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Related Concept Videos

Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

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Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
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Cardiopulmonary Resuscitation I: Adult01:21

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Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
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Neonatal resuscitation from a global perspective.

Vivek V Shukla1, Waldemar A Carlo2, Susan Niermeyer2

  • 1University of Alabama at Birmingham, Birmingham, AL, USA.

Seminars in Perinatology
|June 20, 2022
PubMed
Summary
This summary is machine-generated.

Most newborn deaths occur in low-resource areas, where access to quality care at birth remains a challenge. Improving neonatal resuscitation and perinatal healthcare is crucial for saving infant lives globally.

Keywords:
Low- and middle-income countriesMortality, fetalMortality, neonatalNewborn infant, stillbirthPerinatal mortalityResuscitation, neonatalStabilization

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Area of Science:

  • Perinatal and neonatal health
  • Global health equity
  • Healthcare access and quality

Background:

  • Perinatal and neonatal mortality disproportionately affects low- and middle-income countries.
  • Access to and quality of care during delivery significantly impact newborn survival.
  • Despite improvements, basic neonatal resuscitation and high-quality care remain inaccessible in many regions, contributing to high mortality rates.

Purpose of the Study:

  • To review challenges in achieving universal access to optimal resuscitation care at birth.
  • To provide an update on current initiatives addressing these challenges.
  • To highlight the need for quality improvement in perinatal healthcare, especially in resource-limited settings.

Main Methods:

  • Literature review and synthesis of current data on perinatal and neonatal mortality.
  • Analysis of factors affecting access to and quality of neonatal resuscitation care.
  • Examination of ongoing efforts and research in quality improvement and implementation science.

Main Results:

  • Significant disparities in perinatal and neonatal mortality persist, linked to resource limitations.
  • Inconsistent availability of basic neonatal resuscitation and high-quality care at birth remains a critical issue.
  • Both low-resource countries and disadvantaged communities within high-income countries face inadequate perinatal healthcare access.

Conclusions:

  • Urgent focus on quality improvement, implementation research, and innovation is needed to enhance perinatal healthcare.
  • Addressing the gap in optimal resuscitation care at birth is essential for reducing perinatal and neonatal mortality.
  • Global efforts must prioritize equitable access to quality perinatal healthcare for all newborns.