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Keywords: Cardiopulmonary resuscitation, Chest compressions, Leg-foot, Heel of the foot, Ball of the foot
Published in DKUM: 27.10.2025; Views: 0; Downloads: 4
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Abstract: To the Editor, Anti-choking suction devices represent an innovative first aid method designed to remove foreign body airway obstruction. Although they are not part of the current European Resuscitation Council guidelines,1 they are used by many healthcare professionals and laypersons.2, 3, 4 As with any medical devices, there appear to be many more affordable counterfeit and unbranded copies products on the market claiming to be anti-choking suction devices.5 In June 2024, the United Kingdom's Office for Product Safety and Standards issued a recall for counterfeit anti-choking suction devices sold through online marketplaces. It is stated that they are lacking certification marks (for example European conformity = CЄ), details of the manufacturer, unique identifiers and serial numbers on the device. There is also a possibility that they will not work and could worsen the situation by pushing obstruction further down the airway, due to their poor design and quality.6, 7 The aim of this review is to investigate the prevalence of counterfeit and unbranded anti-choking suction devices on the most widely used online marketplaces. We conducted a review using the keyword “anti-choking suction device” on the online marketplace AliExpress (AliExpress, China). The search was conducted in November 2023 and January 2025. The shipping country was set to Slovenia. We investigated the number of products found, the number of products sold and their prices. In November 2023, a total of 41 different anti-choking suction devices were identified, with an average price of €14.00 (SD ± 0.41) and over 3,324 units sold. By January 2025, the number of identified devices had increased to 59, with a higher average price of €16.27 (SD ± 26.66) and total sales exceeding 9,481 units. One of the counterfeit anti-choking suction devices was also purchased on AliExpress for €6.97. As shown in Fig. 1, the device lacked certification marks, manufacturer details, unique identifiers, and serial numbers. Fig. 1. Fig. 1 Open in a new tab An example of a counterfeit anti-choking suction device without certification marks. The results highlighted a significant increase in the number of counterfeit anti-choking suction devices sold, despite being limited to one marketplace from China. Compared to certified anti-choking suction devices on the market, counterfeit versions are three to four times cheaper, especially considering that they are single-use devices. The question arises whether consumers knowingly purchase counterfeit anti-choking suction devices to save money or if they are unaware that these devices are uncertified. Experts, however, can recognize these counterfeits by their distinct appearance, absence of labels and identifiers, lack of a valve, and incomplete instruction manuals.6, 7 Beyond the questionable characteristics of anti-choking suction devices, concerns also arise regarding variations in their working principles and the suction they generate—both critical factors for effective functionality.
Keywords: anti-choking suction devices, emergency medicine, online marketplaces, innovative first aid methods, airway obstruction
Published in DKUM: 23.07.2025; Views: 0; Downloads: 5
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Abstract: Abstract Aim: In recent years, virtual and augmented reality (VR/AR) technologies have gained increasing attention as innovative tools for education, including in the field of adult Basic Life Support (BLS). While existing reviews on this topic primarily focus on comparing VR/AR with other educational approaches, our research aimed to identify the VR/AR hardware and software applications assessed in published studies and their alignment with learning objectives in adult BLS education. Methods: We conducted a scoping literature review using the Population, Exposure, and Outcome (PEO) framework to analyse publications from 2018 to 2024. The review focused on the impact of VR/AR (exposure) on affective, behavioral, and cognitive learning outcomes (outcome) in adult BLS education among laypersons, healthcare professionals, pre-licensure students, and duty-to-respond laypersons (population). Results: From 1,282 database records and 54 alternative sources, 31 articles were selected for comprehensive analysis. Many of the studies (11/31; 36%) targeted pre-licensure students, such as nursing students, and laypersons (9/31; 20%), primarily high school students. Only one study focused on duty-to-respond laypersons (1/31; 3%). VR studies (24/31; 77%) were more common than AR studies (6/31; 19%), featuring a broad spectrum of ten VR headsets compared to just two types of AR headsets. Among the assessed software applications, twenty-one commercial programs were examined—sixteen designed for VR and five for AR. Most studies investigated affective outcomes (25/31; 81%), while behavioural outcomes were also commonly examined (22/31; 71%). In contrast, cognitive outcomes were explored in fewer studies (9/31; 29%). Conclusion: Our review identified several challenges in existing studies, including variability in software and hardware, diverse learning outcomes, and accessibility issues with extended reality (XR) technology. To maximize its effectiveness, XR should be aligned with specific learning objectives rather than adopted for its novelty. Prioritizing educational efficacy ensures that XR enhances learning by addressing precise gaps, ultimately improving the understanding and retention of resuscitation skills among both laypersons and healthcare professionals.
Keywords: extended reality, immersive technology, virtual reality, augmented reality, adult basic life support, headsets, software, applications
Published in DKUM: 21.07.2025; Views: 0; Downloads: 2
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Abstract: Uvod: Zapora dihalne poti zaradi tujka predstavlja četrti najpogostejši vzrok nenamerne smrti. Obstaja več načinov razreševanja zadušitev s tujki, eden izmed njih je uporaba sukcijskih pripomočkov. V zaključnem delu so prikazani najpogostejši tujki v dihalnih poteh, odstranjeni s sukcijskim pripomočkom LifeVac. Metode: Izvedli smo sekundarno analizo podatkov o uporabi omenjenega pripomočka. Podatki se od leta 2016 zbirajo preko obrazca, ki ga izpolnijo uporabniki. Hipoteze smo analizirali s Pearsonovim Hi-kvadrat testom. Rezultati: Analizirali smo podatke 1062 oseb. Najpogostejše starostne skupine so bili dojenčki (26,65 %; 283/1062), malčki (22,22 %; 236/1062) in starostniki (19,77 %; 210/1062). Večina oseb (70,24 %; 746/1062) je bila brez znanih bolezni ali drugih zdravstvenih težav, približno vsaka osma žrtev pa naj bi imela eno izmed bolezni živčevja (11,96 %; 127/1062). Najpogostejši tujki so bili zrezek, piščanec, bombon, grozdje in hrenovka v štručki. Dokazali smo, da se pojavnost le-teh po starostnih skupinah razlikuje. Prav tako smo ugotovili, da je vrsta zapore dihalne poti povezana s prisotnostjo bolezni. Razprava in zaključek: Pri omenjenih tujkih in osebah z večjim tveganjem za zadušitev je potrebna dodatna pozornost, da le-to preprečimo ali pravočasno zaznamo. Obstaja potreba po novih raziskavah, ki bi opredelile učinkovitost in smiselnost vključitve uporabe sukcijskih pripomočkov v prihodnje smernice.
Keywords: dušenje, tujek, zapora dihalne poti
Published in DKUM: 11.03.2025; Views: 0; Downloads: 73
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Abstract: Background: Retention of adult basic life support (BLS) knowledge and skills after professional training declines over time.To combat this, the European Resuscitation Council and the American Heart Association recommend shorter, more frequent BLS sessions. Emphasizing technology-enhanced learning, such as mobile learning, aims to increase out-of-hospital cardiac arrest (OHCA) survival and is becoming more integral in nursing education. Objective: The aim of this study was to investigate whether playing a serious smartphone game called MOBICPR at home can improve and retain nursing students’ theoretical knowledge of and practical skills in adult BLS. Methods: This study used a randomized wait list–controlled design. Nursing students were randomly assigned in a 1:1 ratio to either a MOBICPR intervention group (MOBICPR-IG) or a wait-list control group (WL-CG), where the latter received the MOBICPR game 2 weeks after the MOBICPR-IG. The aim of the MOBICPR game is to engage participants in using smartphone gestures (eg, tapping) and actions (eg, talking) to perform evidence-based adult BLS on a virtual patient with OHCA. The participants’ theoretical knowledge of adult BLS was assessed using a questionnaire, while their practical skills were evaluated on cardiopulmonary resuscitation quality parameters using a manikin and a checklist. Results: In total, 43 nursing students participated in the study, 22 (51%) in MOBICPR-IG and 21 (49%) in WL-CG. There were differences between the MOBICPR-IG and the WL-CG in theoretical knowledge (P=.04) but not in practical skills (P=.45) after MOBICPR game playing at home. No difference was noted in the retention of participants’ theoretical knowledge and practical skills of adult BLS after a 2-week break from playing the MOBICPR game (P=.13). Key observations included challenges in response checks with a face-down manikin and a general neglect of safety protocols when using an automated external defibrillator. Conclusions: Playing the MOBICPR game at home has the greatest impact on improving the theoretical knowledge of adult BLS in nursing students but not their practical skills. Our findings underscore the importance of integrating diverse scenarios into adult BLS training.
Keywords: serious smartphone game, adult basic life support, teaching, games, gaming, education, nurses, nursing, educational, mHealth, mobile health, applications, smartphones, randomized controlled trial, technology-enhanced learning, life support, knowledge retention, practical
Published in DKUM: 27.11.2024; Views: 0; Downloads: 134
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