Abstract
This abstract presents experience of the Educational Centre of the MTSL InCor Sao Paulo in training of the various profiles of medical personnel (medical doctors and medical technicians) that are employed in the emergency services of the prehospital and hospital type in Brazil. A period of the last year (2000) when the Educational Centre was restructured, becoming one of the most active services in the medical sector of the MTSL in Brazil, has been emphasised in particular. The Educational Centre was participating in a number of international projects related to education. Fifty-five courses of the various levels and with different programs – BLS, ALS, ACLS, ACLS-instructor course, EMT-course, EMT-advanced course – were carried out in the mentioned period. Seven thousand six hundred and ten hours of theoretical teaching and practical training were provided for the 3230 candidates who successfully completed training in various programs. First-aid training for the civilian population was also conducted. Two first-aid courses were carried out and successfully achieved by 64 candidates. In this way, 19 hours of theoretical teaching and practical training were realised. In order to make first-aid training popular, 160 children from different institutions were also introduced to CPR-school and first-aid principles. It has been pointed out that a well-equipped and trained team for urgent medical intervention with necessary teamwork is a crucial factor for the successful treatment of an emergency that involves a patient in a life-threatening situation.
Highlights
Tight blood glucose (BG) control has been shown to videos of the alveolar dynamics
Computer-advised insulin infusion in postoperative cardiac surgery patients: a randomized prospective controlled multicenter trial quality the alveoli are observed at an open chest wall under a glass plate representing an artificial situation. To circumvent this restriction we developed a method of intravital endoscopy and tested it on an animal rat model
J Cordingley1, J Plank2, J Blaha3, M Wilinska4, L Chassin4, Methods In cooperation with Schoelly GmbH (Denzlingen, C Morgan1, S Squire1, M Haluzik3, J Kremen3, S Svacina3, Germany) we developed an endoscope with an outer tube diameter
Summary
Tight blood glucose (BG) control has been shown to videos of the alveolar dynamics. The thorax remains intact.decrease morbidity and mortality in critically ill patients [1] but is Results Figure 1 shows a tissue area after lavage of 0.8 mm difficult to achieve using standard insulin infusion protocols. Results Patient characteristics (mean ± SD): age 57.4 ± 15.4 years, 28 female, 52 male, APACHE II score 28.2 ± 6.6; number of organ failures 4.0 ± 1.12; preceding ICU period 8.5 ± 9.3 days; continuous sedation with midazolam 31.2 ± 34.2 mg/hour, fentanyl 0.12 ± 0.08 mg/hour, propofol 45.6 ± 105.2 mg/hour; sedation assessment according to RS 5.65 ± 0.63, CPS 5.15 ± 1.67, CKS 0.65 ± 0.69, CS 9.34 ± 2.13 und LSS 1.78 ± 1.69, RASS –4.50 ± 1.27, FiO2 0.52 ± 0.17, PEEP 8.2 ± 2.4 cmH2O, ventilatory frequency 20.5 ± 4.8/min, pressure control 16.8 ± 4.4 cmH2O, tidal volume 540 ± 115 ml, TVV 2525.6 ± 11,366 ml (minimum 1.52; maximum 91,586). We hypothesized that S100β levels correlate with this tumor’s preoperative characteristics and with perioperative neurological injury despite its supratentorial location and non-neural origin
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