The Experts below are selected from a list of 51 Experts worldwide ranked by ideXlab platform
K Marti - One of the best experts on this subject based on the ideXlab platform.
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dental students ability to locate Emergency Equipment lessons learned from aviation
European Journal of Endocrinology, 2018Co-Authors: Harold M Pinsky, D G Sweie, K MartiAbstract:Purpose The purpose of this study was to evaluate the dental student's ability to locate medical Emergency Equipment/items at the University of Michigan School of Dentistry clinic. Methods A total of 138 second-year dental students (traditional group) participated in this study as part of a simulation-based medical emergencies rotation course held during the winter term of 2014 and 2015. Without prior training, students were tested on their ability to locate nine predetermined items on the clinic floor using a self-reported checklist. Six months later, a convenience sample of 18 students (novel group) from the same cohort were later trained on their location and retested individually. Results Of the 138 students tested, only 10.14% students could locate seven of the nine items when compared to 100% in the novel group. Only 5.07% of students in the traditional group could locate all items initially, compared with 72.22% students in the novel group. Conclusion Whilst our students have lecture-based knowledge about medical emergencies, the results of our study identified a gap of knowledge of Emergency Equipment/item location amongst students. Therefore, an intervention performed with a similar group of second-year dental students supported that proper training may be used to achieve retention of knowledge. Based on our “novel group” results, we have incorporated targeted training in the dental curriculum that leads to students being better prepared in locating Emergency Equipment/items. This study suggests that other populations, such as faculty or staff, may also benefit from hands-on training.
Uce Rosenthal - One of the best experts on this subject based on the ideXlab platform.
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length based endotracheal tube and Emergency Equipment in pediatrics
Annals of Emergency Medicine, 1992Co-Authors: Robe C Lute, Robe L Wears, James Oselow, Arno Zaritsky, Theodore M Arne, Terry Lee, A Ailey, Robe Vally, Uce RosenthalAbstract:Hypothesis: Pediatric endotracheal (ET) tubes can be accurately selected based on body length using a specialized Emergency tape. Population: Derivation set: Two hundred five children undergoing elective surgery. Validation set: Two hundred thirteen children undergoing elective surgery. Each child served as his or her own control. Methods: Derivation phase: Two hundred twenty-one children undergoing ET intubation for elective surgery had their body length and leak pressures measured. The 205 children who had leak pressures between 10 and 40 cm H 2 O constituted the derivation set. The body length for a given ET tube size was derived from the interquartile range of patient lengths in this derivation set. Sizes for other resuscitative Equipment items were chosen by a panel of experts using a modified Delphi technique. This information was placed by length on a color-coded tape. Validation phase: The tape was validated by using it to select ET tube size in another group of 203 children undergoing elective surgey. Criteria for acceptable fit in this group included leak pressure as above and the anesthesiologists' decision to accept the tube size or to reintubate. In the validation phase, length-based ET tube selections were compared with age-based rules: (age + 16)/4, and (age + 18)/4. Results: The tape selected the appropriate ET tube size by leak pressure criterion in 77% of the cases and was within ± 0.5 mm of the "correct" size 99% of the time. This was significantly better ( P Conclusion: A system for length-based selection of Emergency Equipment represents a significant adjunct to Emergency physicians and paramedics who must deal with critically ill children. Length-based ET tube selection is clearly superior to age-based rules, which are difficult to remember and require accurate estimation of a patient's age.
Harold M Pinsky - One of the best experts on this subject based on the ideXlab platform.
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dental students ability to locate Emergency Equipment lessons learned from aviation
European Journal of Endocrinology, 2018Co-Authors: Harold M Pinsky, D G Sweie, K MartiAbstract:Purpose The purpose of this study was to evaluate the dental student's ability to locate medical Emergency Equipment/items at the University of Michigan School of Dentistry clinic. Methods A total of 138 second-year dental students (traditional group) participated in this study as part of a simulation-based medical emergencies rotation course held during the winter term of 2014 and 2015. Without prior training, students were tested on their ability to locate nine predetermined items on the clinic floor using a self-reported checklist. Six months later, a convenience sample of 18 students (novel group) from the same cohort were later trained on their location and retested individually. Results Of the 138 students tested, only 10.14% students could locate seven of the nine items when compared to 100% in the novel group. Only 5.07% of students in the traditional group could locate all items initially, compared with 72.22% students in the novel group. Conclusion Whilst our students have lecture-based knowledge about medical emergencies, the results of our study identified a gap of knowledge of Emergency Equipment/item location amongst students. Therefore, an intervention performed with a similar group of second-year dental students supported that proper training may be used to achieve retention of knowledge. Based on our “novel group” results, we have incorporated targeted training in the dental curriculum that leads to students being better prepared in locating Emergency Equipment/items. This study suggests that other populations, such as faculty or staff, may also benefit from hands-on training.
Robe C Lute - One of the best experts on this subject based on the ideXlab platform.
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length based endotracheal tube and Emergency Equipment in pediatrics
Annals of Emergency Medicine, 1992Co-Authors: Robe C Lute, Robe L Wears, James Oselow, Arno Zaritsky, Theodore M Arne, Terry Lee, A Ailey, Robe Vally, Uce RosenthalAbstract:Hypothesis: Pediatric endotracheal (ET) tubes can be accurately selected based on body length using a specialized Emergency tape. Population: Derivation set: Two hundred five children undergoing elective surgery. Validation set: Two hundred thirteen children undergoing elective surgery. Each child served as his or her own control. Methods: Derivation phase: Two hundred twenty-one children undergoing ET intubation for elective surgery had their body length and leak pressures measured. The 205 children who had leak pressures between 10 and 40 cm H 2 O constituted the derivation set. The body length for a given ET tube size was derived from the interquartile range of patient lengths in this derivation set. Sizes for other resuscitative Equipment items were chosen by a panel of experts using a modified Delphi technique. This information was placed by length on a color-coded tape. Validation phase: The tape was validated by using it to select ET tube size in another group of 203 children undergoing elective surgey. Criteria for acceptable fit in this group included leak pressure as above and the anesthesiologists' decision to accept the tube size or to reintubate. In the validation phase, length-based ET tube selections were compared with age-based rules: (age + 16)/4, and (age + 18)/4. Results: The tape selected the appropriate ET tube size by leak pressure criterion in 77% of the cases and was within ± 0.5 mm of the "correct" size 99% of the time. This was significantly better ( P Conclusion: A system for length-based selection of Emergency Equipment represents a significant adjunct to Emergency physicians and paramedics who must deal with critically ill children. Length-based ET tube selection is clearly superior to age-based rules, which are difficult to remember and require accurate estimation of a patient's age.
Stephen J M Sollid - One of the best experts on this subject based on the ideXlab platform.
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oslo government district bombing and utoya island shooting july 22 2011 the immediate prehospital Emergency medical service response
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2012Co-Authors: Stephen J M Sollid, Rune Rimstad, Marius Rehn, Anders Rostrup Nakstad, Annelin Tomlinson, Terje Strand, Hans Julius Heimdal, Jan Erik NilsenAbstract:On July 22, 2011, a single perpetrator killed 77 people in a car bomb attack and a shooting spree incident in Norway. This article describes the Emergency medical service (EMS) response elicited by the two incidents. A retrospective and observational study was conducted based on data from the EMS systems involved and the public domain. The study was approved by the Data Protection Official and was defined as a quality improvement project. We describe the timeline and logistics of the EMS response, focusing on alarm, dispatch, initial response, triage and evacuation. The scenes in the Oslo government district and at Utoya island are described separately. Many EMS units were activated and effectively used despite the occurrence of two geographically separate incidents within a short time frame. Important lessons were learned regarding triage and evacuation, patient flow and communication, the use of and need for Emergency Equipment and the coordination of helicopter EMS.