Abstract
Recognising and intervening in the early stages of critical illness, basic life support and defibrillation are essential for improving outcome from inhospital cardiac arrest [1,2]. The Resuscitation Council (UK) http://www.resus.org.uk launched the Immediate Life Support Course (ILS) in January 2002. This multiprofessional 1-day resuscitation course provides tuition on the knowledge and skills required by a first responder to manage a patient in cardiac arrest for the short time before the arrival of a cardiac arrest team. ILS also introduces healthcare professionals to the role of a cardiac arrest team member. Recognition and intervention in the acutely unwell patient prior to cardiac arrest, basic airway skills and rapid safe defibrillation using either manual or automated external defibrillators (AEDs) are the prime objectives of the course. The course includes lectures, skill stations and cardiac arrest scenarios. ILS has standardised much of the life support training that already takes place in hospitals in the UK. In the first year, 14,409 candidates attended ILS courses in 122 course centres. The backgrounds of the participants are summarised in Table Table1.1. Participants are continually assessed during the course and those that demonstrate satisfactory performance are awarded a certificate valid for 12 months. During the first year the majority (99%) of participants successfully achieved the course objectives. The preliminary results presented here show a promising start for the new ILS course. The challenge now is opening up the course in more centres while maintaining the quality of teaching. Table 1
Highlights
Activation of the HPA axis occurs in order to control potentially deleterious effects of systemic inflammation during sepsis
Arterial blood gases (ABGs) are the immediate, easiest, most reliable and cost effective bedside method of assessing an unstable patient. It portrays an array of functional reserves from the lungs to the kidneys and the blood cells in between
A significant benefit was demonstrated with amikacin/ceftazidime versus pefloxacin/ceftazidime, risk difference (RD) = 20%, in a single low-quality trial
Summary
Activation of the HPA axis occurs in order to control potentially deleterious effects of systemic inflammation during sepsis. The aim of the study was to evaluate the effects of PEEP on intrathoracic blood volumes and cardiac function measured by the COLD system in ARDS patients. The objective was to identify risk factors and outcome of pregnant women who required intensive care This pilot study aims to find stress (S) and other personality traits (physical symptoms [PS], anger [A]) among the ICU staff, and any existing correlation between them and length of working time (LWT) in the ICU and with educational level (EDL). The role of Drotrecogin alfa (activated) (recombinant human activated protein C [rhAPC]) in modulating microvascular coagulation through the inhibition of thrombin generation has been well studied in experimental and clinical settings of severe sepsis, little is known about its direct anti-inflammatory effects on vascular endothelial cells. The aim is to determine whether an effective lifestyle adaptation program post CABG could enhance the quality of life of the CABG patient
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