BACKGROUND Of the 4 million neonatal deaths worldwide yearly, 98% occur in low and middle-income countries. Effective resuscitation reduces mortality and morbidity but long-term outcomes in resource-limited settings are poorly described. This study reports on newborn neurological outcomes following resuscitation at birth in a resource-limited setting where intensive newborn care including intub...

PURPOSE OF REVIEW To discuss the fluid resuscitation and the vasopressor support in severe trauma patients. RECENT FINDINGS A critical point is to prevent a potential increase in bleeding by an overly aggressive resuscitative strategy. Indeed, large-volume fluid replacement may promote coagulopathy by diluting coagulation factors. Moreover, an excessive level of mean arterial pressure may ind...

BACKGROUND The presence of patients' families during resuscitation has been an important practice issue. An American Association of Critical-Care Nurses (AACN) practice alert "Family Presence During Resuscitation and Invasive Procedures" supports family members of patients undergoing resuscitation being given the option of bedside presence. Parent Advocacy Group for Events of Resuscitation (PAG...

We tested the hypothesis that controlled hypoxemic resuscitation improves early cerebral metabolic and electrophysiological recovery in hypoxic newborn piglets. Severely hypoxic anesthetized piglets were randomly divided into three resuscitation groups: hypoxemic, 21% O2, and 100% O2 groups (8 in each group). The hypoxemic group was mechanically ventilated with 12-18% O2 adjusted to achieve a c...

OBJECTIVES To investigate the public's knowledge and attitudes about cardiopulmonary resuscitation in Hong Kong. DESIGN Cross-sectional telephone survey. SETTING Hong Kong. PARTICIPANTS Hong Kong residents aged 15 to 64 years. MAIN OUTCOME MEASURES The knowledge and attitudes towards cardiopulmonary resuscitation. RESULTS Among the 1013 respondents, only 214 (21%) reported that they h...

This article reviews research that shows that cardiopulmonary resuscitation (CPR) as it has been practiced and as it is presently taught and advocated is far from optimal. The International Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, hereafter referred to as “Guidelines 2000,” were evidence based.2 During their formulation, the greatest weight of evidenc...

Cardiocerebral resuscitation (CCR) is a new approach for resuscitation of patients with cardiac arrest. It is composed of 3 components: 1) continuous chest compressions for bystander resuscitation; 2) a new emergency medical services (EMS) algorithm; and 3) aggressive post-resuscitation care. The first 2 components of CCR were first instituted in 2003 in Tucson, Arizona; in 2004 in the Rock and...

BASIC LIFE SUPPORT All rescuers trained or not, should provide chest compressions to victims of cardiac arrest. The aim should be to push to a depth of at least 5 cm at a rate of at least 100 compressions per minute, to allow full chest recoil, and to minimise interruptions in chest compressions. Trained rescuers should also provide ventilations with a compression-ventilation ratio of 30:2. ELE...

OBJECTIVES To evaluate the knowledge of basic life-support and training experience in cardiopulmonary resuscitation among the public in Hong Kong and to identify areas for improvement in public education. DESIGN Telephone interview using a structured multiple-choice questionnaire. SETTING Random cross-section of the Hong Kong public, from mid-March to May 2002. PARTICIPANTS Men and women ...