Abstract
The Acute Myocardial Infarction (AMI) Recognition and Treatment (PRONECT™) course is a 1-day (3-hour) course originally designed to give doctors greater confidence and ability in the recognition and management of adult patients who have AMI. It may also be suitable for many other groups of health professionals. PRONECT™ was developed using principles common to many advanced life support courses and incorporates aspects of clinical governance, multidisciplinary education and interprofessional working. It incorporates precourse reading, informal and interactive seminars, and role-play during three clinically based scenarios. A novel aspect of PRONECT™ is that participants undertake role interchange during scenarios, thereby facilitating mutual understanding. At all times during the course, participants are encouraged to reflect on their actions and to pay particular attention to detail. Using initial and final theoretical written tests, after the 3-month courses (36 courses), we assessed the knowledge of aspects of AMI among 900 doctors. The average (± SD) knowledge score was higher for those who had completed a PRONECT™ course, pre-test (545 students) = 23.8 (8.44 ± 1.30) points and post-test (834 students) = 25.3 (9.85 ± 2.12) points (P < 0.05). In addition, those in the post-PRONECT™ group also showed significantly better knowledge about AMI (85.6% [714 doctors]) and acquired skills in treatment an AMI. We have demonstrated evidence that doctors' knowledge of AMI can be improved by attending courses such as PRONECT™.
Highlights
Tight blood glucose (BG) control has been shown to videos of the alveolar dynamics
1Royal Brompton Hospital, London, UK; 2Medical University Graz, observation from mechanical deformation due to the tip of the Austria; 3Charles University Hospital, Prague, Czech Republic; endoscope we developed a flushing catheter that continuously
Taurocholic acid into the pancreatic duct. This allowed us to separate and to determine the specific role of pancreatic blood vs Introduction In the frame of protective lung ventilation, alveolar normal blood on the expression of injury evidenced during isolated biomechanics become more and more the focus of scientific lung reperfusion
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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