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UK resuscitation guidelines suggest that parents and carers should be allowed to be present during a resuscitation attempt in hospital but no guidance is available regarding family presence when resuscitation takes place out of hospital. A new research study has suggested that relatives who were offered the opportunity to witness resuscitation were less likely to develop symptoms of post-traumatic stress disorder than those who were not given the chance. This article summarises the results of this study and provides an expert commentary on its conclusions.
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Reanimação Cardiopulmonar/enfermagem , Enfermagem Baseada em Evidências , Família/psicologia , Parada Cardíaca Extra-Hospitalar/enfermagem , Reanimação Cardiopulmonar/psicologia , Humanos , Parada Cardíaca Extra-Hospitalar/psicologia , Guias de Prática Clínica como Assunto , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
England and Wales' National Institute for Health and Clinical Excellence ensures quality and cost effectiveness for drugs and treatments in the NHS. Helen Jaques looks at what it does and why.
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Academias e Institutos , Doenças Cardiovasculares/terapia , Órgãos Governamentais , Avaliação da Tecnologia Biomédica , Inglaterra , Humanos , Guias de Prática Clínica como Assunto , Medicina Estatal , País de GalesRESUMO
The ESC has launched a new declaration of interest form and review process to increase transparency. Prof Michel Komajda, ESC President, speaks to Helen Jaques about the new process.
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Cardiologia , Revelação , Indústria Farmacêutica , Relações Interprofissionais , Sociedades Médicas , Conflito de InteressesRESUMO
Introduction: Through routine respiratory samples surveillance among COVID-19 patients in the intensive care, three patients with aspergillus were identified in a newly opened general intensive care unit during the second wave of the pandemic. Methodology: As no previous cases of aspergillus had occurred since the unit had opened. An urgent multidisciplinary outbreak meeting was held. The possible sources of aspergillus infection were explored. The multidisciplinary approach enabled stakeholders from different skills to discuss possible sources and management strategies. Environmental precipitants like air handling units were considered and the overall clinical practice was reviewed. Settle plates were placed around the unit to identify the source. Reports of recent water leaks were also investigated. Results: Growth of aspergillus on a settle plate was identified the potential source above a nurse's station. This was the site of a historic water leak from the ceiling above, that resolved promptly and was not investigated further. Subsequent investigation above the ceiling tiles found pooling of water and mould due to a slow water leak from a pipe. Conclusion: Water leaks in patient areas should be promptly notified to infection prevention. Detailed investigation to ascertain the actual cause of the leak and ensure any remedial work could be carried out swiftly. Outbreak meetings that include diverse people with various expertises (clinical and non-clinical) can enable prompt identification and resolution of contaminated areas to minimise risk to patients and staff. During challenging pandemic periods hospitals must not lose focus on other clusters and outbreaks occurring simultaneously.