Medicore Medical Services Blog

Welcome to our blog. We have set this up a way to discuss topics relating to medical topics and all things first aid. Feel free to get involved.
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Chest-Compression-Only Bystander Cardiopulmonary Resuscitation

Chest-Compression-Only Bystander Cardiopulmonary Resuscitation
The compression-to-ventilation ratio for basic cardiopulmonary resuscitation (CPR) was changed from 15:2 to 30:2, but there are few human studies comparing chest-compression-only CPR with standard CPR. A new paper from the  Japanese Circulation Society Resuscitation Science Study Group  looks to examine how effective chest -compression-only CPR is when examined against 30:2 CPR   Chest-Compression-Only Bystander Cardiopulmonary Resuscitation in the 30:2 Compression-to-Ventilation Ratio Era.   Methods and Results: From the All-Japan Utstein Registry in the 30:2CPR era, 173,565 adult cardiac arrests witnessed by bystanders were included. On arrival at the scene, emergency medical services responders assessed the status of dispatcher-assisted CPR instruction and bystander CPR technique (chest compression with or without rescue breathing). The primary endpoint was favorable neurological outcome 30 days after cardiac arrest. The prevalence of dispatcher-assisted CPR instruction increased year by year, contributing to an overall increase of chest-compression-only bystander CPR from 20.6% to 35.0%. Among 78,150 patients receiving bystander CPR, favorable neurological outcome did not differ between dispatcher-assisted and -unassisted CPR (adjusted odds ratio [OR], 1.00; 95% confidence interval...
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They're Not Dead Until They're Warm and Dead

They're Not Dead Until They're Warm and Dead
A recent case report in the Prehospital and Disaster Medicine Journal documents the return of spontaneous circulation in a surfer pulled from the water by a rescue team some 90 minutes after entering.    Drowning, Hypothermia and Cardiac Arrest: An 18-year-old Woman with an Automated External Defibrillator Recording.   This report describes the case of an 18-year-old woman who was found in the sea suffering from cardiac arrest and hypothermia, 90 minutes after she entered the water to swim. The rescue team used an automated external defibrillator to record prehospital management. This recording showed an isoelectric electrocardiogram followed by a ventricular fibrillation, an unsuccessful defibrillation, and lastly, a return of spontaneous circulation with Osborn wave. When she was admitted to the intensive care unit two hours later, the woman's central temperature was 28°C. The case is interesting because of several points. First, to the best of the authors' knowledge, this is...
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Wrist injury during chest compressions

Wrist injury during chest compressions
A new research paper published in the Journal of Emergency Trauma, and Shock has looked at the possible injury to the rescuers wrist while giving chest compressions.    The article describes the relationship between the amount of force needed to externally compress the chest the required depth and the possible injury to the rescuers' wrist, namely the scapholunate ligament The amount of force neccessary to compress the chest was recorded as being as much as 644 N (newtons), which equates to a (kilogram-force) of 65.6 Kgf. The article proposes that the forces transmitted through the rescuers' wrists in the performance of external chest compressions during CPR are suffice to cause injury to the scapholunate ligament of the rescuer, potentially resulting in further cumulative trauma, degenerative changes, and eventual disability. Further biomechanical studies specific to this particular population should be performed. The article makes an observation: "Compensation for worker injury maybe involved" No...
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FREE Training Day

FREE Training Day
updated: 02/07/2013 FREE Training Day - 13 July (Proposed Date) We are planning on running a free training day. This would be an ideal opportunity for people who are not currently involved in a voluntary organisation to get some hands on time with equipment and refresh their skills. Prerequisites People should be PHECC responder or practitioner. People from other healthcare backgrounds such as nurses etc are welcome also. What's Involved The day will be broken down into a number of different stations featuring of different skills. We will focus primarily on skills practice. There wont be any theory learning presented on the course.  What we will cover Cardiac Arrest and Management Adult Airway Management Lower Limb Splinting Spinal Board and Log Roll Cervical Collar Application and Use# Pelvic Splint Outdoor Scenarios (Weather permitting) What's the Catch! There is no catch! The training day will be completely free and open to anybody who has a practitioner or responder certificate from...
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Audio: Dramatic 911 Call Details Heroic Measures to Save Baby's Life

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