Recent discussions
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Виктория Антонова
Thank you for taking the time to comment on this CoSTR. The Task Force did consider this problem and included it in the "Justification and Evidence to Decision Framework Highlights” section (bullet 6): "First Aid guideline groups will need to consider that prescribing practices in Europe and Asia might require self-administration for first aid, rather than direct administration of aspirin by a first aid provider due to national, regional, state or provincial regulations." The Task Force will consider clarifying its treatment recommendation. -
Виктория Антонова
Making the on-line material available to be used in a group setting would be beneficial. In a "Code" the individuals will function as a team. This will also allow experienced providers to work beside the less experienced (new graduates, different specialties MD vs RN vs RT) -
Виктория Антонова
I have read the systematic review with interest, the section regarding the use of suction based devices. The use of suction based devices is already in use and acknowledged to be used by ALS and ILS trained people and used daily on ambulances and by first responders. Why is this data not included for "the use of suction based devices" in this systematic review. There seems to be a lot more data available that is not included in this review if suction devices are used on a daily bases by EMS. -
Виктория Антонова
Dear, I looked into the reference list and missed the publication by Magliocca J Am Heart Assoc. 2019;8:e011189. DOI: 10.1161/JAHA.118.011189. This randomized study compared the hemodynamic support provided by a mechanical piston device or manual CC during ambulance transport in a porcine model of cardiopulmonary resuscitation. This type of study is difficult to perform in humans therefore this study is important even if it is in porcine model. -
Виктория Антонова
We conducted a prospective randomised crossover study using manikins to investigate whether straddling cardiopulmonary resuscitation improves chest compression quality (depth, recoil, rate, correct hand position) performed on patients during stretcher transportation compared to walking cardiopulmonary resuscitation. https://doi.org/10.1371/journal.pone.0216739 -
Виктория Антонова
I’m missing some important references like the one of New Zealand Guidelines Group. Management of burns and scalds in primary care. Wellington (NZ): Accident Compensation Corporation ; 2007:1-116, and the publication of the Education Committee of the Australian and New Zealand Burn Association. Emergency Management of Severe Burns (EMSB) After cooling, it is indeed recommended to cover the burns clean and cover the victim warmly. Certainly clean plastic household foil can be used to cover the wound, applied in layers and is not circularly wrapped in an extremity due to a risk of seizing hazard in edema formation. Covering the wound reduces pain and can be used prior to further professional medical help. Furthermore, it is still important not to apply a cream or other topical means because it can harm the wound inspection at the ER and/or burns centre (of course only in the case of severe burns). Seems to me important enough to mention. -
Виктория Антонова
The current pre-course assessment for ACLS allows for multiple attempts. So for comparison, a trial of single attempt pre-course evaluation vs post evaluation may be warranted. -
Виктория Антонова
There appears to be some conflicting information on coconut water and egg white in the Justification and Evidence to Decision Framework Highlights bullets: Coconut Water - We no longer recommend coconut water as a storage solution as recent studies provide conflicting evidence; nor do we recommend egg white, since the beneficial effect was not confirmed by new studies. - A recommendation was not made for Eagle’s Medium (aMEM), aloe vera or coconut water because of inconclusive or conflicting evidence. Is coconut water not recommended, or is there not a recommendation for or against it? Egg White - We no longer recommend coconut water as a storage solution as recent studies provide conflicting evidence; nor do we recommend egg white, since the beneficial effect was not confirmed by new studies. - There is insufficient evidence to recommend for or against temporary storage of an avulsed tooth in probiotic media, Epigallocatechin-3-Gallate, Dentosafe® box, Tooth rescue box, or egg white compared with cow’s milk. Is egg white not recommended, or is there not a recommendation for or against it? -
Rama Krishna Sanjeev
I had published a study detailing an Instructor led training of motivated laypersons for Pediatric CPR training for a certificate course. “A comparative study of pediatric basic life support course for motivated laypersons and health-care personnel “ in Journal of marine medical society. To my mind, such courses ,which train the motivated layperson ,should be offered by CPR training centres on a regular basis with an intent to train such an individual( of any age) for cardiac arrest and choking related event. A 10 hour pre-course was utilised by our team to prepare the laypersons for such a certification course. -
Виктория Антонова
Thank you for the time you have taken to read and comment on our draft CoSTR on compression wrap for closed extremity joint injuries. The paper by van den Bekerom MP et al in the J Athl Train (2012) is a literature search and systematic review of evidence up to 2010. The ILCOR GRADE process excludes systematic reviews, however they are used as part of the reference inclusion check to ensure that the ILCOR search strategy is inclusive of all know literature on the topic.