Recent discussions
-
Jestin Carlson
Thank you for this comment. The post ROSC patient was outside the scope of this review. -
Jestin Carlson
Thank you for this comment. You are correct that this is outside the scope of this review so cannot comment directly. However, there are other resources that have looked at helmet removal that you may find useful. https://www.jems.com/patient-care/prehospital-treatment-of-athletes-wearing-a-helmet-and-shoulder-pads/ -
Giselda Silva
we do cpap in preterm infants with mild respiratory distress after physiological cord clamping in 30 seconds -
Marinice Ponte
When I started my professional life, here in Brazil, pediatricians began to attend in delivery room. It was a time we offered oxigen and tactile stimulation. I’m afraid tactile stimulation cause a delay in the beginning of intermitent Positive pressure in most of hospitals that aren’t attached to education in healthcare. Most of them don’t have pediatricians. Teach professionals to reanimation skills is being a dificult task for us. Professionals don’t have conditions to pay trainings, sometimes neither access to learning. So, including tactile estimulation inside the 60’seconds, in my opinion, would delay reanimation. -
Associate Professor Alsweiler
Nicely written review, I agree with the recommendation. -
Giselda Silva
in extreme preterm infants with mild respratory discomfort, we put on nasal cpap after heating without tactile stimulation -
Giselda Silva
we use the laryngeal mask in preterm infants over 34 weeks with intubation difficulty only -
Steve Andrews
ILCOR already recommends no chest compression CPR via 911 operator based on evidence of improved outcomes. This is a passive ventilation standard. Bobrow in a study published in 2010 (below) showed an association with improved outcomes with passive ventilation ( chest compression only CPR). ILCOR should not recommend against passive ventilation. Bobrow BJ, Spaite DW, Berg RA, et al. Chest Compression–Only CPR by Lay Rescuers and Survival From Out-of-Hospital Cardiac Arrest. JAMA. 2010;304(13):1447–1454. doi:10.1001/jama.2010.1392 -
Ian Maconochie
Thank you - I note that the PICOST begins with Population: Adults and children with presumed cardiac arrest in any settings but that the literature search was based on adults: 'Evidence for adult and literature was sought and considered by the Basic Life Support Task Force. These data were taken into account when formulating the Treatment Recommendations.' I wondered about the recommendation which is based on the PICOST, ergo children would be included by default. -
Carl Gwinnutt
A practical comment. As someone involved with rescue at sea and teaching BLS and AED use to those involved, we have encountered a number of issues in doing CPR when a victim is 'loaded' onto a rib (a fast inflatable) from the sea. Firstly there is no room to put a victim completely supine, secondly they may have a wetsuit on, third there is the major problem with ingress of seawater into an open craft. Firstly this makes the safe use of an AED impossible. Fortunately, the land-based location of AEDs is well organised and the rescuers have access to this. After a lot of thought and trials with a mannikin, it was decided to raise the victim's legs over the side of the rib. This gave much better access and made CPR much easier. They would then travel at the fastest speed to the location of the nearest AED. In the meantime they will have alerted the Emergency Services to meet them on shore. This has been used a couple of times with victims.