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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Health & Society is the property of Instituto de Ensino e Pesquisa Periodicojs and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Espaço Para a Saúde is the property of Faculdades Pequeno Principe and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cardiopulmonary arrest (CRA) is a very serious clinical emergency that can have the ultimate consequence of death. The success of cardiac arrest care is determined by rapid recognition of signs of cardiac arrest and prompt emergency care. This study aimed to verify the role of nurses in the care of cardiorespiratory arrest. This is an integrative review research on the proposed theme, without interference from the researcher in the research environment. Data collection was performed from information collected in the electronic databases LILACS, SCIELO and BDENF. The authors surveyed emphasize that Nursing is responsible for the patient most of the time, so the nurse must observe the main factors that can develop cardiorespiratory arrest and care in hypothermia after CRA. The nurse is important in the face of a CRA, as a professional active in decision-making and able to identify and perform the necessary procedures for the patient's survival. [ABSTRACT FROM AUTHOR]

The extension project named "First Aid for Laypeople - Rescue Lives" (Primeiros Socorros para Leigos - Resgatando Vidas) arises from the perspective of generating proximity to one of the main themes of an imminent threat to life, Cardiopulmonary Arrest (CPA), seeking to guide in its recognition and conduct as a resource capable of increasing victims' chances of survival. Thus, the report aimed to describe the experiences of the project in a high school and at a university scientific event. Between April and December/2019, interventions were carried out through lectures and practical activities. The information presented was collected based on the attendance of the grantee and the project volunteers. In this sense, it was possible to observe evidence that students have little or no knowledge of first aid in the school environment. The commitment of the binders during the project taught them the importance of always being attentive and committed to their social and professional role in health promotion, although they were undergraduate students. Finally, it was verified the positive impact of the extension in the awakening and the modification of behaviors, since the high school students expressed at the end of the interventions that they feel able to share knowledge, as well as know the main behaviors in scenarios of recurrent emergencies outside the hospital environment. [ABSTRACT FROM AUTHOR]

Introduction and Objectives: Cardiac arrest (CA) is associated with high morbidity and mortality. Many studies focus on survival, but few explore the outcomes. The aim of this study is to analyze the survival curve, independence, quality of life, and performance status after CA., Methods: This retrospective study included adults admitted to the intensive care unit of Cova da Beira University Hospital Center after CA between 2015 and 2019. We analyzed patient records and applied a questionnaire including EuroQoL's EQ-5D-3L and ECOG performance status., Results: Ninety-seven patients were included (mean age 75.74 years). Thirty-one patients (32.0%) survived to hospital discharge. There was a significant loss of independence for activities of daily living, with 50.0% of those previously independent becoming dependent and 47.5% of those previously at home being institutionalized. Diabetes, female gender, and length of hospital stay were especially impactful on these findings. One year after CA, only 20.6% were alive and only 13.4% (65% of the one-year survivors) were independent. Nine patients answered our questionnaire. Mean EQ-5D quality of life index (0.528±0.297) and the most affected domains ('Pain/discomfort' and 'Anxiety/depression') were similar to the Portuguese population aged >30 years. However, 66.6% reported a decline in their quality of life. Lastly, seven respondents had a good performance status (ECOG 0-1)., Conclusions: There was a significant loss of independence after CA. Moreover, despite the acceptable performance status and the quality of life results being similar to the general population, there was a perceived deterioration post-CA. Ultimately, we emphasize the need to improve care for these patients., (Copyright © 2024 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)

The population and geographic characteristics of each mobile emergency service directly interfere with its effectiveness, and there are several reports that the local actions developed by the service have immediate results that are little known. Thus, the objective was to identify the epidemiology of cases treated by the Mobile Emergency Care Service in the city of Palmas, Tocantins, Brazil. This is a retrospective, documentary research, with a quantitative approach, carried out at the Mobile Emergency Care Service in the municipality of Palmas, with data collected from May to June 2019. 3,037 registration forms for the year 2018 were evaluated. The data from the analyzed records were tabulated in an excel spreadsheet, and descriptive statistics of the data were performed. There was a prevalence of attendance of male victims (53.1%), aged between 19-29 years (19.7%). There was also a prevalence of clinical causes (25.7%), followed by traumatic causes (20.4%). Regarding external causes, there was a prevalence of traffic accidents (11.9%); among the clinical causes, seizures (3.1%), cardiopulmonary arrest (2.3%) and syncope (2.5%) predominated; and in obstetric care, labor prevailed (66.9%). The destination of care was predominant in hospitals. Therefore, it is concluded that most of the emergency cases attended were young male victims whose prevalence of causes varied between clinical and traumatic. It is noteworthy that these data, if included in the agenda of decision makers, can support better and more effective practices of containment and mitigation of recurrent diseases, as well as the co-responsible promotion of health through the proper use of mobile emergency service equipment. [ABSTRACT FROM AUTHOR]

To describe the experience of professors and students on nursing protocols in the cardiac arrest of patients with COVID-19. This is a bibliographical research, with a qualitative approach and experience report between teacher and student, through the communication networks involving the use of remote technologies. The databases of the Brazilian Ministry of Health, Virtual Health Library (VHL), MEDLINE, IBECS and LILACS, were used. Data were collected from scientific papers published between July 2015 and July 2020. The workload of the nursing staff is a conditioning factor for mental and physical illness; fear of the pandemic; there are gaps in care delivery and training addressing cardiac arrest. The pandemic context revealed the essential role nurses play in care delivery and the urgency of basic and advanced life support training to improve safety, mitigate fears and prepare nursing workers to provide care in emergencies resulting from SARS-CoV-2. [ABSTRACT FROM AUTHOR]

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Minas Gerais Medical Journal / Revista Médica de Minas Gerais is the property of Associacao Medica de Minas Gerais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Background and objectives: The perioperative cardiac arrest (CA) and mortality rates in Brazil, a developing country, are higher than in developed countries. The hypothesis of this review was that knowledge of the epidemiology of perioperative CA and mortality in Brazil enables the comparison with developed countries. The systematic review aimed to verify, in studies conducted in Brazil, the epidemiology of perioperative CA and mortality. Method and results: A search strategy was carried out on different databases (PubMed, EMBASE, SciELO and LILACS) to identify observational studies that reported perioperative CA and/or mortality up to 48 hours postoperatively in Brazil. The primary outcomes were data on epidemiology of perioperative CA and mortality. In 8 Brazilian studies, there was a higher occurrence of perioperative CA and mortality in males; in extremes of age; in patients in worse physical status according to the American Society of Anesthesiologists (ASA); in emergency surgeries; in general anesthesia; and in cardiac, thoracic, vascular, abdominal and neurological surgeries. The patient's disease/condition was the main triggering factor, with sepsis and trauma as the main causes. Conclusions: The epidemiology of both perioperative CA and mortality events reported in Brazilian studies does not show important differences and, in general, is similar to studies in developed countries. However, sepsis represents one of the major causes of perioperative CA and mortality in Brazilian studies, contrasting with studies in developed countries in which sepsis is a secondary cause.

Objective: To verify the knowledge of high school students about cardiopulmonary arrest and cardiopulmonary resuscitation and to evaluate learning immediately and late after theoretical and practical training. Methods: Longitudinal, prospective, quantitative experimental study, carried out in a public and a private institution, using a questionnaire on basic life support. The statistics were descriptive and inferential by the Friedman and Mann Whitney tests. Results: The students had insufficient knowledge, showing a significant improvement immediately and late. The two institutions had an equivalent performance in terms of correct answers in the immediate and late post-training periods. The stop signs, resuscitation maneuvers and steps to use the external defibrillator had lower success rates. Conclusion: After training, students demonstrated knowledge to act in the face of cardiac arrest and cardiopulmonary resuscitation. [ABSTRACT FROM AUTHOR]

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Scire Salutis is the property of CBPC - Companhia Brasileira de Producao Cientifica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Community health workers are considered a professional health category in Brazil who are in direct daily contact with community users and, therefore, more likely to face emergency or first aid situations. Objective: To assess the level of knowledge and confidence of community health workers on first aid and cardiopulmonary resuscitation. Materials and Methods: A descriptive quantitative study was conducted between June and October 2018 in 22 Family Health Centers in a city in Ceará, Brazil with 186 community agents grouped as follows: a group that has already received training on these matters and another group that has not had such training. For data collection, a questionnaire containing the following items was administered: 1) sample characterization; 2) questions on cardiopulmonary resuscitation; 4) questions on first aid; 4) confidence scale. Results: A significant difference among both groups was found in questions related to the knowledge of the four items, especially for explaining CPR, checking for responsiveness of an unconscious person, the sequence for placing hands and arms in cardiopulmonary resuscitation (CPR) and rotating resuscitators. Regarding first aid, a statistically significant difference was also found in four items related to first aid questions when attending a victim in an emergency such as convulsions, drowning and choking in children. Both groups showed low confidence to intervene in cardiac, neurological and respiratory emergencies. Conclusions: Research results indicate that there is a lack of knowledge among community health workers to respond effectively to situations involving cardiopulmonary resuscitation and first aid, which is also associated with low confidence to perform interventions in emergencies. [ABSTRACT FROM AUTHOR]

Objective: To analyze the scientific evidence on the effectiveness of educational interventions in acquiring knowledge about first aid for the lay population. Methods: Integrative literature review based on the guiding question: "What is the scientific evidence on the use of educational interventions to acquire knowledge about first aid among the lay population?". The search was carried out in nine databases. Results: The review sample consisted of ten studies. There was a predominance of studies in 2017, published mainly in Brazil with a target audience formed by school staff, teachers and students. The main educational interventions were: health education through a training program, lecture, conversation circle, theoretical-practical class. The main subjects covered were: fractures, cardiopulmonary arrest, hemorrhage, seizure and burn. Conclusion: Educational interventions were effective in acquiring knowledge about first aid among laypeople. [ABSTRACT FROM AUTHOR]

Objective: to evaluate the knowledge of nursing students about the care of patients in cardiorespiratory arrest. Method: cross-sectional study with quantitative approach, conducted with 136 nursing students from a higher education institution. Data were collected using a semi-structured instrument. The analysis was performed through descriptive and inferential statistics. Results: the students who positively evaluated themselves showed a good level of knowledge about the theme (r=0.29; p=0.001), as well as those who had attended the first aid course in previous periods (p=0.012). The questions they made mistakes were those regarding the routes of administration of the drug and ventilatory support in non-intubated patients. Conclusion: the nursing students demonstrated an adequate level of understanding of the protocols on the care of patients in cardiorespiratory arrest and had a theoretical framework obtained in the discipline of first aid, as well as in improvement courses. [ABSTRACT FROM AUTHOR]

Death still causes people in general with varied mental states, among them disbelief, hopelessness, spiritual anguish, mental-moral-spiritual suffering, fear, anxiety, chronic sadness. In this context and considering the experience of the dying and death process by nursing professionals, spirituality and care are approaches used in the therapeutic sphere to prevent, interrupt and overcome possible psychopathological conditions in the process of dying and in the face of death. Chico Xavier's bibliographic and mediumistic collection has a particular aspect of message books, attributed to dead family members. Who are the communicating family spirits, what is the quantity of these communications, data from the communicators, in which works were published and what are the possible psychopathological pictures of fathers and mothers who made them seek spiritual and mediumistic help? OBJECTIVE: - to systematize the works of family letters, received mediumship by Chico Xavier, between 1951 and 2012; - explain the possible psychopathological conditions of fathers and mothers and their overcoming after receiving the psychographed letters. METHOD: the research has a historical approach, the source is documentary, the data collection technique is bibliographic, the analysis technique is quantitative. RESULTS: a) 74 thematic books published between 1951 and 2012, 550 communicating family spirits, 1726 written mediumistic letters, 61 communicating spirits excluded due to lack of registered biographical data. b) the greatest number of causes of death is an automobile and motorcycle accident, murder with a firearm, drowning, cardiac arrest and suicide. CONCLUSION: The works psychographed by Chico Xavier, referring to family letters from the disincarnated to the incarnated, according to the unanimous testimonies of the family members, are antidotes for the reduction or cessation of uncertainties and possible psychopathological suffering during the process of dying and in the face of death. [ABSTRACT FROM AUTHOR]

Copyright of Revista Brasileira de Prescrição e Fisiologia do Exercício is the property of Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercicio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To report the experience of training caregivers of patients with chronic renal failure about basic life support based on the problematization methodology. Methods: It is an experience report of a training developed with 15 caregivers of patients with Chronic Renal Failure in June 2018. To meet the problematization method, we proposed to use the Arco de Manguerez through four stages: observation of reality, survey of key points, theorization and application to reality. Results: Strategies such as conversation wheel, semi-structured interview, training with practical simulation of cardiopulmonary arrest recognition and cardiopulmonary resuscitation maneuvers were used, with subsequent evaluation of the activity developed. The training provided the dissemination of essential knowledge for people who manage the care of patients with chronic diseases, such as Chronic Renal Failure, who can progress to cardiac arrest. Conclusion: The problematization made it possible for caregivers to participate in the educational process as active subjects, extrapolating the condition of spectators. [ABSTRACT FROM AUTHOR]

Objective: Objective: To verify if the clinical simulation strategy improves the knowledge and self-confidence gain of the healthcare team in situations of cardiopulmonary arrest (CPR) and/or foreign body airway obstruction (OVACE) in primary health care (APS). Methodology: Quantitative, quasi-experimental study, developed in basic health units. Sample composed of 68 PHC health professionals. A semi-structured questionnaire and self-confidence scale were applied. Descriptive analysis was performed and inferential analysis was considered significant with p≤0.05. Results: A significant gain of knowledge (p<0.001) and self-confidence in assisting in CRP and OVACE situations was identified by the nursing staff (p=0.001) and community agents (p=0.005), after the use of simulation as a strategy for teaching. Conclusion: The simulation showed a positive effect to gain knowledge and self-confidence for health professionals, including those who do not participate directly in care, such as community health agents. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to know the nurse's perception about the admission process of children in the immediate postoperative period of renal transplantation. Method: Descriptive, qualitative study, carried out from January to March, 2019 by means of the focal group technique for data collection. Participants were 13 nurses who worked in the high complexity postoperative unit of a referral hospital in transplants. The testimonies were recorded, transcribed and organized into categories. To analyze the data, the content analysis technique was used. Results: The analysis of the empirical material revealed the following thematic categories: Nurses' perception about the process of admission of children in the immediate postoperative period; Creation of a protocol in the postoperative period of renal transplantation aimed at children; Professional insecurities related to volume replacement and cardiorespiratory arrest. Conclusion: The study contributed to the situational diagnosis regarding the care provided by nurses, highlighting: volume replacement, vital data, mechanical ventilation parameters and drug dilution. The nurses reported that the protocol facilitated during nursing care. [ABSTRACT FROM AUTHOR]

Objective: to analyze the scientific production on cardiorespiratory arrest in Brazilian nursing journals. Method: bibliometric study carried out through electronic access to the websites of the 14 Brazilian nursing journals, classified in the Sucupira Platform, for analysis of articles published between 2010 and 2019. Results: 18,266 articles were analyzed, of which 50 were selected to integrate the sample. It was possible to observe that 50% of the articles were published in Qualis A extract journals and 80% of the productions were derived from the Southeast Region. Regarding the type of study, 54% were descriptive and 64% quantitative. Regarding the most investigated theme, 28% portrayed the knowledge of nurses and 22% contemplated nursing training on cardiorespiratory arrest. Conclusion: the scientific production of Brazilian journals showed a predominance of articles published in Qualis A journals, from the Southeast Region, descriptive, quantitative, which predominantly investigated the knowledge and training of professionals. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of RIIS: Revista de Investigação & Inovação em Saúde is the property of RIIS: Revista de Investigacao & Inovacao em Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Scientia Medica is the property of EDIPUCRS - Editora Universitaria da PUCRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The cardiorespiratory arrest is one of the main causes of death in the world's population. It is an event that yearly affects about 200,000 victims in na out-of-hospital and inhospital environment in Brazil. It is characterized by cardiac and pulmonary abnormal functions, where the organs stop receiving oxygen necessary for their vital maintenance. The study aim was to identify the difficulties found by the nursing team regarding a cardiorespiratory arrest according to the literature. It is about an integrative reading considering the articles published in The Virtual Health Library (VHL), in the databases of LILACS, BDENF and SciELO, through the descriptors: Cardiac arrest, Cardiopulmonary resuscitation and nursing care, in the period from 2013 to 2017. The analysis of the material collected resulted in the construction of two categories described below: difficulties of theoretical knowledge in cardiopulmonary resuscitation and the lack in continuous training in cardiopulmonary resuscitation. It is concluded that there is still a need to invest in permanent education programs in order to collaborate with the theoretical knowledge of the professionals, being these factors interconnected and that directly influence the quality of care offered. [ABSTRACT FROM AUTHOR]

to know the adverse effects and complications experienced by the health team and cognize the nursing care performed during the application of therapeutic hypothermia. Methodology: this research was developed with a qualitative approach, conducted in 2014, with semi-structured interviews with health workers from Intensive Care Units of two hospitals in the extreme south of Brazil, which applied therapeutic hypothermia after cardiorespiratory arrest. The textual discursive analysis was used. Results: Adverse effects included tremors, bradycardia, hypotension and complications such as skin burns. Nursing care is mainly dedicated to skin and extremity care, ice use, sedation and comfort. Conclusion: Therapeutic hypothermia is possible to be applied, in the reality of the researched institutions, in a safe, effective and with low cost way, however, it is necessary to carry out the qualification of the teams, in order to clarify doubts and favor adherence and the necessary care to be provided. [ABSTRACT FROM AUTHOR]

Objective: to evaluate the knowledge of the specialist in the training of Cardiology and Hemodynamics in emergency cardiac arrest, according to the new guidelines of the American Heart Association - 2015. Methodology: descriptive / exploratory study, with a quantitative approach. Data collection was performed between March and April 2017, through the application of a structured questionnaire, the final sample being composed of 25 post-graduate students obtained for convenience. Data were analyzed using simple descriptive statistics. Results: of the sample of 25 participants, 20 (80%) had knowledge to identify a cardiorespiratory arrest and 21 (84%) indicated the correct behavior after the detection of this event, 20 (80%) reported having already taken courses on the subject and 23 (92%) sought better information on the subject in the literature. Conclusion: the postgraduate students have sufficient knowledge about the proposed topic, presenting an interest in the technical-scientific qualification. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the effectiveness of rapid response teams using early identification of clinical deterioration in reducing the occurrence of in-hospital mortality and cardiorespiratory arrest. Data sources: The MEDLINE, LILACS, Cochrane Library, Center for Reviews and Dissemination databases were searched. Study selection: We included studies that evaluated the effectiveness of rapid response teams in adult hospital units, published in English, Portuguese, or Spanish, from 2000 to 2016; systematic reviews, clinical trials, cohort studies, and prepost ecological studies were eligible for inclusion. The quality of studies was independently assessed by two researchers using the Newcastle-Ottawa, modified Jadad, and Assessment of Multiple Systematic Reviews scales. Data extractions: The results were synthesized and tabulated. When risk measures were reported by the authors of the included studies, we estimated effectiveness as 1-RR or 1-OR. In pre-post studies, we estimated effectiveness as the percent decrease in rates following the intervention. Results: Overall, 278 studies were identified, 256 of which were excluded after abstract evaluation, and two of which were excluded after full text evaluation. In the meta-analysis of the studies reporting mortality data, we calculated a risk ratio of 0.85 (95%CI 0.76 - 0.94); and for studies reporting cardiac arrest data the estimated risk ratio was 0.65 (95%CI 0.49 - 0.87). Evidence was assessed as low quality due to the high heterogeneity and risk of bias in primary studies. Conclusion: We conclude that rapid response teams may reduce in-hospital mortality and cardiac arrests, although the quality of evidence for both outcomes is low. [ABSTRACT FROM AUTHOR]

The objective of the study was to analyze the understanding of the nursing team of the basic health care network in the care of the victims in CRP. Method used integrative literature review. The results show that survival with CRP is related to a series of fundamental interventions characterized by the immediate recognition of PCR signals, request for help, immediate onset of CPR maneuvers, and that there is a need to update the team about the Guidelines for cardiopulmonary resuscitation and the standardization of nursing behaviors in the care of these victims. Conclusion: With the reduced number of scientific publications, the low production and understanding of these professionals on the process of attending to the victims in CRP is already evident. It should be noted that the broad incorporation of this subject into the curricula of all levels of education is necessary, especially a broader approach in technical and undergraduate courses. This study continues to support this research, supporting the need to invest in the training of nursing staff since its action is directly linked to the direct care of these patients to better elucidate the issue. [ABSTRACT FROM AUTHOR]

Copyright of RIIS: Revista de Investigação & Inovação em Saúde is the property of RIIS: Revista de Investigacao & Inovacao em Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Resumo A parada cardíaca durante anestesia neuroaxial é um evento adverso grave, que pode ocasionar sequelas neurológicas importantes e morte se não tratada em tempo hábil. Os mecanismos associados são insuficiência respiratória negligenciada, bloqueio simpático extenso, toxicidade por anestésicos locais, raquianestesia total, além da crescente consciência da predominância vagal como fator predisponente. No caso reportado, a paciente tinha 25 anos e estado físico ASA I e foi programada para lipoplastia estética. Após sedação com midazolam e fentanil, foi feita anestesia peridural nos interespaços T12‐L1 e T2‐T3 e inserção de cateter na punção inferior. A paciente foi mantida em decúbito dorsal horizontal durante 10 minutos. Em seguida, foi posicionada em decúbito ventral, evoluiu com parada cardíaca em assistolia 20 minutos após o bloqueio do neuroeixo. A equipe médica imediatamente colocou a paciente em decúbito dorsal e iniciou as manobras de ressuscitação cardiorrespiratória. O retorno da circulação espontânea foi obtido após 20 minutos de reanimação. É discutida neste relato a resposta vagal exacerbada como principal mecanismo causal do evento. O sucesso do desfecho da paciente em questão ressalta a importância da vigilância do anestesiologista, e do pronto reconhecimento e tratamento de mudanças de ritmo no eletrocardiograma. Cardiac arrest during neuraxial anesthesia is a serious adverse event, which may lead to significant neurological damage and death if not treated promptly. The associated mechanisms are neglected respiratory failure, extensive sympathetic block, local anaesthetic toxicity, total spinal block, in addition to the growing awareness of the vagal predominance as a predisposing factor. In the case reported, the patient was 25 years old, ASA I , scheduled for aesthetic lipoplasty. After sedation with midazolam and fentany, epidural anesthesia in interspaces T12‐L1 and T2‐T3 and catheter insertion into inferior puncture were performed. The patient remained in the supine position for 10 minutes. Then, she was placed in the prone position, developing asystolic cardiac arrest 20 minutes after the completion of neuraxial blockade. The medical team immediately placed the patient in the supine position and began cardiopulmonary resuscitation. Spontaneous circulation was achieved after twenty minutes of resuscitation. We discuss in this report the exacerbated vagal response as the main event mechanism. The patient's successful outcome emphasizes the importance of anaesthetic monitoring by anesthesiologists, prompt recognition and treatment of rhythm changes on the electrocardiogram. [ABSTRACT FROM AUTHOR]

The objective of this descriptive and cross-sectional study was to assess the theoretical knowledge of the nurses in a hospital in the state of Minas Gerais regarding the basic life support used in attending cardiorespiratory arrest. The sample was constituted by 16 nurses, and an instrument constructed based on the recommendations of the American Heart Association for cardio-pulmonary resuscitation was used for data collection. The results showed gaps in the knowledge on the rhythms identified in cardio-respiratory arrest, the sequence of steps, number of cycles versus ventilation, opening of the airways, where to place the defibrillator electrode pads, the procedure to be undertaken immediately after the shock, and the loads, in joules, recommended for the defibrillation. The re-assessment and continuous training of the nurses is recommended, for their adequate performance in treating cardiorespiratory arrest, contributing to the population’s survival.

FUNDAMENTO: O conhecimento teórico e as habilidades práticas das equipes de Suporte Básico de Vida (SBV) e Suporte Avançado de Vida (SAV) estão entre os determinantes mais importantes das taxas de sucesso em reanimação cardiopulmonar. OBJETIVO: Avaliar o impacto de um programa permanente de treinamento em SBV e SAV no conhecimento dos profissionais de enfermagem. MÉTODO: Estudo de corte transversal. A população foi composta por profissionais de enfermagem de um hospital de nível terciário. Foram realizadas avaliações antes e após o treinamento. Abordaram-se pontos críticos das diretrizes do International Liaison Committee on Resuscitation (ILCOR). RESULTADOS: Foram avaliados 213 profissionais (76 enfermeiros, 35,7%; 38 auxiliares, 17,8%; e 99 técnicos, 46,7%). As médias na avaliação pré-curso foram estatisticamente diferentes (pFUNDAMENTO: El conocimiento teórico y las habilidades prácticas de los equipos de Soporte Básico de Vida (SBV) y Soporte Avanzado de Vida (SAV) están entre los determinantes más importantes de los índices de éxito en reanimación cardiopulmonar. OBJETIVO: Evaluar el impacto de un programa permanente de entrenamiento en SBV y SAV en el conocimiento de los profesionales de enfermería. MÉTODO: Estudio de corte transversal. La población estaba compuesta por profesionales de enfermería de un hospital de nivel terciario. Se realizaron evaluaciones antes y después del entrenamiento. Se abordaron puntos críticos de las directrices del International Liaison Committee on Resuscitation (ILCOR). RESULTADOS: Se evaluaron 213 profesionales (76 enfermeros, 35,7%, 38 auxiliares, 17,8% y 99 técnicos, 46,7%). Los promedios en la evaluación previa al curso fueron estadísticamente diferentes (pBACKGROUND: The theoretical knowledge and practical skills of the Basic Life Support (BLS) and the Advanced Life Support (ALS) are among the most important determining factors of the cardiopulmonary reanimation success rates. OBJECTIVE: Assess the impact of a permanent training program in BLS and ALS on the knowledge of nursing professionals. METHOD: Cross-sectional study. Population was made of nursing professionals of a tertiary level hospital. Assessments were carried out before and after training. The critical points of the International Liaison Committee on Resuscitation (ILCOR) analysis were addressed. RESULTS: 213 professionals were assessed (76 nurses, 35.7%; 38 assistants, 17.8%; and 99 technicians, 46.7%). Pre-course assessment average grades were statistically different (p

JUSTIFICATIVA E OBJETIVOS: A parada cardiorrespiratória (PCR) ocorrida em ambulatório tem elevada mortalidade, sendo a sobrevida entre 5% e 35%. Dos pacientes que são reanimados uma percentagem elevada permanece com déficits neurológicos, resultantes das lesões ocorridas, tanto no período de ausência de circulação ou durante a reperfusão. No entanto a compreensão dos mecanismos da lesão cerebral não tem traduzido na melhoria do prognóstico. A hipotermia terapêutica após a reanimação parece ser uma opção válida associada à diminuição destas seqüelas neurológicas. O objetivo deste estudo foi rever a evidência científica relativa à abordagem do paciente reanimado após PCR. CONTEÚDO: Descrição e abordagem dos principais fatores de risco associados à lesão neurológica após PCR, bem como dos seus critérios de prognóstico.Feita pesquisa não sistemática na base de dados PubMed dos artigos referentes à abordagem terapêutica dos pacientes reanimados de parada cardíaca. As referências bibliográficas dos artigos de revisão foram igualmente analisadas. Elaboradas normas práticas para essa abordagem. CONCLUSÕES: Os pacientes que sobrevivem à PCR têm elevado risco de permanecer com lesões neurológicas graves. A hipotermia terapêutica e o controle das variáveis fisiológicas, com otimização da perfusão cerebral, podem melhorar o seu prognóstico.BACKGROUND AND OBJECTIVES: Out-of-hospital cardiac arrest is a major cause of death with survival rates as low as 5% to 35%. A large number of patients who survive resuscitation will face significant neurological damage, as a result of the ischemia that occurs both during cardiac arrest and reperfusion. However understanding of the mechanisms responsible for brain damage has not resulted in prognostic improvement. Therapeutic hypothermia after resuscitation may be a valid option associated to reduction of neurological damage. The purpose of this study was to review scientific evidence related to a therapy for patients resuscitated from cardiac arrest. CONTENTS: Description and analysis of the main risk factors associated with neurological damage after resuscitation from cardiac arrest as well as prognostic criteria was carried out. A non-systematic search was conducted in the PubMed data base for papers on a therapeutic approach for patients resuscitated from cardiac arrest. Bibliographic references of reviewed papers were also analyzed. Practical rules were drafted for such an approach. CONCLUSIONS: Patients resuscitated from cardiac arrest face a high level of risk of neurological damage. Therapeutic hypothermia and control of physiological parameters to optimise brain perfusion, may improve prognosis.