Recent discussions
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Stacey Matthews
To whom it may concern, I am providing feedback on behalf of the National Heart Foundation of Australia, please see our comments and suggestions below: * Family presence during arrest should be based upon family and patients’ preferences and values. Suggest it should be discussed in advance with the patient and family as a part of advanced care planning if the situation occurred would they want to be present. *When implementing family presence procedures, they should incorporate cultural safety. *Consider mentioning there maybe some scenario that family presence is not appropriate, for example when family are obstructive to the health team in resuscitating the patient. *Could consider competencies to be completed to ensure that health professionals now how to conduct themselves and manage family distress during stressful resuscitation situations. *You could mention the potential impact on mental health for patients, families and health professionals with family presence during CPR. *Could mention structured debrief with family members and health care professionals involved post resuscitation. * Suggest mentioning when implementing this procedure, it should be reviewed within the hospital setting to see if appropriate and find out impacts on mental health and family reported outcomes especially from those of diverse backgrounds. Thank you for providing us with the opportunity to review. Please feel free to contact me if you would like to discuss the suggestions and comments. Kind regards, Stacey Matthews -
David Szpilman
I strongly disagree the use of bag-mask fro BLS. Even with best training (always in manikins, and no airway resistance) is usually a disaster. We have trained hundreds of full time lifeguards 30 years ago, and retraining every 6 month and did went very bad. For rescuer it seems to be great, they would think that they did not need to mouth contact but at the end for victim is far from the good. I would suggest to reconsider in order to not estimulante it use. -
William Montgomery
test by admin -
John Mouw
It may make for better understanding if the Intervention says, "Oxygen administration during pre-hospital resuscitation" and Comparison says, "No oxygen administration during pre-hospital resuscitation." Saying only "No oxygen administration before hospital arrival" does not imply during resuscitation attempts. These are two very different treatment considerations and comparisons. -
John Mouw
The comparators are AED for CPR first after drowning. The reviewers acknowledged that good practice recommendation is based on "The rationale for a CPR first strategy is due to the hypoxic mechanism of cardiac arrest" despite lack of conclusive evidence. Experience has taught us that people (Instructors and rescuers) when reading a recommendation tend to follow and teach in the order a recommendation is presented. Understanding the importance of both CPR and AED, I suggest reversing the order of the sentences in the recommendation to: "CPR should be started first and continued until an AED has been obtained and is ready for use. When available, we recommend an AED is used in cardiac arrest following drowning in adults and children." -
ARTHUR JACKSON
We seem to be waffling around the AHA suggestion of the collection of qualitative data from individual training through actual application in or out of hospital application. We need data on the whole resuscitation system and not just one part of it. -
Tunnel Vision Goggles
Studies had to compare at least two different CPR methods from the eligible interventions; studies without a comparator were excluded. https://athomeautismproduct.com/#section-47c707a3 -
benyam seifu
thank you -
Alan Williams
This is an important area as the investigation into, and reviews of pedagogic interventions is less developed and in my opinion primary research can be more subjective. This limitation does not reflect the review process, nor investigators and teams who share their primary research, and relates to challenges presented (methodological, measuring outcomes etc) when investigating learning and education. Despite these general challenges this is a worthy review and I look forward to reading the final article. I declare a potential conflict of interest as an elected member of the Resuscitation Council UK Executive Committee. Thanks. Alan -
Dianne Hennig
Having taught for 30+ years I can tell you that the blended approach is not ideal. As an Instructor, I can tell you that I end up having to repeat everything in the info section anyway because people don't remember as well when the info is independent of the practical. My strong recommendation based on many years of experience is that blended learning should NOT be used unless there is no other option. I may be a dinosaur but having seen the changes since the 1970's and getting feedback from my students - real learning takes place when info and practice are reinforced at a single training session, when done properly. That is my nickel's worth.