European Resuscitation Council Guidelines for Resuscitation 2015

European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances

European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances.

Notfall Rettungsmed 2017 · 20:540–542 DOI 10.1007/s10049-017-0337-z Online publiziert: 11. Juli 2017 © Springer Medizin Verlag GmbH 2017 A. Truhlář · C. D. Deakin · J. Soar · G. E. A. Khalifa · A. Alfonzo · J. J. L. M. Bierens · G. Brattebø · H. Brugger · J. Dunning · S. HunyadiAntičević · R. W. Koster · D. J. Lockey · C. Lott · P. Paal · G. D. Perkins · C. Sandroni · K.-C. Thies · D. A. Zideman · J. P. Nolan 1 Hradec Králové Region, Emergency Medical Services, Hradec Králové, Tschechien; 2 Department of Anaesthesiology and Intensive Care Medicine, University Hospital Hradec Králové, Hradec Králové, Tschechien; 3 Cardiac Anaesthesia and Cardiac Intensive Care, NIHR Southampton Respiratory Biomedical Research Unit, Southampton University Hospital NHS Trust, Southampton, Großbritannien; 4 Anaesthesia and Intensive Care Medicine, Southmead Hospital, North Bristol NHS Trust, Bristol, Großbritannien; 5 Emergency and Disaster Medicine, Six October University Hospital, Cairo, Ägypten; 6 Departments of Renal and Internal Medicine, Victoria Hospital, Kirkcaldy, Fife, Großbritannien; 7 Society to Rescue People from Drowning, Amsterdam, Niederlande; 8 Bergen Emergency Medical Services, Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norwegen; 9 EURAC Institute of Mountain Emergency Medicine, Bozen, Italien; 10 Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, Großbritannien; 11 Centre for Emergency Medicine, Clinical Hospital Center Zagreb, Zagreb, Kroatien; 12 Department of Cardiology, Academic Medical Center, Amsterdam, Niederlande; 13 Intensive Care Medicine and Anaesthesia, Southmead Hospital, North Bristol NHS Trust, Bristol, Großbritannien; 14 Department of Anesthesiology, University Medical Center, Johannes Gutenberg-Universitaet,Mainz, Deutschland; 15 Barts Heart Centre, St Bartholomew’s Hospital, Barts Health NHS Trus, QueenMary University of London, London, Großbritannien; 16 Department of Anaesthesiology and Critical Care Medicine, University Hospital Innsbruck, Innsbruck, Österreich; WarwickMedical School, University of Warwick, Coventry, Großbritannien; 18 Critical Care Unit, Heart of England NHS Foundation Trust, Birmingham, Großbritannien; 19 Department of Anaesthesiology and Intensive Care, Catholic University School of Medicine, Rome, Italien; 20 Birmingham Children’s Hospital, Birmingham, Großbritannien; 21 Department of Anaesthetics, Imperial College Healthcare NHS Trust, London, Großbritannien; 22 Anaesthesia and Intensive Care Medicine, Royal United Hospital, UK and Bristol University, Bath, Großbritannien

/pdf/erratum-zu-kreislaufstillstand-in-besonderen-situationen-4u96k4yoie.pdf

Erratum zu: Kreislaufstillstand in besonderen Situationen. Kapitel 4 der Leitlinien zur Reanimation 2015 des European Resuscitation Council

Triage is a mainstay of early mass casualty incident (MCI) management. Standardized triage protocols aim at providing valid and reproducible results and, thus, improve triage quality. To date, there is little data supporting the extent and content of training and re-training on using such triage protocols within the Emergency Medical Services (EMS). The study objective was to assess the decline in triage skills indicating a minimum time interval for re-training. In addition, the effect of a one-hour repeating lesson on triage quality was analyzed. A dummy based trial on primary MCI triage with yearly follow-up after initial training using the ASAV algorithm (Amberg-Schwandorf Algorithm for Primary Triage) was undertaken. Triage was assessed concerning accuracy, sensitivity, specificity, over-triage, under-triage, time requirement, and a comprehensive performance measure. A subgroup analysis of professional paramedics was made. Nine hundred ninety triage procedures performed by 51 providers were analyzed. At 1 year after initial training, triage accuracy and overall performance dropped significantly. Professional paramedic’s rate of correctly assigned triage categories deteriorated from 84 to 71%, and the overall performance score decreased from 95 to 90 points (maximum = 100). The observed decline in triage performance at 1 year after education made it necessary to conduct re-training. A brief didactic lecture of 45 min duration increased accuracy to 88% and the overall performance measure to 97. To improve disaster preparedness, triage skills should be refreshed yearly by a brief re-education of all EMS providers.

/pdf/primary-mass-casualty-incident-triage-evidence-for-the-3flpxenpum.pdf

Primary mass casualty incident triage: evidence for the benefit of yearly brief re-training from a simulation study.

Introduction The aim of this study was to assess the effectiveness of written and moulage scenarios using video instruction for mass-casualty triage by evaluating skill retention at six months post intervention. METHODS: Prehospital personnel were instructed in the START method of mass-casualty triage using a video. Moulage and written testing were completed by each participant immediately after instruction and at six months post instruction. RESULTS: There was a significant decrease in performance between initial and six-month testing, indicating skill decay and loss of retention of triage skills after an extended nonuse period. There were no statistically significant differences between written and moulage testing results at either initial testing or at six months. Prior skill level did not influence test performance on the type of testing conducted or long-term retention of triage skills. CONCLUSION: These data confirm the skill deterioration associated with an infrequently used triage method. Further research to more precisely define triage criteria, as well as the ability to apply the criteria in a clinical setting and to rapidly identify patients at risk for morbidity/mortality is needed. Risavi BL , Terrell MA , Lee W , Holsten DL Jr . Prehospital mass-casualty triage training-written versus moulage scenarios: how much do EMS providers retain?. Prehosp Disaster Med. 2013;28(3):1-6 . Language: en

https://www.cambridge.org/core/services/aop-cambridge-core/content/view/6B80121974843533370FC498148E6438/S1049023X13000241a.pdf/div-class-title-prehospital-mass-casualty-triage-training-written-versus-moulage-scenarios-how-much-do-ems-providers-retain-div.pdf

Prehospital mass-casualty triage training-written versus moulage scenarios: how much do EMS providers retain?

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Prehospital mass-casualty triage training-written versus moulage scenarios: how much do EMS providers retain?