primera i tercera persona. A més, estudiarem el realisme físic per tal de millorar la interacció entre el joc i el jugador. Proposarem una nova tècnica basada en Kinect capaç de reproduir factors clau del protocol RCP. Finalment, avaluarem LISSA en un escenari real
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Gupta, Deepak S. "A New Device for Performing Simultaneous Sterno-Thoracic Cardiopulmonary Resuscitation (SST-CPR)." VCU Scholars Compass, 1996. http://scholarscompass.vcu.edu/etd/4692.
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There are two different physiological mechanisms that cause blood to circulate around the human body during cardiopulmonary resuscitation. The "cardiac pump" generates blood flow by squeezing blood out of the heart as the sternum is depressed. The "thoracic pump" generates flow by forcing blood out of the heart and the great vessels as the intrathoracic pressure rises due to chest compression.
To date, all CPR techniques try to circulate blood during cardiac arrest by exploiting elite; the cardiac pump or the thoracic pump mechanism of blood flow. No mechanical CPR device thus far invented has tried to exploit both mechanisms at the same time. We hypothesize that a combination of the cardiac and thoracic pump mechanisms of blood flow should generate more blood flow than either alone. We have thus invented a device that performs simultaneous sterno-thoracic cardiopulmonary resuscitation (SST-CPR).
Our SST-CPR device augments blood flow to the vital organs by performing cardiac and thoracic compression simultaneously using two components. A piston provides direct sternal compression, squeezing blood out of the heart directly ("cardiac pump"). A thoracic strap and back supporting structure create circumferential thoracic constriction ("thoracic pump"). Simultaneous compression and constriction are performed by pushing the compressing piston, which directly compresses the heart and increases intrathoracic pressure by constricting the thorax. Mechanical tests have been performed. Tests have also been performed to measure hemodynamic parameters in vivo. The device has been designed to allow variation in the relative contribution of either the cardiac or thoracic pump during CPR, thus allowing better understand of the relative importance of each mechanism during CPR.
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Lammert, Lucas William. "Investigating the Relationship Between Self-Efficacy and Cardiopulmonary Resuscitation Quality in Certified Athletic Trainers." Thesis, North Dakota State University, 2020. https://hdl.handle.net/10365/31755.
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Certified athletic trainers (ATCs) are often the first to respond to an athletic sudden cardiac arrest (SCA) and are expected to administer the highest quality of cardiopulmonary resuscitation (CPR) possible. The goal of this study was to investigate the relationship between confidence and CPR quality in ATCs. Fifty ATCs completed confidence questionnaires before and after performing a prolonged CPR assessment on a medium-fidelity manikin. CPR data included measures of chest compression and ventilation quality. Data were analyzed to compare confidence levels pre- and post-CPR assessment, as well as to determine the relationship between CPR performance and self-efficacy. A small, negative correlation was found between confidence and CPR performance but performing a prolonged session of CPR did not affect confidence levels. Overall CPR quality was adequate, but ventilations and compression rates were lacking. The relationship between confidence and CPR quality must be explored further to help revise athletic training educational curricula.
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Nuño, Tomas, Bentley J. Bobrow, Karen A. Rogge-Miller, Micah Panczyk, Terry Mullins, Wayne Tormala, Antonio Estrada, Samuel M. Keim, and Daniel W. Spaite. "Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest." ELSEVIER IRELAND LTD, 2017. http://hdl.handle.net/10150/626022.
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Aim: Spanish-only speaking residents in the United States face barriers to receiving potentially life-saving 911 interventions such as Telephone-cardiopulmonary resuscitation (TCPR) instructions. Since 2015, 911 dispatchers have placed an increased emphasis on rapid identification of potential cardiac arrest. The purpose of this study was to describe the utilization and timing of the 911 system during suspected out-of-hospital cardiac arrest (OHCA) by Spanish-speaking callers in Metropolitan Phoenix, Arizona. Methods: The dataset consisted of suspected OHCA from 911 centers from October 10, 2010 through December 31, 2013. Review of audio TCPR process data included whether the need for CPR was recognized by telecommunicators, whether CPR instructions were provided, and the time elements from call receipt to initiation of compressions. Results: A total of 3398 calls were made to 911 for suspected OHCA where CPR was indicated. A total of 39 (1.2%) were determined to have a Spanish language barrier. This averages to 18 calls per year with a Spanish language barrier during the study period, compared with 286 OHCAs expected per year among this population. The average time until telecommunicators recognized CPR need was 87.4 s for the no language barrier group compared to 160.6 s for the Spanish-language barrier group (p < 0.001). Time to CPR instructions started was significantly different between these groups (144.4 s vs 231.3 s, respectively) (p < 0.001), as was time to first compression, (174.4 s vs. 290.9 s, respectively) (p < 0.001). Conclusions: Our study suggests that Hispanic callers under-utilize the 911 system, and when they do call 911, there are significant delays in initiating CPR. (C) 2017 Elsevier B.V. All rights reserved.
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Olgac, Selvi. "Train more people to save more lives : Teaching Cardiopulmonary Resuscitation (CPR) in compulsory schools in Sweden." Thesis, Umeå universitet, Designhögskolan vid Umeå universitet, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176294.
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Globally, out-of-hospital cardiac arrest (OHCA) occurs ranging between 20 to 140 per 100 000 people, with only 2-11% surviving. Immediate bystanders, i.e. a person close to the victim, performing Cardiopulmonary Resuscitation (CPR) have a vital role to play in the chain of survival from OHCA. Today CPR training takes place in many different contexts as workplaces and schools, but there is still a lack of knowledge concerning CPR in society at large. The overarching aim for this thesis is to find new ways of delivering CPR in order to train more laypeople and save more lives. By initially exploring CPR training in both workplaces and compulsory schools in Sweden, my final design question for this thesis has been: How might we empower the teachers to enable them to carry out CPR training at school? Ethnographic fieldwork both exploring CPR training in workplaces and schools including interviews with mainly instructors, teachers, and laypeople as well as participatory observations in CPR training, have been carried out. In addition, the fieldwork included being a participant in a CPR training course myself. The results from my research process were clustered into insights and potential opportunity areas. Departing from these insights a decision was made to continue the thesis with CPR training in schools as reaching out to children and young people already at school can open the path for more long-term sustainable knowledge. Despite CPR training being core content from year 7 in compulsory schools in Sweden, it is not carried out in a majority of them. My research shows that lack of CPR material as well as an unclear syllabus in Physical Education and Health in how to involve CPR in your teaching, are some of the main obstacles for teachers and reasons for why CPR training is not being carried out in every school today. Potential future scenarios were explored through creative workshops and idea sessions with the users and main stakeholders. The explorations led to focusing on the teachers, as they have a vital role in being the bridge between the CPR knowledge and the pupils. My final proposal is CiPRA: a collaborative CPR education platform for teachers and schools, with the aim to increase the knowledge and the conditions for teachers to carry out CPR training, starting already from six years of age. The structure of the platform follows the years of the Swedish school system and the recommended steps fromThe Swedish Resuscitation Council for CPR training and first aid. The platform enables teachers to plan and prepare CPR training, both long a short term irrespective of previous experience. The platform is based on three main parts; knowledge contributions from teachers, teaching content both through pre-made lessons and an idea bank as well as a shared booking system for practical CPR material. Together these parts unify in an individual lesson planning for every teacher. In my final design proposal, it has been important to emphasise the main insights as well as making sure that every involved stakeholder is represented.
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Cameron, Jessie L. "Family presence during resuscitation of adult patients." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1382.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Nursing
Nursing
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Katrínardóttir, Hildigunnur. "Finite Element Modeling of Chest Compressions in CPR." Thesis, KTH, Medicinsk teknik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-209009.
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Factors affecting the risk of ribcage injury in adult subjects during CPR were investigated using the torso region of the THUMS model, a full human body FE-model, representing an average adult male. The thoracic dynamic response of the model was compared to experimental PMHS hub loading impact data and live-subject CPR data found in the literature. The model was then used to study the risk of obtaining injuries in various simulated CPR conditions, also varying the stiffness of the costal cartilage. Parameters that are known to predict induced injuries were extracted from the model simulations, i.e. chest deflections, and maximum 1st principal strain and von-Mises stress in the ribs and sternum, as well as the pressure in the heart muscle. These were compared with values that have been reported to have the potential to cause injury. The predictions were compared to experimental findings of the probability of CPR resulting in fractures of the ribs and sternum. The previously mentioned parameters did not reach high enough values to predict fracture occurrences, but interesting trends were highlighted with regards to the different loading conditions investigated. It was demonstrated that human body FE-model simulation studies can be useful for investigating the influence of different CPR related loading conditions on the risk of occurrences of rib and sternal fractures.
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Hennessey, Bryan Patrick. "Investigation of Automated External Defibrillator (AED) and Cardiopulmonary Resuscitation (CPR) Experience and Knowledge at The Ohio State University." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1354734660.
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Estabrooks, Adam Gregory. "An Analysis of Certified Athletic Trainers? Ability to Provide High-Quality Cardiopulmonary Resuscitation (CPR) over Hockey Shoulder Pads." Thesis, North Dakota State University, 2018. https://hdl.handle.net/10365/29764.
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Certified Athletic Trainers (ATCs) are expected to perform CPR for athletes regardless of whether the athlete is wearing protective equipment. The goal of this research was to determine /if ATCs were able to/ deliver high-quality CPR over hockey shoulder pads. Fifty ATCs completed CPR according to 2015 AHA guidelines on a medium-fidelity manikin, which had been fitted with hockey shoulder pads. CPR quality was measured with the Resusci Anne Wireless SkillReporter. CPR data included the following dimensions of compressions: overall score, mean rate, chest compression fraction, mean depth, % chest recoil, and % compressions with appropriate depth. Data were analyzed to compare differences of CPR performance between covariates. Overall score separated by gender was significant with men outperforming women. 56% of ATCs did not compress at the recommended depth. Therefore, the removal of hockey shoulder pads is recommended to ensure high-quality CPR performance as administered by ATCs.
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Avansi, Patricia do Amaral. "Tradução e validação para a língua portuguesa do \"in - hospital utstein style\"." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-12062007-162636/.
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A parada cardiorrespiratória é um evento potencialmente letal, e a qualidade do atendimento prestado depende da agilidade, conhecimento e habilidade de toda a equipe envolvida. O desenvolvimento de um guia com os pontos relevantes a serem observados durante o atendimento à PCR intra-hospitalar surgiu em 1997, com a criação do In-Hospital Utstein Style por uma força tarefa de especialistas em atendimento e pesquisa em PCR. Trata-se de um guia que agrega informações acerca do atendimento à PCR, contendo um relatório padrão para coleta de dados, divido em variáveis: do paciente, do evento e de resultados, além de algumas informações adicionais. A criação de um relatório padrão de coleta de dados, permitiu uniformizar a linguagem, bem como o desenvolvimento de novas pesquisas, baseadas no mesmo modelo. Com a finalidade de disponibilizar o In-hospital Utstein Style para a realidade brasileira, este instrumento foi submetido ao processo de tradução e adaptação cultural, nas seguintes etapas: tradução para o português, retro-tradução para a língua de origem, análise por comitê de juízes para avaliação das equivalências semântica, idiomática, cultural e conceitual. O resultado deste processo gerou um instrumento para pré-teste, aplicado em 20 pacientes que sofreram PCR, com a finalidade de verificar o comportamento do instrumento em nossa realidade. As variáveis de resultado não foram coletadas, pois pressupõe o acompanhamento destes pacientes ao longo do tempo. A amostra foi constituída por 60,0% de homens, com idade média de 63 anos ±16,17. O ritmo de PCR mais comum foi atividade elétrica sem pulso (65,0%), o tempo médio para desfibrilar foi de 1,25 minutos. Assim como observado por pesquisadores internacionais, existem informações perdidas durante o atendimento, não registradas, prejudicando a coleta dos dados referentes a este momento. A análise dos dados, permite concluir que o instrumento é aplicável à realidade brasileira, tornando possíveis comparações com estudos internacionais, buscando melhor atendimento ao evento da PCR. A falta de preenchimento de alguns itens , principalmente aqueles referentes às variáveis do evento (coletados no momento da PCR), podem ser perdidos, por falta de preenchimento adequado do instrumento, por profissionais médicos e de enfermagem. O treinamento e incentivo para melhorar a quantidade e qualidade de registros, tornam possíveis, através da aplicação do Utstein Style conhecer cada atendimento feito e toda a assistência prestada, identificando prováveis falhas e principalmente investindo em qualidade de vida após o eventoCardiopulmonary Arrest is a potentially lethal event in which the quality of the service rendered depends on agility, knowledge and the skills of all of the involved team. The development of the first guide identifying the significant points to be taken during the procedure of an in-hospital CPA appeared in 1997, with the creation of the In-Hospital Utstein Style by a task force of personnel specialized in attendance and research of CPA. This guide brings together information concerning CPA attendance and contains a standardized report for collecting data which is divided into the following variables: patient, event, and the outcome, as well as some other additional information. The creation of this standardized report for collecting data made it possible to standardize the language as well as to develop new research based on the same model. With the intended goal of making available, the In-hospital Utstein Style for Brazilian professionals, this instrument underwent a process of translation and cultural adaptation in the following steps: translation into Portuguese, back-translation into its original language and finally analysis by a committee of judges to evaluate semantics, idiomatic, cultural and conceptual equivalences. The outcome of this process resulted in a pre-test instrument applied to 20 patients who had had CPA in order to verify the behavior of this instrument according to our reality. The outcome variables were not collected, because it involved accompanying these patients over a lengthy period of time. The sample consisted of 60% men, with an average age of 63 years ±16, 17. The most common CPA rhythm was pulseless electrical activity (65%); the defibrillation average time was 1.25 minutes. Therefore, as verified by international researchers, there is a loss of information during the attendance, which is not-recorded, thus hindering the collection of data concerning the moment of the CPA. With the data analysis, we can conclude that the instrument is adaptable to the Brazilian reality, enabling further comparisons with international studies, therefore improving the care administered during the CPA event. The failure to complete some of the items principally those referencing the variables of the CPA event (that should have been collected at the CPA moment) could result in critical data being lost if not properly answered in the report done by attending medical and nursing personnel. Personnel trained and encouraged to improve the quantity and quality of date collection can make it possible, through the utilization of the Utstein Style, to better understand each attendance and assistance rendered, identifying possible failures and, above all, enabling further investments in quality of life after the arrest
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Alfakir, Omar, and Viktor Larsson. "Ambulance CPR Application : Using cross-platform mobile development." Thesis, Högskolan i Halmstad, Akademin för informationsteknologi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-45561.
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The overall purpose of this project is to develop a cross-platform CPR (cardiopulmonary resuscitation) application mainly for iOS and Android devices. This application aims to guide healthcare workers in the different processes and expected medication during cardiac arrest, which can often be a fast-paced and stressful scenario. The application will need to provide time-based and previous action-based recommendations for following medication and steps. Each step taken as well as at what time it was performed will also need to be documented automatically through the usage of the application. This application is implemented using the framework React Native. Facebook developed React Native in 2015 targeting mobile application development. The base structure of React Native is based on React, a JavaScript library released in 2013 used to build web interfaces. React Native allows creation of mobile applications that can run on iOS and Android devices with a single codebase. This project resulted in a mobile application capable of running on both iOS and Android platforms. The application has enough functionality to be used in a simulation for the CPR procedure during a cardiac arrest rescue scenario.Det övergripande syftet med detta projekt är att utveckla en cross-platform HLR (hjärt- och lungräddnings) applikation främst för iOS och Android enheter. Syftet med denna applikation är att hänvisa sjukvårdspersonal genom de olika processer och den förväntade medicineringen vid hjärtstopp, vilket ofta kan vara ett väldigt hög tempo och stressfyllt scenario. Applikationen kommer behöva ge tidsbaserade och tidigare åtgärds baserade rekommendationer för följande medicinering och steg. Varje steg som tas samt när de tas kommer även behöva dokumenteras automatiskt genom användandet av applikationen. Denna applikation implementeras med hjälp av ramverket React Native. Facebook utvecklade React Native 2015 med inriktning på mobilapplikationsutveckling. Bas strukturen hos React Native är baserad på React, ett JavaScript bibliotek släppt 2013 som används till att bygga webbgränssnitt. React Native tillåter skapande av mobilapplikationer som kan användas på iOS och Android enheter med en enda kodbas. Detta projekt resulterade i en mobilapplikation kapabel att köras på både iOS och Android plattformar. Denna applikation har tillräcklig funktionalitet att användas i en simulering för HLR proceduren under ett hjärtstopps scenario.
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Smekal, David. "Safety with Mechanical Chest Compressions in CPR : Clinical studies with the LUCAS™ device." Doctoral thesis, Uppsala universitet, Anestesiologi och intensivvård, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-204069.
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Chest compressions in cardiopulmonary resuscitation are of utmost importance although not without a risk. Many injuries are described but the incidence of these is hard to define due to methodological differences. It is strenuous to perform chest compressions and therefore mechanical chest compressions have been looked upon with interest. This thesis presents new insights on the panorama and incidence of injuries in modern CPR and a comparison of safety and efficacy between manual chest compressions and mechanical chest compressions with the LUCAS™ device. We also evaluated if computed tomography could be an aid in the detection of these injuries. Two pilot trials were conducted and one presented no difference in early survival with 26% and 31% having return of spontaneous circulation when comparing manual chest compressions with the LUCAS device in out-of-hospital cardiac arrest. The other revealed no difference in autopsy-detected injuries. A third multicentre autopsy trial revealed that in patients treated with manual chest compressions 78.3% had at least one injury and 63.9% had at least one rib fracture. The corresponding numbers for patients treated with the LUCAS device was 92.8% (p = 0.002) and 77.7% (p=0.022). Sternal fractures occurred in 54.2% and in 58.3% of the cases treated with manual chest compressions and the LUCAS device respectively (p = 0.556). The median number of rib fractures was 7 in the group receiving manual chest compressions and 6 in the group receiving chest compressions with the LUCAS device. In 31 cases a computed tomography was conducted prior to autopsy and we found a very strong correlation in the discrimination of patients with or without rib fractures (kappa=0.83). Mean difference between the two methods in detecting rib fractures was 0.16. The detection of other injuries did not have a strong correlation. In conclusion there is no difference in early survival between the two methods and mechanical chest compressions adds 14-15% more patients with rib fractures but the amount of rib fractures, sternal fractures and other injuries is equal. CT can aid but not replace autopsies in the detection of these injuries.
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Kämäräinen, Leena. "Does it matter where and when you will be trained in cardiopulmonary resuscitation? : A study on CPR skills in Finland." Thesis, Nordic School of Public Health NHV, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3279.
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The aim of the study was to look at the psychomotor skills in cardiopulmonary resuscitation and relate the results to sex, age and type of training. Place of training had three different categories: training at Finnish Red Cross (FRC) courses for general public, training at workplace or training at both places. The study was conducted on 310 trainees on different first aid courses and events in Finland. The psychomotor skills were evaluated by observation with help of a CPR evaluation standardized checklist with 11 moments. Age showed to have an impact on the skills. Age groups 20, 30 and 40 performed the skills better than the age group 50 and above. To explain the difference with anxiety is not likely, as 41.1 % of the trainees informed not to be afraid in a real situation and only 27.8% answered to be or did not know if they would be afraid. More likely the difference can be explained by self confidence to act as well as by the fact that different age groups need different teaching methods. Repeating has also a big role with the competence. Trainees with health care background or active at FRC succeeded to get better results. They also managed better with the essential moments like calling for help and opening the airways. Obvious is that those with 3-6 passed first aid courses managed to get better results than those with 0-2 courses. Motivation to have skills in CPR have an impact when comparing the skills and place where you got the training. All 11 moments right had 43.8% of the trainees who got their training at a FRC course, and 28.0% of those who were trained at workplace. Same difference can be shown when comparing skills with the essential moment, opening the airways. Out of the trainees at FRC courses 89.9% performed it right and 62.7% of trainees at courses at workplaces. When evaluating the skills it is just not enough to look at the right moments, but as well at the crucial, life saving, measures. In order to save more lives by CPR training an essential factor in the training is confidence to intervene in the event as well as repetition together with different teaching methods for different target groups. CPR skill tests are an important tool for the future development of the quality of the teachers.ISBN 91-7997-096-6
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François, Rebecca. "Adaptation and validation of the multi-dimensional measure of informed choice to cardiopulmonary resuscitation (CPR) and invasive mechanical ventilation (IMV)." Master's thesis, Université Laval, 2018. http://hdl.handle.net/20.500.11794/40156.
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La majorité des aînés canadiens préfèrent recevoir des interventions de fin de vie non agressives. Pour eux, leur qualité de vie est plus importante que la durée. Les études montrent que les préférences des patients âgés ne sont pas souvent inscrites dans leurs dossiers médicaux. Par conséquent, des interventions agressives comme la réanimation cardiorespiratoire (RCR) et la ventilation mécanique invasive (VMI) sont utilisées plutôt que des soins de confort. La prise de décision partagée (PDP) est une approche contribuant à diminuer la surutilisation de certaines interventions médicales par des décisions plus éclairées. Lors d’une décision critique sur une intervention de santé, la PDP permet au patient et à son médecin de travailler ensemble pour faire le choix le plus approprié. Les décisions éclairées favorisent des meilleurs effets sur la santé par la réduction de conflit décisionnel, la diminution de l’anxiété et une amélioration de la satisfaction du patient. Les outils d’aide à la décision utilisés dans le contexte de la PDP facilitent la discussion entre un médecin et son patient. Ils ne sont pas limités au contexte de la PDP, car ils peuvent être une ressource en santé très utile, pour aider les patients confrontés à des décisions de santé difficiles et complexes. Vu que la PDP et les outils d’aide à la décision supportent la prise de décision informée, des outils validés et multidimensionnels doivent être créés et validés pour des personnes qui font face à des décisions des interventions de fins de vie agressives. Cet article détaille l’adaptation et la validation du Multi-Dimensional Measure of Informed Choice à la RCR et à la VMI avec des aînés canadiens francophones.Most elderly Canadians wish to avoid aggressive life-sustaining interventions at the end of their lives because they favor quality of life over quantity when they consider the potential suffering that may come with attempts to prolong their lives. Nonetheless, studies show that patient preferences for the care they receive at end-of-life (EOL) often go unrecorded in their medical dossiers and aggressive life-sustaining interventions such as cardiopulmonary resuscitation (CPR) and invasive mechanical ventilation (IMV) are used in lieu of the comfort care that the patient may prefer. Shared decision-making (SDM) is an approach that research shows leads to patient informed decisions. When faced with the need to make a critical decision about care plans, treatment options, or the uptake of a medical intervention/procedure, SDM allows a patient and their physician to work together to make the most appropriate choice for the patient. This has been shown to lead to improved patient health outcomes such as decreased decisional conflict, decreased anxiety, and higher patient satisfaction. Patient decision aids (PtDAs) are health information tools that, when used in the SDM context, facilitate the conversation between a physician and their patient. PtDAs are not limited to use in shared decision making because they may also be valuable health resources to patients facing a difficult or complicated health decision. Because both SDM and the use of PtDAs are shown to lead to patient informed decisionmaking, validated and multidimensional tools that measure informed choice are needed for those facing decisions about aggressive EOL medical interventions, especially the elderly. This paper explicates, in detail, our attempt to adapt and validate the Multi-Dimensional Measure of Informed Choice (MMIC) to CPR and IMV in an elderly French-Canadian population.
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Young, Jeanne. "Providing ethical care: cardiopulmonary resuscitation (CPR) for chronic obstructive pulmonary disease (COPD) exacerbations in patients with end stage lung disease (ESLD)." Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=92266.
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Cardiopulmonary resuscitation should generally not be offered to patients who suffer from a chronic obstructive pulmonary disease (COPD) exacerbation in the setting of end-stage lung disease (ESLD). Requests for CPR in this context may sometimes be uninformed, misguided, and the result of an unresolved grieving process by familial surrogates. While understandable, these requests rarely represent a truly autonomous patient perspective that is grounded in a competent, informed, and enlightened deliberation.Alternatively, life-support technology and resuscitation is used appropriately when it is offered to patients with reversible disease, a disease for which functional recovery is possible, or to maintain a patient in an acceptable quality of life. It was never intended as, nor should it become, a treatment to delay the inevitable trajectory of a conscious or permanently unconscious and imminently dying patient.
When juxtaposed against perspectives of professional integrity, non-maleficence, distributive justice and basic human dignity, requests for CPR in this context rarely seem to be ethically persuasive or in the patient's best interests.
Pour les gens souffrant d'exacerbation en stade final des maladies respiratoires (SFMR) causée par une maladie pulmonaire obstructive chronique (MPOC), la réanimation cardio-pulmonaire est généralement à proscrire. Dans un tel contexte, la demande de réanimation peut être le résultant de mauvais renseignements, d'un choix malavisé ou même etre l'expression du refus des members de la famille face au deuil qu'ils auront à faire. Quoiqu'il est compréhensible de faire une telle demande, il est rare qu'elle soit bien fondée et représentative d'un choix éclairé et autonome de la part du patient ou de la patiente.
D'autre part, les technologies maintenant la vie ainsi que la réanimation sont utilisées de facon appropriée et juste lorsqu'elles sont offertes aux patient(e)s chez qui la maladie est réversible, où le rétablissent fonctionnel est possible ou afin de maintenir une qualité de vie acceptable. En aucun temps devrait-on considérer la reanimation afin de prolonger l'inévitable parcours du patient inconscient ou conscient et du patient pour qui la mort est imminente. fr
Lorsque juxtaposée aux notions d'intégrité professionnelle, la bienfaisance, une justice distributive et de celle de la dignité humaine, la demande de réanimation cardio-pulmonaire dans ce contexte semble rarement être éthiquement persuasive ou être dans les meilleurs intérêts du patient. fr
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Nord, Anette. "Hjärt-lungräddningsutbildning i årskurs 7. Instruktörsledd eller filmbaserad, vilken pedagogisk metod är effektivast?" Thesis, Linköpings universitet, Institutionen för beteendevetenskap och lärande, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-117856.
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Syfte: var att undersöka vilken pedagogisk metod, instruktörsledd eller filmbaserad med facilitator som ger bäst kunskap såväl kortsiktigt som långsiktigt vid hjärt-lungräddningsutbildning (HLR) i årskurs sju. Syftet var även att undersöka elevers motivation till att ingripa i en akut hjärtstoppssituation. Teori Då lärande enligt läroplanen ska ske i social miljö, genom samspel har jag i studien valt att utgå från det sociokulturella perspektivet där kontexten är viktig i ett sammanhang, i kombination med praktikorienterad teori för att beskriva lärandet. Metod Datainsamling har skett genom en kombination av kvantitativ och kvalitativ metod. Åttio elever utförde treminuters praktiskt test direkt efter utbildningstillfället i HLR samt efter tre månader. Bedömning av medvetandekontroll och andningskontroll utfördes genom direktobservation. Kvalitet på utförd HLR registrerades via en övningsdocka kopplad till ett datorbaserat program, Leaerdal PC skill reporter. Insamlad data registrerades i en modifierad version av mätinstrumentet Cardiff Test. I testet bedömdes 13 variabler med total poängsumma 12-48 poäng. Primärt effektmått var den totala poängen med enskilda variabler som sekundär endpoints. En hypotes är att det inte är någon skillnad mellan utbildningsmetoderna gällande elevernas totalpoäng, vilket medför att den filmbaserade metoden är effektivare då den utförts i helklass. Semistrukturerade intervjuer genomfördes direkt efter utbildningstillfället för att undersöka elevers motivation till att göra en livräddande insats. Resultat: Ingen signifikant skillnad ses mellan utbildningsgrupperna beträffande kvalitetstestets totalpoäng, vare sig vid mätning direkt efter utbildningstillfället; instruktörsledd 33 poäng, DVD-baserad 34 poäng, eller vid tre månaders uppföljning; instruktörsledd 31 poäng, DVD-baserad 30 poäng. Vid tremånaders test utförde majoriteten av eleverna bröstkompressioner med handplacering för långt ned mot bröstbensspetsen, DVD-baserad 20 %, instruktörsledd 48 %. I den instruktörsledda gruppen sågs vid tre månaders uppföljning en signifikant ökning av andelen elever som utförde kompressioner med korrekt kompressionsdjup (5-6 cm), 7,5 % vs 32,5 %, DVD-baserad 10 % vs 25 %. Flertalet elever ansåg spontant att de hade tillräckliga kunskaper för att göra en livräddande insats. Vid följdfrågor framkom dock att flertalet av de intervjuade kände oro och rädsla för bristande kunskaper, dels för att skada den drabbade, dels för att göra fel vid en livräddande insats i verkligheten. Några elever beskrev att bekräftelse och återkoppling bidrog till att stärka elevens självkänsla till att våga ingripa i en verklig situation, vilket kan vara svårt att hinna med vid utbildning i stora grupper. En möjlig slutsats är att den filmbaserade metoden är effektivare sätt till antal utbildade deltagare, men med stöd av sociokulturell teori bör det i framtida utbildningar avsättas mer tid för gemensamt lärande, tillvaratagande av frågeställningar samt avsättning av tid för individuell och gemensam reflektion.Aim: To compare students’ practical CPR skills and attitude to perform bystander CPR after instructor-led versus DVD-based training. Method: Data was collected through a combination of quantitative and qualitative methods. CPR skills were assessed of 80 seventh grade students during a three minutes practical test, directly after training and at three months follow up by using a PC Skill Reporting System. For CPR skills a total score, 12-48 points, was calculated. A hypothesis is that there is no difference between training methods regarding students' total score, which means that the DVD-based method is more efficient when performed with the whole class. Nine semi-structured interviews were conducted immediately after the training to investigate students' motivation to make a life-saving effort. Result: There were no significant differences between the instructor-led or the DVD-based group regarding CPR skills, a total score of 33 points versus 34 points directly after training and 31 points versus 30 points at three months, respectively.Most students felt spontaneously that they had enough knowledge to make a life-saving effort, but the follow-up questions showed that the majority of the responders, felt worry and fear of lack of sufficient knowledge, to harm the victim or to make mistakes in a life-saving situation. Some students described that feedback after the practical test, helped to strengthen the student's self-esteem, which can be difficult to find time for when training in large groups.One possible conclusion is that the DVD-based method is more efficient in number of participants trained, but with support of the socio-cultural theory, it should in future trainings aside more time for joint learning, valorization of issues and deposition of time for individual and collective reflection.
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Talikowska, Milena. "The relationship between the quality of cardiopulmonary resuscitation (CPR) performed by paramedics and survival outcomes from out-of-hospital cardiac arrest (OHCA)." Thesis, Curtin University, 2017. http://hdl.handle.net/20.500.11937/65985.
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This thesis investigated the quality of cardiopulmonary resuscitation (CPR) provided by St John Ambulance Western Australia (SJA-WA) paramedics to victims of out-of-hospital cardiac arrest in Perth, Western Australia. Chest compression depth was identified as a key metric that required optimisation. The study also found a significant and inverse association between chest compression fraction and return of spontaneous circulation (ROSC). A paramedic survey identified reasons for the underutilisation of the Q-CPR feedback device in clinical practice.
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Garcia, Adriana Mandelli. "Tradução para o português e validação de um instrumento de avaliação de qualidade de ressuscitação cardio-pulmonar no atendimento pré hospitalar: utstein style." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-11062007-142655/.
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O prognóstico após a parada cárdio-respiratória (PCR) e reanimação cardio-pulmonar (RCP) depende de intervenções críticas, particularmente, do tempo de resposta entre a chamada de socorro ou resgate, até a chegada ao local onde se encontra a vítima, além das compressões torácicas eficazes, da desfibrilação precoce e do suporte avançado de vida. Para avaliar a eficácia e a adequação dos procedimentos de RCP durante a PCR, entidades e associações científicas se reuniram e elaboraram o Utstein Style out-of-hospital, cujas definições e instrumento, usados para registro do evento, têm sido amplamente utilizadas em todo o mundo, bem como para estudos publicados sobre atendimento à parada cardíaca. A adoção de um instrumento de consenso internacional levou a uma grande evolução guidelines de reanimação e a progressos científicos, possibilitando a troca de informações mais efetivas para promover comparações internacionais em relação aos procedimentos de ressuscitação tendo como propósito codificar variáveis, mensurar aspectos do processo e avaliar resultados dos atendimentos na PCR fora do hospital. Apesar do grande numero de PCR que ocorre no Brasil, não há, até então, um instrumento em nosso idioma adaptado à nossa realidade. Este trabalho teve pro objetivos realizar a tradução e adaptação cultural do Utstein Style out-of-hospital, com base nos pressupostos metodológicos de Guillemin (2002). O instrumento foi, também, testado em dois centros de atendimento pré-hospitalar para verificar a viabilidade de sua utilização. Como resultado deste estudo metodológico obtivemos um instrumento traduzido para o idioma português, com algumas modificações necessárias para sua adaptação à cultura nacional, sugeridas por um comitê de juizes e cuja aplicação, ainda que em pré-teste, permitiu verificar que os resultados obtidos assemelham-se aos dados internacionais. O maior número de causas de PCR ocorreu em adultos do sexo feminino (58,8%), com idade acima de 29 anos. Grande parte das paradas cardíacas foi identificada por espectador (47,0%), pelo Serviço Médico de Emergência (35,5) e pelo médico (17,5%). Quanto à ocorrência da PCR, 82,4% foi por causa desconhecida e 17,6% por traumaThe prognostic after the cardiac arrest and cardio-pulmonary resuscitation (CPR) is dependent of critical interventions, particularly, time reply called until place, efficient chest compressions early defibrillation and the advanced life support. The definitions of the Utstein style and the instrument of register have been widely used in published studies of cardiopulmonary arrest (CPA), what it took to a great evolution and the progress for international consensuses on science and guidelines of resuscitation, making possible the exchange of information more effective to promote international auditorship in relation to the resuscitation procedures having as intention to codify variable, to measure aspects of the process and to evaluate resulted of the take care of in the CPA of the hospital. Currently several countries already use with this purpose. The Utstein was approved by the international committees. Although the great one number of CPA in Brazil, we did not possess an instrument in our language and adapted. This instrument underwent a process of translation into Portuguese, back-translation into its original language and finally analysis by a committee of judges to evaluate semantics, idiomatic, cultural and conceptual equivalences, with the authorization of the AHA, following the recommendations of Guillemin, revised in 2002. The instrument was tested in two centers the out-of-hospital attendance to verify the use of in the Brazilian country and making possible comparisons with international data, enriching adding the evolution of the CPR in the world. As result of this study we got an instrument translated into the Portuguese language, with some necessary modifications for its adaptation to the national culture, suggested for a committee of judges and whose application allowed verifying that the gotten results resemble it the international data. The biggest number of CPA causes occurred in adults, females (58.8%), with age above of 29 years. Great part of the CPA was identified by witness (47.0%), the Emergency Medical Service (35.5%) and by the physician (17.5%). Several occurrences of CPA, 82.4% it was for unknown cause and 17.6% for trauma
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Fredriksson, Emelie, and Nathalie Jansson. "Närståendes upplevelser av att närvara vid hjärt- och lungräddning - en litteraturöversikt." Thesis, Högskolan Dalarna, Institutionen för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:du-37222.
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Bakgrund: Vid hjärt- och lungräddning (HLR), både hospitalt och prehospitalt, kan närståendevara närvarande. Ett av de globala hållbara målen eftersträvar en god hälsa och välbefinnandeför alla. Detta kan erhållas med personcentrerad vård som syftar bland annat på att stötta,kommunicera och visa lyhördhet till närstående. Tidigare forskning belyser att patientens vårdinte påverkas negativt av närståendes närvaro under pågående HLR och därför har riktlinjerinförts för att involvera närstående under HLR.Syfte: Att beskriva närståendes upplevelser av att närvara vid HLR.Metod: En litteraturöversikt med 15 vetenskapliga artiklar, fem kvalitativa och tio kvantitativa.Resultat: En huvudkategori identifierades, närståendes behov av information ochkommunikation. Denna huvudkategori indelades i fyra underkategorier, mentala effekter av attnärvara eller inte närvara under HLR, att vara fysiskt närvarande, förtroende tillvårdpersonalen samt stöd i sorgeprocessen. Närstående är i behov av kommunikation ochinformation i samband med HLR. Närstående kunde drabbas av psykiska besvär som PTSDoch ångest både av att närvara och att inte närvara. Närvaro under HLR kunde leda till enunderlättad sorgeprocess och ökat förtroende till vårdpersonalen.Slutsats: Ökad kunskap hos vårdpersonalen kring omhändertagandet av närstående i sambandmed HLR kan underlätta för närstående. Närstående är i stort behov av att få möjligheten attnärvara under HLR men behöver då en avsatt personal som kan stötta närstående.Background: During cardiopulmonary resuscitation (CPR) at the hospital or prehospital thereis a posibility that relatives can be present. One of the sustainable development goals is aboutgood health and well-being for all. With a person-centred approach for communication, supportand sensitivity towards relatives the goal can be reached. Previous research shows how patientcare is not affected in the present of relatives. This has resulted in guidelines and routines forinviting relatives during CPR.Aim: To describe relatives experience of being present during CPR.Method: A literature review including 15 articles, ten quantitative articles and five qualitativearticles.Results: One theme was identified relatives' need for information and communication. Withthe main theme four sub themes were identified: psychological effects from being or not beingpresent during CPR, to be physically present, trust in healthcare personnel and support duringthe grieving period. Relatives are in need for communication and information during CPR andcould suffer from physiological effects such as PTSD and anxiety from being and not beingpresent during CPR. But being present during CPR could ease the stress during the grievingperiod and gain trust in the healthcare personnel.Conclusion: With additional training and knowledge healthcare personnel could supportrelatives during CPR. Since relatives are in need of constant communication and informationduring CPR healthcare personnel are needed to provide this to ease the stress on the relative.
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Ståhl, Fanny, and Micael Ringblom. "Faktorer som påverkar människors vilja att ingripa vid hjärtstopp utanför sjukhus." Thesis, Röda Korsets Högskola, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-727.
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Bakgrund: Dödligheten vid hjärtstopp utanför sjukhus är hög och endast några få procent av de som drabbas räddas till livet. Tidig behandling är en avgörande faktor för överlevnad. Överlevnaden kan ökas markant av att människor på platsen, bystanders, ingriper med hjärt-lungräddning (HLR). Att vårda och utföra vårdhandlingar är inte exklusivt för sjuksköterskor. Vid hjärtstopp utanför sjukhus är det istället bystandern som förväntas utföra vårdhandlingen. I många fall sker dock inget ingripande trots att hjärtstoppet bevittnas och den vårdande handlingen uteblir därför. Syfte: Syftet med arbetet var att identifiera faktorer som påverkar människors vilja att ingripa vid hjärtstopp utanför sjukhus. Metod: Arbetet designades som en litteraturstudie där artiklar med både kvantitativ och kvalitativ ansats ingick. Resultat: Resultatet baserades på potentiella bystanders antaganden av hur de skulle agera och faktiska bystanders erfarenheter av att ha agerat. Skillnader i faktorer som påverkade viljan observerades mellan dessa. Viljan påverkades till stor del av rädslor, bristande HLR-kunskaper samt scenariot kring hjärtstoppet där bland annat en familjerelation mellan den drabbade och bystandern utgjorde en påverkande faktor. Slutsats: Resultatet visar att hindrande faktorer för viljan skulle kunna påverkas positivt genom förbättrad HLR-utbildning. Klinisk betydelse: Med hjälp av identifierade faktorer kan befintlig HLR-utbildning ses över och eventuellt förbättras. Detta skulle kunna öka antalet ingripanden och därigenom överlevnaden vid hjärtstopp utanför sjukhus.Background: The lethality is high in out-of-hospital cardiac arrests and only a few percent of the victim’s lives are saved. Early treatment is crucial for survival. People at the scene can increase the survival significantly through CPR interventions. To care and the act of caring is not exclusively for nurses. In cases of out-of-hospital cardiac arrest, the bystander could be the one that performs the act of caring. In many cases, however, no interventions are made although the arrest is witnessed and therefore no act of caring is being performed. Objective: The aim of this essay was to identify factors that influence people's willingness to intervene in out-of-hospital cardiac arrest. Method: This study was designed as a literature study and both quantitative and qualitative research articles were included in the analysis. Results: The result was based on potential bystander's assumptions of how they would act and actual bystanders experience having acted. Differences in factors affecting the willingness were observed between them. The will seemed influenced by fears, lack of CPR skills and the scenario surrounding the arrest. A family tie between the victim and the bystander appeared also as an influencing factor. Conclusion: The findings show that the non-willingness to act could be affected positively by improved CPR training. Clinical significance: In light to the identified factors, improvement of the existing CPR training and increased education could improve the probability of intervention by bystanders and out-of-hospital cardiac arrest survival.
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Sena, David Ponciano de. "Avalia??o comparativa de performance entre e-learning e jogo de computador em manobras de parada cardiorrespirat?ria." Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2018. http://tede2.pucrs.br/tede2/handle/tede/8215.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
Aim of the Study: The purpose of this study was to develop and validate a serious game for mobile platforms comparing with a video-assisted self-learning method to assist in the teaching and learning process of cardiopulmonary resuscitation (CPR) maneuvers. In a traditional training, CPR is based on learning by doing using a simulated model with the assistance of an instructor. However, this model presents an overall higher cost and less accessibility, provoking the need for cheaper and more accessible alternative methods. Methods: Forty-five volunteer first-year medical students completed a written multiple choice and practical pretest about CPR maneuvers skills and were randomly allocated into two groups. During a period of 20 minutes, the video self-learning group with 22 students was exposed to a video-based training about CPR, while the video game group with 23 students used a serious game simulating a cardiac arrest scenario where the student should perform virtual CPR to keep playing the game. Each group then performed, a written multiple choice score and practical post-test on a CPR training model while being evaluated by three blinded emergency doctors based on 2015 AHA-BLS (American Heart Association - Basic Life Support) protocol. Both groups were also evaluated about how long they kept interested on each self-learning system. Results: The video group had superior performance as confirmed by a written multiple choice score 7.56+-0.21 against 6.51+-0,21 for a video game (p=0. 001) and practical scores 9.67+-0.21 against 8.40+-0,21 for a video game (p<0. 001). The video game group stayed longer using the method as confirmed by 18.57+- 0,66 minutes for video game group and 7.41+-0,43 for the video group (p<0. 001), demonstrating greater interest in the video game method. Conclusions: The group that used a video game as a self-training method in a short period of exposure had a lower performance than the video group in both the theoretical and practical tests regarding cardiorespiratory resuscitation. However, there was a clear preference for students to use games rather than videos as a form of self-training.
Objetivo do estudo: O objetivo deste estudo foi desenvolver e validar um jogo s?rio para plataformas m?veis em compara??o com um m?todo de autoaprendizagem assistido por v?deo para auxiliar no processo de ensino e aprendizagem das manobras de ressuscita??o cardiopulmonar (RCP). Em um treinamento tradicional, a RCP ? baseada no aprendizado pela pr?tica, utilizando um modelo simulado com a ajuda de um instrutor. No entanto, este modelo apresenta um custo global mais elevado e de menor acessibilidade, despertando a necessidade de m?todos alternativos mais baratos e pratic?veis. M?todos: Quarenta e cinco volunt?rios, estudantes de medicina do primeiro ano, completaram um pr?-teste de m?ltipla escolha escrito e um pr?-teste pr?tico sobre RCP e foram alocados aleatoriamente em dois grupos. Durante um per?odo de 20 minutos, o grupo de autoaprendizagem v?deo, composto por 22 alunos, foi exposto a um v?deo de treinamento sobre a RCP, enquanto o grupo videogame, composto por 23 estudantes, utilizou um jogo s?rio, simulando um cen?rio de parada card?aca, onde o aluno deveria executar uma RCP virtual para continuar jogando. Ao t?rmino do treinamento, cada grupo foi submetido a um p?s-teste escrito de m?ltipla escolha e um p?s-teste pr?tico em um modelo de treinamento de RCP, sendo avaliados de forma cegada, por tr?s m?dicos com experi?ncia em atendimento de emerg?ncia, com base no protocolo 2015 AHA-BLS (American Heart Association - Basic Life Support). Ambos os grupos tamb?m foram avaliados quanto a quantidade de tempo que eles permaneciam interessados em cada sistema de autoaprendizagem. Resultados: O grupo v?deo apresentou desempenho superior confirmado por uma maior pontua??o no teste escrito de m?ltipla escolha, 7.56 + -0.21 contra 6.51 + -0,21 para videogame (p = 0. 001) e pontua??o no teste de avalia??o pr?tica 9,67 + -0,21 contra 8,40 + -0,21 para videogame (p <0. 001). O grupo videogame permaneceu mais tempo utilizando o m?todo, 18,57 + - 0,66 minutos para o grupo videogame e 7,41 + -0,43 para o grupo v?deo (p <0. 001), demonstrando maior interesse no m?todo do videogame. Conclus?es: O grupo que usou o jogo s?rio (grupo videogame) como um m?todo de autotreinamento em um curto per?odo de exposi??o teve um desempenho pior do que o grupo v?deo nos testes te?ricos e pr?ticos em rela??o ? ressuscita??o cardiopulmonar. No entanto, houve uma clara prefer?ncia por parte dos alunos em utilizar jogos em rela??o aos v?deos como forma de autotreinamento.
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Rodríguez, Benítez Antonio. "Serious games for visually impaired players and to promote first-aid protocols." Doctoral thesis, Universitat de Girona, 2020. http://hdl.handle.net/10803/669833.
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Serious games are games designed to entertain and also to teach or transmit some knowledge. They are present in many areas such as military, health, manufacturing, education or medicine, just to name a few. One of their main advantages is their capability to recreate scenarios to experiment with situations that otherwise would be impossible in the real world due to required safety, cost, and time. In addition, serious games enhance the development of analytical and spatial, strategic, or psychomotor skills.
Unfortunately, despite the advantages of serious games there are still some aspects that need further research and development. On the one hand, there are communities such as visually impaired players which have many difficulties to access them since most of serious games rely on impressive graphics and immersive visual experiences. On the other hand, there are topics of relevant importance such as first-aid protocols that have been considered but only taking into account players with experience on the topic. With the aim to overcome these limitations and exploit serious games advantages as much as possible.Els jocs seriosos són jocs que, a més a més d'entretenir, ensenyen o transmeten algun coneixement. S'apliquen en diferents àrees com poden ser la militar, la salut, la indústria, l'educació o la medicina, entre d'altres. Un dels seus principals avantatges és la seva capacitat per recrear escenaris que permeten experimentar amb situacions que d'una altra manera serien impossibles a la vida real a causa de la seguretat, el cost o el temps que requeririen. A més a més, els jocs seriosos milloren el desenvolupament d'habilitats analítiques, espacials, estratègiques o psicomotrius. Malauradament, tot i els avantatges dels jocs seriosos, encara hi ha certs aspectes en els que cal més recerca i desenvolupament. D'una banda, hi ha comunitats, com les persones amb discapacitats visuals, que hi tenen moltes dificultats d'accés, ja que la majoria de jocs seriosos es basen en gràfics i experiències visualment immersives. D'una altra banda, encara hi ha temes importants com els protocols de primers auxilis que, tot i haver estat considerats en l'entorn dels jocs seriosos, només han tingut en compte als usuaris experts en la matèria deixant-ne fora altres perfils de judadors. L'objectiu d'aquesta tesi es ajudar a superar aquestes limitacions i aprofitar al màxim els avantatges dels jocs seriosos
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Schjetlein, Anne-Marie. "Från hjärtstopp till hjärtstart på sjukhus : Vilka faktorer påverkar överlevnaden?" Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-15608.
Full textAbstract:
För att patienten ska ha optimal chans till överlevnad är det av största vikt att rekommendationer i samtliga delar av kedjan som räddar liv följs. Sjuksköterskan är oftast bland de första på plats vid ett hjärtstopp på en vårdenhet, vilket gör det intressant att belysa vilka faktorer som påverkar överlevnaden efter hjärtstopp på sjukhus. Syftet med litteraturstudien var att belysa faktorer i behandlingen av hjärtstopp på sjukhus som påverkar överlevnaden. Genom en sammanställning och analys av vetenskapligt värderad litteratur utfördes en systematisk litteraturstudie i ämnet. Resultatet visade att en väl fungerande organisation, utbildning, monitorering och följsamhet till riktlinjer var framgångsfaktorer i behandling av hjärtstopp. En hjärt-lungräddningsorganisation behövs, vilken organiserar och kvalitetssäkrar utbildning, rutiner, riktlinjer, utrustning och uppföljning. Utbildning av all personal är en förutsättning för framgångsrik behandling. Sjuksköterskan har möjlighet att identifiera och initiera åtgärder, såsom monitorering, vid ett hjärtstopp på sjukhus för att ge patienten största chans till överlevnad. Följsamheten till rekommendationer är låg med risk för att patientens chans att överleva efter ett hjärtstopp minskas. Hjärtstopp på sjukhus har hittills inte varit föremål för forskning i samma mängd som hjärtstopp utanför sjukhus. Speciellt omvårdnadsforskning om åtgärder där sjuksköterskan kan påverka överlevnaden saknas.In order to achieve the highest survival among patients suffering from in-hospital cardiac arrest, adherence to treatment guidelines are of utmost importance. A nurse is often among the first person on scene when in-hospital cardiac arrest occurs in a regular ward. For this reason, this study explores the factors that may affect survival. The aim of this literature study was to explore factors that affect survival among patients suffering from in-hospital cardiac arrest. Analysis was made on publications found by a systematic search in peer-reviewed publications in the field. The result emphasis the large impact of structure and organization in order to achieve high quality cardiac arrest treatment. There is a need for a centralized cardiopulmonary resuscitation (CPR) management structure in every hospital. This CPR managing group is vital in organizing guidelines, equipment, training and follow-up on treatment results. Training in CPR of all hospital staff is importance for treatment quality. The nurse has the possibility to identify and modify nursing factors such as monitoring level in order to increase chance of detection and thereby the chance of survival in case of cardiac arrest. Current adherence to treatment guidelines is low leading to lower chance of survival. CPR research has so far focused on out-of-hospital cardiac arrest, less focus has been spent on in-hospital cardiac arrest. In particular nursing science concerning areas were nurses are able to affect outcome is lacking.
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Zoerner, Frank. "Novel Interventions in Cardiac Arrest : Targeted Temperature Management, Methylene Blue, S-PBN, Amiodarone, Milrinone and Esmolol, Endothelin and Nitric Oxide In Porcine Resuscitation Models." Doctoral thesis, Uppsala universitet, Anestesiologi och intensivvård, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-236312.
Full textAbstract:
It is a major clinical problem that survival rates after out-of-hospital cardiac arrest have not markedly improved during the last decades, despite extensive research and the introduction of new interventions. However, recent studies have demonstrated promising treatments such as targeted temperature management (TTM) and methylene blue (MB). In our first study, we investigated the effect of MB administered during experi-mental cardiopulmonary resuscitation (CPR) in the setting of postponed hypother-mia in piglets. We set out to study if MB could compensate for a delay to establish targeted TTM. The study demonstrated that MB more than compensated for 30 min delay in induction of TTM. The effect of MB added to that of TTM. The second study examined the effects of TTM and S-PBN on the endothelin system and nitric oxide synthases (NOS) after prolonged CA in a porcine CPR mod-el. The study was designed to understand the cardioprotective mechanism of S-PBN and TTM by their influence on the endothelin system and NOS regulation. We veri-fied for the first time, that these two cardioprotective postresuscitative interventions activate endothelin-1 and its receptors concomitantly with eNOS and nNOS in the myocardium. We concluded that nitric oxide and endothelin pathways are implicated in the postresuscitative cardioprotective effects of TTM. The third study compared survival and hemodynamic effects of low-dose amio-darone and vasopressin to vasopressin in a porcine hypovolemic CA model. The study was designed to evaluate whether resuscitation with amiodarone and vasopressin compared to vasopressin alone would have an impact on resuscitation success, survival, and hemodynamic parameters after hemorrhagic CA. We found that combined resuscitation with amiodarone and vasopressin after hemorrhagic circulatory arrest resulted in greater 3-hour survival, better preserved hemodynamic parameters and smaller myocardial injury compared to resuscitation with vasopressin only. In our fourth study we planned to compare hemodynamic parameters between the treatment group (milrinone, esmolol and vasopressin; MEV) and control group (vasopressin only) during resuscitation from prolonged cardiac arrest in piglets. The study was designed to demonstrate if MEV treatment improved hemodynamics or cardiac damage compared to controls. We demonstrated that MEV treatment reduced cardiac injury compared with vasopressin alone.
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Ryczer-Dumas, Malgorzata. "Users’ agencies : juxtaposing public portrayals and users’ accounts of app-mediated cardiac arrest volunteer work in Sweden." Thesis, Paris, EHESS, 2022. http://www.theses.fr/2022EHES0024.
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Cette thèse adopte une perspective de recherche en sciences sociales pour examiner les usages de l'application SMSlivräddare (eng. SMSlifesaving), devenue Heartrunner, ayant pour objectif de solliciter des bénévoles à proximité de personnes presumées victimes d'un arrêt cardiaque extra-hospitalier. Cette étude de cas sur les usages de cette application médicale et de santé juxtapose les « portraits » publics de l'application, de ses utilisateurs potentiels, de leurs rôles actifs et de leurs pratiques d'usage et les témoignages des utilisateurs bénévoles. Cette analyse explore les dimensions des rôles actifs de l'application et de ses utilisateurs tels qu’ils sont délégués par les « portraits » de la technologie et tels qu’ils sont perçus par ses utilisateurs. Cette analyse rend visibles les aspects des rôles actifs et des pratiques des utilisateurs bénévoles au moment de la mise en œuvre de cette technologie dans deux premières régions, avant son adoption ultérieure dans d'autres régions de Suède ainsi qu’au Danemark. La perspective de la recherche médicale a jusqu'à présent dominé les études sur les applications de secourisme. Ces études ont évalué les résultats de l'usage de l'application par les bénévoles et se sont concentrées sur l'examen de l'efficacité de ces applications, par des indicateurs tels que le nombre d'utilisateurs arrivés sur place et le nombre de ceux qui ont participé à la réanimation des personnes victimes. Dans le même temps, ces travaux ont contribué à la construction de discours prometteurs et à des approches instrumentales appliquées pour comprendre les significations et les usages des applications médicales et de santé. En revanche, en s'appuyant sur l'analyse discursive et thématique du matériel de recherche qualitative, cette thèse cherche à mettre en évidence les perspectives des utilisateurs dans leur co-construction de la technologie de secourisme à travers leurs pratiques d'usage de l'application. Par une approche théorique socio-matérielle, elle explore de manière critique les rôles actifs des utilisateurs tels qu'ils sont délégués par les discours des développeurs du projet, des gestionnaires et des évaluateurs de cette technologie médicale et tels qu'ils sont négociés par les utilisateurs dans leurs pratiques quotidiennes. Cette thèse examine tout d'abord les « portraits » de l'application publiés en ligne, de ses utilisateurs et de leurs rôles actifs, mais aussi dans les pratiques de recrutement des utilisateurs et enfin dans une publication de recherche médicale évaluant cette technologie de secourisme. Ensuite, la thèse examine comment les bénévoles décrivent les motifs de leur décision de devenir usagers de l’application, le contexte social de leurs décisions et les significations qu'ils attribuent à leurs pratiques. Troisièmement, la thèse examine comment les récits des bénévoles, en juxtaposition avec les « portraits » en ligne de la technologie SMSlifesaving, représentent les pratiques d'usage de l'application par les bénévoles aux differentes étapes: avant la réception des notifications les informant des cas d'arrêts cardiaques, au moment de la réception de ces notifications, et après leur acceptation.Contribuant au champ de la recherche sociale critique sur les applications médicales et de santé, la thèse met en relief que les utilisateurs de l'application SMSlifesaving et les technologies qu'ils co-construisent ont des rôles actifs. Elle illustre les rôles actifs délégués et négociés par les utilisateurs ; ces derniers lorsqu'ils surmontent les dépendances quotidiennes de l'application et mesurent l'importance de leur travail bénévole, par l’intermédiaire de leur usage de l’application, par rapport à leur travail rémunéré et à leurs engagements de vie privée, développent un engagement consciencieux envers l'application et redéfinissent les promesses médicales de l'application pour les personnes victimes et leurs famillesThis thesis embraces a social science research perspective to examine uses of the app SMSlivräddare (eng. SMSlifesaving), now Heartrunner, dedicated to alert volunteers nearby to assist people suspected to suffer from a cardiac arrest outside hospital. This case study of the uses of the health and medical app juxtaposes the public portrayals of the app, its prospective users, their agencies and use practices with the volunteer users’ own accounts. The analysis explores dimensions of the app’s and its users’ agencies as delegated by the technology’s portrayals and perceived by its users. It renders visible also possibly obscured aspects of the volunteer users’ agencies and practices at the time of the technology’s implementation in the two first regions, before its subsequent adoption in other Swedish regions and in Denmark. A medical research perspective has so far dominated the studies of lifesaving apps. Such research evaluates the patients’ health outcomes resulting from the app use by the volunteers and concentrates on the examination of the efficiency aspects of the app, such as how many users arrived and how many engaged in resuscitating the patients. At the same time, it contributes to the promissory discourses and instrumental approaches applied to understand the meanings and uses of health and medical apps. In contrast, building on the discourse and thematic analysis of the qualitative research material, this thesis seeks to highlight the users’ perspectives in their co-constructing of the SMSlifesaving technology through their app use practices; it embraces a socio-material theoretical approach and critically explores the users’ agencies as delegated by the discourses of the project developers, managers and evaluators of the medical technology and as negotiated by the users in their daily practices. This thesis, first, investigates the public portrayals of the app, its users and their agencies published online, in the user-recruiting practices, and in a medical research publication evaluating the SMSlifesaving technology. Next, it examines how the volunteers’ accounts describe the rationales of their entry into their SMSlifesaving app use practices, the social context embedding their entry and the meanings which they ascribe to their practices. Third, the study investigates how the volunteers’ accounts in juxtaposition to the online portrayals of the SMSlifesaving technology represent the volunteers’ app use before their receptions of the app’s notifications which inform them about cardiac-arrest cases nearby, at the time of reception of such notifications, and following acceptance of such notifications.Contributing to the field of critical social research on health and medical apps, the thesis identifies that both the SMSlifesaving app users and the technologies they co-construct have agencies. It illustrates the users’ agencies delegated and negotiated; the latter when they overcome the app everyday dependencies and judge the app-mediated volunteer work importance versus their paid work and private life commitments, develop dutiful engagement with the app and re-define the app’s medical promises for the patients and their families
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LIN, SHU-FEN, and 林淑份. "An Exploratory of Undergraduate Nursing Students＇ Behavior Intention Toward Cardiopulmonary Resuscitation (CPR)." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/8ygu2k.
Full textAbstract:
碩士長庚科技大學
護理系碩士在職專班
107
Research purposes: This study aims to explore undergraduate nursing students＇ CPR knowledge,attitude toward the behavior, subjective norm, perceived behavior of control and behavior intention toward cardiopulmonary resuscitation (CPR). Methodology: A convenience sampling and cross-sectional study design was used for the present study.The Theory of Planned Behavior(TPB) provide the framework for the study，to investigate behavior intention toward cardiopulmonary resuscitation (CPR) among undergraduate nursing students. A self-developed investigational questionnaire was used. Totally 192 valid questionnaires were collected from two of university of science and technology's nursing students in South of Taiwan. The parameters of assessment incluced the attitude toward the behavior, subjective norm, perceived behavior of control and behavior intention. T-test, one-way ANOVA, Pearson product-moment correlation, step-wise multiple regression analysis were used for data analysis. Results: The study subjects have a good knowledge of CPR knowledge, the average answer rate was 82.38%. Subjects’ attitude towards learning cardiopulmonary resuscitation and performing cardiopulmonary resuscitation is positive.Behavior intentions to perform CPR were influenced by attitude and subjective norm, with subjective norm and behavior intentions having the greatest influence, followed by attitude.There was significant positive correlations in all aspects of attitude, subjective norm, and perceived behavior of control. With the use the TPB in this study, the perceived behavior of control was the prime important predicting variable（β= .38，p < .001）,the subjective norm（β= .25，p < .001）and the attitude（β= .24，p < .001）were the next importance for the predition of behavior intentions to perform CPR. The explanation power of these three variables accounted for 51.7%. Conclusion: Based on the research results attitude and subjective norms were the most important factors. Therefore, we suggest strengthening the opportunities and ways, reducing infectious diseases during the implementation process and the current relevant protection laws to enhance positive behavioral beliefs. In addition, we should design and promot the support of important others to be engaged the behavior intention toward cardiopulmonary resuscitation.
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Kipsang, John. "Cardiopulmonary Resuscitation (CPR) competence among advanced student nurses in a Kenyan medical training college." Thesis, 2008. http://hdl.handle.net/10539/4654.
Full textAbstract:
ABSTRACT
Nurses’ Cardiopulmonary resuscitation (CPR) competence has been a subject of many research studies. The need for nurses to be competent in CPR is not debatable, because nurses are expected to preserve and promote life. This study assessed and compared CPR competence between two groups of Advanced Student Nurses in a Kenyan Medical Training College. The study used a descriptive comparative design. The participants were assigned to two groups based on the CPR training they had received. Group I had Advanced Life Support (ALS) training n=23 (comprised ICU advanced nursing students) and group II had Basic Life Support (BLS) training n=48 (comprised Midwifery, Ophthalmic, Community and Psychiatric advanced nursing students). The study sample constituted 71 participants of whom 28.2% were males and 71.8 % were females. Out of the 71 students who took part in the study only five attained the competence score, the remaining 66 failed the competence test. The five who passed the competence score were from the ALS group. The null hypothesis tested in the study was subjected to paired t-test and a p-value of p= 0.0001 was obtained. The null hypothesis was thus rejected based on this finding. The study confirmed previous findings that nurses CPR competence is below the expectation and the difference in training for the two groups of Advanced Student Nurses.
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Cheskes, Lindsay. "Assessing Public Perceptions of Cardiopulmonary Resuscitation and Bystander Willingness to Act in Out-of-hospital Cardiac Arrest." Thesis, 2014. http://hdl.handle.net/1807/44007.
Full textAbstract:
Low survival rates following out-of-hospital cardiac arrest (OHCA) remain a serious health concern internationally. Early bystander cardiopulmonary resuscitation (CPR) and rapid defibrillation can increase the chances of survival dramatically. However, the number of OHCA patients who receive these interventions remains low. This study sought to characterize Canadian public knowledge, attitudes and willingness to perform both traditional and chest-compression-only CPR using a two-phase, mixed methods approach. Twenty-one qualitative interviews were conducted, the results of which informed an online, scenario-based, Canada-wide survey. Significant knowledge gaps regarding recognition of cardiac arrest, the precise steps of CPR and perceived survival rate were identified and common to both phases. A larger proportion of survey respondents demonstrated a willingness to perform chest-compression-only CPR compared to traditional CPR in general, and specifically in situations involving strangers and unkempt individuals. Knowledge gaps and misconceptions seem to dominate the public perspective, leading to the recommendation for a tailored knowledge translation solution.
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Schuster, Michelle L. "Nursing performance of pediatric CPR a method for improvement : a report submitted in partial fulfillment ... for the degree of Master of Science, Parent-Child Nursing ... /." 1997. http://catalog.hathitrust.org/api/volumes/oclc/68799584.html.
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CHEN, GUAN-YU, and 陳冠羽. "A Study Investigating the Critical Factors for the Successful Promotion of Cardiopulmonary Resuscitation (CPR) –Taking Miaoli County as an Example." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/w6tju2.
Full textAbstract:
碩士育達科技大學
資訊管理所
107
The main purpose of this study is to promote the early CPR implementation for OHCA (out-of-hospital cardiac arrest) patients by general public to further increase the survival rate of injured patients. Successful promotion of cardiopulmonary resuscitation (CPR) enables patients to receive emergency treatment early and saves more lives of general public, so its importance cannot be ignored. This study performed an expert survey, arranged relevant literature, and used modified Delphi method to develop the interview questionnaire to analyze the affecting factors (indicators). Lastly, this study used Analytic Hierarchy Process (AHP) to obtain the weights of various critical factors (indicators) for the successful promotion of cardiopulmonary resuscitation (CPR), and arranged and analyzed them. The weights of various critical factors (indicators) for the successful promotion of cardiopulmonary resuscitation (CPR) can be learned from the research results to understand the critical factors for the successful promotion of cardiopulmonary resuscitation (CPR). The findings serve as reference for Emergency Medical Service Division and various fire prevention corps (teams) to propagate the information on CPR in the future to enable general public in the society to generally learn to perform cardiopulmonary resuscitation (CPR) and further increase the survival rate of OHCA patients.
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Young, Jeanne. "Providing ethical care cardiopulmonary resuscitation (CPR) for chronic obstructive pulmonary disease (COPD) exacerbations in patients with end stage lung disease (ESLD) /." 2009. http://digitool.Library.McGill.CA:8881/R/?func=dbin-jump-full&object_id=92266.
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Dvořáčková, Eliška. "Dějiny první pomoci se zaměřením na kardiopulmonální resuscitaci." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-364907.
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The thesis deals with an overview of the history of First Aid, focusing on the development of cardiopulmonary resuscitation. It is a historical-comparative work of theoretical nature. The intention is to map the knowledge and experience that can be used effectively to develop and study the issue. When writing a thesis, an analysis of the available literature, both historical and contemporary, foreign and Czech, was used. Articles from professional periodicals and monographs were searched. The work was, for the sake of completeness, supplemented with period pictures and diagrams. The introduction justifies the choice of the topic and depicts the current state of knowledge in the field of First Aid. The next chapter explains the basic concepts which are important for orientation in the issue. Following a historical study First Aid aimed at developments providing cardiopulmonary resuscitation. The chapter is divided into subchapters describing the chronology of events to present recommendations for resuscitation and First Aid, so called CPR Guidelines 2015. The last chapter deals with the basic legal minimum. The outcome of this work is an extremely comprehensive overview of mapping the formation and development of First Aid from its history to current recommendations for resuscitation. This thesis...
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Pereira, Firmino Miguel de Almeida Aguilar. "Reanimar com os pais… pessoas a mais?!: presença de familiares durante procedimentos de reanimação em pediatria: a visão dos enfermeiros do serviço de urgência pediátrica." Master's thesis, 2016. http://hdl.handle.net/10362/19944.
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RESUMO - Em instituições de saúde no contexto de pediatria, onde a presença dos pais é assumida por todos como favorável para a criança, tem-se questionado se a mesma, aquando procedimentos de reanimação cardiorrespiratória, é igualmente aceite.
Esta temática tem sido alvo de vários estudos ao longo das últimas décadas e continua a ser controversa nomeadamente em Portugal, onde a bibliografia é escassa.
No âmbito da qualidade em saúde, enquanto parte integrante da gestão da saúde, realizou-se uma dissertação de mestrado sobre a opinião de 131 enfermeiros a exercerem funções em 10 serviços de urgência pediátrica (SUP) de hospitais de Portugal Continental.
A investigação desenvolveu-se na base do método quantitativo, com recurso à análise descritiva e do conteúdo das respostas a um questionário validado para o efeito, de forma a perceber as implicações da presença dos pais durante a reanimação dos filhos.
Embora ainda não seja assumida em todos os contextos, esta prática começa a verificar-se cada vez mais em Portugal, na base do seguimento das recomendações do European Resuscitation Council e do cumprimento do disposto na Lei n.º 15/2014.
Mesmo assim, os enfermeiros manifestam ainda bastantes preocupações, referindo sobretudo a possibilidade dos pais interferirem nos procedimentos. Contudo, ao mesmo tempo, identificam-se também benefícios, entre eles a diminuição da ansiedade dos pais, ao compreenderem tudo o que é feito pelos filhos. Em todo o caso, quando os procedimentos são desenvolvidos na presença dos acompanhantes, os enfermeiros descrevem maioritariamente experiências positivas.
Não obstante, para que tal seja possível, os SUP deverão investir na normalização de procedimentos e na criação de condições físicas/humanas, no sentido da otimização da qualidade dos cuidados prestados ao utente pediátrico em contexto de paragem cardiorrespiratória.ABSTRACT - Parents’ presence in healthcare institutions is generally seen as favorable for the pediatric patient; but now the question is: is it equally accepted during CPR procedures? This issue has been the object of many studies for the past few decades and continues to be controversial, especially in Portugal, where there is only a few literature. Concerning quality of healthcare, as an important part of health management, a master’s degree dissertation was made on the opinions of a sample of 131 nurses, working in 10 pediatric emergency rooms in the Continental Portugal. This investigation was based on a quantitative method, using a descriptive analysis of the results of a valid survey, in order to realize the implications of the parents’ presence during their child CPR. Although it is not yet assumed in all contexts, this practice is gradually more current in Portugal, based on European Resuscitation Council recommendations and the following determined by law (Lei 15/2014). Nurses manifested many concerns, especially the possibility of parents interfering in such procedures, but at the same time, benefits are visible, such as decreased anxiety levels of the parents once they realize all the efforts invested in their child. This way, when the procedures occur in the presence of relatives, nurses mention basically positive experiences. For this to become possible, pediatric emergency rooms should invest in procedures standardization and the gathering of physical / human conditions to optimize the quality of pediatric patient’s healthcare in a CPR situation.
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Mendes, Edgar. "Treino de equipa nas emergências cardiorrespiratórias - Uma prática de qualidade." Master's thesis, 2020. http://hdl.handle.net/10400.26/35198.
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A sobrevivência dos doentes que sofreram paragem cardiorrespiratória está relacionada com a qualidade da reanimação. Tem-se sugerido treino em equipa nos cursos de reanimação como forma de melhorar a qualidade da mesma e a dinâmica das equipas.
Este relatório pretende demonstrar o desenvolvimento de competências especializadas e de mestre na área da Enfermagem Médico-Cirúrgica - A pessoa em situação crítica no decorrer do Estágio Final em concreto e durante todo o curso no global.
Paralelamente, é descrito o projeto de intervenção desenvolvido numa Unidade de Cuidados Intensivos. Este foi elaborado segundo a metodologia de projeto e pretendeu otimizar o desempenho da equipa nas emergências cardiorrespiratórias. Para tal, recorreu-se à formação com treino por simulação e à uniformização de procedimentos na abordagem da equipa a estas situações.
Todo o percurso aqui explanado, foi fundamental para garantirmos uma prestação de cuidados de qualidade na área de Enfermagem Médico-Cirúrgica ao doente crítico.The survival of patients who have suffered cardiorespiratory arrest is related to the quality of resuscitation. Team training in resuscitation courses has been suggested to improve its quality and team dynamics. This report intends to demonstrate the development of specialized and master competences in “Medical-Surgical Nursing - The person in critical condition” during the final internship in concrete and the whole course in global. In parallel, the intervention project developed in an Intensive Care Unit is described. This was developed according to the project methodology and intended to optimize the team's performance in cardiorespiratory emergencies. For this, simulation training and standardization of procedures were used in the team's approach to these situations. The entire path explained here was essential to guarantee quality care in the area of Medical Surgical Nursing to critically ill patients
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Silva, Pedro Nuno Monteiro Vieira da. "Implementação da Equipa de Emergência Médica Intra-hospitalar nos hospitais do Serviço Nacional de Saúde : análise de custo-efetividade perante a incidência da paragem cárdio-respiratória intra-hospitalar." Master's thesis, 2015. http://hdl.handle.net/10362/16303.
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RESUMO - Introdução: No âmbito das emergências intra-hospitalares investigou-se a hipótese da
presença da Equipa Emergência Médica Intra-hospitalar (EEMI) (DGS, 2010) num Centro
Hospitalar (CH), contribuir para a redução do número de mortos por Paragem Cárdiorespiratória
(PCR) intra-hospitalar, quando comparado com outro CH dotado de uma
equipa tradicional de resposta à PCR.
Metodologia: Tratou-se de um estudo observacional, retrospetivo (2010 a 2014), com base
nos dados do Grupo de Diagnóstico Homogéneo (GDH), analisado numa perspetiva de
custo-efetividade no impacto sobre incidência de PCR e taxa de mortalidade.
Resultados: Observou-se que o CH com EEMI apresentou uma Redução Risco Absoluto
(RRA) de 9,01% de morte por PCR. A taxa de mortalidade calculada foi de 2,82 casos por
1000 episódios de internamento em que a incidência de PCR foi de 28,24 casos por cada
10 000 habitantes, duas vezes menor que CH em comparação. Quando introduzidas
manobras de Ressuscitação Cárdiopulmonar (RCP), o mesmo CH teve um maior número
de PCR revertidas, com uma taxa de mortalidade 2 vezes menor que o CH sem EEMI.
Conclusão: Resultados demonstraram que os dois CH apresentaram riscos diferentes, em
que a probabilidade do doente hospitalizado de morrer após ocorrência de PCR foi menor
no grupo exposto à EEMI, com OR = 0,496 [IC 95% (0,372 a 0,662)] para dados
populacionais (p = 0,0013), e OR = 0,618 [IC 95% (0,298 a 1,281)] para dados individuais,
(p = 0,194). Face a melhores resultados em Saúde, considerou-se a implementação da
EEMI, uma medida custo-efetiva, uma vez que o principal requisito traduz-se por
reorganização das equipas tradicionais para uma vertente de prevenção da PCR.ABSTRACT - Introduction: In the context of intra-hospital emergencies, the hypothesis of Resuscitation Team (RT) presence (DGS, 2010) in a hospital center (HC) was investigated to contribute to the reduction of the numbers of death by intra-hospital cardiac arrests, when compared with other HC with traditional team’s responses to the cardiac arrest (CA). Methods: This was an observational study, retrospective (2010 to 2014), based on Diagnosis-Related Group (DRG) data, analysed in a prospective cost-effectiveness analyses (CEA) of the impact on the prevalence of cardiac arrest and mortality rate. Results: It was observed that the HC with RT, showed a Absolute Risk Reduction (ARR) of 9,01% of death by CA. The mortality rate calculated was 2,82 cases per 1000 episodes of hospitalization with a incidence of CA of 28,24 cases per 10 000 inhabitants, twice smaller then HC in comparison. When introduced cardiopulmonary resuscitation manoeuvres, the same HC had a higher number of reversed CA, with a mortality rate two times smaller than the HC, without RT. Conclusion: Results demonstrated that both HC showed different risks, where the hospitalized patient has less probability of death in the group exposed to RT, with OR = 0,496 [95% CI (0,372 a 0,662)] DRG Group data (p = 0,0013), and OR = 0,618 [95% CI (0,298 a 1,281)] for individual DRG data (p = 0,194). For better health results, the implementation of RT was considered; a cost-effective measure, since the main requirement is better reflected in the reorganization of traditional teams for preventive aspects of CA.