RESUMO
RottenbergEM. First aid education should be expanded to support the learner to develop both the skill and the will to help. Prehosp Disaster Med. 2018;33(4):454-455.
Assuntos
Competência Clínica , Primeiros Socorros , Hemorragia/prevenção & controle , Motivação , HumanosRESUMO
Rottenberg EM . Can gasping be used as a tool to determine whether to perform compression-only CPR versus conventional CPR? Prehosp Disaster Med. 2018;33(2):225-226.
Assuntos
Reanimação Cardiopulmonar/métodos , Técnicas de Apoio para a Decisão , Parada Cardíaca Extra-Hospitalar/prevenção & controle , Respiração , HumanosRESUMO
A recently published review of approaches to optimize chest compressions in the resuscitation of asphyxiated newborns discussed the current recommendations and explored potential determinants of effective neonatal cardiopulmonary resuscitation (CPR). However, not all potential determinants of effective neonatal CPR were explored. Chest compression shallower than the current guideline recommendation of approximately 33% of the anterior-posterior (AP) chest diameter may be safer and more effective. From a physiological standpoint, high-velocity brief duration shallower compression may be more effective than current recommendations. The application of a 1- or 2-finger method of high-impulse CPR, which would depend on the size of the subject, may be more effective than using a 2-thumb (TT) encircling hands method of CPR. Adrenaline should not be used in the treatment of asphyxiated neonates and when necessary titrated vasopressin should be used.