1. Perception of personal participation of the nurses in resuscitation procedures : a qualitative studyAnton Koželj, Maja Strauss, Vita Poštuvan, Anže Strauss Koželj, Matej Strnad, 2024, izvirni znanstveni članek Opis: Background and Objectives: Resuscitation is one of the most stressful tasks in emergency medicine. The participation of nurses in this procedure can have specific effects on them. In this research, we wanted to find out what these effects are.
Materials and Methods: A qualitative approach by conducting semi-structured interviews was used, and a thematic data analysis of the recorded interviews was carried out. The collected data were transcribed verbatim, with no corrections to the audio recordings. The computer program ATLAS.ti 22 was used for the qualitative data analysis.
Results: Eleven male registered nurses were interviewed, with an average of 18.5 years of experience working in a prehospital environment (max. 32/min. 9). A total of 404 min of recordings were analyzed, and 789 codes were found, which were combined into 36 patterns and 11 themes. As the most stressful situations, the interviewees pointed out the resuscitation of a child, familiar persons, conflicts with the environment, conflicts within the resuscitation team, nonfunctioning or insufficient equipment, complications during resuscitation, and resuscitating a person only for training. As positive effects, the interviewees cited successful resuscitations or their awareness that, despite an unsuccessful resuscitation, they did everything they could.
Conclusions: Participation in these interventions has a specific positive or negative impact on the performers. The interviewees shared the opinion that they can cope effectively with the adverse or stressful effects of resuscitation. Yet, despite everything, they allow the possibility of subconscious influences of this intervention on themselves.
Ključne besede: resuscitation, personal experiences, paramedics, prehospital environment
Objavljeno v DKUM: 07.04.2025; Ogledov: 0; Prenosov: 7
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2. Neurological outcome in patients after successful resuscitation in out-of-hospital settingsMartin Marinšek, Andreja Sinkovič, David Šuran, 2020, izvirni znanstveni članek Opis: Neurological outcome is an important determinant of death in admitted survivors after out-of-hospital cardiac arrest (OHCA). Studies demonstrated several significant pre-hospital predictors of ischemic brain injury (time to resuscitation, time of resuscitation, and cause of OHCA). Our aim was to evaluate the relationship between post-resuscitation clinical parameters and neurological outcome in OHCA patients, when all recommended therapeutic strategies, including hypothermia, were on board. We retrospectively included consecutive 110 patients, admitted to the medical ICU after successful resuscitation due to OHCA. Neurological outcome was defined by cerebral performance category (CPC) scale I-V. CPC categories I-II defined good neurological outcome and CPC categories III-V severe ischemic brain injury. Therapeutic measures were aimed to achieve optimal circulation and oxygenation, early percutaneous coronary interventions (PCI) in acute coronary syndromes (ACS), and therapeutic hypothermia to improve survival and neurological outcome of OHCA patients. We observed good neurological outcome in 37.2% and severe ischemic brain injury in 62.7% of patients. Severe ischemic brain injury was associated significantly with known pre-hospital data (older age, cause of OHCA, and longer resuscitations), but also with increased admission lactate, in-hospital complications (involuntary muscular contractions/seizures, heart failure, cardiogenic shock, acute kidney injury, and mortality), and inotropic and vasopressor support. Good neurological outcome was associated with early PCI, dual antiplatelet therapy, and better survival. We conclude that in OHCA patients, post-resuscitation early PCI and dual antiplatelet therapy in ACS were significantly associated with good neurological outcome, but severe ischemic brain injury was associated with several in-hospital complications and the need for vasopressor and inotropic support.
Ključne besede: out-of-hospital cardiac arrest, OHCA, ischemic brain injury, resuscitation
Objavljeno v DKUM: 30.01.2025; Ogledov: 0; Prenosov: 4
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3. Using generative artificial intelligence in bibliometric analysis : 10 years of research trends from the European Resuscitation congressesNino Fijačko, Ruth Masterson Creber, Benjamin S. Abella, Primož Kocbek, Špela Metličar, Robert Greif, Gregor Štiglic, 2024, drugi znanstveni članki Opis: Aims: The aim of this study is to use generative artificial intelligence to perform bibliometric analysis on abstracts published at European Resuscitation
Council (ERC) annual scientific congress and define trends in ERC guidelines topics over the last decade.
Methods: In this bibliometric analysis, the WebHarvy software (SysNucleus, India) was used to download data from the Resuscitation journal’s
website through the technique of web scraping. Next, the Chat Generative Pre-trained Transformer 4 (ChatGPT-4) application programming interface
(Open AI, USA) was used to implement the multinomial classification of abstract titles following the ERC 2021 guidelines topics.
Results: From 2012 to 2022 a total of 2491 abstracts have been published at ERC congresses. Published abstracts ranged from 88 (in 2020) to 368
(in 2015). On average, the most common ERC guidelines topics were Adult basic life support (50.1%), followed by Adult advanced life support
(41.5%), while Newborn resuscitation and support of transition of infants at birth (2.1%) was the least common topic. The findings also highlight that
the Basic Life Support and Adult Advanced Life Support ERC guidelines topics have the strongest co-occurrence to all ERC guidelines topics, where
the Newborn resuscitation and support of transition of infants at birth (2.1%; 52/2491) ERC guidelines topic has the weakest co-occurrence.
Conclusion: This study demonstrates the capabilities of generative artificial intelligence in the bibliometric analysis of abstract titles using the example
of resuscitation medicine research over the last decade at ERC conferences using large language models.
Ključne besede: generative artificial intelligence, bibliometric analysis, congress, emergency medicine, European Resuscitation Council
Objavljeno v DKUM: 27.11.2024; Ogledov: 0; Prenosov: 1
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4. Sentiment analysis of social media users` emotional response to sudden cardiac arrest during a football broadcastNino Fijačko, Robert Greif, Gregor Štiglic, Primož Kocbek, Benjamin S. Abella, 2023, drugi znanstveni članki Ključne besede: cardiac arrest, cardiopulmonary resuscitation, football broadcast, emotional response, social media, users
Objavljeno v DKUM: 16.07.2024; Ogledov: 126; Prenosov: 13
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5. Impact of dual dispatch system implementation on response times and survival outcomes in out-of-hospital cardiac arrest in rural areasMatej Strnad, Pia Jerot, Vesna Borovnik Lesjak, 2022, izvirni znanstveni članek Opis: Objectives: Dual dispatch early defibrillation in out-of-hospital cardiac arrest (OHCA) victims provided by firefighters in addition to Emergency medical services (EMS) has proven to increase rate of return of spontaneous circulation (ROSC) and thus survival in the metropolitan or suburban areas whereas the data in rural areas are scarce.
Methods: This was a retrospective observational cohort study of EMS resuscitated OHCA victims in regions with dual dispatch of volunteer firefighters as first responders (intervention group). Historical group was based on all OHCAs occurring in these regions before the implementation of first responders (EMS response only). Multivariate logistic regression with following variables: intervention, age, gender, witnessed status, bystander cardiopulmonary resuscitation (CPR), first rhythm and etiology were used to control for confounding factors affecting ROSC.
Results: A total of 312 OHCAs were included in the study (historical group, n = 115 and intervention group, n = 197). Median time to arrival of first help shortened significantly for all patients, patients with ROSC and patients with Cerebral Performance Category 1/2 (CPC 1/2) in intervention vs historical group (8 vs 12 min, p < 0.001; 7.5 vs 11 min, p = 0.002; 7 vs 10 min, p = 0.011; respectively). The proportion of patients with ROSC, 30-day survival and CPC 1/2 at hospital discharge remained unchanged in intervention vs historical group (21% vs 23%, p = 0.808; 7% vs 6%, p = 0.914; 6% vs 3%, p = 0.442; respectively). The logistic regression model of adjustment confirms the absence of improvement in the ROSC rate after the implementation of first responders.
Conclusions: Introduction of a dual dispatch of local first responders in addition to EMS in cases of OHCA significantly shortened response times. However, reduced response times were not associated with better survival outcomes.
Ključne besede: automated external defibrillator, out-of-hospital cardiac arrest, first responder, survival rate, sudden cardiac death, cardiopulmonary resuscitation, firefighters
Objavljeno v DKUM: 12.07.2024; Ogledov: 105; Prenosov: 22
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6. Exploring the feelings of nurses during resuscitation : a cross-sectional studyAnton Koželj, Maja Šikić Pogačar, Sabina Fijan, Maja Strauss, Vita Poštuvan, Matej Strnad, 2022, izvirni znanstveni članek Opis: Cardiopulmonary resuscitation (CPR) is one of the most stressful situations in emergency medicine. Nurses involved in performing basic and advanced resuscitation procedures are therefore exposed to a certain amount of stress. The purpose of this study was to determine the stressors and the level of stress experienced by nurses during resuscitation. A cross-sectional quantitative study was done. The sample consisted of 457 nurses who worked in emergency units. First demographic data were collected, followed by a questionnaire regarding the effect of different situations that occur during and after resuscitation on nurses including Post-Code Stress Scale questionnaire. The most disturbing situations for respondents were resuscitation of young person (MV = 3.7, SD = 1.4), when they fail to establish an intravenous pathway (MV = 3.5, SD = 1.4), chaotic situation during resuscitation (MV = 3.4, SD = 1.4) and making decision about termination of resuscitation (MV = 3.1, SD = 1.5). Research has shown that nurses are exposed to a certain amount of stress during resuscitation, but most of them manage to compensate for stress effectively.
Ključne besede: emergency nurses, resuscitation, stress, emotions
Objavljeno v DKUM: 10.07.2024; Ogledov: 108; Prenosov: 11
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7. CPR quality assessment in schoolchildren trainingKatia M. G. Oliveira, Maria José C. Carmona, Antonio P. Mansur, Julio Y. Takada, Nino Fijačko, Federico Semeraro, Andrew Lockey, Bernd W. Böttiger, Naomi K. Nakagawa, 2022, izvirni znanstveni članek Opis: Whilst CPR training is widely recommended, quality of performance is infrequently explored. We evaluated whether a checklist can be an adequate tool for chest compression quality assessment in schoolchildren, compared with a real-time software. This observational study (March 2019–2020) included 104 schoolchildren with no previous CPR training (11–17 years old, 66 girls, 84 primary schoolchildren, 20 high schoolchildren). Simultaneous evaluations of CPR quality were performed using an observational checklist and real-time software. High-quality CPR was determined as a combination of 70% correct maneuvers in compression rate (100–120/min), depth (5–6 cm), and complete release, using a real-time software and three positive performance in skills using a checklist. We adjusted a multivariate logistic regression model for age, sex, and BMI. We found moderate to high agreement percentages in quality of CPR performance (rate: 68.3%, depth: 79.8%, and complete release: 91.3%) between a checklist and real-time software. Only 38.5% of schoolchildren (~14 years-old, ~54.4 kg, and ~22.1 kg/m2) showed high-quality CPR. High-quality CPR was more often performed by older schoolchildren (OR = 1.43, 95%IC:1.09–1.86), and sex was not an independent factor (OR = 1.26, 95%IC:0.52–3.07). For high-quality CPR in schoolchildren, a checklist showed moderate to high agreement with real-time software. Better performance was associated with age regardless of sex and BMI.
Ključne besede: cardiopulmonary resuscitation, education, assessment, schoolchildren, basic life support
Objavljeno v DKUM: 28.06.2024; Ogledov: 151; Prenosov: 14
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8. Dynamics of capillary lactate levels in patients with out-of-hospital cardiac arrestVitka Vujanović, Vesna Borovnik Lesjak, Dušan Mekiš, Matej Strnad, 2023, izvirni znanstveni članek Opis: Background and Objectives:
An effective strategy for cardiopulmonary resuscitation should be based on tissue perfusion. Our primary aim was to determine the association between capillary lactate values and initial rhythm as well as the probability of the return of spontaneous circulation in out-of-hospital cardiac arrest patients. Materials and
Methods:
This prospective observational cohort study included all patients with non-traumatic out-of-hospital cardiac arrest, older than 18 years, resuscitated by a prehospital emergency medical team between April 2020 and June 2021. Capillary lactate samples were collected at the time of arrival and every 10 min after the first measurement until the time of the return of spontaneous circulation (ROSC) or, if ROSC was not achieved, at the time of declaring death on the scene.
Results:
In total, 83 patients were enrolled in the study. ROSC was achieved in 28 patients (33.7%), 21 were admitted to hospital (26.3%), and 6 (7.23%) of them were discharged from hospital. At discharge, all patients had Cerebral Performance Category Scale 1 or 2. Initial capillary lactate values were significantly higher in patients with a non-shockable rhythm compared to the group with a shockable rhythm (9.19 ± 4.6 versus 6.43 ± 3.81; p = 0.037). A significant difference also persisted in a second value taken 10 min after the initial value (10.03 ± 5,19 versus 5.18 ± 3.47; p = 0.019). Capillary lactate values were higher in the ROSC group and non-ROSC group at the time of restored circulation (11.10 ± 6.59 and 6.77 ± 4.23, respectively; p = 0.047).
Conclusions:
Capillary lactate values are significantly higher in patients with a non-shockable first rhythm in out-of-hospital cardiac arrest (OHCA). There is also a significantly different rise in capillary lactate levels in patients with ROSC.
Ključne besede: cardiopulmonary resuscitation, out-of-hospital cardiac arrest, lactate, return of spontaneous circulation
Objavljeno v DKUM: 16.04.2024; Ogledov: 156; Prenosov: 24
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9. Pomen izobraževanja osnovnošolcev s področja temeljnih postopkov oživljanjaMarko Kukovec, 2020, magistrsko delo Opis: V Sloveniji je stopnja nudenja temeljnih postopkov oživljanja ljudem, ki doživijo srčni zastoj, zelo nizka. Eden izmed razlogov, da se očividci raje umaknejo, je njihovo neznanje. Zato marsikje po svetu učijo osnovnošolce temeljnih postopkov oživljanja in uporabe avtomatskih zunanjih defibrilatorjev. S tem želijo skozi leta izobraziti čim večje število populacije.
Ključne besede: TPO, temeljni postopki oživljanja, oživljanje, prva pomoč, osnovna šola, defibrilator, CPR, cardiopulmonary resuscitation, first aid, basic life support, defibrillator, teach CPR, primary school, elementary school.
Objavljeno v DKUM: 10.02.2021; Ogledov: 1319; Prenosov: 179
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10. Experiencing stress among nurses during resuscitation procedure and legal obligations for healthcare workers in SloveniaAnton Koželj, Maja Strauss, Matej Strnad, 2020, izvirni znanstveni članek Opis: Nurses are always part of the team that performs resuscitation procedures. In this paper the authors explore the influence that resuscitation procedures on nurses who perform them. For data collection, the authors used a survey with a convenience sample of nurses who work in emergency settings. For statistical processing of data, the authors used the calculation of frequency, standard deviation, means, and median. Authors used Spearman's rank correlation coefficient and calculated the p-value. The respondents in the survey completed the Post-Code Stress Scale. The results show that the majority of the respondents experienced resuscitation cases as burdensome situations; however, the level of stress was moderate. Nurses still experience some physical and psychological symptoms during resuscitations.
Ključne besede: basic life support, advanced life support, workloads, resuscitation team, feelings, healthcare worker
Objavljeno v DKUM: 15.01.2021; Ogledov: 806; Prenosov: 29
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