Base de dados : MEDLINE
Pesquisa : E07.325.220.500 [Categoria DeCS]
Referências encontradas : 30 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 3 ir para página          

  1 / 30 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[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
Ressuscitação Cardiopulmonar/normas
Fadiga/etiologia
Massagem Cardíaca/normas
[Mh] Termos MeSH secundário: Estudos Cross-Over
Desenho de Equipamento
Feminino
Mãos
Humanos
Masculino
Manequins
Postura
Macas
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:170315
[Lr] Data última revisão:
170315
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160905
[St] Status:MEDLINE


  2 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[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: Ressuscitação Cardiopulmonar/métodos
Elevadores e Escadas Rolantes
Auxiliares de Emergência/educação
Manequins
Parada Cardíaca Extra-Hospitalar/terapia
Macas
Transporte de Pacientes
[Mh] Termos MeSH secundário: Ressuscitação Cardiopulmonar/educação
Estudos Cross-Over
Serviços Médicos de Emergência/métodos
Estudos de Viabilidade
Humanos
Pressão
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170316
[Lr] Data última revisão:
170316
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160725
[St] Status:MEDLINE


  3 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[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;55:124-32, 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
Análise e Desempenho de Tarefas
Transporte de Pacientes
Suporte de Carga
[Mh] Termos MeSH secundário: Adulto
Austrália
Fenômenos Biomecânicos/fisiologia
Composição Corporal
Feminino
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:170104
[Lr] Data última revisão:
170104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160321
[St] Status:MEDLINE


  4 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[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
[Mh] Termos MeSH secundário: Serviços Médicos de Emergência
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:160208
[St] Status:MEDLINE


  5 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26443911
[Au] Autor:Sheffer J
[Ti] Título:Two-Man Biomed Team Adds Bed/Stretcher Maintenance to Arsenal.
[So] Source:Biomed Instrum Technol;49(5):345-7, 2015 Sep-Oct.
[Is] ISSN:0899-8205
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviço Hospitalar de Engenharia e Manutenção/recursos humanos
[Mh] Termos MeSH secundário: Leitos
Humanos
Estudos de Casos Organizacionais
Macas
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1512
[Cu] Atualização por classe:161020
[Lr] Data última revisão:
161020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151008
[St] Status:MEDLINE
[do] DOI:10.2345/0899-8205-49.5.345


  6 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26442308
[Au] Autor:Fisun AY; Kalachev OV; Shchegolev AV; Vertii BD
[Ti] Título:[Medical and technical means for united circle of evacuation measures in military-medical organisations of the Ministry of Defence].
[So] Source:Voen Med Zh;336(6):4-7, 2015 Jun.
[Is] ISSN:0026-9050
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Experts of the medical service of the Armed Forces carried out an analysis of capabilities of modern Russian enterprises and their innovative projects regarding creation of unified means of evacuation of wounded and providing to them necessary types of emergency care with the use of existing and future special and regular means of transport for medical evacuation. As a result of the work of industrial enterprises of the OAO Kazan "Vertoletniy Zavod", "Zarechie", "Vysota" was created a device for the medical evacuation of severe wounded patients. The device is designed for medical evacuation of severe wounded patients from the military medical unit to the site providing comprehensive medical care with maintenance of vital functions and monitoring of his condition. Testing was conducted on the products of regular vehicles medical company of one of the brigades of the Western Military District. The device was presented at the special tactical exercises the Armed Forces Medical Service "Frontier-2014", "Innovation Day" of the Defence Ministry in 2014.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Cuidados para Prolongar a Vida
Medicina Militar/métodos
Militares
Macas
Transporte de Pacientes/organização & administração
[Mh] Termos MeSH secundário: Serviços Médicos de Emergência/legislação & jurisprudência
Regulamentação Governamental
Humanos
Federação Russa
Transporte de Pacientes/legislação & jurisprudência
Transporte de Pacientes/métodos
Ferimentos e Lesões/terapia
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:151007
[Lr] Data última revisão:
151007
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151007
[St] Status:MEDLINE


  7 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26245484
[Au] Autor:Sommerich CM; Lavender SA; Radin Umar RZ; Li J; Park S; Dutt M
[Ad] Endereço:a Department of Integrated Systems Engineering , The Ohio State University , Columbus , USA.
[Ti] Título:A biomechanical and subjective comparison of two powered ambulance cots.
[So] Source:Ergonomics;58(11):1885-96, 2015.
[Is] ISSN:1366-5847
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: This study investigated biomechanical effects of different leg folding/unfolding mechanisms used for loading/unloading two powered cots (Cots A and B) into and from a simulated ambulance. Sixteen experienced emergency medical service (EMS) workers loaded and unloaded cots with weights of 45, 68 and 91 kg placed on the cots to simulate patients. Peak back and shoulder/arm muscle activity was reduced 52-87% when using Cot A in comparison to Cot B. Peak ground reaction force (PGRF) was reduced by 74% with Cot A. Adding weight resulted in increased muscle activity and PGRF when using Cot B, but had little effect when using Cot A. Task time was longer with Cot A, though was not perceived unfavourably by participants. This study confirmed that it is possible to substantially reduce physical stress imposed on EMS workers when loading and unloading a cot to and from an ambulance through improvements in cot design. PRACTITIONER SUMMARY: This study compared two powered ambulance cots, one that lifts/lowers the front and rear wheels independently and one that lifts/lowers the four wheels simultaneously during ambulance loading and unloading. Measured muscle activity, ground reaction forces and operator perceptions support using cot designs that lift/lower the front and rear wheels independently.
[Mh] Termos MeSH primário: Ambulâncias
Atitude do Pessoal de Saúde
Auxiliares de Emergência
Macas
[Mh] Termos MeSH secundário: Adulto
Braço
Fenômenos Biomecânicos
Fontes de Energia Elétrica
Eletromiografia
Desenho de Equipamento
Humanos
Masculino
Ombro
Tronco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:151222
[St] Status:MEDLINE
[do] DOI:10.1080/00140139.2015.1039604


  8 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26132220
[Au] Autor:Nemunaitis G; Roach MJ; Boulet M; Nagy JA; Kaufman B; Mejia M; Hefzy MS
[Ad] Endereço:a MetroHealth Rehabilitation Institute of Ohio , Cleveland , Ohio , USA.
[Ti] Título:The Effect of a Liner on the Dispersion of Sacral Interface Pressures During Spinal Immobilization.
[So] Source:Assist Technol;27(1):9-17, 2015.
[Is] ISSN:1040-0435
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Sacral pressure ulcers are a significant problem following spinal cord injury and are felt to be in part due to the high interface-pressures generated while strapped to the spine board. The objective of this study was to determine sacral interface-pressure and sensing area in healthy volunteers on a spine board and the effects of a gel pressure dispersion liner. Thirty-seven volunteers were placed on a pressure-sensing mat between the subject and the spine board. Measurements were carried out with and without a gel liner. Pressures and sensing area were recorded every minute for 40 minutes. The highest pressure was generated at the sacral prominence of each subject. Mean interface-pressures were higher on the spine board alone than with the gel liner (p < .0001). Overall, mean sensing area was lower on the spine board than with the gel liner (p < .0001). Standard spinal immobilization causes high sacral interface-pressures. The addition of a gel liner on the spine board decreased overall mean sacral pressures and increased mean sensing area. Generation of sacral pressure ulcers may be related to the initial interface-pressures generated while the patient is strapped to the spine board. The addition of a gel liner may reduce the incidence of sacral pressure ulcers.
[Mh] Termos MeSH primário: Imobilização/instrumentação
Postura/fisiologia
Sacro/fisiologia
Macas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Desenho de Equipamento
Análise de Falha de Equipamento
Feminino
Géis/química
Humanos
Imobilização/métodos
Masculino
Meia-Idade
Pressão
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Transporte de Pacientes
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Nm] Nome de substância:
0 (Gels)
[Em] Mês de entrada:1509
[Cu] Atualização por classe:150703
[Lr] Data última revisão:
150703
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:150703
[St] Status:MEDLINE
[do] DOI:10.1080/10400435.2014.940473


  9 / 30 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25991718
[Au] Autor:Abraham BB; Joyce TJ; Davidson RI; Johnson GR
[Ad] Endereço:School of Mechanical and Systems Engineering, Newcastle University, UK brian.abraham@newcastle.ac.uk.
[Ti] Título:A novel four-caster manual vehicle manoeuvring investigation: Higher loading-weights require larger turning spaces.
[So] Source:Proc Inst Mech Eng H;229(5):403-16, 2015 May.
[Is] ISSN:2041-3033
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Patient-hoists, goods-trolleys and other omni-directional manually operated vehicles are ubiquitous. Yet no substantive, empirically based dynamic analysis has been made of these four-caster vehicles despite manual handling concerns. A relationship between loading-weight and turning space is indicated by theoretical analysis which further shows that this effect is represented by only 11 different manoeuvres. A qualitative account of the theory is presented. These 11 manoeuvres were implemented experimentally. A total of 17 subjects selected a maximum comfortable loading-weight for the four-caster vehicle for each of the 11 manoeuvres. Vehicle displacement and handle forces were measured for different centres of zero velocity. The median loading-weight of the manoeuvre with the highest loading-weight selections was 101% greater than the mean loading-weight of the three manoeuvres with the lowest loading-weight selections. The manoeuvre with the highest loading-weight selections required a larger vehicle turning space: one dimension increased by 37% (173 mm) compared with the three lowest loading-weight selection manoeuvres and the other dimension increased by 17% (130 mm) compared with one of the lowest loading-weight selection manoeuvres. Higher loading-weights require larger turning spaces. These results can contribute to building designs which facilitate safe manual manoeuvring of four-caster vehicles.
[Mh] Termos MeSH primário: Engenharia Humana
Fenômenos Mecânicos
Movimentação e Reposicionamento de Pacientes
Macas
Transporte de Pacientes
[Mh] Termos MeSH secundário: Adulto
Desenho de Equipamento
Humanos
Masculino
Meia-Idade
Posicionamento do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1512
[Cu] Atualização por classe:150520
[Lr] Data última revisão:
150520
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150520
[St] Status:MEDLINE
[do] DOI:10.1177/0954411915581868


  10 / 30 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
[PMID]:25964040
[Au] Autor:Millar IL
[Ad] Endereço:Department of Intensive Care and Hyperbaric Medicine, The Alfred Hospital and Monash University, Department of Epidemiology and Preventive Medicine, The Alfred Hyperbaric Service, PO Box 315, Prahran, Victoria 3181. Australia, E-mail: i.millar@alfred.org.au.
[Ti] Título:Hyperbaric intensive care technology and equipment.
[So] Source:Diving Hyperb Med;45(1):50-6, 2015 Mar.
[Is] ISSN:1833-3516
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:In an emergency, life support can be provided during recompression or hyperbaric oxygen therapy using very basic equipment, provided the equipment is hyperbaric-compatible and the clinicians have appropriate experience. For hyperbaric critical care to be provided safely on a routine basis, however, a great deal of preparation and specific equipment is needed, and relatively few facilities have optimal capabilities at present. The type, size and location of the chamber are very influential factors. Although monoplace chamber critical care is possible, it involves special adaptations and inherent limitations that make it inappropriate for all but specifically experienced teams. A large, purpose-designed chamber co-located with an intensive care unit is ideal. Keeping the critically ill patient on their normal bed significantly improves quality of care where this is possible. The latest hyperbaric ventilators have resolved many of the issues normally associated with hyperbaric ventilation, but at significant cost. Multi-parameter monitoring is relatively simple with advanced portable monitors, or preferably installed units that are of the same type as used elsewhere in the hospital. Whilst end-tidal CO2 readings are changed by pressure and require interpretation, most other parameters display normally. All normal infusions can be continued, with several examples of syringe drivers and infusion pumps shown to function essentially normally at pressure. Techniques exist for continuous suction drainage and most other aspects of standard critical care. At present, the most complex life support technologies such as haemofiltration, cardiac assist devices and extra-corporeal membrane oxygenation remain incompatible with the hyperbaric environment.
[Mh] Termos MeSH primário: Cuidados Críticos/métodos
Oxigenação Hiperbárica/instrumentação
[Mh] Termos MeSH secundário: Ar
Leitos
Tecnologia Biomédica/instrumentação
Tecnologia Biomédica/métodos
Gasometria
Desfibriladores
Drenagem
Fontes de Energia Elétrica/normas
Desenho de Equipamento
Arquitetura de Instituições de Saúde/normas
Humanos
Unidades de Terapia Intensiva/organização & administração
Monitorização Fisiológica
Oxigênio/provisão & distribuição
Segurança
Macas
Ventiladores Mecânicos/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1511
[Cu] Atualização por classe:150512
[Lr] Data última revisão:
150512
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150512
[St] Status:MEDLINE



página 1 de 3 ir para página          
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde