Recent discussions
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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? -
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
“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. -
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
Thank you for this comprehensive review. Given the ongoing proliferation of counter advice on social media for the use of Cough CPR, it seems that there is a need for public health messaging on this topic. -
Виктория Антонова
My only issue with the recommendation is that it is followed by the caveat "(weak recommendation, very low certainty of evidence). There are times that we should follow common sense. In adult resuscitation research, the closer to the heart that drugs are administered, the better the affect. Also, clearly, intraosseous is more traumatic. I would hope that this caveat can be edited so that people do not just choose IO as their preferred action because "the evidence is weak"/ -
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.