Success Rate Of Resuscitation Research Articles

Implementing an intelligent diagnosis and treatment system for in-hospital cardiac arrest in the Utstein style: a multi-center case study

BackgroundCardiac arrest presents a variety of causes and complexities, making it challenging to develop targeted treatment plans. Often, the original data are either inadequate or lack essential patient information. In this study, we introduce an intelligent system for diagnosing and treating in-hospital cardiac arrest (IHCA), aimed at improving the success rate of cardiopulmonary resuscitation and restoring spontaneous circulation.MethodsTo compensate for insufficient or incomplete data, a hybrid mega trend diffusion method was used to generate virtual samples, enhancing system performance. The core of the system is a modified episodic deep reinforcement learning module, which facilitates the diagnosis and treatment process while improving sample efficiency. Uncertainty analysis was performed using Monte Carlo simulations, and dependencies between different parameters were assessed using regular vine copula. The system's effectiveness was evaluated using ten years of data from Utstein-style IHCA registries across seven hospitals in China's Hebei Province.ResultsThe system demonstrated improved performance compared to other models, particularly in scenarios with inadequate data or missing patient information. The average reward scores in two key stages increased by 2.3–9 and 9.9–23, respectively.ConclusionsThe intelligent diagnosis and treatment effectively addresses IHCA, providing reliable diagnosis and treatment plans in IHCA scenarios. Moreover, it can effectively induce cardiopulmonary resuscitation and restoration of spontaneous circulation processes even when original data are insufficient or basic patient information is missing.

Ireland is Above European Average for do-not-Resuscitate Decision Making and Training: A Europe-Wide Survey On Resuscitation Decision Making Practices

Abstract Background Resuscitation success rates for older patients are poor. Research has shown that, despite many older people expressing a wish for full resuscitation initially, when the poor prognosis and outcomes are explained, this number drops substantially. One existing study, which did not include Ireland, revealed that a wide gap exists across European countries for rates of resuscitation discussions and the implementation of do-not-resuscitate (DNR) orders. The aim of this survey is to assess differences and barriers between European countries among doctors working in the field of geriatric medicine for DNR decision making. Methods An online survey was carried out among doctors working in geriatric medicine in European countries. Besides age, sex, years of experience and country of practice, sixteen questions regarding DNR discussion in terms of the frequency and confidence in doing it, prevalence of DNR discussions and possible barriers to this practice regarding DNR discussions were asked. Data analysis was carried out using R. Results In total, 473 respondents from 22 European countries completed the survey. Participants’ mean age was 41.8 years (standard deviation [SD] 9.9) and 64.9% were females. The mean number of years’ experience working as a doctor was 15.39 years (SD 9.62). 45 respondents were based in Ireland (9.5%). 95.5% of those in Ireland responded agree or strongly agree to feeling confident discussing DNR orders, in comparison to 79.7% of the total survey population. 73.4% of respondents in Ireland reported getting training in DNR discussions, versus 61.6% of the pan-European population. 86.7% of respondents in Ireland felt DNR orders are well accepted in their country, compared to 55% of total respondents. Conclusion This survey presents intra-European differences regarding practice of discussing DNR orders by doctors working in the field of geriatric medicine. Ireland was above average for discussing DNR orders, training received, and reported higher acceptability to society at large.

Component Blood Transfusion with Restrictive Fluid Resuscitation in Ectopic Pregnancy Hemorrhage with Hemorrhagic Shock

Objective: To study the effect of using component blood transfusion with restrictive fluid resuscitation in ectopic pregnancy hemorrhage complicating hemorrhagic shock. Methods: 50 cases of ectopic pregnancy hemorrhage complicating hemorrhagic shock were selected for data study, and after grouping, 25 cases in each group were grouped, and the use of component blood transfusion with restrictive fluid resuscitation was used in the study group and restrictive fluid resuscitation was used in the control group, and the differences in the data were compared. Results: Compared with the control group, the study group had a significantly higher resuscitation success rate, significantly fewer complications, significantly higher hemodynamic indexes 2 h after treatment, significantly better coagulation function indexes, and significantly fewer various quantities in the therapeutic situation, P < 0.05. Conclusion: The use of component blood transfusion with restrictive fluid resuscitation in ectopic pregnancy hemorrhage-complicating hemorrhagic shock has an ideal effect.

Research on the Construction of an Emergency Group Injury Classification Management Model based on the Six Sigma Methodology

Objective: This study aimed to investigate an effective management model for coping with critical incident group injuries. Methods: The study started and ended from January 2022 to December 2023, in which 68 patients with critical incident group injuries admitted from January 2022 to December 2022 were selected as the control group in the conventional management mode, and 76 patients with critical incident group injuries admitted in the hospital were selected as the study group in the classification management mode based on the Six Sigma method to compare the management effects of the two groups. The management effects of the two groups were compared. Results: The study group took less time to rescue than the control group, and the resuscitation success rate was higher than that of the control group (P < 0.05). Conclusion: The classification management model based on the Six Sigma method is effective and can be popularized and applied in medical institutions.

Correlates of Cardiology Nurses' Clinical First Aid Competence in a Selected Hospital in Shandong, China

As a cardiology department is an important place to receive critically ill patients, the improvement of nurses' own quality can significantly improve the first aid competence and resuscitation success rate, thus saving patients' lives. The clinical emergency care competencies of cardiac nurses include the ability to recognize changes in a patient's status in a timely manner during the course of treatment, as well as the ability to carefully assess the situation and make timely judgments. This ability to provide emergency medical care under stress is critical to the overall competence of the nurse. Cardiology nurses should improve their ability to learn on their own, continue to learn new knowledge and techniques, enhance their level of professional benefit, and actively participate in cardiovascular specialty nurse training in order to improve their critical care and emergency care abilities.

An analysis of the risk factors for invasive fungal infections in preterm infants and a discussion of prevention strategies.

Although the success rate of resuscitation in preterm infants is increasing, the long length of hospital stay in preterm infants and the need for more invasive operations, coupled with the widespread use of empirical antibiotics, have increased the prevalence of fungal infections in preterm infants in neonatal intensive care units (NICUs) year on year. The present study aims to explore the risk factors of invasive fungal infections (IFI) in preterm infants and to identify some prevention strategies. A total of 202 preterm infants with a gestational age of 26 weeks to 36+6 weeks and a birth weight of less than 2,000 g, admitted to our neonatal unit during the 5-year period from January 2014 to December 2018, were selected for the study. Among these preterm infants, six cases that developed fungal infections during hospitalization were enrolled as the study group, and the remaining 196 infants who did not develop fungal infections during hospitalization were the control group. The gestational age, length of hospital stay, duration of antibiotic therapy, duration of invasive mechanical ventilation, indwelling duration of the central venous catheter, and duration of intravenous nutrition of the two groups were compared and analyzed. There were statistically significant differences between the two groups in the gestational age, length of hospital stay, and duration of antibiotic therapy. A small gestational age, a lengthy hospital stay, and long-term use of broad-spectrum antibiotics are the high-risk factors for fungal infections in preterm infants. Medical and nursing measures to address the high-risk factors might reduce the incidence of fungal infections and improve the prognosis in preterm infants.

Application of multimodal ultrasonography to predicting the acute kidney injury risk of patients with sepsis: artificial intelligence approach.

The occurrence of acute kidney injury in sepsis represents a common complication in hospitalized and critically injured patients, which is usually associated with an inauspicious prognosis. Thus, additional consequences, for instance, the risk of developing chronic kidney disease, can be coupled with significantly higher mortality. To intervene in advance in high-risk patients, improve poor prognosis, and further enhance the success rate of resuscitation, a diagnostic grading standard of acute kidney injury is employed to quantify. In the article, an artificial intelligence-based multimodal ultrasound imaging technique is conceived by incorporating conventional ultrasound, ultrasonography, and shear wave elastography examination approaches. The acquired focal lesion images in the kidney lumen are mapped into a knowledge map and then injected into feature mining of a multicenter clinical dataset to accomplish risk prediction for the occurrence of acute kidney injury. The clinical decision curve demonstrated that applying the constructed model can help patients whose threshold values range between 0.017 and 0.89 probabilities. Additionally, the metrics of model sensitivity, specificity, accuracy, and area under the curve (AUC) are computed as 67.9%, 82.48%, 76.86%, and 0.692%, respectively, which confirms that multimodal ultrasonography not only improves the diagnostic sensitivity of the constructed model but also dramatically raises the risk prediction capability, thus illustrating that the predictive model possesses promising validity and accuracy metrics.

Prompt-enhanced hierarchical transformer elevating cardiopulmonary resuscitation instruction via temporal action segmentation

The vast majority of people who suffer unexpected cardiac arrest are performed cardiopulmonary resuscitation (CPR) by passersby in a desperate attempt to restore life, but endeavors turn out to be fruitless on account of disqualification. Fortunately, many pieces of research manifest that disciplined training will help to elevate the success rate of resuscitation, which constantly desires a seamless combination of novel techniques to yield further advancement. To this end, we collect a specialized CPR video dataset in which trainees make efforts to behave resuscitation on mannequins independently in adherence to approved guidelines, promoting an auxiliary toolbox to assist supervision and rectification of intermediate potential issues via modern deep learning methodologies. Our research empirically views this problem as a temporal action segmentation (TAS) task in computer vision, which aims to segment an untrimmed video at a frame-wise level. Here, we propose a Prompt-enhanced hierarchical Transformer (PhiTrans) that integrates three indispensable modules, including a textual prompt-based Video Features Extractor (VFE), a transformer-based Action Segmentation Executor (ASE), and a regression-based Prediction Refinement Calibrator (PRC). The backbone preferentially derives from applications in three approved public datasets (GTEA, 50Salads, and Breakfast) collected for TAS tasks, which experimentally facilitates the model excavation on the CPR dataset. In general, we probe into a feasible pipeline that elevates the CPR instruction qualification via action segmentation equipped with novel deep learning techniques. Associated experiments on the CPR dataset advocate our resolution with surpassing 91.0% on Accuracy, Edit score, and F1 score.

Abstract 197: Establishing a Novel Pulse Wave Velocity-Guided Mouse Model of Cardiac Arrest With Different Durations

Background: Neurological and cardiovascular injuries are the leading causes of death following cardiac arrest (CA). Few rodent models recapitulate these post-resuscitation symptoms. Aims: To develop extended ischemic CA models under Pulse Wave Velocity ( PWV) guidance with consistent post-CA brain injury (PCABI) and coronary dysfunction as potential therapeutic targets and mechanical studies. Methods: Forty-eight mice were randomized into four experimental groups (control, 8-, 12-, and 16-min CA). Potassium chloride (KCL) was intravenously injected, resulting in immediate asystole. Mice were resuscitated with an injection of epinephrine and manual chest compressions. PWV was monitored for the left carotid artery velocity and coronary flow reserve (CFR). Resuscitability, synaptic density in the hippocampal CA1 region, blood-brain barrier (BBB), and neurologic deficit scores (NDS) were also evaluated. Results: The PWV could monitor rapid asystole after KCL injection, improve cardiopulmonary resuscitation (CPR) success rates, and avoid the pre-matured end of resuscitation. Compared to the standard control, mice with 8-min CA had preserved CFR, mild loss of synaptic density (p>0.05), mild hypothermal, and a normal electrocardiogram. They maintained BBB integrity with no significant change to neurologic function. Compared with a 92% CPR success rate in 8 min-CA mice, 12 min-CA mice had 83%, and 16 min-CA mice had 58% resuscitability. Twelve min-CA mice had significantly impaired CFR at 24 hours and high lethality (40%, P<0.05) within the first three days; 16 min-CA mice worsened (33% survival rate, p<0.01). The 24 hrs electron microscope showed that CA-induced synaptic vesicle densities were ischemic time-dependent [350±60 (control) vs. 289±64 (8 min CA) vs. 269±34 (12 min CA) vs. 181±41/field (16 min CA)], consistent with NDS. The cerebrum and hippocampus were the most valuable regions, indicated by Evans blue evaluation at 48 hrs after CA. Conclusions: We established elongated PWV-guided CA models as with successful CPR, post-CA neurological deficits, leaky BBB, loss of synaptic density, coronary endothelial dysfunction, and even death in mice, which closely recapitulated the post-resuscitation symptoms in survived patients after CPR.

Predictive Nursing Under the MEWS Combined Shenmai Injection Enhances the Success Rate and Life Cycle of Emergency Care for Patients in Septic Shock

This study aimed to analyze the effect of predictive nursing using the Modified Early Warning Score combined with Shenmai injection on the resuscitation success and life cycle of patients with septic shock. First, 98 septic shock patients were randomly divided into: the treatment group (n = 49), which received predictive nursing according to the MEWS, and the control group (n = 49), which received standard care. After analysis, we found that the treatment group had a higher success rate of resuscitation than the control group. The mechanical ventilation, antibiotic use, and duration of stay in the intensive care unit were all lower in the treatment group compared to the control group (P < 0.05). The treatment group exhibited greater compliance with medication, diet, and fluid intake throughout treatment and reported fewer adverse effects than the control group (P < 0.05). Prognostic follow-up revealed that overall survival was higher in the treatment group than in the control group (P < 0.05). The post-care nutritional status was better in the treatment group than in the control group (P < 0.05). These results suggested that predictive nursing under the MEWS combined with Shenmai injection can improve the resuscitation success rate and nutritional status of septic shock patients.

Investigating the outcomes of cardiopulmonary resuscitation and factors affecting it: A cross-sectional study at Dr. Moaven Hospital, Sahneh City from 2014 to 2021.

Cardiopulmonary resuscitation (CPR) is referred to an attempt to maintain the respiratory system and blood circulation active to oxygenate the body's important organs until the heart and blood circulation system return to normal. CPR results are influenced by a variety of circumstances and factors. The purpose of this study was to look into the outcomes of CPR and the factors that influence them at the Dr. Moaven Hospital in Sahneh. This cross-sectional descriptive study was carried out retrospectively from the start of 2014 to the start of 2021. Kermanshah University of Medical Sciences provides hospitals with a two-page form for data collection. After entering the data into SPSS24, descriptive and inferential statistical tests were applied to analyze the results. Out of 497 patients who referred to Dr. Moaven Hospital in Sahne City, 280 were men and 217 were women, with a resuscitation success rate of 22.5% in men and 23.5% in women. CPR was conducted on 63.2% of patients in the emergency department, with 22.2% of them having successful CPR. The existence of the underlying disease had a statistically significant link with the outcomes of CPR (p = 0.007). The most prevalent cause for visit was cardiorespiratory arrest (30.6%), and there was no statistically significant difference between the diagnostic and reason for visit and the outcome of resuscitation, according to the χ 2 test. According to the findings of this study, increasing age and duration of CPR, the existence of underlying diseases, and the absence of shockable rhythms all reduce the likelihood of success in CPR.

Analysis of uroseptic shock after ureteroscopy for ureteral calculi during pregnancy: a case report

BackgroundUroseptic shock secondary to ureteral calculi during pregnancy is rare. It is characterized by rapid onset, rapid progression, aggressive disease, limited treatment, poor prognosis, and a mortality rate higher than 20% with improper or delayed management. A clear diagnosis is made based on typical clinical symptoms and abdominal ultrasound, often requiring combined multidisciplinary treatment and the simultaneous release of the obstruction. The high mortality rate is mainly related to inappropriate early treatment of stones and infections or failure to intervene in a timely manner.Case presentationA 21-year-old first-time pregnant patient with uroseptic shock was admitted to our intensive care unit. The patient was successfully treated at our hospital with multidisciplinary cooperation, high-dose vasoactive drugs, IABP, CRRT, VA-ECMO, and termination of pregnancy.ConclusionsTimely relief of obstructions, termination of pregnancy, and the provision of IABP, CRRT, and VA-ECMO when necessary in critically ill patients with uroseptic shock during pregnancy can improve the success rate of resuscitation.

Effects of right stellate ganglion block combined with topical anesthesia on heart rate variability in awake patients receiving tracheal intubation.

General anesthesia is commonly performed with tracheal intubation. We aimed to evaluate the effects of right stellate ganglion block combined with topical anesthesia on the heart rate variability in awake patients receiving tracheal intubation. A total of 120 eligible patients were equally divided into observation and control groups using a random number table. The observation group underwent right stellate ganglion block combined with topical anesthesia. The excellent and good rate of anesthesia, indicators of vital signs and heart rate variability, incidence rate of adverse reactions, success rate and time consumption of tracheal intubation, postoperative resuscitation and cognitive function score of the two groups were compared. The systolic pressure, diastolic pressure and heart rate significantly increased in both groups during tracheal intubation compared with those before tracheal intubation, which they were lower in the observation group than those in the control group during tracheal intubation (P<0.05). Low-frequency power, ratio of low-frequency power to high-frequency power and heart rate variability index significantly decreased in both groups during tracheal intubation compared with those before tracheal intubation (P<0.05). Right stellate ganglion block combined with topical anesthesia can work well for awake patients during tracheal intubation.

Clinical characteristics of in-hospital cardiac arrest in emergency patients in Kashgar area and analysis of influencing factors on success rate of cardiopulmonary resuscitation

To analyze the clinical characteristics of patients with emergency in-hospital cardiac arrest (IHCA) in Kashgar, Xinjiang Uygur Autonomous Region and the factors affecting the success rate of cardiopulmonary resuscitation. Retrospectively selected patients who had cardiac arrest and cardiopulmonary resuscitation in the emergency department of the People's Hospital of 6 counties and cities in Kashgar area from January 2019 to January 2022. The clinical data of all patients were collected, including gender, age, major underlying diseases, the beginning and duration of resuscitation, the number of electric defibrillation acute physiology and chronic health evaluation II (APACHE II). According to whether the resuscitation was successful, all patients were divided into successful resuscitation group and failed resuscitation group. The clinical characteristics of the two groups were compared. Then, the influencing factors of the success rate of cardiopulmonary resuscitation in IHCA patients were analyzed by binary Logistic regression. A total of 1 376 patients were enrolled, including 1 117 cases of failed resuscitation and 259 cases of successful resuscitation. The success rate of resuscitation was 18.82%. Compared with the resuscitation failure group, the patients in the successful resuscitation group were younger (age: 49.10±20.99 vs. 58.44±18.32), the resuscitation start time was earlier [resuscitation start time ≤ 5 minutes: 76.45% (198/259) vs. 66.61% (744/1 117)], the proportion of cardiovascular and cerebrovascular diseases was lower [cardiovascular disease: 49.42% (128/259) vs. 58.19% (650/1 117), cerebrovascular disease: 17.37% (45/259) vs. 21.58% (241/1 117)], the number of electric defibrillation was lower [times: 0 (0, 2) vs. 1 (0, 1)], the proportion of endotracheal intubation was more [80.31% (208/259) vs. 55.60% (621/1 117)], APACHE II score was lower (13.75±8.03 vs. 17.90±4.63), and the difference was statistically significant (all P < 0.01). Binary Logistic regression analysis showed that age, start time of resuscitation, ventilation mode and APACHE II score were protective factors affecting the success rate of cardiopulmonary resuscitation in patients with emergency IHCA [age: odds ratio (OR) = 0.982, 95% confidence interval (95%CI) was 0.973-0.991, P < 0.001; resuscitation start time ≤ 5 minutes: OR = 0.629, 95%CI was 0.409-0.966, P = 0.034; tracheal intubation assisted ventilation: OR = 0.243, 95%CI was 0.149-0.397, P < 0.001; low APACHE II score: OR = 0.871, 95%CI was 0.836-0.907, P < 0.001], while underlying diseases (cardiovascular diseases) are a risk factor affecting the success rate of cardiopulmonary resuscitation (OR = 1.190, 95%CI was 1.015-1.395, P = 0.036). Age, resuscitation start time, ventilation mode, APACHE II score and major underlying diseases (cardiovascular diseases) have a greater impact on the success rate of resuscitation in IHCA patients. The above factors are conducive to improving or formulating more effective rescue strategies for IHCA patients, so as to achieve the purpose of improving the success rate of clinical treatment.

The success rate of cardiopulmonary resuscitation and its correlated factors in patients with emergency prehospital cardiac arrest

ABSTRACT To assess the initial success rate and its correlated factors on cardiopulmonary resuscitation (CPR) in emergency prehospital cardiac arrest patients. The clinical information of 429 patients with cardiac arrest who underwent prehospital CPR in the fourth hospital of Hebei Medical University from Jan 2020 to Apr 2022 were evaluated. The patients were divided into the successful group (ROSC, n = 25) and the unsuccessful group (non-ROSC, n = 404) according to whether the autonomous circulation (ROSC) was resumed. The univariate analysis was performed to evaluate the differences in age, the start time of CPR, the application of electric defibrillation, and other related data between the two groups. The multivariate analysis evaluated protective factors affecting CPR’s success in prehospital cardiac arrest patients. Patients with cardiogenic causes had the highest success rate of cardiopulmonary resuscitation. The causes of traffic accidents and drowning account for a low proportion. Furthermore, the median CPR length was 25.0 min, alternating from 1.5 to 64 mi. The univariate analysis revealed that age, the start time of CPR, application of electric defibrillation, and adrenaline dosage were correlated with CPR attempts (p < 0.05). Multivariate logistic regression analysis showed that the age of patients with prehospital CA, the location of prehospital CA, etiology, bystander CPR, CPR start time, defibrillation start time, tracheal intubation time, type of rhythm before resuscitation, adrenaline dosage <5 mg, and adrenaline administration time were all the influencing factors of prehospital CPR success (p < 0.01). The factors affecting CPR’s success rate in prehospital CA patients are complicated. Establishing a few procedures to diminish the incidence of these risk factors is crucial.

Tumor organoid biobank-new platform for medical research

Organoids are a new type of 3D model for tumor research, which makes up for the shortcomings of cell lines and xenograft models, and promotes the development of personalized precision medicine. Long-term culture, expansion and storage of organoids provide the necessary conditions for the establishment of biobanks. Biobanks standardize the collection and preservation of normal or pathological specimens, as well as related clinical information. The tumor organoid biobank has a good quality control system, which is conducive to the clinical transformation and large-scale application of tumor organoids, such as disease modeling, new drug development and high-throughput drug screening. This article summarized the common tumor types of patient-derived organoid (PDO) biobanks and the necessary information for biobank construction, such as the number of organoids, morphology, success rate of culture and resuscitation, pathological types. In our results, we found that patient-derived tumor organoid (PDTO) biobanks were being established more and more, with the Netherlands, the United States, and China establishing the most. Biobanks of colorectal, pancreas, breast, glioma, and bladder cancers were established more, which reflected the relative maturity of culture techniques for these tumors. In addition, we provided insights on the precautions and future development direction of PDTO biobank building.

Comparative Study of Dexmedtomidine &amp; Propofol Infusion for Intro-Operative Hemodynamic &amp; Recovery Characteristics in Laparoscopic Cholecystectomy – A Prospective, Randomized Control Study

Objective: This study aims to compare the effectiveness of dexmedetomidine and propofol in responding to hemodynamic changes to pneumoperitoneum during laparoscopic cholecystectomy, as well as to evaluate differences in the time it takes to extubate, the patient's hemodynamic status upon extubation, the patient's level of sedation following extubation, and the occurrence of any side effects. Study Design: Prospective, Randomized Controlled Trial Study Place and Duration: Liaquat National Hospital and Medical College, Karachi. Conducted over a period of 6months from January 2022 to June 2022 Methods: A total of 100 patients (aged 20-60) in Physical Status Classes 1 and 2 as defined by the American Society of Anesthesiologists were randomly split into two groups (P and D). Patients in Group P were given propofol at a rate of 100 micrograms per kilogramme per minute (g/kg/min) after intubation until the end of pneumoperitoneum, while those in Group D were given dexmedetomidine at a rate of 1 micro Multiple readings of HR and MAP were taken at different points in the operation. Measurements of the Resuscitation Success Rate (RSR) and the Modified Alderate Scale (MAS) were also taken 15 and 30 minutes after operation. Results: Showed that during pneumoperitoneum, Group D significantly decreased HR and MAP compared to Group P, which allowed for superior preservation of hemodynamic stability. In contrast to Group P, patients in Group D remained sleepy for up to 30 minutes after surgery. Conclusion: Dexmedetomidine is more effective at suppressing the hemodynamic stress response to pneumoperitoneum during infusion than propofol is, whereas propofol is more effective at speeding up recovery time. Keywords: Dexmedetomidine, hemodynamics, laparoscopy, propofol, pneumoperitonuim

Effect of in-service training courses in neonatal cardiopulmonary resuscitation on the rate of successful resuscitation in nurses working in the neonatal department: A quasi-experimental study

The present study aims to determine the effect of in-service training courses in neonatal cardiopulmonary resuscitation on the rate of successful resuscitation in nurses working in the neonatal department. This quasi-experimental study was conducted among nurses employed in the neonatal department at the Sayad Shirazi Hospital in Gorgan, Golestan province, Iran. The in-service training course for neonatal cardiopulmonary resuscitation was conducted in two separate groups across consecutive days, following the latest Heart Association guidelines. Subsequently, an evaluation was conducted across four levels: knowledge, learning, behavior, and performance. After calculating the coefficients for each level, the resulting figures were compared with the successful rehabilitation index. A total of 30 nurses were participants in the research. In the initial level, nurses' satisfaction with the course conditions significantly increased from 56.26 to 93.76 out of 100 points post-intervention (P&lt;0.01) as per the paired t-test. Moving to the second level, there was a substantial improvement in learning scores, rising from 13.12 (SD=2.82) before the intervention to 16.32 (SD=2.21) after (P&lt;0.01). At the third level, behavior scores increased from 32.19 to 47.80 after accounting for a factor of 3, showing significant improvement (P&lt;0.01). For the fourth level, the successful resuscitation rate increased from 50% to a calculated score of 200.2 after applying a coefficient of 4 (P&lt;0.01). Combining these levels and considering coefficients, the overall effectiveness of the course was calculated at 69.86%. In sum, the study revealed suboptimal effectiveness in the newborn cardiopulmonary resuscitation training course. Consequently, nursing education system managers and practitioners should delve into the impediments and factors influencing this course.

Comparison between automated cardiopulmonary resuscitation and manual cardiopulmonary resuscitation in the rescue of cardiac and respiratory arrest.

To compare the efficacy of automated cardiopulmonary resuscitation (A-CPR) and manual cardiopulmonary resuscitation (M-CPR) in the rescue of cardiac and respiratory arrest. A retrospective, single-center observational study was conducted to identify 106 patients by reviewing medical records of 269 patients with cardiac and respiratory arrest treated in The Second Hospital of Hebei Medical University, Shandong Provincial Third Hospital (Jinan, China) from February 2019 to February 2021. Patients were divided into A-CPR group (n = 55) and M-CPR group (n = 51) based on the resuscitation treatment method. The groups were matched for age, gender and the cause of cardiac arrest. Rescue effects, blood gas analysis indicators, respiratory dynamics and condition improvement of the two groups were compared. In terms of rescue effects, return of spontaneous circulation (ROSC) rate, successful rate of cardiopulmonary resuscitation (CPR), 24-hour survival rate and survival discharge rate in the A-CPR group were higher than M-CPR group (P<0.05). With respect to blood gas analysis indicators and respiratory dynamics, the partial pressure of carbon dioxide (PaCO2) in the A-CPR group was lower than M-CPR group at 15 and 30 minutes after CPR, while the partial pressure of oxygen (PaO2), blood oxygen saturation (SaO2), end expiratory carbon dioxide (PetCO2), coronary perfusion pressure (CPP) and mean arterial pressure (MAP) in the A-CPR group were higher than M-CPR group (P<0.05). In aspect of condition improvement, spontaneous breathing, heart rate, spontaneous circulation, blood pressure recovery time and CPR time in the A-CPR group were shorter than M-CPR group (P<0.05). The application effect of A-CPR in the rescue of cardiac and respiratory arrest, the improvement of blood gas analysis indexes, respiration and condition improvement are more significant than M-CPR.

Basic life support awareness among non-medical students at King Faisal University, Al Ahsa, Saudi Arabia

Background: The knowledge and skills about basic life support (BLS) and advanced life support are the most important determining factors of the cardiopulmonary resuscitation (CPR) success rates. Practicing simple CPR techniques as well as knowing BLS improves the chances of survival of the patient until experienced medical help can arrive. In most cases, it is sufficient for survival in itself. The study aimed to determine non-medical undergraduate students' knowledge of BLS and related skills at King Faisal University.Methods: A descriptive cross-sectional study was conducted across King Faisal University, Al Ahsa, Saudi Arabia between October 10 and December 30, 2021. A total of 406 students from nonmedical colleges participated in the study. A validated Arabic-language questionnaire was subsequently administered, which included 10 items assessing knowledge about BLS.Results: A total of 406 participants completed the questionnaire. The majority of participants (82.5%) had poor knowledge of the BLS. A quarter of students (25.1%) indicated that they had previously taken BLS training. Approximately (16%) of students acquired their knowledge about BLS from the internet, 7.6% from watching movies and TV shows, 16% from school subjects, 2.2% from college subjects, and 26.4% from reading.Conclusions: BLS knowledge was very limited among non-medical colleges students. It is evident from the study that nonmedical students need better BLS training in order to respond appropriately to cardiac arrest and other emergency situations.