Rescue Method Research Articles

Growth, vegetative rescue and vegetative propagation in Eucalyptus species and hybrids

The objective of the study was the evaluation of survival and productivity indicators in different species/hybrids of Eucalyptus in the adult stage, as well as the vegetative rescue of adult trees and cuttings, testing for species/hybrids, concentration of growth regulator and substrates in rooting. In the evaluation of species/hybrids, height (m), diameter at breast height (DBH, cm) and individual volume (m3 per individual) were measured, and survival was evaluated. In the vegetative rescue treatment, the number of shoots produced at 90, 120 and 210 days was evaluated. In the cutting experiments, the species that produced rescue shoots were tested, in addition to indole-3-butyric acid (IBA) doses (0, 1 500, 3 000 and 4 500 mg L−1) and four substrates for rooting cuttings. The experiments of IBA doses and substrates were carried out using Eucalyptus saligna plants. In the cutting experiments, after 120 days of cultivation, the following variables were evaluated: callus formation (%), survival (%), rooting (%), number and length of roots. The best results regarding survival and quantitative variables of the species/hybrids were obtained for E. dunnii, E. dunnii × E. grandis and E. pellita. In the vegetative rescue, E. dunnii × E. grandis and E. pellita had the highest formation of shoots and the girdling vegetative rescue method had the best results in terms of generated shoots. E. saligna had better results regarding the variables related to the rooting of cuttings. The substrate S3 and the use of 1 500 mg L−1 of IBA provided the highest survival rate and better variables related to the rooting of the cuttings.

Underwater Rescue Target Detection Based on Acoustic Images.

In order to effectively respond to floods and water emergencies that result in the drowning of missing persons, timely and effective search and rescue is a very critical step in underwater rescue. Due to the complex underwater environment and low visibility, unmanned underwater vehicles (UUVs) with sonar are more efficient than traditional manual search and rescue methods to conduct active searches using deep learning algorithms. In this paper, we constructed a sound-based rescue target dataset that encompasses both the source and target domains using deep transfer learning techniques. For the underwater acoustic rescue target detection of small targets, which lack image feature accuracy, this paper proposes a two-branch convolution module and improves the YOLOv5s algorithm model to design an acoustic rescue small target detection algorithm model. For an underwater rescue target dataset based on acoustic images with a small sample acoustic dataset, a direct fine-tuning using optical image pre-training lacks cross-domain adaptability due to the different statistical properties of optical and acoustic images. This paper therefore proposes a heterogeneous information hierarchical migration learning method. For the false detection of acoustic rescue targets in a complex underwater background, the network layer is frozen during the hierarchical migration of heterogeneous information to improve the detection accuracy. In addition, in order to be more applicable to the embedded devices carried by underwater UAVs, an underwater acoustic rescue target detection algorithm based on ShuffleNetv2 is proposed to improve the two-branch convolutional module and the backbone network of YOLOv5s algorithm, and to create a lightweight model based on hierarchical migration of heterogeneous information. Through extensive comparative experiments conducted on various acoustic images, we have thoroughly validated the feasibility and effectiveness of our method. Our approach has demonstrated state-of-the-art performance in underwater search and rescue target detection tasks.

Over-the-scope clip rescue method of endoscopic hemostasis for severe acute colonic diverticular bleeding.

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Successful application of airway pressure release ventilation in a child with severe acute respiratory distress syndrome induced by trauma: a case report

BackgroundTrauma has been identified as one of the risk factors for acute respiratory distress syndrome. Respiratory support can be further complicated by comorbidities of trauma such as primary or secondary lung injury. Conventional ventilation strategies may not be suitable for all trauma-related acute respiratory distress syndrome. Airway pressure release ventilation has emerged as a potential rescue method for patients with acute respiratory distress syndrome and hypoxemia refractory to conventional mechanical ventilation. However, there is a lack of research on the use of airway pressure release ventilation in children with trauma-related acute respiratory distress syndrome. We report a case of airway pressure release ventilation applied to a child with falling injury, severe acute respiratory distress syndrome, hemorrhagic shock, and bilateral hemopneumothorax. We hope this case report presents a potential option for trauma-related acute respiratory distress syndrome and serves as a basis for future research.Case presentationA 15-year-old female with falling injury who developed severe acute respiratory distress syndrome, hemorrhagic shock, and bilateral hemopneumothorax was admitted to the surgical intensive care unit. She presented refractory hypoxemia despite the treatment of conventional ventilation with deep analgesia, sedation, and muscular relaxation. Lung recruitment was ineffective and prone positioning was contraindicated. Her oxygenation significantly improved after the use of airway pressure release ventilation. She was eventually extubated after 12 days of admission and discharged after 42 days of hospitalization.ConclusionAirway pressure release ventilation may be considered early in the management of trauma patients with severe acute respiratory distress syndrome when prone position ventilation cannot be performed and refractory hypoxemia persists despite conventional ventilation and lung recruitment maneuvers.

YOLOv5s maritime distress target detection method based on swin transformer

AbstractIn recent years, the task of maritime emergency rescue has increased, while the cost of time for traditional methods of search and rescue is pretty long with poor effect subject to the constraints of the complex circumstances around the sea, the effective conditions, and the support capability. This paper applies deep learning and proposes a YOLOv5s‐SwinDS algorithm for target detection in distress at sea. Firstly, the backbone network of the YOLOv5s algorithm is replaced by swin transformer, and a multi‐level feature fusion module is introduced to enhance the feature expression ability for maritime targets. Secondly, deformable convolutional networks v2 (DCNv2) is used instead of traditional convolution to improve the recognition capability for irregular targets when the neck network features are output. Finally, the CIoU loss function is replaced with SIoU to reduce the redundant box effectively while accelerating the convergence and regression of the predicted box. Experimenting on the publicly dataset SeaDronesSee, the , , and of YOLOv5s‐SwinDS model are 87.9%, 75.8%, 79.1% and 42.9%, respectively, which get higher results than the original YOLOv5s model, the YOLOv7 series of models, and the YOLOv8 series of models. The experiments verifies that the algorithm has good performance in detecting maritime distress targets.

Embryo Rescue Technique in Buckwheat Fagopyrum esculentum Moench.

Culture of immature buckwheat embryos is an excellent explant for tissue culture and regeneration in vitro, as well as a method of embryo rescue in case of fruit abortion especially in interspecific crosses. Here, we describe the method of immature embryo rescue using a differentiated approach to different age groups. The method involves the development of embryos along the path of direct embryogenesis bypassing the callus stage.

Comparison of Doppler Guided Seldinger Technique Versus Classic Palpatory Seldinger Technique for Radial Artery Cannulation-an Open Label Randomized Controlled Trial

Objective: Radial artery cannulation is commonly performed by the conventional palpatory technique. However, in circumstances where the cannulation is difficult, other methods such as Doppler or ultrasound are used to guide the cannulation. Incorporating the Seldinger technique can further improve the successful cannulation. The aim of the study was to compare the first attempt success rate of radial artery cannulation between conventional palpatory Seldinger technique and Doppler guided Seldinger technique. Methods: Ninety patients undergoing major open abdominal surgeries were divided into two groups -the Classic palpatory and the Doppler guided radial artery cannulation. The Seldinger Technique was used in both the groups. First attempt success rate of radial artery cannulation and time to cannulation were noted by both the techniques. Results: The number of attempts and the time to cannulation were significantly less in the palpatory Seldinger group as compared with the Doppler Seldinger group. Complication rates were similar in both the groups but there were 4 failure in palpatory Seldinger group. Conclusion: The classic palpatory technique along with the Seldinger technique for radial artery cannulation is better in terms of first attempt cannulation rate and duration of cannulation than the Doppler guided Seldinger technique in patients undergoing elective surgeries. However, Doppler method had no failures and can be a useful rescue method in failed cannulation.

Stochastic Search and Rescue Method for Day Ahead Economic Emission Load Dispatch Under Wind Uncertainty

Stochastic Search and Rescue Method for Day Ahead Economic Emission Load Dispatch Under Wind Uncertainty

Rescue Strategy for Hemorrhagic Complication During Mechanical Thrombectomy and the Clinical Outcome.

Hemorrhagic complications occasionally occur during mechanical thrombectomy and may lead to catastrophic outcomes. Therefore, remedial strategies require careful investigation. Herein, we aimed to evaluate a cohort of patients who experienced hemorrhage during endovascular procedures, the rescue methods used, and outcomes observed. This prospective study included patients who had hemorrhagic complications observed on digital subtraction angiography (DSA) during mechanical thrombectomy, between October 2017 and October 2022, at a high-volume stroke center. Functional outcomes were assessed using the modified Rankin scale (mRS) score at a 90-day follow-up. The primary outcomes were favorable outcomes (mRS score: 0-2 points) and mortality rates. The secondary outcomes were rescue therapy success rates, according to extravasation observed on the final DSA, recanalization status, and causes of hemorrhage. From October 2017 to October 2022, 1537 patients with stroke received emergency endovascular therapy, and 1147 patients completed a 90-day follow-up. Hemorrhage was observed in 33 (2.1%) patients in the process of endovascular interventions. Eighteen (54.5%) cases of hemorrhage were caused by microwire or microcatheter perforation. Mechanical stretching of the vessel during stent retriever withdrawal resulted in 8 (24.2%) cases of hemorrhage. Nine (27.3%) instances of hemorrhage stopped after the reversal of heparin administration and introduction of blood pressure control measures. Further endovascular rescue treatment was performed in 11 patients. Intracranial inflation of the balloon for tamponade stopped 10 hemorrhages, and 1 patient underwent additional coil embolization. Fifteen (45.5%) patients died within 90 days after the procedure. Three (9.1%) patients recovered functional independence (mRS score: 0-2 points) within 90 days. Hemorrhage during mechanical thrombectomy is a rare but severe complication of acute ischemic stroke with high mortality and disability rates. Intracranial inflation of a balloon for tamponade can effectively stop extravasation. This paper described haemorrhagic events characterised by contrast extravasation in the procedure of mechanical thrombectomy due to various causes. Although this complication is rare, patients showed a high mortality and disability rate. There are limited reports available. We found self-limiting haemorrhage had a rather benign prognosis and balloon tamponade could effectively stop the extravasation and might reduce the death rate within 90d. The methods we adopted could be applied in the clinical practice and help neuro-interventionist cope with this complication more promptly and effectively.

Airway management with Hi-flow nasal cannula oxygen in children with severe laryngeal obstruction

BackgroundThe aim of this study was to report our initial experience in airway management in young children with severe laryngeal obstruction. Hi-flow nasal cannula oxygen (HFNO) with spontaneous respiration was used as a new airway management strategy in young children undergoing suspension laryngoscopic surgery. MethodsChildren aged between 1 day and 24 months scheduled for suspension laryngoscopy were retrospectively studied. The data collected included the patients' age, gender, American Society of Anaesthesiologists physical status classification, comorbidities, preoperative physiological status, methods of induction and maintenance of anesthesia, course of the disease and surgical options, lowest oxygen saturation recorded, transcutaneous CO2, duration of operation, and patients' need for rescue methods. ResultsA total of 38 patients successfully underwent suspension laryngoscopy under HFNO with spontaneous respiration. 19 patients were less than 1 year old (7 neonates), while the other half were less than or equal to 2 years old. The median [IQR (range)] lowest oxygen saturation recorded during the operation was 98 [93–99 (91–99)] %. The median [IQR (range)] duration of HFNO with spontaneous respiration was 65 [45–100 (30–200)] minutes. The median [IQR (range)] PCO2/PtcCO2 at the end of the spontaneous ventilation period was 54 [48–63 (39–70)] mmHg, which was the same as the preoperative PCO2 despite a long operation time. ConclusionsHFNO with spontaneous respiration emerged as a new airway management strategy in young children with severe laryngeal obstruction that was beneficial in maintaining oxygenation and was superior to transnasal humidified rapid insufflation ventilatory exchange (THRIVE) in terms of the rising rate of PCO2 in these patients, thereby prolonging the safety time of the operation.

Oral and IV Varespladib Rescue Experiments in Juvenile Pigs with Weakness Induced by Australian and Papuan Oxyuranus scutellatus Venoms.

Antivenom is currently the standard-of-care treatment for snakebite envenoming, but its efficacy is limited by treatment delays, availability, and in many cases, species specificity. Many of the rapidly lethal effects of envenoming are caused by venom-derived toxins, such as phospholipase A2 (sPLA2); therefore, small molecule direct toxin inhibitors targeting these toxins may have utility as initial and adjunct therapies after envenoming. Varespladib (intravenous, IV) and varespladib-methyl (oral) have been shown to potently inhibit sPLA2s from snake venoms in murine and porcine models, thus supporting their further study as potential treatments for snakebite envenoming. In this pilot study, we tested the ability of these compounds to reverse neurotoxic effects of venom from the Australian and Papuan taipan (Oxyuranus scutellatus) subspecies in juvenile pigs (Sus domesticus). The mean survival time for control animals receiving Australian taipan venom (0.03 mg/kg, n = 3) was 331 min ± 15 min; for those receiving Papuan taipan venom (0.15 mg/kg, n = 3) it was 178 ± 31 min. Thirteen pigs received Australian taipan venom and treatment with either IV or oral varespladib (or with IV to oral transition) and all 13 survived the duration of the study (≥96 h). Eight pigs received Papuan taipan venom followed by treatment: Briefly: Two animals received antivenom immediately and survived to the end of the study. Two animals received antivenom treatment delayed 45 min from envenoming and died within 4 h. Two animals received similarly delayed antivenom treatment and were rescued by varespladib. Two animals were treated with varespladib alone after a 45-min delay. Treatment with varespladib only was effective but required repeat dosing over the course of the study. Findings highlight both the importance of early treatment and, as well, a half-life for the investigational inhibitors now in Phase II clinical trials for snakebite. Varespladib rapidly reversed weakness even when administered many hours post-envenoming and, overall, our results suggest that varespladib and varespladib-methyl could be efficacious tools in the treatment of sPLA2-induced weakness from Oxyuranus envenoming. Further clinical study as initial therapy and as potential method of rescue from some types of antivenom-resistant envenomings are supported by these data.

Everyday Water-Related Emergencies: A Didactic Course Expanding Wilderness Medicine Education.

This small group session is appropriate for any level of emergency medicine resident physicians. Drowning is defined as the process of experiencing respiratory impairment from submersion or immersion in liquid. It is the third leading cause of unintentional injury-related deaths worldwide, accounting for 7% of all injury-related deaths.1 Our group sought to improve resident education regarding the basics of water safety and rescues as an event developed by our wilderness medicine (WM) interest group. With the growing number of WM Fellowships, specialty tracks, interest clubs and the regular inclusion of WM topics in residency didactics, exposure to WM topics has increased greatly.2 There is a large overlap between wilderness medicine and the field of emergency medicine. Both require stabilization, improvisation, and the treatment of environmental/exposure illnesses. It is imperative that emergency medicine physicians understand the complex pathophysiology of drowning, as well as recognize and manage potential associated traumatic injuries including fractures and critical hemorrhage. Our goal is to provide additional curricular instruction on prehospital management of water-related emergencies and related injuries to emergency medicine residents. By the end of the session, the learner will be able to: 1) describe the pathophysiology of drowning and shallow water drowning, 2) prevent water emergencies by listing water preparations and precautions to take prior to engaging in activities in and around water, 3) recognize a person at risk of drowning and determine the next best course of action, 4) demonstrate three different methods for in-water c-spine stabilization in the case of a possible cervical injury, 5) evaluate and treat a patient after submersion injury, 6) appropriately place a tourniquet for hemorrhage control, and 7) apply a splint to immobilize skeletal injury. A group of 16 resident learners received a thirty-minute introduction discussion (with open discussion) regarding water safety, basic water rescue methods, and submersion injury pathophysiology. They then progressed through three stations designed to emphasize select skills and knowledge related to submersion injury management, water rescue, and tourniquet and splint placement. Participants completed a six-item questionnaire after the event designed to help gage participant comfort level of treatment, management, and experience regarding water safety, drowning, and related traumatic emergencies. Each item was ranked from 0 for "strongly disagree" to 10 for "strongly agree." Total mean scores before and after were compared. Sixteen individuals participated in the sessions and survey. The total mean score for the six-item analysis increased following the workshop (26.3 before versus 46.9 after, p = 0.001). The positive improvement in all categories indicated increased comfort in the topics of the small group sessions, with the largest improvement in the question about comfort in effectively evaluating and treating a patient presenting to the ED after a submersion injury. Utilizing discussions and hands-on group sessions increased residents' perceived learning. This model can be applied to an extensive number of wilderness medicine topics for learners of all levels. For individuals with time-restrictive schedules, this model is an efficient mode of learning and teaching drowning and injury management skills with the potential for further topics and future courses. Wilderness medicine, water safety, pathophysiology of drowning, in-water rescues, in-water cervical spine stabilization, management of drowning in the ED, splinting, tourniquets.

Design and Evaluation of CPR Emergency Equipment for Non-Professionals.

Sudden cardiac death is a sudden and highly fatal condition. Implementing high-quality emergency cardiopulmonary resuscitation (CPR) early on is an effective rescue method for this disease. However, the rescue steps of CPR are complicated and difficult to remember, and the quantitative indicators are difficult to control, which leads to a poor quality of CPR emergency actions outside the hospital setting. Therefore, we have developed CPR emergency equipment with a multisensory feedback function, aiming to guide rescuers in performing CPR through visual, auditory, and tactile interaction. This equipment consists of three components: first aid clothing, an audio-visual integrated terminal, and a vital sign detector. These three components are based on a micro-power WiFi-Mesh network, enabling the long-term wireless transmission of the multisensor data. To evaluate the impact of the multisensory feedback CPR emergency equipment on nonprofessionals, we conducted a controlled experiment involving 32 nonmedical subjects. Each subject was assigned to either the experimental group, which used the equipment, or the control group, which did not. The main evaluation criteria were the chest compression (CC) depth, the CC rate, the precise depth of the CC ratio (5-6 cm), and the precise rate of the CC ratio -(100-120 times/min). The results indicated that the average CC depth in the experimental group was 51.5 ± 1.3 mm, which was significantly better than that of the control group (50.2 ± 2.2 mm, p = 0.012). Moreover, the average CC rate in the experimental group (110.1 ± 6.2 times/min) was significantly higher than that of the control group (100.4 ± 6.6 times/min) (p < 0.001). Compared to the control group (66.37%), the experimental group showed a higher proportion of precise CC depth (82.11%), which is closer to the standard CPR rate of 100%. In addition, the CC ratio of the precise rate was 93.75% in the experimental group, which was significantly better than that of 56.52% in the control group (p = 0.024). Following the experiment, the revised System Availability Scale (SUS) was utilized to evaluate the equipment's usability. The average total SUS score was 78.594, indicating that the equipment's acceptability range was evaluated as 'acceptable', and the overall adjective rating was 'good'. In conclusion, the multisensory feedback CPR emergency equipment significantly enhances the CC performance (CC depth, CC rate, the precise depth of CC ratio, the precise rate of CC ratio) of nonprofessionals during CPR, and the majority of participants perceive the equipment as being easy to use.

Acousto-optic Multi-source Information Fusion Algorithm for Outdoor Pedestrian Detection

The inefficiency of traditional rescue methods is a serious threat to the life and health of outdoor people in distress, so the research on pedestrian identification for outdoor rescue has important theoretical significance and application value. In order to solve the problem of low probability of recognition based on signal information in traditional methods, an outdoor pedestrian recognition model based on acousto-optic information fusion is constructed. Considering the characteristics of the information source, the directional gradient histogram of the infrared image and the Mel Cepstral Coefficients of the acoustic signal are selected as the factors affecting the recognition probability, and the pedestrian recognition probability correlation equation is deduced; Based on the improved D-S evidence theory of fuzzy system, a pedestrian recognition method based on infrared image and sound signal is proposed, and the mapping relationship between two kinds of information sources and detection probability is established to improve the pedestrian recognition probability. The hardware-in-the-loop simulation results show that the pedestrian recognition probability of fusion of infrared image and sound signal is higher than that of single information, which provides an efficient and reliable method for outdoor rescue.

Causes and Rescue Methods of Accidents in the Laboratory Animals Anesthetization

Causes and Rescue Methods of Accidents in the Laboratory Animals Anesthetization

A Task Allocation Method for Multi-AUV Search and Rescue with Possible Target Area

Task allocation is crucial for autonomous underwater vehicle (AUV) collaboration in multi-AUV maritime search and rescue missions. In real projects, there are possible target areas existing in task areas, which are not expected to be divided. Motivated by such a special situation, this paper proposes an area partitioning method to allocate the task to multiple AUVs and maintain the possible target area as a whole. First, the spatial structure of the task area is defined by the spiked Morse decomposition, which divides the task area according to a set of angles. Then, we perform a variational transformation to determine the optimal angles using the AUV order. Next, a customized backtracking method is introduced to determine the optimal AUV order which divides the task area among the multiple AUVs without disturbing the possible target areas. The proposed methodology is validated under various challenging scenarios using a different number of AUVs. The empirical results show that the divided possible target areas and workload variance were superior to the comparison methods. This indicates that the proposed method can generate stable solutions that effectively reduce the segmentation of possible target areas and keep the workload of the multiple AUVs balanced.

Smartphone Dynamic Infrared Thermography for Harvesting AICAP Flap in a Large Breast-conservative Surgery

Flaps based on perforators of the intercostal arteries have been described for the reconstruction of defects resulting from partial mastectomies. Dynamic infrared thermography (DIRT) identifies hot spots that accurately correspond to and evaluate perforator vessels toward the skin. The new generation of portable thermal cameras has become smaller, less expensive, more sensitive, and compatible with common smartphones. One option is the FLIR ONE system (FLIR Systems, Inc., Wilsonville, OR), a smartphone-compatible thermal camera. Despite its lower resolution, compared with the larger infrared camera models, it represents a viable option for thermal skin mapping, and its compact nature allows for easy portable use. The purpose of this article is to report a case of a preoperative study with smartphone DIRT used in the preparation of an anterior intercostal artery perforator-based flap for breast reconstruction after a wide resection at the level of the right infer-internal breast region, including a skin excision. Our study documents how smartphone DIRT is a rapid, sensitive, easily accessible and cost-effective diagnostic method for the topographical identification of intercostal artery perforators. It can be used as a rescue method at any stage of the intervention if it differs from the preoperative planning. It also confirms the proven usefulness of this flap for the reconstruction of partial defects in the breast and thoracic region.

Analysis and Discussion on Emergency Rescue Inspection Case of Machine Roomless Elevator by Data

This paper introduces the principle and method of emergency rescue for machine room-less elevator, analyzes an inspection case due to the failure of the electric release function, studies and proposes the importance of monitoring the door lock signal by the electric release device through the electrical working principle, and analyzes the failure reason and safety hidden danger of the emergency rescue device for machine room-less elevator.

Management for stroke intelligent early warning empowered by big data

Global aging population, especially with the global pandemic outbreak of the Corona Virus Disease 2019 (COVID-19), has endangered human health security. Digital information technology through big data empowerment and intelligent application is widely considered a key element to solve the problems. Stroke is a life-threaten disorder. We studied individual health management and disease risk perception using human health assessment model and make full use of wearable wireless sensor, Internet of Things, big data, and Artificial Intelligence for potential risk monitoring and real-time stroke warning. We proposed an effective method of monitoring, early warning and rescue to improve the stroke treatment. The result shows that the health management empowered by big data can generate new opportunities and ideas to solve early detection and warning of stroke.

A simple but effective solution for proximal mark absence on some microcatheters in intracranial aneurysm embolization: Technical note.

Endovascular coil embolization is increasingly being used for the treatment of intracranial aneurysms and other pathologies such as arteriovenous (AV) malformations and AV fistulas. Appropriate embolization technique requires a microcatheter with two radiopaque marks, one proximal and one distal. We present an alternative coils deployment technique for intracranial aneurysms, using a microcatheter without a proximal radiopaque mark. We describe the technique for embolization that was used in a 36-year-old female patient, in which we used a microcatheter without a proximal radiopaque mark for coil embolization of an intracranial aneurysm. We used a Headway Duo flow directed microcatheter for a coiling embolization of an intracranial aneurysm, solving the absence of the proximal radiopaque mark by cannulating the microcatheter with a Traxcess 0.014 microguidewire, and placing an external mark on the screen in the proximal portion of the microguidewire 30 mm radiopaque tip to indirectly mark the proximal mark of the microcatheter. There is scarce evidence supporting the use of microcatheters with no proximal radiopaque mark for coil embolization. This report attempts to disclose how an easy and simple technique can be used as a rescue method to solve the proximal radiopaque mark absence during endovascular coil release procedures. To the best of our knowledge, this technique has not been previously described; therefore, its use is not widespread among neurointerventionists.