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[PMID]:28658431
[Au] Autor:Oliveira C; Lopes MAB; Rodrigues AS; Zugaib M; Francisco RPV
[Ad] Endereço:Fisioterapia, Universidade Santa Cecilia, Santos, SP, BR.
[Ti] Título:Influence of the prone position on a stretcher for pregnant women on maternal and fetal hemodynamic parameters and comfort in pregnancy.
[So] Source:Clinics (Sao Paulo);72(6):325-332, 2017 Jun.
[Is] ISSN:1980-5322
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES:: To analyze the influence of lying in prone position on a specially designed stretcher on the maternal-fetal hemodynamic parameters and comfort of pregnant women. METHODS:: A randomized, controlled trial with 33 pregnant women divided into 2 groups: pregnant group sequence 1 and pregnant group sequence 2. The order of positions used in sequence 1 was Fowler's position, prone position, supine position, left lateral, Fowler's position 2, supine position 2, prone position 2 and left lateral 2. The order of positions used in sequence 2 was Fowler's position, prone position, left lateral, supine position, Fowler's position 2, left lateral 2, prone position 2 and supine position 2. Each woman remained in each position for 6 minutes. For the statistical analyses, we used Wilcoxon's test for 2 paired samples when comparing the prone position with the other positions. The variables are presented in graphs showing the means and 95% confidence intervals. Trial Registration: Clinical Trial No. ISRCTN41359519. RESULTS:: All the parameters were within the standards of normality. There were no differences between positions in terms of maternal heart rate, diastolic blood pressure, oxygen saturation and fetal heart rate. However, there were significant decreases in respiratory rate and systolic blood pressure in prone position 2 compared with left lateral 2. There was an increase in oxygen saturation in prone position compared with Fowler's position and supine position 2 in both sequences. All the women reported feeling comfortable in the prone position. CONCLUSIONS:: The prone position was considered safe and comfortable and could be advantageous for improving oxygen saturation and reducing the systolic blood pressure and respiratory rate.
[Mh] Termos MeSH primário: Hemodinâmica/fisiologia
Gravidez/fisiologia
Decúbito Ventral/fisiologia
Macas (Leitos)
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Conforto do Paciente
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE


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[PMID]:28411738
[Au] Autor:Armstrong DP; Ferron R; Taylor C; McLeod B; Fletcher S; MacPhee RS; Fischer SL
[Ad] Endereço:Department of Kinesiology, University of Waterloo, Canada.
[Ti] Título:Implementing powered stretcher and load systems was a cost effective intervention to reduce the incidence rates of stretcher related injuries in a paramedic service.
[So] Source:Appl Ergon;62:34-42, 2017 Jul.
[Is] ISSN:1872-9126
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Paramedic services are considering moving towards the use of powered stretcher and load systems to reduce stretcher related injuries, but cost is perceived as a barrier. This study compared injury incidence rates, days lost, and compensation costs between Niagara Emergency Medical Service (NEMS) and Hamilton Paramedic Service (HPS) pre- (four years) and post- (one year) implementation of powered stretcher and load systems in NEMS. Prior to the intervention stretcher related musculoskeletal disorder (MSD) incidence rates averaged 20.0 (±6.8) and 17.9 (±6.4) per 100 full time equivalent (FTE), in NEMS and HPS respectively. One-year post intervention rates decreased to 4.3 per 100 FTE in NEMS, a 78% reduction. Rates modestly increased to 24.6 per 100 FTE in HPS in same period. Cost-benefit analysis estimated that the added cost to purchase powered stretcher and load systems would be recovered within their expected 7-year service life due to the reduction in compensation costs.
[Mh] Termos MeSH primário: Doenças Musculoesqueléticas/economia
Doenças Musculoesqueléticas/epidemiologia
Sistema Musculoesquelético/lesões
Traumatismos Ocupacionais/economia
Traumatismos Ocupacionais/epidemiologia
Macas (Leitos)/economia
[Mh] Termos MeSH secundário: Análise Custo-Benefício
Serviços Médicos de Emergência
Seres Humanos
Incidência
Análise de Séries Temporais Interrompida
Doenças Musculoesqueléticas/prevenção & controle
Traumatismos Ocupacionais/prevenção & controle
Ontário/epidemiologia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170417
[St] Status:MEDLINE


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[PMID]:28269030
[Au] Autor:Guanqun Zhang; Cottrell AC; Henry IC; McCombie DB
[Ti] Título:Assessment of pre-ejection period in ambulatory subjects using seismocardiogram in a wearable blood pressure monitor.
[So] Source:Conf Proc IEEE Eng Med Biol Soc;2016:3386-3389, 2016 08.
[Is] ISSN:1557-170X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The ability to monitor arterial blood pressure continuously with unobtrusive body worn sensors may provide a unique and potentially valuable assessment of a patient's cardiovascular health. Pulse wave velocity (PWV) offers an attractive method to continuously monitoring blood pressure. However, PWV technologies based on timing measurements between the ECG and a distal PPG suffer from inaccuracies on mobile patients due to the confounding influence of pre-ejection period (PEP). In this paper, we presented a wearable, continuous blood pressure monitor (ViSi Mobile) that can measure and track changes in PEP. PEP is determined from precordial vibrations captured by an accelerometer coupled to the patient's sternum. The performance of the PEP measurements was evaluated on test subjects with postural change and patient activity. Results showed potential to improve cNIBP accuracy in active patients.
[Mh] Termos MeSH primário: Monitores de Pressão Arterial
Eletrocardiografia/métodos
Macas (Leitos)
[Mh] Termos MeSH secundário: Acelerometria/instrumentação
Acelerometria/métodos
Algoritmos
Pressão Sanguínea/fisiologia
Determinação da Pressão Arterial
Eletrocardiografia/instrumentação
Desenho de Equipamento
Teste de Esforço
Seres Humanos
Postura
Análise de Onda de Pulso
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1109/EMBC.2016.7591454


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[PMID]:27592725
[Au] Autor:Zhou XL; Sheng LP; Wang J; Li SQ; Wang HL; Ni SZ; Jiang S; Zhao Y; Shen J; Yang QS
[Ad] Endereço:Emergency Centre, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei, 430071, China.
[Ti] Título:Effect of bed width on the quality of compressions in simulated resuscitation: a randomized crossover manikin study.
[So] Source:Am J Emerg Med;34(12):2272-2276, 2016 Dec.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To investigate the effects of bed width on the quality of chest compressions during simulated in-hospital resuscitation. METHODS: Each candidate performed two 2-minute cycles of compression-only cardiopulmonary resuscitation on an adult manikin placed on either an emergency stretcher (narrow bed) or a standard hospital bed (wide bed) in random order at 1 day intervals. We conducted subjective assessments of cardiopulmonary resuscitation quality and rescuer fatigue at the end of each session, using surveys. RESULTS: There were no significant differences between narrow and wide bed sessions in either mean depth or the percentage of compressions with adequate depth (P=.56 and .58, respectively). The mean rate of compressions and the percentage of compressions with adequate rate were also similar between sessions (P=.24 and .27, respectively). However, the percentage of correct hand position and complete chest recoil was significantly higher in the narrow bed session than in the wide bed session (P=.02 and .02, respectively). In addition, survey results showed that rescuers felt more comfortable and less exhausted in the narrow bed session compared with the wide bed session (P<.001 and < .001). CONCLUSIONS: When rescuers performed chest compressions on an emergency stretcher, chest compression quality increased, and the fatigue of rescuers decreased compared with a standard hospital bed. Therefore, we propose a narrow bed for critically ill inpatients with high risk of cardiac arrest.
[Mh] Termos MeSH primário: Leitos
Reanimação Cardiopulmonar/normas
Fadiga/etiologia
Massagem Cardíaca/normas
[Mh] Termos MeSH secundário: Estudos Cross-Over
Desenho de Equipamento
Feminino
Mãos
Seres Humanos
Masculino
Manequins
Postura
Macas (Leitos)
Análise e Desempenho de Tarefas
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160906
[St] Status:MEDLINE


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[PMID]:27557360
[Au] Autor:Arrizabalaga J; García-Reyes JC
[Ad] Endereço:Profesor de investigación, Consejo Superior de Investigaciones Científicas (CSIC), Historia de la Ciencia/Departamento de Ciencias Históricas/Institución Milà i Fontanals del CSIC. Carrer de les Egipcíaques, 15. E-08001 - Barcelona - CAT - España. jonarri@imf.csic.es.
[Ti] Título:[Technological innovation and humanitarianism in the transport of war wounded: Nicasio Landa's report on a new elastic suspension system for stretchers (Pamplona, May 29, 1875)].
[Ti] Título:Innovación tecnológica y humanitarismo en el traslado de heridos de guerra: el informe de Nicasio Landa sobre un nuevo sistema de suspensión elástica de camillas (Pamplona, 29 mayo 1875)..
[So] Source:Hist Cienc Saude Manguinhos;23(3):887-97, 2016 Jul-Sep.
[Is] ISSN:1678-4758
[Cp] País de publicação:Brazil
[La] Idioma:spa
[Ab] Resumo:In May 1875, in the midst of a bloody civil conflict in Spain known as the Third Carlist War, Nicasio Landa, a medical officer with Military Health, wrote a report requesting authorization for the Spanish Red Cross, of which he was Inspector General, to adopt a new elastic suspension system for stretchers that he had designed, developed and tested. Intended above all for use in farm wagons - still the most widely-used method of transporting the wounded at the time - it was an inexpensive, sturdy mechanism that improved patient comfort and could also be installed in ambulance carriages, railway carriages and hospital ships. An annotated version of the report is included, preceded by a presentation of its contents.
[Mh] Termos MeSH primário: Medicina Militar/história
Macas (Leitos)/história
Transporte de Pacientes/história
[Mh] Termos MeSH secundário: Conflitos Armados/história
História do Século XIX
Seres Humanos
Invenções/história
Militares/história
Ferimentos e Lesões/história
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:QIS
[Da] Data de entrada para processamento:160825
[St] Status:MEDLINE


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[PMID]:27318749
[Au] Autor:Kim TH; Hong KJ; Sang Do S; Kim CH; Song SW; Song KJ; Ro YS; Ahn KO; Jang DB
[Ad] Endereço:Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea. Electronic address: adoong2001@gmail.com.
[Ti] Título:Quality between mechanical compression on reducible stretcher versus manual compression on standard stretcher in small elevator.
[So] Source:Am J Emerg Med;34(8):1604-9, 2016 Aug.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Manual cardiopulmonary resuscitation (CPR) during vertical transport in small elevators using standard stretcher for out-of-hospital cardiac arrest can raise concerns with diminishing quality. Mechanical CPR on a reducible stretcher (RS-CPR) that can be shortened in the length was tested to compare the CPR quality with manual CPR on a standard stretcher (SS-CPR). METHODS: A randomized crossover manikin simulation was designed. Three teams of emergency medical technicians were recruited to perform serial CPR simulations using two different protocols (RS-CPR and SS-CPR) according to a randomization; the first 6 minutes of manual CPR at the scene was identical for both scenarios and two different protocols during vertical transport in a small elevator followed on a basis of cross-over assignment. The LUCAS-2 Chest Compression System (Zolife AB, Lund, Sweden) was used for RS-CPR. CPR quality was measured using a resuscitation manikin (Resusci Anne QCPR, Laerdal Medical, Stavanger, Norway) in terms of no flow fraction, compression depth, and rate (median and IQR). RESULTS: A total of 42 simulations were analyzed. CPR quality did not differ significantly at the scene. No flow fraction (%) was significantly lower when the stretcher was moving in RS-CPR then SS-CPR (36.0 (33.8-38.7) vs 44.0 (36.8-54.4), P< .01). RS-CPR showed significantly better quality than SS-CPR; 93.2 (50.6-95.6) vs 14.8 (0-20.8) for adequate depth (P< 0.01), and 97.5 (96.6-98.2) vs 68.9(43.4-78.5) for adequate rate (P< .01). CONCLUSION: Mechanical CPR on a reducible stretcher during vertical transport showed significant improvement in CPR quality in terms of no-flow fraction, compression depth, and rate compared with manual CPR on a standard stretcher.
[Mh] Termos MeSH primário: Reanimação Cardiopulmonar/métodos
Elevadores e Escadas Rolantes
Auxiliares de Emergência/educação
Manequins
Parada Cardíaca Extra-Hospitalar/terapia
Macas (Leitos)
Transporte de Pacientes
[Mh] Termos MeSH secundário: Reanimação Cardiopulmonar/educação
Estudos Cross-Over
Serviços Médicos de Emergência/métodos
Estudos de Viabilidade
Seres Humanos
Pressão
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160620
[St] Status:MEDLINE


  7 / 37 MEDLINE  
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[PMID]:27004686
[Au] Autor:Tumati V; Folkert MR; Lawson S; Wise E; Wolcott S; Richardson D; Carlson M; Kehoe S; Lea J; Abdulrahman R; Albuquerque K
[Ad] Endereço:Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX.
[Ti] Título:Remote location interstitial brachytherapy with patient stabilization and subsequent transport to an outpatient center for treatment is safe and effective for the treatment of gynecologic malignancies.
[So] Source:Brachytherapy;15(3):341-6, 2016 May-Jun.
[Is] ISSN:1873-1449
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Interstitial brachytherapy is an essential component of definitive treatment for locally advanced gynecological malignancies. Although many outpatient centers are capable of delivering the radiation component of brachytherapy, they are not associated with an operative center for implant placement, limiting the ability to deliver appropriate care. In this study, we report on our experience with noncolocated implant placement and radiation delivery, and the impact of patient stabilization improvements on patient safety. METHODS AND MATERIALS: Between 9/2010 and 11/2014, 25 patients with gynecologic malignancy underwent interstitial implantation and subsequent transport for high-dose-rate brachytherapy treatment. From 9/2010 to 10/2012, patients were transported using a standard ambulance stretcher; from 11/2012 to 11/2014, patients were placed on a patient positioning board or a WAFFLE support. Potential transport-associated toxicity was assessed, and the association between standard and augmented transport types and toxicity was analyzed. RESULTS: A total of 234 transports were performed. Median cost of transport was $150 per transport. There were 14 (10 patients) potential transportation-associated toxicities, including two lacerations/local trauma, three infections, and nine ulcers. There were 6 Grade 3 toxicities, all in the standard group. There was no association between stretcher type and laceration or ulcers, but enhanced support was associated with fewer overall toxicities, Grade 3 toxicities, and infections. CONCLUSIONS: Noncolocated implantation and treatment is safe and facilitates optimal therapy. Toxicities potentially associated with transport are minimal and seem to be reduced by augmented stabilization. Understanding that this is a reasonable way to deliver brachytherapy may allow more stand-alone centers to deliver high-quality care for patients and improve gynecologic cancer outcomes in the United States.
[Mh] Termos MeSH primário: Braquiterapia/métodos
Neoplasias dos Genitais Femininos/radioterapia
Implante de Prótese
Transporte de Pacientes/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Assistência Ambulatorial
Instituições de Assistência Ambulatorial
Feminino
Seres Humanos
Infecção/etiologia
Lacerações/etiologia
Masculino
Meia-Idade
Implante de Prótese/efeitos adversos
Dosagem Radioterapêutica
Macas (Leitos)
Transporte de Pacientes/economia
Úlcera/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160324
[St] Status:MEDLINE


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[PMID]:26995042
[Au] Autor:Beck B; Middleton KJ; Carstairs GL; Billing DC; Caldwell JN
[Ad] Endereço:Land Division, Defence Science and Technology Group, Australia. Electronic address: ben.beck@monash.edu.
[Ti] Título:Predicting stretcher carriage: Investigating variations in bilateral carry tests.
[So] Source:Appl Ergon;55:124-132, 2016 Jul.
[Is] ISSN:1872-9126
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Carrying a casualty on a stretcher is a critical task within military and emergency service occupations. This study evaluated the impact of manipulating carry speed and the object type in bilateral carries on the ability to predict performance and reflect the physical and physiological requirements of a unilateral stretcher carry. We demonstrated that three task-related predictive tests; a jerry can carry performed at 4.5 km h(-1)or 5.0 km h(-1) and a kettle-bell carry performed at 5.0 km h(-1) were strongly predictive of the physical and physiological demands of an individual participating as part of a four-person stretcher carry team. Therefore, bilateral predictive assessments have the utility for predicting the suitability of employees to effectively and safely conduct a four-person unilateral stretcher carry.
[Mh] Termos MeSH primário: Esforço Físico/fisiologia
Macas (Leitos)
Análise e Desempenho de Tarefas
Transporte de Pacientes
Suporte de Carga
[Mh] Termos MeSH secundário: Adulto
Austrália
Fenômenos Biomecânicos/fisiologia
Composição Corporal
Feminino
Seres Humanos
Masculino
Meia-Idade
Militares
Aptidão Física
Valor Preditivo dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160321
[St] Status:MEDLINE


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[PMID]:26852541
[Au] Autor:Page D; Krost W
[Ti] Título:Repetitive Risks. For this EMS crew, unloading the stretcher proved dangerous to both patient and provider.
[So] Source:EMS World;45(1):18-20, 2016 Jan.
[Is] ISSN:2158-7833
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Movimentação e Reposicionamento de Pacientes/efeitos adversos
Saúde do Trabalhador
Traumatismos Ocupacionais/prevenção & controle
Macas (Leitos)
[Mh] Termos MeSH secundário: Serviços Médicos de Emergência
Seres Humanos
Medição de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:160208
[Lr] Data última revisão:
160208
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160209
[St] Status:MEDLINE


  10 / 37 MEDLINE  
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[PMID]:26526182
[Au] Autor:Beck B; Carstairs GL; Caldwell Odgers JN; Doyle TL; Middleton KJ
[Ad] Endereço:a Land Division , Defence Science and Technology Organisation , Melbourne , Australia.
[Ti] Título:Jerry can carriage is an effective predictor of stretcher carry performance.
[So] Source:Ergonomics;59(6):813-20, 2016 Jun.
[Is] ISSN:1366-5847
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Carrying a casualty on a stretcher is a critical task conducted in a range of occupations. To ensure that personnel have the requisite physical capacity to conduct this task, two bilateral jerry can carries were used to predict individual performance in a four-person stretcher carry. Results demonstrated a bilateral 22-kg jerry can carry (R(2) = 0.59) had superior predictive ability of stretcher carry performance than a bilateral 15-kg jerry can carry (R(2) = 0.46). Pre- to post-carry changes in grip endurance (p > 0.05), back-leg isometric strength (p > 0.05) and leg power (p > 0.05) were not significantly different between carry tasks. There was no significant difference in heart rate (p > 0.05) and oxygen consumption (p > 0.05) between the stretcher carry and either jerry can carry. Thus, on the basis of performance correlations and physiological measures, the 22-kg jerry can carry is an appropriate predictive assessment of four-person stretcher carriage. Practitioner Summary: This study investigated the ability of a jerry can carry to predict individual performance on a four-person stretcher carry. Performance correlations were substantiated with physiological measures to demonstrate similar physical requirements between task and test. These results can be used to set physical employment standards to assess stretcher carriage.
[Mh] Termos MeSH primário: Músculos do Dorso
Força da Mão
Frequência Cardíaca
Militares
Força Muscular
Consumo de Oxigênio
Macas (Leitos)
Análise e Desempenho de Tarefas
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Contração Isométrica
Perna (Membro)
Remoção
Masculino
Músculo Esquelético
Resistência Física
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170503
[Lr] Data última revisão:
170503
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:151104
[St] Status:MEDLINE
[do] DOI:10.1080/00140139.2015.1088074



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