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8. 2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Author

Wyckoff, M. H., Singletary, E. M., Soar, J., Olasveengen, T. M., Greif, R., Liley, H. G., Zideman, D., Bhanji, F., Andersen, L. W., Avis, S. R., Aziz, K., Bendall, J. C., Berry, D. C., Borra, V., Bottiger, B. W., Bradley, R., Bray, J. E., Breckwoldt, J., Carlson, J. N., Cassan, P., Castren, M., Chang, W. -T., Charlton, N. P., Cheng, A., Chung, S. P., Considine, J., Costa-Nobre, D. T., Couper, K., Dainty, K. N., Davis, P. G., de Almeida, M. F., de Caen, A. R., de Paiva, E. F., Deakin, C. D., Djarv, T., Douma, M. J., Drennan, I. R., Duff, J. P., Eastwood, K. J., El-Naggar, W., Epstein, J. L., Escalante, R., Fabres, J. G., Fawke, J., Finn, J. C., Foglia, E. E., Folke, F., Freeman, K., Gilfoyle, E., Goolsby, C. A., Grove, A., Guinsburg, R., Hatanaka, T., Hazinski, M. F., Heriot, G. S., Hirsch, K. G., Holmberg, M. J., Hosono, S., Hsieh, M. -J., Hung, K. K. C., Hsu, C. H., Ikeyama, T., Isayama, T., Kapadia, V. S., Kawakami, M. D., Kim, H. -S., Kloeck, D. A., Kudenchuk, P. J., Lagina, A. T., Lauridsen, K. G., Lavonas, E. J., Lockey, A. S., Malta Hansen, C., Markenson, D., Matsuyama, T., Mckinlay, C. J. D., Mehrabian, A., Merchant, R. M., Meyran, D., Morley, P. T., Morrison, L. J., Nation, K. J., Nemeth, M., Neumar, R. W., Nicholson, T., Niermeyer, S., Nikolaou, N., Nishiyama, C., O'Neil, B. J., Orkin, A. M., Osemeke, O., Parr, M. J., Patocka, C., Pellegrino, J. L., Perkins, G. D., Perlman, J. M., Rabi, Y., Reynolds, J. C., Ristagno, G., Roehr, C. C., Sakamoto, T., Sandroni, Claudio, Sawyer, T., Schmolzer, G. M., Schnaubelt, S., Semeraro, F., Skrifvars, M. B., Smith, C. M., Smyth, M. A., Soll, R. F., Sugiura, T., Taylor-Phillips, S., Trevisanuto, D., Vaillancourt, C., Wang, T. -L., Weiner, G. M., Welsford, M., Wigginton, J., Wyllie, J. P., Yeung, J., Nolan, J. P., Berg, K. M., Abelairas-Gomez, C., Barcala-Furelos, R., Beerman, S. B., Bierens, J., Cacciola, Sofia, Cellini, J., Claesson, A., Court, R., D'Arrigo, Sonia, De Brier, N., Dunne, C. L., Elsenga, H. E., Johnson, S., Kleven, G., Maconochie, I., Mecrow, T., Morgan, P., Otto, Q., Palmieri, T. L., Parnia, S., Pawar, R., Pereira, J., Rudd, S., Scapigliati, Andrea, Schmidt, A., Seesink, J., Sempsrott, J. R., Szpilman, D., Warner, D. S., Webber, J. B., West, R. L., Sandroni C. (ORCID:0000-0002-8878-2611), Cacciola S., D'Arrigo S. (ORCID:0000-0001-6740-3195), Scapigliati A. (ORCID:0000-0002-4044-2343), Wyckoff, M. H., Singletary, E. M., Soar, J., Olasveengen, T. M., Greif, R., Liley, H. G., Zideman, D., Bhanji, F., Andersen, L. W., Avis, S. R., Aziz, K., Bendall, J. C., Berry, D. C., Borra, V., Bottiger, B. W., Bradley, R., Bray, J. E., Breckwoldt, J., Carlson, J. N., Cassan, P., Castren, M., Chang, W. -T., Charlton, N. P., Cheng, A., Chung, S. P., Considine, J., Costa-Nobre, D. T., Couper, K., Dainty, K. N., Davis, P. G., de Almeida, M. F., de Caen, A. R., de Paiva, E. F., Deakin, C. D., Djarv, T., Douma, M. J., Drennan, I. R., Duff, J. P., Eastwood, K. J., El-Naggar, W., Epstein, J. L., Escalante, R., Fabres, J. G., Fawke, J., Finn, J. C., Foglia, E. E., Folke, F., Freeman, K., Gilfoyle, E., Goolsby, C. A., Grove, A., Guinsburg, R., Hatanaka, T., Hazinski, M. F., Heriot, G. S., Hirsch, K. G., Holmberg, M. J., Hosono, S., Hsieh, M. -J., Hung, K. K. C., Hsu, C. H., Ikeyama, T., Isayama, T., Kapadia, V. S., Kawakami, M. D., Kim, H. -S., Kloeck, D. A., Kudenchuk, P. J., Lagina, A. T., Lauridsen, K. G., Lavonas, E. J., Lockey, A. S., Malta Hansen, C., Markenson, D., Matsuyama, T., Mckinlay, C. J. D., Mehrabian, A., Merchant, R. M., Meyran, D., Morley, P. T., Morrison, L. J., Nation, K. J., Nemeth, M., Neumar, R. W., Nicholson, T., Niermeyer, S., Nikolaou, N., Nishiyama, C., O'Neil, B. J., Orkin, A. M., Osemeke, O., Parr, M. J., Patocka, C., Pellegrino, J. L., Perkins, G. D., Perlman, J. M., Rabi, Y., Reynolds, J. C., Ristagno, G., Roehr, C. C., Sakamoto, T., Sandroni, Claudio, Sawyer, T., Schmolzer, G. M., Schnaubelt, S., Semeraro, F., Skrifvars, M. B., Smith, C. M., Smyth, M. A., Soll, R. F., Sugiura, T., Taylor-Phillips, S., Trevisanuto, D., Vaillancourt, C., Wang, T. -L., Weiner, G. M., Welsford, M., Wigginton, J., Wyllie, J. P., Yeung, J., Nolan, J. P., Berg, K. M., Abelairas-Gomez, C., Barcala-Furelos, R., Beerman, S. B., Bierens, J., Cacciola, Sofia, Cellini, J., Claesson, A., Court, R., D'Arrigo, Sonia, De Brier, N., Dunne, C. L., Elsenga, H. E., Johnson, S., Kleven, G., Maconochie, I., Mecrow, T., Morgan, P., Otto, Q., Palmieri, T. L., Parnia, S., Pawar, R., Pereira, J., Rudd, S., Scapigliati, Andrea, Schmidt, A., Seesink, J., Sempsrott, J. R., Szpilman, D., Warner, D. S., Webber, J. B., West, R. L., Sandroni C. (ORCID:0000-0002-8878-2611), Cacciola S., D'Arrigo S. (ORCID:0000-0001-6740-3195), and Scapigliati A. (ORCID:0000-0002-4044-2343)

Abstract

The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.

Published
2021

9. EP-1248 Stereotactic radiotherapy for brain metastasis and systemic therapies: a safe combination?

Author

Manicone, M., primary, Galaverni, M., additional, Renna, I., additional, Ciammella, P., additional, Giaccherini, L., additional, Bellafiore, F., additional, Timon, G., additional, Vigo, F., additional, Rosca, A., additional, Ramundo, D., additional, Galeandro, M., additional, Ruggieri, M.P., additional, Palmieri, T., additional, Botti, A., additional, Sghedoni, R., additional, Cagni, E., additional, Orlandi, M., additional, Russo, M., additional, Bonelli, C., additional, Pagano, M., additional, and Iotti, C., additional

Published
2019
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10. EP-1382 Texture analysis of FDG-PET in NSCLC treated with SBRT:a validation study of two prognostic features

Author

Bertolini, M., primary, Galaverni, M., additional, Manicone, M., additional, Renna, I., additional, Ciammella, P., additional, Giaccherini, L., additional, Bellafiore, F., additional, Timon, G., additional, Vigo, F., additional, Rosca, A., additional, Ramundo, D., additional, Galeandro, M., additional, Ruggieri, M.P., additional, Palmieri, T., additional, Botti, A., additional, Orlandi, M., additional, Sghedoni, R., additional, Cagni, E., additional, Grassi, E., additional, Fioroni, F., additional, Filice, A., additional, Casali, M., additional, Iori, M., additional, and Iotti, C., additional

Published
2019
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11. EP-1650 Elderly glioblastoma patients:role of multidimensional assessment of frailty in predicting outcomes

Author

Giaccherini, L., primary, Ciammella, P., additional, Galaverni, M., additional, Manicone, M., additional, Renna, I., additional, Galeandro, M., additional, Timon, G., additional, Bellafiore, F., additional, Ramundo, D., additional, Vigo, F., additional, Rosca, A., additional, Palmieri, T., additional, Ruggieri, M.P., additional, Botti, A., additional, Sghedoni, R., additional, Cagni, E., additional, Orlandi, M., additional, Iori, M., additional, Russo, M., additional, and Iotti, C., additional

Published
2019
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20. 44 Inhalation Injury Does Not Increase Blood Transfusion Requirements Following Burn Injury in Adults

Author

Cartotto, R, primary, Taylor, S L, additional, Holmes IV, J H, additional, Arnoldo, B, additional, Peck, M, additional, Cochran, A, additional, King, B T, additional, Dominic, W, additional, Bhavsar, D, additional, Tredget, E E, additional, Stapelberg, F, additional, Mozingo, D, additional, Friedman, B, additional, Greenhalgh, D G, additional, Pollock, B H, additional, and Palmieri, T L, additional

Published
2019
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26. Examining 1:1 vs. 4:1 Packed Red Blood Cell to Fresh Frozen Plasma Ratio Transfusion During Pediatric Burn Excision.

Author

Tejiram, Shawn, Sen, Soman, Romanowski, Kathleen S, Greenhalgh, David G, Palmieri, Tina L, Sen, S, Romanowski, K S, Greenhalgh, D G, and Palmieri, T L

Subjects
ERYTHROCYTES, CRITICALLY ill children, BODY surface area, INHALATION injuries, BLOOD products, LENGTH of stay in hospitals, RESEARCH, BURNS & scalds, BLOOD plasma, RESEARCH methodology, MEDICAL cooperation, EVALUATION research, COMPARATIVE studies, BURN care units, RED blood cell transfusion, LONGITUDINAL method
Abstract

Blood transfusions following major burn injury are common due to operative losses, blood sampling, and burn physiology. While massive transfusion improves outcomes in adult trauma patients, literature examining its effect in critically ill children is limited. The study purpose was to prospectively compare outcomes of major pediatric burns receiving a 1:1 vs. 4:1 packed red blood cell to fresh frozen plasma transfusion strategy during massive burn excision. Children with >20% total body surface area burns were randomized to a 1:1 or 4:1 packed red blood cell/fresh frozen plasma transfusion ratio during burn excision. Parameters examined include patient demographics, burn size, pediatric risk of mortality (PRISM) scores, pediatric logistic organ dysfunction scores, laboratory values, total blood products transfused, and the presence of blood stream infections or pneumonia. A total of 68 children who met inclusion criteria were randomized into two groups (n = 34). Mean age, PRISM scores, estimated blood loss (600 ml (400-1175 ml) vs. 600 ml (300-1150 ml), P = 0.68), ventilator days (5 vs. 9, P = 0.47), and length of stay (57 vs. 60 days, P = 0.24) had no difference. No differences in frequency of blood stream infection (20 vs. 18, P = 0.46) or pneumonia events (68 vs. 116, P = 0.08) were noted. On multivariate analysis, only total body surface area burn size, inhalation injury, and PRISM scores (P < 0.05) were significantly associated with infections. [ABSTRACT FROM AUTHOR]

Published
2020
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32. 5 Does the Storage Age of Blood Transfused to Burn Patients Matter?

Author

Cartotto, R, primary, Taylor, S L, additional, Holmes, J H, additional, Arnoldo, B, additional, Peck, M, additional, Potenza, B, additional, Cochran, A, additional, King Col, B T, additional, Dominic, W, additional, Bhavsar, D, additional, Kemalyan, N, additional, Tredget, E E, additional, Stapelberg, F, additional, Friedman, B, additional, Mozingo, D, additional, Greenhalgh, D, additional, Palmieri, T L, additional, and Pollock, B H, additional

Published
2018
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34. T1 A Comparative Study of Autologous Skin Cell Suspension to Split-thickness Autografting in the Treatment of Acute Burns

Author

Hickerson, W L, primary, Molnar, J A, additional, Carter, J E, additional, Cairns, B A, additional, Hwang, J, additional, King, B T, additional, Cruse, C W, additional, Smith, D J, additional, Sood, R, additional, Feldman, M J, additional, Greenhalgh, D G, additional, Palmieri, T L, additional, Dissanaike, S D, additional, Griswold, J A, additional, Peck, M D, additional, Foster, K, additional, Mozingo, D W, additional, Jordan, M H, additional, and Holmes, J H, additional

Published
2018
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46. OUT–OF–HOSPITAL FLUID INFUSION IN THE SHOCK PATIENT: A SYSTEMATIC REVIEW OF THE LITERATURE

Author

Palmieri, T, Boni, D, and Conte, A

Abstract

This paper considers nursing in the critical care area and more specifically as the main topic, the use of volemic replacement fluids in the broad pathology of shock, applicable by the EMS. Shock is an acute, life–threatening pathological condition of the patient leading to cell and tissue hypoxia resulting in cell death and dysfunction of vital organs. The mechanism leading to such suffering may be decreased intake, increased consumption, improper oxygen utilization, or a combination of these three circumstances. The main cause turns out to be circulatory failure, clinically better known as hypotension. The literature demonstrates how important and critical fluid infusion appears to be in this type of patient. The following review of the bibliography aims to identify and collect the various scientific evidences by evaluating the best solution to infuse, the right dosage, and the target pressor to achieve depending on the type of shock: hypovolemic, distributive, cardiogenic, obstructive. The identification of the best infusible solution is one of the key points of acting in these scenarios as well as the target pressor set (permissive hypotension); it has emerged from the consultations that in the out–of–hospital setting colloids are not recommended because of the consequences compared to crystalloids. In the last decade, special attention is paid to permissive hypotension, that is, the target pressor to be achieved depending on the type of shock, showing how inappropriate fluid administration, in terms of quantity and type of substance to be used, is counterproductive to outcome. The literature shows how an abundant infusion of fluids can alter coagulation or sometimes induce the patient to ARDS; there is also evidence of how in hypovolemic shock the infusion of saline is not recommended, preferring a balanced solution, while in myelic shock saline is preferred.

Published
2024
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