Objective To evaluate the efficacy of the continuation of eardiopulmonary resuscitation (CPR) following transportation to the emergency department in a Chinese hospital after unsuccessful emergency medical services ...Objective To evaluate the efficacy of the continuation of eardiopulmonary resuscitation (CPR) following transportation to the emergency department in a Chinese hospital after unsuccessful emergency medical services (EMS) CPR. Methods From January 2002 to December 2007, emergency records of non-traumatic patients who were transported to a tertiary teaching hospital after unsuccessful EMS CPR were reviewed. Results Eigty-five patients were included, and 13 patients (15%) accomplished restoration of spontaneous circulation in our emergency department. Resuscitative possibility reached zero at around 23 minutes. One patient was discharged with a favourable neurologic outcome. Conclusions This study shows that the continuation of CPR is not futile and may improve outcomes. The outcomes should be re-evaluated in the future when prehospital information can be combined with in-hospital information (J Geriatr Cardio12009; 6:142-146).展开更多
Practice education is an important part of application-oriented higher education. Yet it poses many challenges when the design of practice education is questioned concerning whether it actually fulfills the education ...Practice education is an important part of application-oriented higher education. Yet it poses many challenges when the design of practice education is questioned concerning whether it actually fulfills the education purpose for high quality future professionals. This paper thus introduces an innovated "base"-driven model of practice education in Zhejiang University City College in China, with a purpose to provide empirical experiences that may be valuable for the decision-making of practice education design in higher education institutions. The paper progresses by examining the philosophy of its innovated model, discussing the framework, and further highlights a strategic consideration when designing practice education activities in higher education institutions.展开更多
文摘Objective To evaluate the efficacy of the continuation of eardiopulmonary resuscitation (CPR) following transportation to the emergency department in a Chinese hospital after unsuccessful emergency medical services (EMS) CPR. Methods From January 2002 to December 2007, emergency records of non-traumatic patients who were transported to a tertiary teaching hospital after unsuccessful EMS CPR were reviewed. Results Eigty-five patients were included, and 13 patients (15%) accomplished restoration of spontaneous circulation in our emergency department. Resuscitative possibility reached zero at around 23 minutes. One patient was discharged with a favourable neurologic outcome. Conclusions This study shows that the continuation of CPR is not futile and may improve outcomes. The outcomes should be re-evaluated in the future when prehospital information can be combined with in-hospital information (J Geriatr Cardio12009; 6:142-146).
文摘Practice education is an important part of application-oriented higher education. Yet it poses many challenges when the design of practice education is questioned concerning whether it actually fulfills the education purpose for high quality future professionals. This paper thus introduces an innovated "base"-driven model of practice education in Zhejiang University City College in China, with a purpose to provide empirical experiences that may be valuable for the decision-making of practice education design in higher education institutions. The paper progresses by examining the philosophy of its innovated model, discussing the framework, and further highlights a strategic consideration when designing practice education activities in higher education institutions.