• No more unwitnessed out-of-hospital cardiac arrests in the future thanks to technology?

    Scquizzato T, Semeraro F. No more unwitnessed out-of-hospital cardiac arrests in the future thanks to technology. Resuscitation. 2021 Nov 22;170:79-81. doi: 10.1016/j.resuscitation.2021.11.010 READ Nearly half of out-of-hospital cardiac arrest (OHCA) are unwitnessed. Most of these patients die because the chain of survival is not activated, and cardiopulmonary resuscitation (CPR) is not promptly initiated. Early recognition, the first link of the chain of survival, is critical to enable rapid emergency medical services (EMS) activation, prompt CPR initiation, and early defibrillation. Technology is being increasingly used in OHCA. Apps to alert first responders effectively shorten the time to CPR initiation and improve…

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  • Assessment of Noise in the Intensive Care Unit Using Apple Watch

    Alarms from monitors, medical devices and staff activities contribute to high noise levels in the Intensive Care Unit (ICU). Excessive levels of noise disrupt sleep patterns in patients admitted to the ICU and may contribute to the development of delirium and post-intensive care syndrome (PICS). The World Health Organization (WHO) recommends that hospital noise levels should not exceed 35 A-weighted decibels (dBA) during the day and 30 dBA at night. However, daytime noise levels in ICU were found to be above acceptable levels, around 60 dBA. Although polysomnography is the standard for assessing sleep, it is time-consuming and challenging to…

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  • A smartphone application with augmented reality for estimating weight in critically ill pediatric patients

    Knowing child weight is critical while managing pediatric emergencies because dosing resuscitation drugs is generally based on weight. However, in many out-of-hospital and emergency department settings the child weight is unknown to the treating team and often it is not possible to weight the patients. Some of the conditions which make challenging to obtain a rapid and reliable measurement of the weight include on-going cardiopulmonary resuscitation (CPR), spinal immobilization, emergency airway management, and emergency delirium or agitation. Calculation of emergency drug doses, choosing the most appropriate equipment size and the energy level for defibrillation ideally requires knowing or to be…

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