sodium-ethylxanthate and Heart-Arrest

Virtual simulations recreate scenarios where student nurses can practice procedures in a safe and supervised manner and with no risk to the patient. Virtual scenarios include digital characters that reproduce human actions. Generally, these characters are modeled as males and restricted roles are assigned to females. Our objective is to evaluate how the character gender of a victim in a scenario created to practice the cardiopulmonary resuscitation protocol (CPR) affects performance of student nurses.. Three virtual scenarios with cardiac arrest victims modeled as males or females were assigned to 41 students of the Nursing Faculty to practice the CPR protocol. We evaluated student performance with respect to the time to remove clothes, the time to perform the CPR maneuver, and the hands position for CPR. Chi-square, Fisher exact, and Mann-Whitney U were used to test primary outcome measures in the experimental design of victim character sex (male vs. female) and student sex (men vs. women).. The analysis performed did not find statistically differences in time to remove clothes or in time to start CPR. With respect to hands placement we also did not find significant difference in any of the cases.. Nurse student actions are not influenced by the character gender of the victim. Excellent results with respect to hands placement to start CPR are obtained. Virtual scenarios can be a suitable strategy to reduce gender differences in gender sensitive situations such as CPR performance.

Topics: Cardiopulmonary Resuscitation; Computer Simulation; Faculty, Nursing; Female; Heart Arrest; Humans; Learning; Male; Patient Simulation; Sex; Software; Students, Nursing

The mortality from acute myocardial infarction has remained unchanged over the past three decades. The records of 200 patients hospitalized because of acute myocardial infarction were analyzed at St. Paul's Hospital, Vancouver. Criteria for diagnosis were autopsy evidence and electrocardiographic evidence of acute muscle necrosis. Sixty-two patients died, 30 in the first three days and 41 in the first week; 33 of these deaths were due to cardiac arrhythmias, cardiac arrest or hypotension. Anticoagulants improved the mortality, but the degree of control was not a factor. Thromboembolism was significantly decreased by anticoagulants. Forty-nine patients died in shock; pressor amines did not improve the mortality in such cases. This study emphasizes the need for intensive care during the early critical period of the illness. Prompt adequate therapy of shock may improve the prognosis.

Topics: Acute Disease; Aging; Anterior Wall Myocardial Infarction; Anticoagulants; Arrhythmias, Cardiac; Critical Care; Diagnosis; Drug Therapy; Electrocardiography; Geriatrics; Heart Arrest; Humans; Hypotension; Intensive Care Units; Mortality; Myocardial Infarction; Sex; Shock; Statistics as Topic; Sympathomimetics; Thromboembolism

Topics: Adrenal Cortex Hormones; Anticoagulants; Arrhythmias, Cardiac; Cerebrovascular Disorders; Drug Therapy; Estrogens; Geriatrics; Heart Arrest; Heart Block; Heart Failure; Heart Massage; Humans; Hypertension; Italy; Mortality; Myocardial Infarction; Occupations; Oxygen Inhalation Therapy; Pacemaker, Artificial; Prognosis; Sex; Statistics as Topic; Thromboembolism; Thrombophlebitis