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Resuscitation

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The AutoPulse non-invasive cardiac support pump for cardiopulmonary resuscitation | Advice | NICE

NICE has developed a Medtech Innovation Briefing (MIB) on the AutoPulse non-invasive cardiac support pump for cardiopulmonary resuscitation.  
nice.org.uk
over 5 years ago
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10

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The purpose of the trauma team is to provide advanced simultaneous care from relevant specialists to the seriously injured trauma patient. When functioning well, the outcome of the trauma team performance should be greater than the sum of its parts. Trauma teams have been shown to reduce the time taken for resuscitation, as well as time to CT scan, to emergency department discharge and to the operating room. These benefits are demonstrated by improved survival rates, particularly for the most severely injured patients, both within and outside of dedicated trauma centres. In order to ensure the best possible performance of the team, the leadership skills of the trauma team leader are essential and their non-technical skills have been shown to be particularly important. Team performance can be enhanced through a process of audit and assessment of the workings of the team and the evidence currently available suggests that this is best facilitated through the process of video review of the trauma resuscitation. The use of human patient simulators to train and assess trauma teams is becoming more commonplace and this technique offers a safe environment for the future education of trauma team staff.  
sjtrem.com
over 5 years ago
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Discussion on Fluids: The last Cotton lecture

This is an interview that I did on www.medtalknetwork.com with Dr. Brian Cotton. Dr. Cotton recently left Vanderbilt to take a new position at UT Houston. He is an excellent teacher and his opinions on fluids resuscitation are cutting edge.  
Jeffrey S. Guy, MD, FACS
over 10 years ago
Www.bmj
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Paediatric Resuscitation

Copyrighted Material, used by arrangement with John Wiley & Sons Limited. For personal use only, must not be reproduced or shared with third parties. Anyone wishing to reproduce this content in whole or in part, in print or in electronic format, should contact digitalrightsuk@wiley.com  
bmj.com
almost 7 years ago
Www.bmj
1
32

Is adrenaline safe and effective as a treatment for out of hospital cardiac arrest?

Adrenaline (epinephrine) has been an integral component of advanced resuscitation algorithms since the early 1960s. Initial guidelines for the treatment of cardiac arrest recommended the use of intracardiac adrenaline (0.5 mg) or high dose intravenous adrenaline (10 mg), repeating with larger doses if required.1 The mechanism of action for adrenaline in cardiac arrest is attributed to stimulation of α2 receptors in vascular smooth muscle, causing vasoconstriction. This increases aortic diastolic pressure, which in turn leads to increased coronary perfusion pressures, which improves short term survival. Experimental studies, however, suggest that adrenaline impairs cerebral macrovascular2 and microvascular blood flow,3 4 increases ventricular arrhythmias, and increases myocardial dysfunction after return of spontaneous circulation.5 This creates the paradox of better short term survival but at the potential cost of worse long term outcomes.  
bmj.com
almost 7 years ago
Www.bmj
1
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Modern management of splenic trauma

Initial resuscitation, diagnostic evaluation, and management of the trauma patient is based on protocols from Advanced Trauma Life Support (ATLS)  
www.bmj.com
almost 7 years ago
Www.bmj
1
24

Paediatric Resuscitation

Copyrighted Material, used by arrangement with John Wiley & Sons Limited. For personal use only, must not be reproduced or shared with third parties. Anyone wishing to reproduce this content in whole or in part, in print or in electronic format, should contact digitalrightsuk@wiley.com  
bmj.com
almost 7 years ago
Www.bmj
1
18

Chemotherapy near end of life is linked with greater emergency intervention

Patients who are terminally ill with cancer who have chemotherapy in the last months of life are more likely to undergo resuscitation and die in an intensive care unit than in a hospice or at home, a study has found.  
bmj.com
almost 7 years ago
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34

'Clarity needed' over resuscitation orders - BBC News

Clearer guidance is needed about when "do not resuscitate" orders can be placed on patients' medical records, judges at the Court of Appeal have been told.  
BBC News
almost 7 years ago
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24

Advances in resuscitation

Stream Advances in resuscitation by BMJ talk medicine from desktop or your mobile device  
SoundCloud
almost 7 years ago
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1
16

Journal Club: Lung protective mechanical ventilation

Stream Journal Club: Lung protective mechanical ventilation by BMJ talk medicine from desktop or your mobile device  
SoundCloud
almost 7 years ago
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1
19

Introduction to Adult In-Hospital CPR eLecture

Nick Smith - Advanced Life Support Instructor for the Resuscitation Council (UK) on CPR in the hospital setting This video only covers assessment, chest comp...  
YouTube
almost 7 years ago
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1
17

Advances in resuscitation

Stream Advances in resuscitation by BMJ talk medicine from desktop or your mobile device  
SoundCloud
almost 7 years ago
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1
13

Adult CPR in 5 min

Basics of Adult CPR in 5 minutes (this is a cut down version of our Introduction to In-hospital Life Support Video to fit in with our 5 Minute Medicine Series  
YouTube
over 6 years ago
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Paediatric CPR in 5 min

Paediatric BLS aimed at healthcare professionals with a duty to respond to emergencies More details on the Resuscitation Council (UK) Guidelines on this can ...  
YouTube
over 6 years ago
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1
7

Introduction to Adult In-Hospital CPR eLecture

Nick Smith - Advanced Life Support Instructor for the Resuscitation Council (UK) on CPR in the hospital setting This video only covers assessment, chest comp...  
YouTube
over 6 years ago
Foo20151013 2023 38zku8?1444774057
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2775

The BioPsychoSocial Model of Disease comes to life

The biopsychosocial model of disease existed in my notes... an excuse to get out the colouring crayons and draw a diagram, but ultimately another collection of facts that needed to be digested then regurgitated in the summer exams, something to be fitted in around learning about the important stuff - the science. But the biopsychosocial model has come alive for me recently, now I realise what an impact the later two components, psychological and social, can have on patients. As a former medical student and now full time patient, the model really means something to me now. In the 1977 paper in Science, George Engel introduced the biopsychosocial model: "The dominant model of disease today is biomedical, and it leaves no room within it's framework for the social, psychological and behavioural dimensions of illness. A biopsychosocial model is proposed that provides a blueprint for research, a framework for teaching and a design for action in the real world of health care." Following some conversations on Twitter recently and from my own experience at medical school and now as a patient, I wanted to explore my thoughts on this model. Twitter, in the wonderful way it does, recently introduced me to the Disabled Medic blog, which among many other great posts, has also explored the biopsychosocial model, and I would recommend a read. The biopsychosocial model shows the influence that emotions and social circumstances have on physical health, which is important. But while conversations about the model focus on the way it can be used by healthcare professionals (very important!), it needs emphasising that the model can provide a framework for patients to look at/after themselves. The model highlights the psychological and social causes of disease, but more optimistically, it can show that there are a range of treatments for disease, from the medical to the social and psychological. A diagnosis of a long-term health conditions is often simultaneous with loss of control. There are limitations to the success of medications, treatments and surgeries. And in receiving these, we are relatively passive as patients, no matter how engaged we are. The biopsychosocial model looks at our biological, psychological and social needs, and how these factors influence our overall health. Establishing that these factors affect our health is only the first step. As patients, when psychological and social factors are brought in to the equation, it becomes clear that we ourselves have some power to help ourselves. By framing our health in this more holistic way, as patients we are not as powerless as suggested by the medical model. Through self-management we can make positive changes to our own psychological and social situations, which can in turn benefit our physical biological health. To return to the traditional ground of the model - healthcare professionals.... One strength of the model is that it places psychology side beside its (generally considered) more superior counter-part, biology. I hope that by seeing the biopsychosocial model in action, physicians can appreciate the detrimental psychological impact of a diagnosis, and the assumption of "it is all in the mind" can fall by the way side. By integrating all three elements, the model shows that neither is independent of the others, so it can't be all in the mind, because other factors, biological or social, will be involved to some degree. For me personally, the biopsychosocial model makes me look at what a 'life' is. One of the attractions of medicine is saving lives. Without getting too deeply into philosophy or ethics, I just want to explore for a second what saving a life really means for me, as a patient. I still believe that A&E staff heroically save lives. But I have come to realise that a life is more than a swiggly line on a heart rate monitor. My counsellor has been just as heroic in saving my life, through addressing my emotions. My life is now something I can live, rather than endure. With saving lives being a key (and honourable) motivation among medical staff, it is important that we can allow them to save lives as often as possible, and in many different ways. It may not always be through emergency treatment in resuscitation, but if we embrace the biopsychosical model, they can save lives in many more ways. When there is a limit to the effectiveness of the biological approaches to an ill person, and they can't be returned to the land of the healthy, medical science becomes unstuck. Within the biopsychosocial model, the issue of doctors not being able to do anything is slightly less. As I mentioned in my post about making the transition from medical student to patient, I went to medical school because I wanted to make people better. But I was only being taught one way to make people better - drugs and surgery. If we really embraces the biopsychosocial model, doctors could make a difference, even if their standard tools of drugs aren't available because they could turn to psychological and social support. This isn't to say that all clinicians have to be counsellors or social workers - far from it. But an awareness and appreciation of their contribution to the management of a patient is important, as well as an understanding of the basic principles and skills such as motivational interviewing. In 2013, I don't think I can talk about social in this context without mentioning social media. It was not was Engel originally meant in 1977, but social media has become a vital social tool for patients to manage their health. Ignoring anxieties and postural problems associated with sitting at a screen seeing everyone else's photo-shopped lives, it is undeniable that social media is a big and good resource that can empower patients to take responsibility and manage their own health. To see the best examples in action, take a look at Michael Seres and his blog, Being a Patient Isn't Easy to see a whole new meaning to the social in biopsychosocial! I am still very grateful for the biological expertise of my medical team. Don't get me wrong - it's a good place to start and I wouldn't be here writing this post today if it wasn't for the biological support. But with chronic illness, when you are past the dramatic relapses, the biological isn't enough.... The biology has allowed me to live, but its the psychological and social support I have received that has allowed me to live. Anya de Iongh @anyadei www.thepatientpatient2011.blogspot.co.uk  
Anya de Iongh
almost 8 years ago
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Mechanical Ventilation Explained Clearly | 5 of 5

Understand the process of liberating (weaning) patients from a mechanical ventilator and extubation with this clear explanation from Dr. Roger Seheult. Video...  
youtube.com
almost 6 years ago
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Mechanical Ventilation Explained Clearly | 4 of 5

Dr. Roger Seheult illustrates ventilator settings related to various clinical scenarios in video 4 of 5 on mechanical ventilation. Examples include managing ...  
youtube.com
almost 6 years ago