scholarly journals Pre-hospital advanced life support resuscitation – a curriculum for pre-hospital education

2020 ◽  
Vol 17 ◽  
Author(s):  
David Reid ◽  
Moira Sim ◽  
Shelley Beatty ◽  
Hugh Grantham ◽  
Mike Gale
Keyword(s):  
Healthcare Professionals ◽  
Life Support ◽  
Hospital Setting ◽  
Advanced Life Support ◽  
First Responders ◽  
Evidence Base ◽  
Hospital Environment ◽  
Lay Persons ◽  
Resource Limited ◽  
Interprofessional Healthcare

IntroductionThere is a broad evidence base to support advanced life support (ALS) education for healthcare professionals being structured, realistic and inclusive of a range of human factors. This paper outlines a curriculum for ALS resuscitation education for providers working in the pre-hospital or resource-limited settings. The focus on pre-hospital ALS education is important because actions taken by pre-hospital healthcare professionals have a critical impact on the likelihood of patient survival.MethodsThe pre-hospital ALS curriculum developed in this research was derived from a survey and interviews with pre-hospital healthcare professionals and first responders, and input from resuscitation, medical and education experts. Following completion of the interviews an expert panel of resuscitation experts was consulted. ResultsInformation collected indicated that a pre-hospital ALS course should follow current recommendations of the Australian Resuscitation Council and that the course should be delivered in a mixed mode comprising of online pre-reading and a quiz followed by one day of face-to-face teaching. Equipment should reflect that used in the pre-hospital environment and a pre-hospital ALS course should include scenarios relevant to the pre-hospital setting involving varying numbers of interprofessional healthcare teams as well as first responders and lay persons. Candidates should be assessed on a continual basis and certificates of participation be valid for 2 to 3 years. ConclusionTo improve pre-hospital resuscitation education and maximise the likelihood of patient survival, ALS education for pre-hospital providers should follow Australian Resuscitation Council guidelines, include pre-course reading, case studies and practical simulation in situations that are likely to be encountered by pre-hospital professionals.

scholarly journals Pre-hospital advanced life support resuscitation training: A pilot of an evidence-based curriculum

2020 ◽  
Vol 17 ◽  
Author(s):  
David Reid ◽  
Moira Sim ◽  
Shelley Beatty ◽  
Hugh Grantham ◽  
Mike Gale
Keyword(s):  
Healthcare Professionals ◽  
Life Support ◽  
Patient Survival ◽  
Expert Panel ◽  
Hospital Setting ◽  
Advanced Life Support ◽  
Evidence Base ◽  
Hospital Environment ◽  
Resource Limited ◽  
Resuscitation Training

Introduction There is a broad evidence base to support advanced life support (ALS) education for healthcare professionals being structured, realistic and inclusive of a range of human factors. This paper outlines the results of a pilot ALS resuscitation course tailored for providers working in pre-hospital resource-limited settings. The focus on the pre-hospital ALS environment, team mix, techniques, skills and equipment are important because actions taken by pre-hospital healthcare professionals have a critical impact on the likelihood of patient survival. Methods A pre-hospital ALS course was piloted following research into the need for a course and development of a pre-hospital-specific curriculum, based on Australian Resuscitation Council (ARC) guidelines. There were 13 pilot courses run, involving 66 participants. Participants all worked in the pre-hospital environment and held qualifications ranging from a Certificate IV in Healthcare through to postgraduate paramedicine qualifications. The pre-hospital ALS course consisted of theory and practical elements, pre-reading and a pre- and post-course quiz. Feedback was sought from course participants and an expert panel was consulted on the findings. Results Participants and the Expert Panel indicated that a pre-hospital ALS course should follow current recommendations of the ARC and be delivered to persons with sufficient underpinning knowledge of ALS resuscitation. The course should include pre-reading on ALS protocols and a pre-test followed by one day of face-to-face teaching using equipment reflective of the pre-hospital environment. Scenarios should be relevant to the pre-hospital setting and involve varying numbers of responders. Participants should be assessed on a continual basis during the course. Conclusion To improve participant confidence in the delivery of ALS and maximise the likelihood of patient survival, pre-hospital ALS resuscitation education for pre-hospital providers should follow ARC guidelines, include pre-course reading and practical simulation that reflects participants’ day-to-day employment.

Recurrent ventricular fibrillation: Experience with first responders prior to advanced life support interventions

Resuscitation ◽  
2015 ◽  
Vol 88 ◽  
pp. 138-142 ◽  
Author(s):  
Brian J. Telesz ◽  
Erik P. Hess ◽  
Elizabeth Atkinson ◽  
Roger D. White
Keyword(s):  
Ventricular Fibrillation ◽  
Life Support ◽  
Advanced Life Support ◽  
First Responders

Need of intraosseous access in advanced life support in the in-hospital setting

2017 ◽  
Vol 31 ◽  
pp. S18-S19
Author(s):  
Stephan Leutscher ◽  
B Gerritse ◽  
N van der Meer ◽  
F Schuitemaker ◽  
T Scohy
Keyword(s):  
Life Support ◽  
Hospital Setting ◽  
Advanced Life Support ◽  
Intraosseous Access

scholarly journals Animal assisted interventions in the children's hospital: protocol for a scoping review

2021 ◽  
Vol 3 ◽  
pp. 74
Author(s):  
Rachel Howe ◽  
Sandra Nicholson ◽  
Attracta Lafferty ◽  
Carmel Davies ◽  
Diarmuid Stokes ◽  
...  
Keyword(s):  
Scoping Review ◽  
Scientific Evidence ◽  
Companion Animals ◽  
Hospital Setting ◽  
Evidence Base ◽  
Hospital Environment ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Review Protocol ◽  
Long Term Impact

The introduction of Animal Assisted Interventions (AAIs) in healthcare is relatively common; however, their actual effectiveness and long-term impact are not so well known, especially in relation to the children’s hospital setting.  It is important to plot where and why animal interventions take place but also to focus on how the human animal bond impacts on children in a children’s hospital setting.  Family members, including companion animals, are important supports which help children to relax and give them a sense of familiarity to navigate the busy and stressful hospital environment.  The scoping review of the literature proposed will explore the scientific evidence base for AAIs in children’s hospitals and will map results prior to undertaking a full scale research project.   Arksey and O’Malley’s framework guided by the Joanna Briggs Institute will frame this review protocol.  Appendices are used to ensure transparency of methods. The protocol is presented in narrative style to demonstrate flow, fluency, and appeal to wider readership.

scholarly journals No transmission of SARS-CoV-2 to 23 healthcare professionals involved in advanced life support of COVID-19 patient – association with low viral RNA in respiratory specimens

2020 ◽  
Vol 53 (1) ◽  
pp. 72-75
Author(s):  
Arnar B. Ingason ◽  
Jón M. Jóhannesson ◽  
Jón T. Halldórsson ◽  
Unnsteinn I. Júlíusson ◽  
Áslaug Halldórsdóttir ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Life Support ◽  
Advanced Life Support ◽  
Viral Rna ◽  
Patient Association ◽  
Respiratory Specimens

Healthcare professionals’ knowledge on cardiopulmonary resuscitation correlated with return of spontaneous circulation rates after in-hospital cardiac arrests: A multicentric study between university hospitals in 12 European countries

2020 ◽  
Vol 19 (5) ◽  
pp. 401-410
Author(s):  
Christos Kourek ◽  
Robert Greif ◽  
Georgios Georgiopoulos ◽  
Maaret Castrén ◽  
Bernd Böttiger ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Healthcare Professionals ◽  
Life Support ◽  
Advanced Life Support ◽  
Spontaneous Circulation ◽  
European Countries ◽  
University Hospitals ◽  
Return Of Spontaneous Circulation ◽  
Hospital Cardiac Arrest

Background: In-hospital cardiac arrest is a major cause of death in European countries, and survival of patients remains low ranging from 20% to 25%. Aims: The purpose of this study was to assess healthcare professionals’ knowledge on cardiopulmonary resuscitation among university hospitals in 12 European countries and correlate it with the return of spontaneous circulation rates of their patients after in-hospital cardiac arrest. Methods and results: A total of 570 healthcare professionals from cardiology, anaesthesiology and intensive care medicine departments of European university hospitals in Italy, Poland, Hungary, Belgium, Spain, Slovakia, Germany, Finland, The Netherlands, Switzerland, France and Greece completed a questionnaire. The questionnaire consisted of 12 questions based on epidemiology data and cardiopulmonary resuscitation training and 26 multiple choice questions on cardiopulmonary resuscitation knowledge. Hospitals in Switzerland scored highest on basic life support ( P=0.005) while Belgium hospitals scored highest on advanced life support ( P<0.001) and total score in cardiopulmonary resuscitation knowledge ( P=0.01). The Swiss hospitals scored highest in cardiopulmonary resuscitation training ( P<0.001). Correlation between cardiopulmonary resuscitation knowledge and return of spontaneous circulation rates of patients with in-hospital cardiac arrest demonstrated that each additional correct answer on the advanced life support score results in a further increase in return of spontaneous circulation rates (odds ratio 3.94; 95% confidence interval 2.78 to 5.57; P<0.001). Conclusion: Differences in knowledge about resuscitation and course attendance were found between university hospitals in 12 European countries. Education in cardiopulmonary resuscitation is considered to be vital for patients’ return of spontaneous circulation rates after in-hospital cardiac arrest. A higher level of knowledge in advanced life support results in higher return of spontaneous circulation rates.

The Efficacy of Advanced Life Support: A Review of the Literature

1998 ◽  
Vol 13 (1) ◽  
pp. 69-79 ◽  
Author(s):  
Richard A. Bissell ◽  
Dawn Gyory Eslinger ◽  
Lynn Zimmerman
Keyword(s):  
Basic Life Support ◽  
Life Support ◽  
Scientific Literature ◽  
Scientific Evidence ◽  
Hospital Setting ◽  
Advanced Life Support ◽  
Clinical Effectiveness ◽  
The United States ◽  
Review Of The Literature ◽  
The World

AbstractIntroduction:Jurisdictions throughout the United States and some other parts of the world have invested substantial time and resources into creating and sustaining a prehospital advanced life support (ALS) system without knowing whether the efficacy of ALS-level care had been validated scientifically. In recent years, it has become fashionable for speakers before large audiences to declare that there is no scientific evidence for the clinical effectiveness of ALS-level care in the out-of-hospital setting. This study was undertaken to evaluate the evidence that pertains to the efficacy of ALS-level care in the current scientific literature.Methods:An extensive review of the available literature was accomplished using computerized and manual means to identify all applicable articles from 1966 to October, 1995. Selected articles were read, abstracted, analyzed, and compiled Each article also was categorized as presenting evidence supporting or refuting the clinical efficacy of ALS-level care, and a list was constructed that pointed to where the preponderance of the evidence lies.Results:Research in this field differs widely in terms of methodological sophistication. Of the 51 articles reviewed, eight concluded that ALS-level care is not any more effective than is basic life support, seven concluded that it is effective in some applications but not for others, and the remainder demonstrated effectiveness. The strongest support for ALS-level care was in the area of responses to victims of cardiac arrest, whereas somewhat more divergent findings related to trauma or non condition-specific studies.Conclusion:While not unanimous, the predominant finding of recent research into the clinical effectiveness of advanced life support demonstrates improved effectiveness over basic life support for patients with certain pathologies. More outcomes-based research is needed.

Feline cardiopulmonary resuscitation: Getting the most out of all nine lives

2021 ◽  
pp. 1098612X2110048
Author(s):  
Melody J Ward ◽  
April E Blong ◽  
Rebecca A Walton
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Clinical Setting ◽  
Life Support ◽  
Cardiopulmonary Arrest ◽  
Small Animal ◽  
Advanced Life Support ◽  
Evidence Base ◽  
Human Medicine ◽  
Ongoing Work ◽  
Guidelines And Recommendations

Practical relevance: Cardiopulmonary arrest (CPA) can occur in any veterinary or animal care setting and is a particular risk in scenarios involving ill, injured or anesthetized patients. Education of all staff on the prevention and recognition of CPA, as well as the performance of cardiopulmonary resuscitation (CPR), is vital to influencing outcome. Evidence base: While there is a plethora of information regarding CPA and CPR in human medicine, there are comparably few studies in the veterinary literature. Many of the current veterinary guidelines are extrapolated from human medicine or studies based on animal models. Ongoing work is needed to tailor guidelines and recommendations to our domestic feline (and canine) patients in a clinical setting. Aim: The aim of this article, which is intended for veterinarians in all areas of small animal practice, is to provide an evidence-based review of CPA and CPR in feline patients. The authors have drawn heavily on detailed recommendations published by the Reassessment Campaign on Veterinary Resuscitation (RECOVER) initiative – one of the few resources specific to the veterinary clinical setting – as well as reviewing the available peer-reviewed literature studies, in constructing this article. Among the topics discussed are recognizing and preventing CPA, staff training and clinic preparedness, basic life support and advanced life support interventions, and appropriate post-cardiac arrest care.

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