29 Feasibility of using a defibrillator to provide real-time and post-event feedback to paramedics on the quality of their CPR

Abstract

professionals due to different barriers. This study aims at reviewing if the use of pharmacological methods for pain provided during the emergency care of pediatric trauma patients is proper. Method Retrospective study of 560 consecutive clinical records of trauma patients, aged from 0 to 18, assisted from March to December 2017 by Advanced Life Support Units. Minor injuries excluded. Results Median age was 12 years (IQR 8-15). 71.8% ( 402) males. The most common diagnoses were upper limbs fractures and dislocations 38.4% (215), 6.3% (35) major traumas. Pain assessment scales were used in 16.6% (93). Children received analgesia in 44.1% (247),>6 years were 50.5% (221) and £6 210.3% (26), p<0001. Fentanil was used in 78.5%(194) followed by Acetaminophen 20.6%(51), Ketorolac 17%(42) and Ketamine 8.9 (22). Midazolam was associated in 35.2%(84). Analgesia in major trauma was 74.3% with respect to serious wounds and brain injuries 10.8% p<0,001. Intravenous route was favourite 74% (183), followed by intranasal, 20.2% (50). Conclusion The study demonstrates that, according to international guidelines, major trauma analgesia is greater than another groups, but not generalized. Intravenous infusion opioids are the main pharmacological method. However, pain scales are insufficiently applied and there is often a pain undertreatment, particularly in the youngest. Promoting suitable pain scales and alternatives to intravenous route like intranasal could increase treatment.

Effect of Early Supraglottic Airway Device Insertion on Chest Compression Fraction during Simulated Out-of-Hospital Cardiac Arrest: Randomised Controlled Trial

“…Further studies should now be carried out to assess the most effective way of maintaining an adequate compression depth. These studies could consider two different approaches: forcing participants to deliver compressions from the patient’s side [ 65 ], using a feedback device [ 66 , 67 , 68 , 69 ] or both together.…”

A survey on technologies used during Out of Hospital Cardiac Arrest

“…Alternatively, the feedback can be audio such as, "Compress deeper" and "Compress Faster". Multiple studies have confirmed that these devices help inexperienced bystanders and even medical professionals to perform better CPR than without these devices 103,104,105,106,107,20 .…”