(Podcast #10) Defibrilace "HANDS-on"

Zdroj: wikipedia.org

Slyšeli jste už o Hands-on defibrilaci?

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Je to defibrilace, při které se nepřerušuje nepřímá masáž srdce! Minimalizuje pauzy v KPCR.

Je to nebezpečné?
Stačí jako ochrana klasické gumové rukavice?

Více najdete v desátém podcastu. (8min)

Odkaz na podcast: ZDE

Zde navíc slíbené video s hands-on defibrilací:

A ještě jedno, kde lékař zkusil na pacienta během defibrilace položit ruku bez rukavice:

Následují REFERENCE k podcastu:

1.) Importance of continuous chest compressions during cardiopulmonary resuscitation: improved outcome during a simulated single lay-rescuer scenario.

Kern KB, Hilwig RW, Berg RA, Sanders AB, Ewy GA.

Circulation. 2002 Feb 5;105(5):645-9.

2.) Safety and efficacy of defibrillator charging during ongoing chest compressions: a multi-center study.

Edelson DP, Robertson-Dick BJ, Yuen TC, Eilevstjønn J, Walsh D, Bareis CJ, Vanden Hoek TL, Abella BS.

Resuscitation. 2010 Nov;81(11):1521-6. doi: 10.1016/j.resuscitation.2010.07.014.

3.) Hands-on defibrillation: an analysis of electrical current flow through rescuers in direct contact with patients during biphasic external defibrillation.

Lloyd MS, Heeke B, Walter PF, Langberg JJ.Circulation. 2008 May 13;117(19):2510-4. doi: 10.1161/CIRCULATIONAHA.107.763011. Epub 2008 May 5.

4.) Letter by Sullivan regarding article, "Hands-on defibrillation: an analysis of electrical current flow through rescuers in direct contact with patients during biphasic external defibrillation".

Sullivan JL.

Circulation. 2008 Dec 2;118(23):e712; author reply e713. doi: 10.1161/CIRCULATIONAHA.108.803718.

5.) Will medical examination gloves protect rescuers from defibrillation voltages during hands-on defibrillation?

Sullivan JL, Chapman FW.

Resuscitation. 2012 Dec;83(12):1467-72. doi: 10.1016/j.resuscitation.2012.07.031. Epub 2012 Aug 25.

6.) Hands-on defibrillation has the potential to improve the quality of cardiopulmonary resuscitation and is safe for rescuers-a preclinical study.

Neumann T, Gruenewald M, Lauenstein C, Drews T, Iden T, Meybohm P.

J Am Heart Assoc. 2012 Oct;1(5):e001313. doi: 10.1161/JAHA.112.001313. Epub 2012 Oct 25.

7.) Defibrillation delivered during the upstroke phase of manual chest compression improves shock success.

Li Y, Wang H, Cho JH, Quan W, Freeman G, Bisera J, Weil MH, Tang W.

Crit Care Med. 2010 Mar;38(3):910-5. doi: 10.1097/CCM.0b013e3181cc4944.

8.) Is external defibrillation threat fot bystanders?

Hoke RS, Heinroth K, Trappe HJ, Werdan K.

Resuscitation. 2009 Apr;80(4):395-401. doi: 10.1016/j.resuscitation.2009.01.002 Epub 2009 Feb