Ems P Rovider R Eluctance to P Erform M Outh - To - Mouth R Esuscitation

Melanson, Scott; O'Gara, K

doi:10.1080/10903120090941641

Cited by 15 publications

(9 citation statements)

References 13 publications

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“…This appears to be perhaps because of their perception of a high risk of contagion. [55] and this reluctance is a major setback in performance of their duties.…”

Section: Resultsmentioning

confidence: 99%

Pediatric emergency medical services and their drawbacks

Alanazi

2012

J Emerg Trauma Shock

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Aim:To survey the literature on Pediatric Emergency Medical Services (PEMS) with an aim to focus its drawbacks and emphasize the means of improvement.Materials and Methods:Published articles selected for inclusion were based on the significance and understanding of literature search on different aspects of PEMS. To meet this criterion, PubMed, PubMed Central, Science Direct, Uptodate, Med Line, comprehensive databases, Cochrane library and the Internet (Google, Yahoo) were thoroughly searched.Results:PEMS provide out-of-hospital medical care and/or transport the patients to definitive care. The task force represents specialties of ambulance transport, first aid, emergency medical care, life saving, trauma, emergency medicine, water rescue, and extrication. Preliminary care is undertaken to save the patients from different medical exigencies. The techniques and procedures of basic and advanced life-support are employed. A large number of weaknesses are recorded in PEMS system, such as ambulance transport irregularities, deficit equipment, lack of expertise, and ignorance of the pre-hospital care providers. These are discussed with special reference to a few examples of medical exigencies.Conclusions:The appointments in PEMS should be regularized with specific qualifications, experience, and expertise in different areas. Responsibility of PEMS should not be left to pre-hospital care providers, who are non clinicians and lack proper education and training. Pediatricians should be adequately trained to play an active role in PEMS. Meetings should be convened to discuss the lapses and means of improvement. Networks of co-operation between pre-hospital providers and experts in the emergency department should be established.

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“…This appears to be perhaps because of their perception of a high risk of contagion. [55] and this reluctance is a major setback in performance of their duties.…”

Section: Resultsmentioning

confidence: 99%

Pediatric emergency medical services and their drawbacks

Alanazi

2012

J Emerg Trauma Shock

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“…The reasons for the low incidence of bystander CPR to people with cardiac arrest during this critically important early phase are variable, including risk of serious disease transmission, fear of doing harm, fear of making mistakes during CPR and being physically unable 21 22 23. However, a major reason for this impediment to initiate CPR is the reluctance to perform MTM ventilation 23 24 25.…”

Section: Bystanders Are More Willing To Initiate Resuscitation With Cmentioning

confidence: 99%

“…However, a major reason for this impediment to initiate CPR is the reluctance to perform MTM ventilation 23 24 25. MTM ventilation is not welcome by the lay public or professionals during attempted resuscitation for cardiac arrest.…”

Section: Bystanders Are More Willing To Initiate Resuscitation With Cmentioning

confidence: 99%

“…In other cases MTM ventilation is avoided for aesthetic reasons—for example, vomitus or smell of alcohol. Although no cases of human immunodeficiency virus or hepatitis have been reported to be transmitted by MTM resuscitation, it is still in this age of universal precautions and the recent “swine flu” infection a matter of great concern for the bystander 23. Cultural factors play a major role in performing CPR—for example, in Japan many bystanders choose not to provide MTM ventilation.…”

Section: Bystanders Are More Willing To Initiate Resuscitation With Cmentioning

confidence: 99%

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Rationale for continuous chest compression cardiopulmonary resuscitation

Ramaraj

Ewy

2009

Heart

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Every year more than a million cardiac arrests are documented in the industrialised nations of the world, with the majority occurring in settings outside hospital. A major factor in survival after out-of-hospital cardiac arrest (OHCA) is early institution of bystander resuscitation efforts. Sadly, the majority of OHCAs do not receive bystander resuscitation for a variety of reasons. One of them is the requirement for mouth-to-mouth (MTM) ventilation. The 2008 American Heart Association recommendation for "hands only" or continuous chest compression cardiopulmonary resuscitation (CPR) for untrained lay people was a welcome change. However, evidence indicates that MTM and other forms of positive pressure ventilation should be eliminated for all bystanders responding to primary cardiac arrest (unexpected witnessed collapse in an unresponsive person). The requirement for MTM ventilation may well be indicated for patients with respiratory arrest but is detrimental during early resuscitation efforts by anyone providing CPR to patients with primary cardiac arrest. This article provides rationale for continuous chest compression CPR by all bystanders.

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“…Other studies have shown that house officers are reluctant to perform CPR due to this concern. [2][3][4][5][6][7][8][9] Third, since most of the patients sustained saliva or sputum exposures, few even would be candidates for HIV-PEP. Moreover, none of the patients knew the HIV status of the source of their exposure.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Evaluations of Non-Percutaneous Blood or Body Fluid Exposures during Cardiopulmonary Resuscitation

Merchant

Katzen

Mayer

et al. 2007

Prehosp. Disaster med.

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Introduction-The demography of healthcare workers (HCWs) and non-HCWs seeking medical care at emergency departments after a non-percutaneous potential exposure to human immunodeficiency virus (HIV) during cardiopulmonary resuscitation (CPR), the types and body locations of their exposures, the time elapsed from exposure to emergency department presentation, and usage of HIV-post-exposure prophylaxis (PEP) for these exposures are described.

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Ems P Rovider R Eluctance to P Erform M Outh - To - Mouth R Esuscitation

Abstract: Emergency medical services providers are quite reluctant to perform MMR, and this is likely related to their perception of a high risk of contagion. The availability of barrier devices greatly decreases this reluctance, but EMS personnel carry such devices infrequently.

Cited by 15 publications

References 13 publications

Pediatric emergency medical services and their drawbacks

Pediatric emergency medical services and their drawbacks

Rationale for continuous chest compression cardiopulmonary resuscitation

Emergency Department Evaluations of Non-Percutaneous Blood or Body Fluid Exposures during Cardiopulmonary Resuscitation

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