first aid_2022-now

First aid 2022 - Now

Authors: Álvaro Astasio-Picado, Paula Cobos-Moreno, Beatriz Gómez-Martín, María del Carmen Zabala-Baños, and Claudia Aranda-Martín. The objective of this systematic bibliographic review is to update the theoretical and practical knowledge and strategies for the insertion and proper management of the intraosseous route as an emergency vascular access for nursing professionals.

NCCD is a compact, lightweight chest compression device to be used as a substitute to manual chest compression during CPR. NCCD is powered by compressed gas, and designed for use in hyperbaric environments. This equipment is described in logistics/medical equipment/NUI - Compact Chest Compression Device (NCCD https://diving-rov-specialists.com/medical-equip.htm

Authors: Ronal Surya Aditya, Ah Yusuf, Fitriana Kurniasari Solikhah, Setyo Budi Kurniawan, Siti Rozaimah Sheikh Abdullah This document discusses research aimed at understanding nurses' experience assisting patients on stretchers using commercial flights in Indonesia.

Authors: Jianxun Li, Haoxin Fu, Kin Keung Lai, and Bhagwat Ram The mobile emergency system is a new emergency mode that provides a solution to deal with increasingly frequent sudden disasters by reasonably allocating mobile emergency facilities and optimizing the allocation of mobile emergency materials. The authors consider mobile emergency cost and mobile emergency time as two objective functions. This paper establishes a multi-objective mobile emergency material allocation model, and transforms the multi- objective.

Authors: Kara D. Wyatt, Neha N. Goel, and Jessica S. Whittle High flow nasal oxygen is a relatively new option for treating patients with respiratory failure, which decreases the work of breathing, improves the tidal volume, and modestly increases positive end-expiatory pressure. Despite well-described physiologic benefits, the clinical impact of high flow nasal oxygen is still under investigation. In this article, the authors review the most recent findings on the clinical efficacy of high flow nasal oxygen in Type I, II, III, and IV respiratory failure within adult and pediatric patients.

Authors: Seong-Yong Jeong, Young Kook Moon, Joseph Wang, & Jong-Heun Lee Accurately detecting and identification of volatile aromatic hydrocarbons, highly toxic pollutants, are essential for assessing indoor and outdoor air quality and protecting humans from their sources. However, real-time and on- site monitoring of aromatic hydrocarbons has been limited by insufficient sensor selectivity. Addressing the issue, bilayer oxide chemiresistors are developed using Rh–SnO2 gas-sensing films and catalytic CeO2 overlayers for rapidly and cost-effectively detecting traces of aromatic hydrocarbons in a highly discriminative and quantitative manner, even in gas mixtures.

Publisher: US Federal Aviation Administration This document from the US Federal Aviation Administration was initially designed for personnel working in airline companies. Commercial diving companies and divers can use it to understand which formation this personnel may have or may not have.

Authors: Joost Bierens, Janet Bray, Cristian Abelairas-Gomez, Roberto Barcala-Furelos, Stephen Beerman, Andreas Claesson, Cody Dunne, Tatsuma Fukuda, Muralidharan Jayashree, Anthony T Lagina, Lei Li j, Tom Mecrow, Patrick Morgan, Andrew Schmidt, Jeroen Seesink, Justin Sempsrott, David Szpilman, Ogilvie Thom, Joshua Tobin, Jonathon Webber, Samantha Johnson, Gavin D Perkins, on behalf of International Liaison Committee on Resuscitation BLS/AED Task Force The International Liaison Committee on Resuscitation, in collaboration with drowning researchers from around the world, aimed to review the evidence addressing seven key resuscitation interventions.

11 - Cardiopulmonary resuscitation during hyperbaric oxygen therapy: a comprehensive review and recommendations for practice

Authors: Jan Schmitz, Felix Liebold, Jochen Hinkelbein, Sophia Nöhl, Serge Thal, and Timur Sellmann Cardiopulmonary resuscitation (CPR) during hyperbaric oxygen therapy (HBOT) presents unique challenges due to limited access to patients in cardiac arrest (CA) and the distinct physiological conditions present during hyperbaric therapy. Despite these challenges, guidelines specifically addressing CPR during HBOT are lacking. This review aims to consolidate the available evidence and offer recommendations for clinical practice in this context.

13 - Delivering manual cardiopulmonary resuscitation (CPR) in a diving bell: an analysis of head-to-chest and knee-to-chest compression techniques

Authors: Graham Johnson, Philip Bryson, Nicholas Tilbury, Benjamin McGregor , Alistair Wesson, Gareth D Hughes, Gareth R Hughes, Andrew Tabner Chest compression often cannot be administered using conventional techniques in a diving bell. Multiple alternative techniques are taught, including head-to-chest and both prone and seated knee-to-chest compressions, but there are no supporting efficacy data. This study evaluated the efficacy, safety and sustainability of these techniques.

14 - An evaluation of the NUI Compact Chest Compression Device (NCCD), a mechanical CPR device suitable for use in the saturation diving Environment

Authors: Andrew Tabner, Philip Bryson, Nicholas Tilbury, Benjamin McGregor, Alistair Wesson, Gareth R Hughes, Gareth D Hughes, Graham Johnson Provision of manual chest compressions in a diving bell using a conventional technique is often impossible, and alternative techniques are poorly evidenced in terms of efficacy and sustainability. The first mechanical cardiopulmonary resuscitation (CPR) device suitable for use in this environment, the NUI Compact Chest Compression Device (NCCD), has recently been designed and manufactured. This study assessed both the efficacy of the device in delivering chest compressions to both prone and seated manikins, and the ability of novice users to apply and operate it.

15 - The Impact of Inotropes and Vasopressors on Cerebral Oxygenation in Patients with Traumatic Brain Injury and Subarachnoid Hemorrhage: A Narrative Review.

Authors: Michele Salvagno, Federico Geraldini, Giacomo Coppalini, Chiara Robba, Elisa Gouvea Bogossian, Filippo Annoni, Eva Vitali, Elda Diletta Sterchele, Costantino Balestra, and Fabio Silvio Taccone Traumatic brain injury (TBI) and subarachnoid hemorrhage (SAH) are critical neurological conditions that necessitate specialized care in the Intensive Care Unit (ICU). Managing cerebral perfusion pressure (CPP) and mean arterial pressure (MAP) is of primary importance in these patients. To maintain targeted MAP and CPP, vasopressors and/or inotropes are commonly used. However, their effects on cerebral oxygenation are not fully understood. The aim of this review is to provide an up-to date review regarding the current uses and pathophysiological issues related to the use of vasopressors and inotropes in TBI and SAH patients.

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Authors: Julang Fahman, Wilson Kores, Olivia Jeany Darmawan Adji Saroso, Valerie Christianto, Cindytia Rosalina Putri Djojomartono, Hosea Glory, Billie Edgara Herijanto, Naftali Intania Kristianti Kosasih, Jonathan Abdiel Caesar Nainggolan, Satria Budi Nugraha, Gabriella Putri Sabrina, Edeline Samudra This handbook offers essential guidance on recognizing and handling common injuries and emergencies, as well as performing basic life support through cardiopulmonary resuscitation for non-professionals. Understanding that many find it challenging to manage such situations, the handbook includes straightforward, clear explanations complemented by helpful images to enhance learning and retention

Authors: Björn Jüttner, Christian Wölfel, Holger Schöppenthau, Johannes Meyne, Carmen Wohlrab, Henning Werr, Till Klein, Giso Schmeißer, Karsten Theiß, Philipp Wolf, Oliver Müller, Thorsten Janisch, Johannes Naser, Susanne Blödt, Cathleen, Muche-Borowski The S2k guidelines offer advice on diagnosing and treating diving accidents. The treatment protocols for breath-hold divers, children, and adolescents are similar.

Authors: Christian Zanza , Francesco Saglietti, Gabriele Savioli, Davide Maria Biancone, Mario Balzanelli, Benedetta Giordano, Anna Chiara Trompeo, Yaroslava Longhitano This document is a comparative analysis of intranasal (IN) analgesia versus conventional methods (intravenous, oral, and intramuscular) for managing acute pain in the Emergency Department (ED), which aims to evaluate the safety, efficacy, and potential advantages of IN analgesia, particularly focusing on drugs like fentanyl and ketamine. Its authors also discuss the incidence and severity of adverse events and the need for rescue analgesia, concluding that IN analgesia could be a viable, non- invasive, and effective alternative for pain management in various clinical situations.

Authors: Alberto Gabrieli, Caterina Barberi, Caterina Compostella, , Michela Azzolini, Andrea Butturini, Gabriele Larger, Lara Boldo, Matteo Paganini, Roberta Levato, Andrea Ventura This paper discusses the challenges and solutions related to the recognition and treatment of Local Anesthetic Systemic Toxicity (LAST) in prehospital settings, highlighting a specific case in the Italian Alps to illustrate the importance of effective communication and coordination among different components of the healthcare system. It also suggests potential operational changes, such as creating antidote networks and improving protocols, training, and communication to enhance the management of LAST in emergency situations.

Authors: Midas N. de Grunt, Bianca de Jong, Markus W. Hollmann, Milan L. Ridderikhof, and Robert P. Weenink This paper discusses alternative analgesic options for trauma patients in emergency care that have a fast onset and can be administered through non-intravenous routes. It also highlights the need for further research in this area.