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Proposal of a protocol for training in cardiopulmonary resuscitation in football

100%
Fernández Alquézar O., Navarro Guillén J., Sánchez Miguel R., Zaragozà Biot M. C., Alfaro Royo M. C., Cárdenas Beltrán C. N.
Atena Journal of Public Health
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2019
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vol. 1
4-4
EN
Objectives: A protocol for training in cardiopulmonary resuscitation in football is proposed. The protocol aims to train professionals in the field of football, as well as assess whether their training has been effective. The final objective is that, if necessary, they are able to carry out an intervention prior to the arrival of specialized care. Methods: The protocol is aimed at professionals in the field of football, as coaches or assistants, among others. The protocol consists of three phases: 1) Initial evaluation. 2) Training 3) Final evaluation. To obtain a positive evaluation, the participants must obtain a positive evaluation in all the evaluation criteria. Findings: It is expected that the percentage of participants with a positive evaluation after the training is significantly higher (p <0.05) than the percentage of participants with a positive evaluation before training, a result that will confirm the effectiveness of the proposed protocol for training on cardiopulmonary resuscitation in football. Conclusions: This protocol could be extrapolated to other sports and situations outside the sports field, such as shopping centers or schools.
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Presence and use of automated external defibrillators in occupational setting, Belgium

75%
Verbrugghe M., De Ridder M., Kalaai M., Mortelmans K., Calle P., Braeckman L.
International Journal of Occupational Medicine and Environmental Health
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2018
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vol. 31
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issue 5
603-611
EN
Objectives Few studies focus on out-of-hospital cardiac arrests in the occupational setting. Therefore, this study describes the presence and use of an automated external defibrillator (AED) at Belgian workplaces during the period 2012–2014. Material and Methods A self-constructed questionnaire was developed and sent to internal prevention counselors. Results In total, 767 companies filled out the questionnaire. An AED was available in 48.8% of the companies. Presence mainly depended on the number of persons present in the company (both workers and non-workers (e.g., visitors, clients)) and on some occupational cardiovascular risks but was often not based on a well-conducted risk analysis. Training of workers and AED maintenance were provided appropriately. An AED was used for shocking 23 times of which 10 persons survived. Conclusions Acquiring an AED in the occupational setting is seldom based on a well-conducted risk analysis. Therefore, instructions and criteria are needed to come to a rational decision. Furthermore, a registry on AED utilization in the workplace (e.g., with data on long-term survival) should be set up. Int J Occup Med Environ Health 2018;31(5):603–611
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Influence of the CPRmeter on angular position of elbows and generated forces during cardiopulmonary resuscitation

75%
Kopacz K., Fronczek-Wojciechowska M., Jaźwińska A., Padula G., Nowak D., Gaszyński T.
International Journal of Occupational Medicine and Environmental Health
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2017
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vol. 30
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issue 6
909-916
EN
Objectives It is commonly known that ergonomics in emergency medical services (EMS) is very important. Emergency medical services workers are exposed to different conditions and they should perform a variety of tasks. Material and Methods The aim of the work has been to analyze the angular position of elbows and forces generated by the upper limbs during cardiopulmonary resuscitation with and without the CPRmeter based on feedback technology. Ten male paramedics and 10 male non-paramedics, in a kneeling position, performed cardiopulmonary resuscitation (CPR) on an Ambu Megacode manikin placed on the ground. Measurements were taken after 1 min and 4 min following the beginning of the trial. The angular position of the elbows was evaluated with a BTS Smart DX 7000 motion capture system. Kistler platforms 9286BA were used for measuring forces. Results In the paramedic group, one statistically significant difference was observed in the mean difference between maximal and minimal right elbow angle in the 1st min without the device vs. the mean difference in the 4th min without the device. In the paramedic group, a 25% force decrease was observed after 4 min of resuscitation in trials without the CPRmeter in comparison to the 1st min. In trials with the CPRmeter, the force parameters were similar in the 1st and 4th min and more stable. No statistically significant differences were noticed in the control group. Conclusions The CPRmeter has influence on the magnitude of the forces applied by the upper limbs and on the optimization of the rescuer effort during cardiopulmonary resuscitation. The CPRmeter had no influence on the position of the upper part of the kinematic chain. Int J Occup Med Environ Health 2017;30(6):909–916
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First aid awareness in the society/ Wiedza społeczeństwa na temat udzielania pierwszej pomocy

63%
Krzyszkowska E., Wanot B.
Medical Science Pulse
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2017
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vol. 11(2)
4-9
EN
Introduction: Every member of the society should possess first aid skills and knowledge thereof. Aim: The aim of the study was to determine public awareness of first aid, sudden cardiac arrest and the Automated External Defibrillator. Material and Methods: The study was conducted using an anonymous and voluntary on-line survey. The study population comprised of 250 subjects. The results were analysed using the t-Student test, F Test and Chi2 test. Results: The analysis of the study results showed that 164 respondents, who gave 9 to 11 correct answers, had a good level of knowledge. 80 respondents had the average level of knowledge, as shown by 6 to 8 correct answers. 6 respondents had insufficient level of knowledge, as they gave less than 6 correct answers to questions included in the survey. Conclusions: The principles and techniques on first aid are known to the public, as indicated by the fact that more than half of the respondents have a good level of knowledge. Wstęp: Umiejętność udzielania pierwszej pomocy oraz wiedza na ten temat powinny być bliskie każdemu człowiekowi. Cel pracy: Celem pracy było określenie wiedzy społeczeństwa na temat pierwszej pomocy, nagłego zatrzymania krążenia oraz automatycznego defibrylatora zewnętrznego. Materiał i metody: Do badania zastosowano ankietę internetową, która była anonimowa i dobrowolna. Badania zostały przeprowadzone na grupie 250 osób. Wyniki poddano analizie statystycznej, przeprowadzono test t-Studenta, Test F, test Chi2. Wyniki: Analiza wyników badania wykazała dobry poziom wiedzy u 164 badanych, którzy udzielili od 9 do 11 poprawnych odpowiedzi. Średni poziom wiedzy odnotowano u 80 osób ankietowanych, udzielili oni prawidłowych odpowiedzi na 6 do 8 pytań. Niewystarczający poziom wiedzy ma 6 badanych, którzy prawidłowo odpowiedzieli na mniej niż 6 pytań zawartych w ankiecie. Wnioski: Zasady i techniki dotyczące pierwszej pomocy są w społeczeństwu znane, świadczy o tym dobry poziom wiedzy więcej niż połowy badanych.
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Carbon dioxide as a potential danger to medical rescue teams at work – A case study

51%
Podlewski R., Płotek W., Grześkowiak M., Małkiewicz T., Frydrysiak K., Żaba Z.
Medycyna Pracy
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2017
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vol. 68
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issue 1
135-138
PL
Zespoły ratownictwa medycznego mogą być narażone na ryzyko przypadkowych zatruć w trakcie wykonywania medycznych czynności ratunkowych. Do rzadkich sytuacji należy narażenie na śmiertelne stężenie dwutlenku węgla (CO₂). W pracy opisano akcję ratunkową pacjenta, u którego doszło do nagłego zatrzymania krążenia z powodu przypadkowego zatrucia CO₂. Ostatecznie udało się poszkodowanego ewakuować i zreanimować, ale okoliczności towarzyszące tej akcji sugerują konieczność wyposażenia karetek zespołów ratownictwa medycznego w detektory tlenku i dwutlenku węgla oraz szczelne maski tlenowe. Med. Pr. 2017;68(1):135–138
EN
Medical rescue teams might be exposed to the risk of accidental poisoning while performing rescue procedures. Exposure to the risk of lethal carbon dioxide (CO₂) concentrations is a rare situation. This case study describes rescuing a patient who suffered from sudden cardiac arrest due to accidental CO₂ poisoning. The victim was finally evacuated and resuscitated, but the circumstances of the rescue operation point to the need to equip ambulances with carbon dioxide detectors and hermetic oxygen masks. Med Pr 2017;68(1):135–138
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