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D D'Auria

Publications and source records attributed to D D'Auria.

At least 55 records · Page 3Linked to original sources
PubMed1994

Drug-induced impaired performance.

The use of medication is becoming increasingly common in the workforce in an effort to minimise the time away from work. Little is written about the behavioural impact of drugs and rarely is it considered in risk assessments. Employees may equally suffer from the effects of illicit drugs, alcohol or even the residual effects of anaesthesia after day-case or minimally invasive surgery. This paper sets out to accomplish three objectives: first, to review methods of evaluating behavioural effects of drugs, their strengths and weaknesses; second, to review established performance effects of principal classes of behaviourally toxic drugs on driving as a model; and third, to propose some guidelines to assist occupational physicians and other clinicians in assessing the risks incurred from drug-induced impaired performance.

Behavior↗
PubMed1993

Time for a crisis.

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Education, Medical, Continuing↗
PubMed1992

Automated external defibrillators: implications for training qualified ambulance staff.

STUDY OBJECTIVE: To investigate the performance of basic trained ambulance personnel using an automated external defibrillator (AED) after a short training program. METHODS: One hundred ninety ambulance attendants working in London received six and one-half hours training in the use of an AED, with written feedback and continuing education regarding performance after training. Performance was assessed over a period of 15 months by analysis of report forms and ECG/audible cassette tapes from the patients who were treated. RESULTS: Staff were able to operate the defibrillator correctly in 96% of cases and followed the protocol sequence taught in 34% of cases. The median time taken to activate the defibrillator following arrival of the ambulance at the scene of cardiac arrest was four minutes (range, one to 13 minutes). In 32% of cases, patients were intubated erroneously or moved to the ambulance before the AED was attached. CONCLUSION: The short course with continuing education was sufficient to train staff in AED operation, but errors in protocol compliance occurred throughout the trial.

Clinical Protocols↗
PubMed1992

The fifth business.

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Occupational Medicine↗
PubMed1990

Controlled trial of automated external defibrillators in the London ambulance service.

This controlled trial was performed in London and compared outcomes of patients treated by ambulance staff using either basic life support alone or an automated external defibrillator (AED) as an adjunct to basic life support. Five of the 212 (2%) patients were successfully resuscitated by crews using basic life support alone, compared with seven of 186 (4%) patients treated by crews equipped with the AED. Neurological outcomes in the AED group were better. However, meaningful statistical comparisons are not possible with so few survivors. The AED used (Lifepak 200, PhysioControl Corp) was found to be sensitive and specific, and ambulance staff operated the defibrillator correctly. The use of AEDs in an option to maximize the provision of defibrillators in the community and could readily be incorporated into basic ambulance training.

Aged↗
PubMed1990

Audit and son...?

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Medical Audit↗