Highlights ■ Family presence improves communication and patient comfort during pediatric emergency room care. ■ Overall, 90.2% of companions stayed during care, despite 71% being unaware of the legislation. ■ Of the professionals, 96% allowed companions, with 87% citing comfort for patients. ■ This study supports creating clear protocols for family inclusion during emergencies. ABSTRACT Objective: To evaluate the perceptions of family companions and the professional team regarding the presence of a family member during emergency and urgent care at […]

ABSTRACT Extracorporeal cardiopulmonary resuscitation is a method of cardiopulmonary resuscitation that uses extracorporeal membrane oxygenation with conventional cardiopulmonary resuscitation and has emerged as a promising intervention for patients with refractory cardiac arrest. This report describes the case of a 44-year-old man at significant risk for mortality according to his high RESCUE-IHCA Score who was awaiting heart transplantation and experienced in-hospital cardiac arrest during hemodialysis. Prompt recognition, immediate activation of the extracorporeal membrane oxygenation team, and initiation of support within 60 […]

Highlights Improvement in the performance of simulated pediatric cardiopulmonary resuscitation was observed after postsimulation debriefing and rapid cycle deliberate practice sessions. Postsimulation debriefing and rapid cycle deliberate practice are suitable for cardiopulmonary resuscitation training among pediatric residents. Retention of knowledge and skills deteriorated 5 weeks after training. ABSTRACT Objective: Simulation plays an important role in cardiopulmonary resuscitation training. Comparing postsimulation debriefing with rapid cycle deliberate practice could help determine the best simulation strategy for pediatric cardiopulmonary resuscitation training among pediatric […]

RESUMO Objetivo: Identificar a condição neurológica e os fatores associados de sobreviventes pós-parada cardiorrespiratória na alta hospitalar, após 6 e 12 meses de seguimento. Métodos: Estudo de coorte, prospectivo e descritivo, realizado em um pronto-socorro. Foram incluídos pacientes em parada cardiorrespiratória que sobreviveram à alta. A amostra foi consecutiva por um ano, sendo composta por 285 pacientes, e os sobreviventes (n=16) foram acompanhados por um ano após alta. O estado neurológico foi avaliado pela Categoria de Performance Cerebral antes da […]

OBJETIVO: Avaliar o impacto da implementação de um time de resposta rápida na incidência de paradas cardiorrespiratórias, na mortalidade associada à parada cardiorrespiratória e na mortalidade hospitalar em um hospital geral, de alta complexidade. MÉTODOS: Análise retrospectiva dos eventos de paradas cardiorrespiratórias e mortalidade hospitalar, antes e depois da implementação de um time de resposta rápida. O período analisado compreendeu 19 meses antes da intervenção desse time (agosto de 2005 a fevereiro de 2007) e 19 meses após sua intervenção […]