Recent discussions
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Alain Labonté
everything is correct. The only thing it's the number of time de CPR are stop to check the monitor
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alain labonté
oxygen during cpr. Experience shows that 100% ventilation with PEEP and intermittent ventilation with compressions initially helps to increase blood pressure and promotes better outcomes afterward. What it does is potentially induce cellular apoptosis.
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Prof. Oxford York
Overall, it's a well-structured and valuable draft that, with refinement, can serve as an effective resource for both clinicians and lay responders worldwide.
Suggestions for improvement include enhancing clarity and readability, adding a succinct executive summary, emphasizing early intervention's urgency, and clarifying the evidence basis for recommendations. The discussion on specialized agents like Diphoterine® could be expanded to address global availability and cost.
Future research priorities, such as controlled trials and resource-limited strategies, should be explicitly outlined. Practical guidance could specify irrigation duration and safety precautions, and external stakeholder comments could be formalized. Technical search strategies may be better placed in appendices, keeping the main focus on actionable guidance.
Updating references, ensuring clarity in language, and creating visual summaries would further strengthen the document.
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Claudette Gallant
agree with this approach, in either case EMS have to be activated
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Acholia Theriault
This is very good information although I wonder if there are more updated references.
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Brett Hart
Im not sure it has any role, good resuscitate, destination and access to catheterization is a must.
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Brett Hart
With new tech direct should be out the door and video a mainstay. Best first pass success
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Brett Hart
This is hospital determined due to demographics of these locations.
- Team Leader (Physician or Senior RN)
- Usually an ER doctor, ICU doctor, anesthesiologist, or hospitalist.
- Makes decisions, directs the team.
- Airway Provider
- Anesthesiologist, respiratory therapist, or trained ER/ICU physician.
- Manages intubation and oxygen.
- Compressor
- Nurse or paramedic role in hospital.
- Focused on high-quality CPR only.
- Defibrillator/Monitor Nurse
- Operates the defibrillator.
- Manages rhythm checks, shocks, pacing if needed.
- Medication Nurse
- Draws up and gives meds (epi, amiodarone, etc.).
- Keeps track of times and doses.
- Recorder/Scribe
- Documents everything: times, meds, shocks, interventions.
- Communicates with team leader.
- Runner
- Brings extra supplies, contacts lab, pharmacy, or blood bank.
- Respiratory Therapist
- Manages bagging, airway adjuncts, ventilator setup after pulse returns.
- Team Leader (Physician or Senior RN)
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Brett Hart
I’d leave this one alone
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Brett Hart
This appears to be the easiest way to explain to the general population about concussion as they may not be qualified to make the assessment. A decreased loc event, mechanism current presentation all Should be considered and 911 called if uncertain .