Recent discussions
-
Виктория Антонова
IO access is not a well-established technique in newborns and most providers (at least in my practice settings) have little experience with it. UV should remain the overwhelmingly preferred route. -
Виктория Антонова
One important caveat is ictal-interictal continuum patterns, e.g. generalized periodic discharges with high frequency. Should clinicians consider anti-seizure medications? -
Maria Luce Caputo
It is a matter of fact that the technology is more and more improving the lay citizens' knowledge and involvment in the out-of-hospital cardiac arrest care. This review document by ILCOR summarize very well what we know right now about the impact of the mobile phones technology on the critical outcomes of OHCAs. However, more studies are needed to better assess some key points, including the use of the technology to select the person who has to retrieve the Automatic external defibrillator or the development of specific protocols of intervention in case of trauma or intoxication. -
Виктория Антонова
Thank you for taking the time to comment on this CoSTR. We acknowledge that an immediate replantation of an avulsed tooth substantially increases its survival and, hence, healing. However, this procedure may not be possible in the first aid setting due to the patient‘s concomitant injuries (e.g. unconsciousness, bleedings, fractures, …) at the time of accident and lack of knowledge in and willingness to undertake the management of such injuries. The use of a suitable temporary storage solution or technique for an avulsed tooth should not delay efforts at replantation, but it may aid in the survival of the tooth before receiving professional help. -
Виктория Антонова
Thank you for taking the time to comment on this CoSTR. For coconut water, there is conflicting evidence, and therefore no conclusion can be drawn and no recommendation for or against the use of coconut water can be made. In the 2015 CoSTR, egg white was recommended, based on 1 study showing a beneficial effect of egg white when compared with milk. In this recent update, an additional study was identified, and meta-analysis could no longer demonstrate a beneficial effect for egg white, when compared with milk. Therefore, a recommendation for or against egg white can no longer be made. -
Виктория Антонова
Thank you for taking the time to comment on this scoping review. ILCOR undertakes scoping reviews to search for evidence from well-designed scientific studies that might prompt a full systematic review. Thank you also for the two additional references. The first is an evidence based guideline from 2007 the results of which, for the first aid management of superficial burns, does not differ from that found in this scoping review. The second reference is a course aimed at healthcare professionals and the management of severe burns, both of which fall outside the limitations of this scoping review. -
Виктория Антонова
Considering that the umbilical vein catheterization in the delivery room is relatively safe and easy to teach, to learn and to practice, as opposed to the placement of an intraosseous line, I am convinced of the umbilical vein being, by far, the best choice -
Виктория Антонова
Umbilical venous access should be first line attempt, then attempt at IO access is a reasonable second option for Neonatal resuscitation. -
Виктория Антонова
“compression depths >4.56cm (maximum survival was in the depth interval of 40.3 to 55.3 mm with peak, 4.56cm, after adjusting for confounders)” “compression depth ≥38mm; adjusted OR 1.99 (95% CI 0.9, 4.42), p =0.09. In their unadjusted analysis, a mean chest compression depth ≥38 mm showed increased ” Be consistent with units of measurement within the document to avoid confusion. Suggest standard use of cm rather than mm throughout. -
Виктория Антонова
As a practicing Neonatologist for 35 years and a NRP Lead instructor for last 30 years, the UVC access is fast and easy during the initial resuscitation of the neonate. One has remember you are inserting the catheter only 2-3 cm to gain emergency access for fluids and medications like epinephrine. Insertion of this low lying UVC is a very easy skill to learn. IO use Newborn Resuscitation should not be used at all.