Part 15: First Aid

Singletary, Eunice M.; Charlton, Nathan P.; Epstein, Jonathan; Ferguson, Jeffrey D.; Jensen, Jan; MacPherson, Andrew; Pellegrino, Jeffrey L.; Smith, William R.; Swain, Janel; Lojero-Wheatley, Luis F.; Zideman, David

doi:10.1161/cir.0000000000000269

Cited by 104 publications

(37 citation statements)

References 116 publications

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“…A mesma deve ser aplicada independentemente do desencadeante 14 . Estudo realizado com 40 médicos residentes de radiologia demonstrou que 92% indicaram corretamente a adrenalina para casos de anafilaxia, porém, 33% indicaram adrenalina incorretamente em situações de alergias simples como broncoespasmo leve, sem critérios diagnósticos para anafilaxia, aumentando os riscos de eventos adversos 15 .…”

Section: Discussionunclassified

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Conhecimento de pediatras que atuam em urgências e emergências sobre tratamento da anafilaxia

Faria

Fernandes

2018

ABCS Health Sci.

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resumo introdução: Anafilaxia é uma reação sistêmica grave, aguda e potencialmente fatal. Apresenta vários desencadeantes e mecanismos diferentes, entretanto, o tratamento agudo é igual em todos os casos. objetivo: Avaliar o conhecimento sobre tratamento da anafilaxia e choque anafilático (CA) de pediatras que atuam em setor de emergência pediátrica. métodos: Estudo transversal através da aplicação de questionário de múltiplas escolhas com 10 perguntas sobre tratamento da anafilaxia e CA. Foram convidados todos os pediatras do Pronto Socorro de um Hospital Público Pediátrico. resultados: Cinquenta entre 51 pediatras concordaram em participar do estudo. A média de acertos foi 6,32 com mediana de 7 (mínimo 2 e máximo 10). Houve reconhecimento adequado dos pediatras sobre a droga de escolha para iniciar o tratamento da anafilaxia e CA em 96% e 92%, respectivamente. Sobre a via de administração da adrenalina, a adequação das respostas foi de 64%. Em relação à dose de adrenalina, 70% identificaram corretamente, porém, o conhecimento sobre a dose máxima foi de 44%. Ao perguntar o intervalo para repetir a adrenalina, 38% responderam corretamente. Perguntou-se sobre terapias adjuvantes no tratamento do CA com 74% de acerto. Sobre a droga que previne a reação anafilática bifásica, 60% responderam corretamente. Quanto ao tempo de observação, 54% responderam o período adequado. O acerto sobre apresentações disponíveis de adrenalina autoinjetável foi de 40%. Conclusão: Houve dificuldade principalmente em reconhecer dose máxima, dose de adrenalina autoinjetável e tempo necessário para ser repetida, o que aumenta o risco de superdosagem e seus efeitos adversos.Palavras-chave: anafilaxia; epinefrina; pediatria; tratamento de emergência. AbstrACt introduction:Anaphylaxis is a severe, acute and potentially fatal systemic reaction. It presents several triggers and different mechanisms, however, the acute treatment is the same in all the cases. objective: To evaluate the knowledge about treatment of anaphylaxis and anaphylactic shock (AS) of pediatricians who works in the pediatric emergency sector. methods: Cross-sectional study through the use of a multiplechoice questionnaire with 10 questions about the treatment of anaphylaxis and AS. All the emergency room pediatricians of a general pediatric hospital were invited. results: Fifty of fifty-one pediatricians agreed to take part of the study. The mean of right answers was 6.32 and median of 7 (minimum 2 and maximum 10). There was an appropriate recognition about the drug of choice to initiate the treatment of anaphylaxis and AS in 96% and 92%, respectively. On the route of adrenaline administration, the adequacy of the answers was 64%. Regarding to adrenaline dose 70% were right, however the recognition of the maximum dose was 44%. When asked about the interval to repeat the adrenaline, 38% responded correctly. About adjuvant therapies to treat AS the score was 74% and 60% when questioned about the drug that prevents biphasic anaphylactic reaction. In relation to the observation...

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Section: Discussionunclassified

“…A superdosagem pode causar arritmias ventriculares, crises hipertensivas, edema pulmonar e morte 18 . O menor ín-dice de acerto observado neste estudo, foi o intervalo para repetir a adrenalina (5 a 10 minutos) 9,14,17 . Em um estudo realizado com 582 pacientes com anafilaxia, 45 (8%) exigiram doses múltiplas de adrenalina 19 .…”

Section: Discussionunclassified

Conhecimento de pediatras que atuam em urgências e emergências sobre tratamento da anafilaxia

Faria

Fernandes

2018

ABCS Health Sci.

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“…[4][5][6][7][8] First aid is understood as the first actions carried out by individuals who may be healthcare professionals or not, with the purpose of providing help someone in pain or at risk of death. 9 It is the management of any injury or illness before the availability of qualified healthcare professionals, with the aim of preventing worsening, ensuring recovery, minimizing complications, and preserving and saving lives. 3,10 Therefore, the present study adopted the terms "first aid" and "initial management of health issues" as synonyms.…”

Section: Introductionmentioning

confidence: 99%

Self-confidence for the initial management of health issues in schools: construction and validation of a visual analogue scale

2018

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Objective: To describe the construction and validation of a visual analogue scale of teachers' self-confidence with regard to the initial management of health issues in schools. Method: A methodological study was developed based on theoretical (items' construction and content validation), empirical (semantic analysis and pilot test), and analytical procedures (internal consistency analysis). The project was approved by a research ethics committee. Results: The scale consisted of 12 items regarding the main health issues in schools, presented content validity index of 100% in the second round, was understood by the target audience, and presented high internal consistency among items (Cronbach's alpha of 0.89). Conclusion and implications for practice: An easy-to-use tool that proved to be relevant to meet the dimension of teachers' self-confidence in the initial management of health issues in schools. The scale may contribute to the planning of systematized and effective educational strategies among teachers.

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“…The optimal management of anaphylaxis requires an intramuscular epinephrine injection using an autoinjector [1, 2]. The intramuscular administration of epinephrine in the thigh is widely recognised as the first line of medical treatment for anaphylaxis.…”

Section: Introductionmentioning

confidence: 99%

Learning and Treatment of Anaphylaxis by Laypeople: A Simulation Study Using Pupilar Technology

Fernández-Méndez

Sáez-Gallego

Barcala-Furelos

et al. 2017

BioMed Research International

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An anaphylactic shock is a time-critical emergency situation. The decision-making during emergencies is an important responsibility but difficult to study. Eye-tracking technology allows us to identify visual patterns involved in the decision-making. The aim of this pilot study was to evaluate two training models for the recognition and treatment of anaphylaxis by laypeople, based on expert assessment and eye-tracking technology. A cross-sectional quasi-experimental simulation study was made to evaluate the identification and treatment of anaphylaxis. 50 subjects were randomly assigned to four groups: three groups watching different training videos with content supervised by sanitary personnel and one control group who received face-to-face training during paediatric practice. To evaluate the learning, a simulation scenario represented by an anaphylaxis' victim was designed. A device capturing eye movement as well as expert valuation was used to evaluate the performance. The subjects that underwent paediatric face-to-face training achieved better and faster recognition of the anaphylaxis. They also used the adrenaline injector with better precision and less mistakes, and they needed a smaller number of visual fixations to recognise the anaphylaxis and to make the decision to inject epinephrine. Analysing the different video formats, mixed results were obtained. Therefore, they should be tested to evaluate their usability before implementation.

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Part 15: First Aid

Cited by 104 publications

References 116 publications

Conhecimento de pediatras que atuam em urgências e emergências sobre tratamento da anafilaxia

Conhecimento de pediatras que atuam em urgências e emergências sobre tratamento da anafilaxia

Self-confidence for the initial management of health issues in schools: construction and validation of a visual analogue scale

Learning and Treatment of Anaphylaxis by Laypeople: A Simulation Study Using Pupilar Technology

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