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1.
Med Intensiva ; 35(7): 433-41, 2011 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-21543134

RESUMO

The importance of cardiac arrest as a health problem makes training in resuscitation a topic of great interest. It is necessary to enhance resuscitation training for all citizens, starting in schools and institutes, targeting teachers and nurses for training, to in turn become future trainers. The model of short courses with video-instruction and the use of mannequins is useful for the dissemination of resuscitation techniques. Liberalization of the use of automated external defibrillators (AED) and reduction of the training requirements in basic life support and AED for those non-health professionals who can use them, seems appropriate. Training must be improved in schools of medicine and nursing schools at undergraduate level. Health professionals should be trained according to their needs, with emphasis on non-technical skills such as leadership and teamwork. The model based on the use of trainers and low-fidelity mannequins remains a basic and fundamental element in training. Training through performance evaluation is a technique that should be implemented in all areas where cases of cardiac arrest are seen and the healthcare team has intervened. Simulation appears to be defined as the current and future modality for training in various medical areas, including of course the important field of resuscitation. Lastly, research in resuscitation training should be considered an example of translational science, where rigorous studies of skill acquisition with outcome measures serve to transfer the results to the clinical environment for analysis of their impact upon patient care.


Assuntos
Reanimação Cardiopulmonar/educação , Fatores Etários , Recursos Audiovisuais , Reanimação Cardiopulmonar/métodos , Desfibriladores , Cardioversão Elétrica/métodos , Primeiros Socorros/métodos , Pessoal de Saúde/educação , Parada Cardíaca/terapia , Humanos , Manequins , Guias de Prática Clínica como Assunto , Espanha , Materiais de Ensino , Voluntários/educação , Voluntários/legislação & jurisprudência
2.
Med Intensiva ; 35(6): 373-87, 2011.
Artigo em Espanhol | MEDLINE | ID: mdl-21543133

RESUMO

We present some of the most important developments in advanced life support incorporating the new international recommendations for resuscitation 2010. The study highlights aspects related to prevention and early detection of in-hospital cardiac arrest, resuscitation in the hospital, the new advanced life support algorithm, the techniques and devices for cardiopulmonary resuscitation, post-resuscitation care, assessment of the prognosis of patients who survive initially, and specific aspects of non-beating heart organ donation and the creation of cardiac arrest referral centers.


Assuntos
Suporte Vital Cardíaco Avançado/métodos , Suporte Vital Cardíaco Avançado/normas , Algoritmos , Reanimação Cardiopulmonar/instrumentação , Reanimação Cardiopulmonar/métodos , Parada Cardíaca/terapia , Humanos , Guias de Prática Clínica como Assunto , Prognóstico
3.
Med Intensiva ; 35(4): 249-55, 2011 May.
Artigo em Espanhol | MEDLINE | ID: mdl-21496962

RESUMO

The consensus document on the Science of Resuscitation and Emergency Cardiac Care with ILCOR Treatment Recommendations is an invaluable tool for quickly, simply and rigorously establishing the evidence on which the Resuscitation Guidelines 2010 are fundamented. We present a method that has been used in the review process according to evidence-based medicine, which can be considered a role model for both individual and collective use in clinical practice, not only in the field of resuscitation but also in other areas of medicine.


Assuntos
Reanimação Cardiopulmonar/métodos , Conferências de Consenso como Assunto , Consenso , Medicina Baseada em Evidências/métodos , Guias de Prática Clínica como Assunto , American Heart Association , Reanimação Cardiopulmonar/normas , Reanimação Cardiopulmonar/tendências , Conflito de Interesses , Europa (Continente) , Medicina Baseada em Evidências/normas , Parada Cardíaca/terapia , Humanos , Política Organizacional , Formulação de Políticas , Indicadores de Qualidade em Assistência à Saúde , Qualidade da Assistência à Saúde/normas , Sociedades Médicas/normas , Estados Unidos
4.
Med Intensiva ; 35(5): 299-306, 2011.
Artigo em Espanhol | MEDLINE | ID: mdl-21496965

RESUMO

During resuscitation, basic life support (BLS) and automated external defibrillation refer to maneuvers designed to maintain airway patency and support breathing and circulation without equipment other than a barrier device and the use of an automated external defibrillator (AED). We present some of the most important developments incorporated to the new international recommendations for resuscitation 2010. Aspects related to prevention and early detection of cardiac arrest are highlighted, along with the important role of dispatchers of emergency medical services, the importance of high quality CPR and programs of public access defibrillation. We likewise describe sequences of action and basic life support algorithms, and semi-automated external defibrillation.


Assuntos
Reanimação Cardiopulmonar/métodos , Desfibriladores , Humanos , Guias de Prática Clínica como Assunto
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