Inaugural Session: Medical Education in the Internet Era
Prof George Perry, Dean of The University of Texas at San Antonio
Moderated by John Bennet, MD
Critical Care & Emergency Medicine
Reanimation Device Breath4Life - Created to save lives
Mr. Ernesto MaselliCardiopulmonary resuscitation or cardiopulmonary (RCPB) is an internationally standardized maneuvers designed to ensure vital organ´s oxygenation when the flow of blood from a person stops suddenly in cardiorespiratory arrest. It has been shown that when the implementation of RCPB starts a short time after cardiac arrest is effective in saving lives. In addition to the Breath4Lifer©, we can include the use of defibrillators for the manouver. Cardiopulmonary resuscitation should be performed on every person in cardiac arrest: if it is unconscious, the person does not move spontaneously, does not react to a touch or a external voices. Not breathing: after the airway´s release, not observed respiratory motion and does not feel the air out through the nose or mouth, and more important: do not feel the heartbeat.
Treatment results evaluation of patients with severe sepsis, caused by severe traumatic brain injury
Mrs. Halyna PereviznykBackground Aim & Objectives. Severe traumatic brain injury (STBI) is one of the most prominent mortality and disability causes. Around the world 14 people per minute die because of sepsis . The aim was to evaluate treatment results in patients with STBI followed by severe sepsis and suggest some new ways of its improvement.
Methods/Study Design. We made the analysis of treatment results of 72 patients with STBI, followed by severe sepsis, who were treated at intensive care unit (ICU) of Ternopil University Hospital. Severe sepsis diagnosis was verified by determining the levels of procalcitonine and C-reactive protein.
Results/Findings Study. The mortality rate reached 29,7 %, or 1,9 person per 100 000 of population. Among the ICU patients with STBI, sepsis developed in 23,9%. We used the Guidelines for the Management of STBI . Acute respiratory distress syndrome (ARDS) was successfully cured in 73,3% of cases, by usage of ventilation, kinesio, oxygen and pulse therapy with cortisteroids. 22,2% obtained acute renal failure, 9,72% were treated by hemodialysis.
1. Compliance of the Guidelines for the Management of STBI, created by American Association of Neurological Surgeons (2007), significantly helps to improve treatment results in patients with following pathological condition.
2. The usage of pulse therapy with glucocortisteroids additionally to traditional mechanical ventilation, kinesiotherapy, and oxygen therapy for the treatment of ARDS helps to improve the life expectancy of patients.
Healthcare IT & Medical Education
moderated by John Bennet
Evidence-Based Medicine Treatment Scores
Drs Bradley Hennenfent, Stephen Fitzmeyer, Stephen Hennenfent and Jeffrey SchwartzBACKGROUND: The Patient-Centered Outcomes Research (PCORI) team, under the department of Health and Human Services, says, “Every day, patients and their caregivers are faced with crucial health care decisions while lacking key information that they need.” PCORI goes on to say that we need to translate “…existing scientific research into accessible and usable formats…” We decided to create the needed «Treatment Transparency» by using software to produce evidence-based medicine treatment scores.STUDY DESIGN: Created a website so that users could created medical review articles using evidence-based medicine guidelines.RESULTS: Our review articles, and graphics, demonstrate that users can quantify the science of medicine behind medical treatments.CONCLUSIONS: Understanding medical treatments is difficult. Often the net health benefit is difficult to ascertain. Our very early, alpha website with evidence-based medicine tools, is perhaps the first step to enabling all patients, doctors, and nurses around the world to participate in the evidence-based medicine quantification of treatments. Graphics are used to demonstrate treatment lists and treatment scores.
OR Glass: Using wearable technology to augment preoperative personnel competency, promoting improve patient safety
Background Aim & Objective: Advancement in medical equipment and surgical technology has led to a significant improvement in surgical intervention and patient care. New medical equipment, instruments, surgical supplies and method of interventions are introduced, integrated and adopted by the clinician to cope up with the changing needs in providing the best surgical care. However, failure in equipment and technology are implicated in surgical errors and the adverse event. About 15 errors occur during a typical operation and 24% of these errors are accounted to equipment and surgical technology failure. Among these errors, lack of availability of needed equipment accounted for 37%, problems with equipment configuration and settings occurred in 44% of cases, and device malfunction was responsible for 33% of cases. (BMJ Quality & Safety 25 July 2013)
Methods: OR GLASS- Is a concept innovative project that is aim towards augmenting perioperative personnel competency, through real-time education and access to information by using wearable technology (Google GLASS)
Results/Findings and Study Limitations: This is an on-going project. However, preliminary observation results in users satisfaction and improves confidence knowing that available resources exist.
Conclusion: Google GLASS has the potential to be an effective device to improved personnel performance, which translate to a cost-effective, efficient and safe delivery of medical/surgical care. «Why train a few if we can equip everyone».
CUREUS – the online medical journal beyond open access
Dr Alexander Muacevic
Touchless control of the OR using TedCas KISS method (Keeping It Safe in Surgery)
Jesús Perez Llano
Panel on Healthcare IT
Engaging Patients: How Technology Helps and Hinders
moderated by John Lynn
Participants: John Lynn, Dr. Nick Van Terheyden, Colin Hung, Dr. Charles Webster