BackgroundThe COVID-19 pandemic has created challenges and led to the massive closure of in-person CPR trainings globally. We developed a mobile application-based real-time CPR training solution named HEROS-Remote, which combines instructors, learners, training contents, and CPR feedback in just one app. In this study, we investigated the usability, acceptability, and feasibility of the HEROS-Remote CPR training solution among community lay people.MethodFrom August to November 2021, HEROS Remote pilot study was conducted in Seoul, Korea. During the study period, 164 learners participated in 22 HEROS-Remote sessions. Before the training, CPR training material, including Little Anne QCPR manikin, was delivered to the individual learner. After one-hour chest compression-only HEROS Remote online training, the learners participated in-depth survey on their experiences of HEROS Remote online training.ResultsA total 152 learners (92.7%) responded to the survey. Overall, 88.1% of the learners were satisfied with the HEROS Remote training and 85.5% responded that they would recommend online training to others. Majority of the learners (37.3% strongly agree; 41.3% agree) also agreed with the easiness of using the HEROS Remote app. Manikin delivery service was highly satisfactory (97%). However, major challenge for this online solution was that the quality of the training highly depended on internet connectivity.ConclusionThis study provides evidence of the feasibility and acceptability of a novel online, real-time CPR training solution. Further research is needed to investigate the effectiveness of online CPR training versus face-to-face training.Conflict of interestSYJK, HM, TSB are employees of Laerdal Medical.FundingSeoul Metropolitan Government.
Risultati per: Il significato della carica virale e l’effetto del vaccino anti-COVID-19
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220 'Family members screaming for help makes it very difficult to don PPE. A qualitative report on ambulance staff experiences of personal protective equipment (PPE) use and infection prevention and control (IPC) practices during the COVID-19 pandemic
BackgroundThe COVID-19 Ambulance Response Assessment (CARA) study was a prospective, longitudinal survey of UK ambulance staff during the first wave of the COVID-19 pandemic. CARA aimed to evaluate perceptions of preparedness and wellbeing, and to collect staff suggestions to benefit working practices and conditions.MethodThree online questionnaires were presented, coinciding with the acceleration, peak and deceleration phases of the first COVID-19 wave in 2020. Inductive thematic analysis was employed to represent 14,237 free text responses from 3,717 participants to 18 free-text questions overall. This report focuses on experiences of IPC practices.ResultsMany participants lacked confidence in using PPE because of low familiarity, an inadequate evidence-base and changing policy. Some experienced insufficient supply, items of poor quality and suboptimal fit-testing procedure. PPE use was further influenced by discomfort, urgency, and perceptions of risk. Various suggestions were made to improve IPC practices, including decontamination personnel, staff ‘bubbles’ and limiting exposure through public education and remote triage improvements.ConclusionRepeated poor experiences of implementing IPC practices1 2 demand that lessons are learnt from this pandemic. PPE developed with specific regard for ambulance staff’s unique working environment and for them to receive regular familiarization training in its use would likely benefit performance and confidence. Overall, ambulance staff emphasised the need for IPC policies to be pragmatic, evidence-based and communicated with clarity.ReferencesBillings J, Ching B C F, Gkofa V, Greene T, & Bloomfield M. (2020). Healthcare workers experiences of working on the frontline and views about support during COVID-19 and comparable pandemics: A rapid review and meta-synthesis. MedRxiv. https://www.medrxiv.org/content/10.1101/2020.06.21.20136705v1.full-textHoughton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, Chan XHS, Devane D. & Biesty L M. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, (4).Conflict of interestNone.FundingCollege of Paramedics.
Covid, il Sudafrica potrebbe entrare nella quinta ondata prima del previsto
L’aumento delle infezioni sembra essere guidato dalle sottovarianti Omicron BA.4 – appena isolata anche in Italia – e BA.5, più trasmissibili rispetto alla precedente BA.2
Is a Protective Stoma Mandatory in Anti–Tumor Necrosis Factor–Treated Crohn’s Disease Patients Undergoing Surgery?
We read with interest the study of Cohen et al1 about the safety of the preoperative use of anti–tumor necrosis factor (anti-TNF) in patients with inflammatory bowel disease (IBD) undergoing intra-abdominal surgery.
Tre mesi di Omicron: il doppio dei morti di un’influenza e primi casi di Long Covid
Era il 31 gennaio quando secondo la flash survey dell’Iss questa variante registrava una prevalenza stimata al 99%.
Vaccino a mRna: i concorrenti avanzano e mirano all’accessibilità
Sono in fase di studio più di una dozzina di nuovi vaccini che utilizzano la stessa tecnologia di Pfizer e Moderna. Se approvati hanno il vantaggio di essere più economici e più facili da conservare
Covid, impossibile l’obiettivo del 70% di vaccinati nel mondo entro luglio
In Africa siamo solo al 15%. Le case farmaceutiche sottolineano: il problema non è nella disponibilità, ma nella logistica della somministrazione
Le pillole anti Covid arrivano in farmacia, basterà la ricetta del medico di famiglia
L’Agenzia del farmaco dovrebbe dare il via libera alla semplificazione per l’impiego degli antivirali nei pazienti che rischiano il Covid severo
Il Covid spaventa ancora, verso il sì alla quarta dose da subito per gli over 80
Le prime evidenze scientifiche mostrano che per questa categoria di fragili c’è bisogno di una nuova protezione con la vaccinazione
International Prevalence and Mechanisms of SARS-CoV-2 in Childhood Arterial Ischemic Stroke During the COVID-19 Pandemic
Stroke, Ahead of Print. BACKGROUND:Data from the early pandemic revealed that 0.62% of children hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had an acute arterial ischemic stroke (AIS). In a larger cohort from June 2020 to December 2020, we sought to determine whether our initial point estimate was stable as the pandemic continued and to understand radiographic and laboratory data that may clarify mechanisms of pediatric AIS in the setting of SARS-CoV-2.METHODS:We surveyed international sites with pediatric stroke expertise to determine numbers of hospitalized SARS-CoV-2 patients
Prima indagine sul Long Covid: sono oltre 200 i sintomi descritti
Il libro di Agnese Codignola per la prima volta cerca di inserire in un quadro organico una sindrome molto articolata, che secondo alcune stime interessa già un milione di italiani
Covid-19: Speranza, “Ue assuma posizione univoca su 4a dose”
Comunicato del 29/03/2022 n°17
Correction to: Innate Immune Anti-Inflammatory Response in Human Spontaneous Intracerebral Hemorrhage
Stroke, Volume 53, Issue 4, Page e188-e188, April 1, 2022.
Così all’Asl di Teramo si batte ansia, stress e burnout da Covid
Concluso il progetto pilota messo a punto da Maior-Ama in collaborazione con l’Asl di Teramo per ridurre stress, ansia e burnout
Nursing’s Contributions to Stroke Care During COVID-19
Stroke, Ahead of Print.