Biomedical subjects

D Scollon

Publications and source records attributed to D Scollon.

8 recordsLinked to original sources

PubMed1997

Anaesthesia for the management of distal radius fractures in adults in Scottish hospitals.

The objective of this study was to determine the methods of anaesthesia used for the reduction of distal radius fractures in adults in Scotland and to compare this with the UK situation. The method used was a telephone questionnaire of accident and emergency doctors in 25 Scottish hospitals dealing with trauma. Thirty-two per cent still use general anaesthesia routinely for these procedures despite its cost, complexity and need for admission in the majority of cases. Forty-four per cent now use the Bier's block technique of regional anaesthesia, with the attendant advantages of ease of use, rapid recovery and no need for admission in the majority of patients. Twelve per cent use intravenous sedation and 12% use haematoma blocks for manipulations. It is concluded that Bier's block may be the anaesthetic method of choice for the management of distal radius fractures both in efficiency and economic terms in Scotland. However, training for Bier's blocks needs to be standardized and improved.

Adult↗

PubMed1996

Cardiopulmonary resuscitation training for UK undergraduate dental students.

Cardiopulmonary resuscitation (CPR) is a vital skill which must be mastered by all health care professionals. The General Dental Council recommends that it is taught to all UK dental undergraduates. This study was done to elicit how many schools teach aspects of Basic and Advanced Life Support to their students, how often and whether they assess their students. All UK schools teach Basic Life Support (BLS) at least once, but a lower proportion assess their students formally and only three schools teach BLS in each year of the course. Only 64% (9/14) of respondents thought their students received enough training to be able to cope with the initial stages of an emergency on their own. Thus, although the level of BLS training is probably acceptable at present, further improvement of CPR training in UK Dental Schools is advisable.

Cardiopulmonary Resuscitation↗

PubMed1994

Cardiopulmonary resuscitation. Paper 1: A survey of undergraduate training in UK medical schools.

This paper presents the results of a UK national survey of Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) training for undergraduate medical students. In all responding medical schools, undergraduates are taught BLS at least once during their course but the assessment and refresher aspects of BLS training are not uniformly covered. There are inconsistencies in ACLS teaching, with some schools providing formal courses, some teaching specific techniques and others providing no ACLS teaching. Most interestingly, of those completing the questionnaire, only 52% considered present undergraduate training adequate to enable junior house officers to provide an effective resuscitation service. We recommend that all aspects of BLS and ACLS training for medical undergraduates be improved and standardized throughout the UK.

Cardiopulmonary Resuscitation↗

PubMed1994

Cardiopulmonary resuscitation. Paper 2: A survey of basic life support training for medical students.

This paper presents the results of a survey of Basic Life Support (BLS) training, based on experience gained by undergraduate medical students who had just completed their first clinical year (third year) at the University of Glasgow. Data were collected on the amount and quality of BLS training received, along with students' own perceptions of their confidence in providing BLS in a cardiac arrest resuscitation attempt. The results made interesting, but not surprising, reading with only 15% of students appearing to have been adequately taught BLS at any point during their third year. Students want more training and 98% see resuscitation as an important topic in the curriculum. Self-perceived confidence in performing BLS in an acute resuscitation situation is low. With no evidence to suggest that the situation is any different elsewhere in the UK, it is recommended that undergraduate resuscitation training is improved to reflect the importance that medical students attach to it.

Attitude of Health Personnel↗

PubMedDate not supplied

Resuscitation. 1: Basic life support.

Basic life support (BLS) is a method of sustaining vital functions in a person who has collapsed and is unconscious, frequently with a cardiac arrest but sometimes with respiratory arrest, choking or other cause. BLS is a vital link in the 'chain of survival' for these critically ill people.

Airway Obstruction↗

PubMedDate not supplied

Resuscitation. II: Advanced cardiac life support.

Advanced cardiac life support is the definitive sequence of initial treatment for the victim of a cardiac arrest. Advanced cardiac life support forms a large part of cardiopulmonary resuscitation, which also includes basic life support and post-resuscitation intensive care.

Algorithms↗

PubMedDate not supplied

Resuscitation III: advanced trauma life support.

Trauma is the leading cause of death in people less than 40 years old (Central Statistics Office, 1994). Patients who have sustained major trauma will often have multiple injuries. The key to treating these patients is an organized and systematic method of examination and treatment to ensure that injuries are not missed and left untreated.

Clinical Protocols↗

PubMedDate not supplied

Resuscitation. IV: Advanced paediatric life support.

Adults and children have cardiac arrests for very different reasons. The commonest reason for an adult cardiac arrest is a primary arrhythmia in association with ischaemic heart disease, i.e. ventricular fibrillation. Children have cardiac arrests because of respiratory failure, hypovolaemia (due to trauma and dehydration) and sepsis.

Airway Obstruction↗