BackgroundHigh-quality cardiopulmonary resuscitation (CPR) is a fundamental intervention for cardiac arrest, yet health care providers rarely adhere to recommended guidelines. Real-time feedback improves CPR performance. It is currently unknown how Canadian emergency physicians assess CPR quality during cardiac arrest and if they use feedback devices. Our aim was to describe how emergency physicians assess CPR quality and to describe eventual barriers to implementation of feedback technology.MethodsThis was a cross-sectional survey that was distributed to attending and resident emergency physicians through the Canadian Association of Emergency Physicians. Responses were summarized and analyzed using descriptive statistics.ResultsThe response rate was 19% (323/1735). Visual observation was the most common method of assessing CPR quality (41.2%), with leaders standing at the foot of the bed (67.4%). This was followed by real-time pulse check (29.7%) and end-tidal CO2 values (21.7%). Only 12% of physicians utilized CPR feedback technology. The most common perceived barrier to utilization was unavailability, inexperience with devices and lack of guidelines/evidence for their use.ConclusionMost Canadian emergency physicians that responded to our survey, assess quality of CPR by standing at the foot of the bed and utilize visual observation and palpation methods which are known to be inaccurate. A minority utilize objective measurements such as ETCO2 or feedback devices, with the greatest barrier being lack of availability.
COVID-19 is an unprecedented virus that is destroying the lives of many people worldwide. Dentistry as a profession falls into a high-risk group due to our close proximity to patients and the aerosols generated in routine dental procedures. The UK dental community has frantically searched for answers to questions about the new virus and guidance on provision of dental care. This article will review the most up-to-date recommendations for infection control procedures and use of personal protective equipment (PPE) in England. PubMed, Embase and Google Scholar databases were searched up until 9 June. This is a review of the current information, guidelines and recommendations about the COVID-19 virus and use of PPE for dentists and orthodontists. As of 9 June, the dental profession has received mixed guidance on how best to manage our patients whilst national lockdown is eased and we enter a recovery phase, but uncertainty remains for the long-term provision of Orthodontics. CPD/Clinical Relevance: This article gives an overview of guidance and recommendations for dentists and orthodontists in the UK during the COVID-19 pandemic, especially with regards to infection control and use of PPE.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.