Near-hanging injury is not an uncommon occurrence in children. Surprisingly, little discussion of this topic occurs in the pediatric literature. Previous reports note that children who present with an initial pH less than 7.2, apnea or agonal respiration, or who subsequently require mechanical ventilation, either die or survive with severe neurologic residua. We report a series of three pediatr...

EPINEPHRINE IS WIDELY USED IN cardiopulmonary resuscitation (CPR) for patients with out-of-hospital cardiac arrest (OHCA). However, its effectiveness in CPR has not been established. Epinephrine is associated with increased myocardial oxygen consumption and ventricular arrhythmias during the period after resuscitation. Concern has been raised regarding increased myocardial dysfunction and distu...

Using infant piglets, we studied the effects of nonspecific inhibition of nitric oxide (NO) synthase by N G-nitro-l-arginine methyl ester (l-NAME; 3 mg/kg) on vascular pressures, regional blood flow, and cerebral metabolism before 8 min of cardiac arrest, during 6 min of cardiopulmonary resuscitation (CPR), and at 10 and 60 min of reperfusion. We tested the hypotheses that nonspecific NO syntha...

INTRODUCTION AND OBJECTIVES To describe the epidemiological characteristics of cardiac arrests attended in basic life support units in the Basque Country (Spain) and look for factors associated with failure of cardiopulmonary resuscitation. METHODS We conducted an observational study during 18 months, including all out-of-hospital cardiopulmonary resuscitation provided by basic life support u...

Methods This is a retrospective analysis of prospectively collected data on patients after successful cardiopulmonary resuscitation (CPR) at our ICU. Serum creatinine and cystatin C were measured at baseline, daily up to 5 days and at ICU discharge. AKI was defined by the KDIGO criteria (only based on creatinine values). MTH was applied for 24 hours targeting a temperature of 33°C using an intr...

background and purpose: training in basic clinical and procedural skills is considered an important part of the core medical undergraduate curriculum. there are some reasons to assume that junior doctors are not adequately trained in these skills. due to the lack of enough information on skills competence of our students, this study was designed in 3 medical schools in southern iran to evaluate...