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CPR PRO® Device Reduces Rescuer Fatigue during CPR

CPR PRO
We have just published an article in The Journal of Emergency Medicine titled “CPR PRO® Device Reduces Rescuer Fatigue during Continuous Chest Compression Cardiopulmonary Resuscitation: A Randomized Crossover Trial Using a Manikin Model”

This is the first trial to test the benefits of the device I have invented and have been developing the last couple of years. This device is called CPR PRO and is intended to allow rescuers to performed better chest compressions.

Here is the summary of the article:

1. Why is this topic important?
Rescuers are often required to perform cardiopulmo- nary resuscitation (CPR) for prolonged periods of time, and their fatigue has been shown to cause significant decline in quality of chest compressions, which are crucial for survival of sudden cardiac arrest victims.

2. What does this study attempt to show?
In our randomized crossover trial, health care professionals performed continuous chest compression CPR for 10 min on a manikin to evaluate the impact of a novel CPR PRO! device for manual chest compression on res- cuer fatigue, pain, and CPR quality.

3. What are the key findings?
After using the CPR PRO device, subjects reported less pain in the hands and lower perceived exertion levels, as well as achieving lower average and maximal heart rates during testing, when compared to standard manual CPR. Reduced fatigue and pain has resulted in higher average depth of chest compressions, which declined more slowly over time, than with standard manual CPR.

4. How is patient care impacted?
In a simulated setting, a novel CPR PRO device for manual chest compression has been shown to reduce the work of CPR, which allowed rescuers to achieve signifi- cantly higher quality of chest compressions. Delivering higher quality of chest compressions with minimal interruptions in the clinical setting has a potential to result in better patient outcomes after sudden cardiac arrest.

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Published 2 papers and 1 video

mobile chain of survival
Just recently my colleague and I have published two research papers. I am very proud of the first one titled “Mobile phone in the Chain of Survival”, which was published after a lot of research in the Resuscitation journal. This short paper gives an overview of vast possibilities possessed by mobile phones to be of assistance in medical emergencies. It represents a continuation of my work with CPR mobile applications. I have also now published a video of the lecture I gave during the Resuscitation 2010 congress about the same subject. You can watch my 10 minute lecture here, and read our paper at the Resuscitation website.

The second paper we wrote appeared in the Croatian journal Lijecnicki Vjesnik (in English this would be something like Physician’s Newsletter). It is a case report demonstrating a patient with smell disorders, which we suspect were caused be lacidipine, a calcium channel blocker used to treat hypertension. So far this drug has not been linked with smell disorders, but other calcium channel blockers from the same group are well known to cause such problems. The paper is written in Croatian, but its abstracts is available in English – Can lacidipine cause smell disorders? A case report.

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Year in Review 2008: Best in Health by WorldChanging

WorldChangingWorldChanging brings stories of the most important and innovative new tools, models and ideas for building a bright green future. Their articles are just amazing, and for the end of 2008 they decided to rediscovered some of the great events, innovations, interviews and debates that they covered in the previous year. They wrote a series of articles titled Year in Review, which was divided into several categories like best in climate change, energy, and of course best in health, food and society.

Here are the summaries of their best health stories from 2008.

Facebook, Coca-Cola and Medical Aid in Africa

Simon Berry has an idea. Why not persuade Coca-Cola to dedicate a fraction of its distribution network to carry medicines for simple, widespread and life-threatening ailments like diarrhea. Why Coca Cola? Because even the most remote African communities have limitless access to bottles of Coca-Cola.

Making Social Equity an Issue of Public Health

This article discusses the issue of health equity. How is it possible that there is a 28 year difference in life expectancy between the most and least fortunate residents of Glasgow, Scotland?

The Transformative 120: Text Messages Prove a South African HIV Lifeline

Six million South Africans are infected with the HIV, but just one in ten are currently in treatment. Project Masiluleke sends mobile customers texts pointing them to the National AIDS Helpline (0800-012-322) and HIV911 (0860-448-911).

Worldchanging Interview: Dr. Sanjay Gupta on Health Solutions

Interview with Dr. Sanjay Gupta, chief medical correspondent at CNN. He is a practicing neurosurgeon and award-winning journalist who is dedicated to helping improve public health and spreading awareness of health-related environmental issues.

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Top 10 Most Read Medscape Articles by Medical Students

Medscape is a part of WebMD Health Professional Network and they offer specialists, primary care physicians, and other health professionals integrated medical information and educational tools. They also have a portal for medical students called Medscape Med Students, which I highly recommend.

For the end of this year they published a list of top 10 most read articles by medical students in 2008, and here they are. Free registration is required to read them.

  1. Surveying the Sex Lives of Medical Students
  2. A small study offers a glimpse of how medical school affects students’ sexual function. A larger survey may reveal a great deal more.

  3. How Should I Get Recommendation Letters for Residency?
  4. Asking faculty to write letters of recommendation for you can be a daunting — but doable — task.

  5. Making Students Cry (Or: How Hammering Home the Point Can Smash the Process to Pieces)
  6. A teacher can be so intent on correcting error, so focused on the point in hand, that they forget the person.

  7. A Puzzling Facial Rash on a 17-Year-Old Boy
  8. A 17-year-old boy presents to the pediatric infectious disease clinic with a 10-day history of a facial rash. No improvement was noted with 2 separate courses of antibiotic therapy. What is the most likely diagnosis?

  9. What Should I Bring on Overnight Call?
  10. This “Top 10” list could make your overnight shifts just a little more comfortable and productive.

  11. Woman With an Acute Onset of Nausea and Vomiting
  12. A 46-year-old woman presents to the emergency department with constant right upper quadrant pain that radiates to her back and side. Imaging shows dilated segments of bowel with a characteristic appearance. What is the diagnosis?

  13. Acute Onset of Abdominal Pain in a 76-Year-Old Man
  14. A 76-year-old man presents to the emergency department with sudden-onset abdominal pain that began 4 hours ago. Hyperactive bowel sounds are heard on auscultation. What is the diagnosis?

  15. Can I Change Residency Programs After I Start?
  16. These guidelines can help you optimize a residency switch.

  17. Fleshy Lesions on a 32-Year-Old Woman
  18. A 32-year-old woman presents to the emergency department with several flesh-colored papules and patches with well-defined borders on her face, trunk, and upper extremities. What is the diagnosis?

  19. What If I Match a Residency Program I Don’t Want?
  20. It’s a graduating student’s worst fear — matching at a program that wasn’t near the top of their list.

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Kill Your Blog

tweetAt least this is what Paul Boutin suggests you do. He is a blogger himself, writing for the Valleywag blog, and for The New York Times, and for The Wall Street Journal, and for Slate, and for Wired magazine. And in the latest issue of Wired magazine he wrote a provocative and interesting article about why you need to stop blogging.

“It’s almost impossible to get noticed, except by hecklers. And why bother? The time it takes to craft sharp, witty blog prose is better spent expressing yourself on Flickr, Facebook, or Twitter.” – writes Boutin and adds, “That said, your blog will still draw the Net’s lowest form of life: The insult commenter.”

He thinks Twitter is the way to go these days and finishes off with a tweet – @WiredReader: Kill yr blog. 2004 over. Google won’t find you. Too much cruft from HuffPo, NYT. Commenters are tards. C u on Facebook?

Photo: Todd Tankersley

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Medical Bloggers Survey Resume

It has been ten days since our “Examining the Medical Blogosphere: An Online Survey of Medical Bloggers” article was published in Journal of Medical Internet Research. During this period we have received numerous supportive e-mails from various bloggers and researchers. Also, many bloggers have written about our research, posted our abstract or slideshow presentation on their blogs. Interestingly, a lot of these post were written in languages other than English. There are posts out there about our research written in Italian, German, French, Russian, Spanish and Danish. All of these webpages were archived and are accessible at my Iterasi page.

We, the authors of the article, would like to thank everyone who wrote to us or wrote about or research on their website. Furthermore, we would like to announce that very soon we will be publishing the results of our follow-up medical bloggers survey, which will be available on this blog.

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