Retention of cardiopulmonary resuscitation skills after initial overtraining.


:The authors have examined cardiopulmonary resuscitation (CPR) skills retention in a police force initially trained to instructor level performance skills as defined by the 1977 American Heart Association Instructor Manual. In 1977, the entire Winnipeg Police Force received a basic 8-h course of CPR training with recording manikins. Each training session was followed by a written test and a performance test on the recording manikin using instructor level tape criteria as the standard. Between 12 and 18 months later, 116 personnel were randomly selected for retesting. The first min of one-man CPR on the two tapes was compared. Retention was expressed as a percentage, i.e., retest score/training score x 100. Retention scores were as follows: knowledge, 76%; assessment skills, 83%; call for help, 85%; numbers of adequate ventilations, 100%; numbers of adequate compressions, 97%. Total assessment time and incidence of potentially injurious performance were the same. Deliverate overtraining of highly motivated and mature nonmedical basic rescuers results in satisfactory skills retention for at least 1 year.


Crit Care Med


Critical care medicine


Tweed WA,Wilson E,Isfeld B




Has Abstract


1980-11-01 00:00:00












  • Improving ICU-Based Palliative Care Delivery: A Multicenter, Multidisciplinary Survey of Critical Care Clinician Attitudes and Beliefs.

    abstract:OBJECTIVE:Addressing the quality gap in ICU-based palliative care is limited by uncertainty about acceptable models of collaborative specialist and generalist care. Therefore, we characterized the attitudes of physicians and nurses about palliative care delivery in an ICU environment. DESIGN:Mixed-methods study. SETT...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: Wysham NG,Hua M,Hough CL,Gundel S,Docherty SL,Jones DM,Reagan O,Goucher H,Mcfarlin J,Cox CE

    更新日期:2017-04-01 00:00:00

  • Influenza epidemiology--past, present, and future.

    abstract::In April 2009, Mexican, American, and Canadian authorities announced that a novel influenza virus with pandemic potential had been identified in large segments of the population. Within weeks, it became apparent that the world was dealing with the first influenza pandemic in >40 yrs. Despite the unpredictable nature o...

    journal_title:Critical care medicine

    pub_type: 历史文章,杂志文章,评审


    authors: Lagacé-Wiens PR,Rubinstein E,Gumel A

    更新日期:2010-04-01 00:00:00

  • Prevention of hemolysis-induced organ damage by nutritional activation of the vagal anti-inflammatory reflex*.

    abstract:OBJECTIVES:Acute hemolysis is associated with organ damage, inflammation, and impaired vascular function. Stimulation of the cholecystokinin-1 receptor-dependent vagal anti-inflammatory reflex with lipid-rich enteral nutrition was demonstrated to prevent tissue damage and attenuate inflammation. This study investigates...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: de Haan JJ,Windsant IV,Lubbers T,Hanssen SJ,Hadfoune M,Prinzen FW,Greve JW,Buurman WA

    更新日期:2013-11-01 00:00:00

  • Variability of cardiac output over time in medical intensive care unit patients.

    abstract:OBJECTIVES:To determine the amount of spontaneous variability of cardiac output over time in critically ill patients, and to determine the effect of mechanical ventilation on cardiac output variability over time. DESIGN:Case series. SETTING:Medical intensive care unit in a Veterans Affairs Medical Center. PATIENTS:T...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Sasse SA,Chen PA,Berry RB,Sassoon CS,Mahutte CK

    更新日期:1994-02-01 00:00:00

  • Prediction of outcome of cardiopulmonary resuscitation from end-tidal carbon dioxide concentration.

    abstract::Capnography is a valuable tool in the management of cardiac arrest, since end-tidal CO2 (PetCO2) correlates well with cardiac output and there are no other suitable noninvasive ways to measure this important variable during resuscitation. Animal studies also suggest that PetCO2 correlates well with the likelihood of r...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Callaham M,Barton C

    更新日期:1990-04-01 00:00:00

  • Heat shock factor 1 and heat shock proteins: critical partners in protection against acute cell injury.

    abstract:OBJECTIVE:Life-threatening conditions cause severe changes in the organization and conformation of macromolecules, creating urgent requirements for protein repair to ensure survival. As molecular chaperones, heat shock proteins (HSP) that have specialized functions in protein folding are now well established to restore...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Christians ES,Yan LJ,Benjamin IJ

    更新日期:2002-01-01 00:00:00

  • Increased 90-Day Mortality in Spontaneously Breathing Patients With Paraquat Poisoning: In Addition to Disease Severity, Lung Strain May Play a Role.

    abstract:OBJECTIVES:1) To evaluate the prognostic roles of quantitative CT and pulmonary function tests and 2) to assess the association of dynamic strain and ventilation heterogeneity during unassisted spontaneous breathing with 90-day survival in patients with paraquat poisoning. DESIGN:Prospective study. SETTING:A universi...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Liu Y,Luo XJ,Li GQ,Wei LQ,Yu X,Li YM

    更新日期:2019-02-01 00:00:00

  • System for umbilical artery monitoring.

    abstract::A simple, safe, and effective system for umbilical artery monitoring controls continuous fluid infusion to prevent fluid overinfusion and keep the catheter from clotting. Accurate and continuous pressure measurements can be recorded simultaneously with fluid infusion. A convenient method for checking dynamic response ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Gardner RM,Parker J,Feinauer LR

    更新日期:1982-07-01 00:00:00

  • Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock.

    abstract:OBJECTIVES:In-hospital pediatric sepsis mortality has decreased substantially, but long-term mortality and morbidity among children initially surviving sepsis, is unknown. Accordingly, the Life After Pediatric Sepsis Evaluation investigation was conducted to describe the trajectory of mortality and health-related quali...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Zimmerman JJ,Banks R,Berg RA,Zuppa A,Newth CJ,Wessel D,Pollack MM,Meert KL,Hall MW,Quasney M,Sapru A,Carcillo JA,McQuillen PS,Mourani PM,Wong H,Chima RS,Holubkov R,Coleman W,Sorenson S,Varni JW,McGalliard J,Haal

    更新日期:2020-03-01 00:00:00

  • Relative Hyperglycemia Is an Independent Determinant of In-Hospital Mortality in Patients With Critical Illness.

    abstract:OBJECTIVES:To determine whether relative hyperglycemia was associated with in-hospital mortality in critically ill patients independent of other prognostic variables and whether this association is affected by background glycemia. DESIGN:Prospective observational study. SETTING:Mixed medical-surgical ICU in a metropo...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Lee TF,Drake SM,Roberts GW,Bersten A,Stranks SN,Heilbronn LK,Mangoni AA,Burt MG

    更新日期:2020-02-01 00:00:00

  • The Effect of IV Amino Acid Supplementation on Mortality in ICU Patients May Be Dependent on Kidney Function: Post Hoc Subgroup Analyses of a Multicenter Randomized Trial.

    abstract:OBJECTIVES:We investigated whether preexisting kidney function determines if ICU patients may benefit from increased (2.0 g/kg/d) protein intake. DESIGN:Post hoc, hypothesis-generating, subgroup analysis of a multicenter, phase 2, randomized clinical trial. All analyses were conducted by intention to treat and maintai...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Zhu R,Allingstrup MJ,Perner A,Doig GS,Nephro-Protective Trial Investigators Group.

    更新日期:2018-08-01 00:00:00

  • Brain Injury and Neurologic Outcome in Patients Undergoing Extracorporeal Cardiopulmonary Resuscitation: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVES:Extracorporeal cardiopulmonary resuscitation has shown survival benefit in select patients with refractory cardiac arrest but there is insufficient data on the frequency of different types of brain injury. We aimed to systematically review the prevalence, predictors of and survival from neurologic complicati...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Migdady I,Rice C,Deshpande A,Hernandez AV,Price C,Whitman GJ,Geocadin RG,Cho SM

    更新日期:2020-07-01 00:00:00

  • Application of a Framework to Assess the Usefulness of Alternative Sepsis Criteria.

    abstract::The current definition of sepsis is life-threatening, acute organ dysfunction secondary to a dysregulated host response to infection. Criteria to operationalize this definition can be judged by six domains of usefulness (reliability, content, construct and criterion validity, measurement burden, and timeliness). The r...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Seymour CW,Coopersmith CM,Deutschman CS,Gesten F,Klompas M,Levy M,Martin GS,Osborn TM,Rhee C,Warren DK,Watson RS,Angus DC

    更新日期:2016-03-01 00:00:00

  • Nasal bridle revisited: an improvement in the technique to prevent unintentional removal of small-bore nasoenteric feeding tubes.

    abstract:OBJECTIVE:To demonstrate the efficacy and safety of an updated version of the nasal "bridle," which is used to prevent the accidental removal of small-bore nasoenteric feeding tubes. DESIGN:A descriptive study. SETTING:Surgical intensive care unit in a tertiary care hospital. PATIENTS:Twenty-six critically ill patie...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Popovich MJ,Lockrem JD,Zivot JB

    更新日期:1996-03-01 00:00:00

  • Enhanced expression of 70-kilodalton heat shock protein limits cell division in a sepsis-induced model of acute respiratory distress syndrome.

    abstract:OBJECTIVE:Fibrotic changes are initiated early in acute respiratory distress syndrome. This may involve overproliferation of alveolar type II cells. In an animal model of acute respiratory distress syndrome, we have shown that the administration of an adenoviral vector overexpressing the 70-kd heat shock protein (AdHSP...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Bromberg Z,Raj N,Goloubinoff P,Deutschman CS,Weiss YG

    更新日期:2008-01-01 00:00:00

  • Dysphagia in Mechanically Ventilated ICU Patients (DYnAMICS): A Prospective Observational Trial.

    abstract:OBJECTIVES:Swallowing disorders may be associated with adverse clinical outcomes in patients following invasive mechanical ventilation. We investigated the incidence of dysphagia, its time course, and association with clinically relevant outcomes in extubated critically ill patients. DESIGN:Prospective observational t...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Schefold JC,Berger D,Zürcher P,Lensch M,Perren A,Jakob SM,Parviainen I,Takala J

    更新日期:2017-12-01 00:00:00

  • Effects of changes in abdominal pressure on left ventricular performance and regional blood flow.

    abstract::Many clinical conditions are associated with an increase in abdominal pressure. While the effects on venous return have been studied in the past, little attention has been given to the effect of abdominal pressure on left-sided hemodynamic events. The effects of acute changes in abdominal pressure (Pab) on left ventri...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Robotham JL,Wise RA,Bromberger-Barnea B

    更新日期:1985-10-01 00:00:00

  • Nosocomial endocarditis in the intensive care unit: an analysis of 22 cases.

    abstract:OBJECTIVES:To review the intensive care unit experience of patients with admitted or acquired nosocomial endocarditis (NE) defined according to the Duke criteria. DESIGN:Prospective, cohort study. SETTING:University teaching hospital. PATIENTS:We reviewed the records of 22 patients documented with NE during a 6-yr p...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Gouëllo JP,Asfar P,Brenet O,Kouatchet A,Berthelot G,Alquier P

    更新日期:2000-02-01 00:00:00

  • Treatment with exogenous surfactant stimulates endogenous surfactant synthesis in premature infants with respiratory distress syndrome.

    abstract:OBJECTIVE:Treatment of preterm infants with respiratory distress syndrome (RDS) with exogenous surfactant has greatly improved clinical outcome. Some infants require multiple doses, and it has not been studied whether these large amounts of exogenous surfactant disturb endogenous surfactant metabolism in humans. We stu...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章


    authors: Bunt JE,Carnielli VP,Janssen DJ,Wattimena JL,Hop WC,Sauer PJ,Zimmermann LJ

    更新日期:2000-10-01 00:00:00

  • The Epidemiology of Chronic Critical Illness After Severe Traumatic Injury at Two Level-One Trauma Centers.

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    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: Mira JC,Cuschieri J,Ozrazgat-Baslanti T,Wang Z,Ghita GL,Loftus TJ,Stortz JA,Raymond SL,Lanz JD,Hennessy LV,Brumback B,Efron PA,Baker HV,Moore FA,Maier RV,Moldawer LL,Brakenridge SC

    更新日期:2017-12-01 00:00:00

  • Influence of Postoperative Thrombosis Prophylaxis on the Recurrence of Chronic Subdural Hematoma After Burr-Hole Drainage.

    abstract:OBJECTIVES:Chronic subdural hematoma is a commonly encountered disease in neurosurgic practice, whereas its increasing prevalence is compatible with the ageing population. Recommendations concerning postoperative thrombosis prophylaxis after burr-hole drainage of chronic subdural hematoma are lacking. The aim of this s...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Licci M,Kamenova M,Guzman R,Mariani L,Soleman J

    更新日期:2018-01-01 00:00:00

  • Continuous lateral rotation therapy to prevent ventilator-associated pneumonia.

    abstract:OBJECTIVE:To investigate the impact of prophylactic continuous lateral rotation therapy on the prevalence of ventilator-associated pneumonia, duration of mechanical ventilation, length of stay, and mortality in critically ill medical patients. DESIGN:Prospective, randomized, clinical study. SETTING:Three medical inte...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验


    authors: Staudinger T,Bojic A,Holzinger U,Meyer B,Rohwer M,Mallner F,Schellongowski P,Robak O,Laczika K,Frass M,Locker GJ

    更新日期:2010-02-01 00:00:00

  • Need for advanced cardiac life-support training in rural, community hospitals.

    abstract:OBJECTIVE:To define the relative needs of the staffs of rural, community hospitals for training in advanced cardiac life support (ACLS), identify weaknesses, and modify a standard ACLS course to meet these needs. DESIGN:Prospective assessment of knowledge and skills relating to the practice of ACLS. SETTING:Rural, co...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Birnbaum ML,Kuska BM,Stone HL,Robinson NE

    更新日期:1994-05-01 00:00:00

  • How Do You Feel? Subjective Perception of Recovery as a Reliable Surrogate of Cognitive and Functional Outcome in Cardiac Arrest Survivors.

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    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Juan E,De Lucia M,Beaud V,Oddo M,Rusca M,Viceic D,Clarke S,Rossetti AO

    更新日期:2018-04-01 00:00:00

  • Endothelin-1 blockade corrects mesenteric hypoperfusion in a porcine low cardiac output model.

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    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Burgener D,Laesser M,Treggiari-Venzi M,Oi Y,Jolliet P,Strasser S,Hadengue A,Aneman A

    更新日期:2001-08-01 00:00:00

  • Relationship between neopterin and granulocyte elastase plasma levels and the severity of multiple organ failure.

    abstract::In a series of 56 patients (24 uncomplicated postoperative and 32 septic patients), neopterin and elastase alpha 1 protease inhibitor complex (E-alpha 1 PI) plasma levels were measured daily. The clinical course of each patient was evaluated with the Multiple Organ Failure (MOF) score according to Goris. Neopterin cou...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Pacher R,Redl H,Frass M,Petzl DH,Schuster E,Woloszczuk W

    更新日期:1989-03-01 00:00:00

  • Effect of combined nitric oxide inhalation and NG-nitro-L-arginine infusion in porcine endotoxin shock.

    abstract:OBJECTIVE:To evaluate the possible effects of a combination of systemic nitric oxide synthesis inhibition (to increase mean arterial blood pressure) and nitric oxide inhalation (to decrease pulmonary vascular pressure) in porcine endotoxin shock. DESIGN:Prospective trial. SETTING:Laboratory at a large university medi...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Weitzberg E,Rudehill A,Modin A,Lundberg JM

    更新日期:1995-05-01 00:00:00

  • A Multicenter Study of the Causes and Consequences of Optimistic Expectations About Prognosis by Surrogate Decision-Makers in ICUs.

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    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: White DB,Carson S,Anderson W,Steingrub J,Bird G,Curtis JR,Matthay M,Peterson M,Buddadhumaruk P,Shields AM,Ernecoff N,Shotsberger K,Weissfeld L,Chang CH,Pike F,Lo B,Hough CL

    更新日期:2019-09-01 00:00:00

  • Increase in out-of-hospital cardiac arrest attended by the medical mobile intensive care units, but not myocardial infarction, during the 2003 heat wave in Paris, France.

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    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Empana JP,Sauval P,Ducimetiere P,Tafflet M,Carli P,Jouven X

    更新日期:2009-12-01 00:00:00

  • Effect of different cycling-off criteria and positive end-expiratory pressure during pressure support ventilation in patients with chronic obstructive pulmonary disease.

    abstract:OBJECTIVE:During pressure support ventilation, ventilator inspiration ends when inspiratory flow drops to a given percentage of the peak inspiratory flow cycling-off criteria. This study evaluated the effect of two different cycling-off criteria on breathing pattern, respiratory effort, and gas exchange in patients wit...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Chiumello D,Polli F,Tallarini F,Chierichetti M,Motta G,Azzari S,Colombo R,Rech R,Pelosi P,Raimondi F,Gattinoni L

    更新日期:2007-11-01 00:00:00