Onsea House

A study published Online First and in an upcoming Lancet shows that active compression decompression cardio pulmonary resuscitation (CPR) with augmentation of negative intrathoracic pressure should be considered as an alternative to standard CPR to increase long term survival after cardiac arrest.

More than 800 000 Europeans and North Americans have an out of hospital cardiac arrest every year, with overall survival averaging 5%. Poor survival rates persist, in part, because manual chest compressions and ventilation, termed standard cardiopulmonary resuscitation (CPR), is inherently inefficient, providing less than 25% of healthy blood flow to the heart and brain. mittel gegen doppelkinn Adults (presumed age or age years) who had a non traumatic arrest of presumed cardiac cause and met initial and final selection criteria received one of the two types of CPR and were included in the study.

Standard manual CPR was performed by hand according to the American and European Heart Association Guidelines. The new technique uses two devices simultaneously to transform the chest into an active bellows to increase circulation. One is a hand held device to compress and decompress the chest. After each compression the chest is actively lifted upwards with the help of a small suction cup that adheres to the patient’s chest. This technique is called active compression decompression CPR. A second device, called an impedance threshold device, is attached to the patient’s airway using a face mask or breathing tube. When the chest is lifted upwards, the impedance threshold device prevents air from rushing into the lungs, creating a vacuum inside the chest that helps to refill the heart after each compression and to lower pressures in the brain. With each compression decompression cycle the heart and brain receive nearly three times more blood flow when compared with standard CPR. As with standard CPR, patients receive a breath every 10 compressions. The new CPR devices also provide the rescuers wih feedback related to compression depth and rate and help the rescuers know when to provide a breath. The new technique was easy to teach to rescue personnel.

813 standard CPR patients and 840 intervention patients were analysed. The researchers found that 6% of standard CPR patients survived to hospital discharge with favourable neurological function compared with 9% in the intervention group (Improvement in chances of survival of 53% in the intervention group). The same proportions of patients in each group (6% and 9% respectively) survived to one year, with equivalent cognitive skills, disability ratings, and emotional psychological statuses in both groups. The overall major adverse event rate did not differ between groups. For the first time, we have shown that a new method of CPR increases hospital discharge rates and 1 year survival, which are both associated with good neurological outcomes, by nearly 50%, compared with the current standard of care, closed chest manual CPR.”

In a linked Comment, Dr Peter Nagele, Washington University School of Medicine, St Louis, MO, USA, says that combined with evidence from other studies, “it now seems that the combined use of compression decompression CPR and an impedance threshold device can improve long term survival after out of hospital cardiac arrest”.

60 fine for shortcut From Hampshire Chronicle

The council announced last year that it would be installing two cameras at Coach House Place. They are now in situ and, as of Monday, motorists who use the taxi and bus route into the station will face a 60 fine.

Cllr Michael Filer, the council’s cabinet member for transport, said: “Coach House Place is retained for taxi and bus traffic only.

“The majority of motorists follow the current signage and take the correct routes, however others are flouting the regulations and causing a road safety issue, as well as congestion problems for our public transport operators.

I still can’t see why motorist can’t use this road, it saves petrol by not having to go to the Lansdowne area to get onto Lansdowne road. Perhaps I can see buses only but why buses and TAXIS, the taxi is a car and one where people pay to use it. As. Motorist I pay road fund tax, petrol tax, insurance tax and my time is just a valuable as public transport users.

Why does councillor Filer say it is a safety thing? Many people find getting out of Asda hard with all the traffic and some use the other exit near the station to go under the motorway using

Coach house place as a way to get onto Lansdowne road.

I for one see this not as a problem but as a solution but our council don’t want private drivers in town and see this as a way of making more money from the motorist.

I wonder if this is legal or is it another scheme they haven’t legal done the correct way like the parking metres.

I still can’t see why motorist can’t use this road, it saves petrol by not having to go to the Lansdowne area to get onto Lansdowne road. Perhaps I can see buses only but why buses and TAXIS, the taxi is a car and one where people pay to use it. As. Motorist I pay road fund tax, petrol tax, insurance tax and my time is just a valuable as public transport users.
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Why does councillor Filer say it is a safety thing? Many people find getting out of Asda hard with all the traffic and some use the other exit near the station to go under the motorway using

Coach house place as a way to get onto Lansdowne road.

I for one see this not as a problem but as a solution but our council don’t want private drivers in town and see this as a way of making more money from the motorist. Perhaps I can see buses only but why buses and TAXIS, the taxi is a car and one where people pay to use it. As. Motorist I pay road fund tax, petrol tax, insurance tax and my time is just a valuable as public transport users.

Why does councillor Filer say it is a safety thing? Many people find getting out of Asda hard with all the traffic and some use the other exit near the station to go under the motorway using

Coach house place as a way to get onto Lansdowne road.

I for one see this not as a problem but as a solution but our council don’t want private drivers in town and see this as a way of making more money from the motorist.

I wonder if this is legal or is it another scheme they haven’t legal done the correct way like the parking metres.

for once i completely agree with pete woodley all this is in my opinion is money grabbing and to red golfer i would say as soon as you get in a car you break some law or another cars in my opinion should be allowed to use bus lanes and only fined if they hold up the progress of a bus strange to me holdenhurst rd christchurch rd castle lane gridlocked sometimes and a third of the road is taken up with an empty bus lanefor once i completely agree with pete woodley all this is in my opinion is money grabbing and to red golfer i would say as soon as you get in a car you break some law or another cars in my opinion should be allowed to use bus lanes and only fined if they hold up the progress of a bus strange to me holdenhurst rd christchurch rd castle lane gridlocked sometimes and a third of the road is taken up with an empty bus lane

Another money grabber.[/p][/quote]Don’t drive down there and it won’t cost you a penny.

If you think its ok for you to do so then you deserve every fine you get.[/p][/quote]I totally agree with Pete. B’mth are suffering a lack of income from parking due to their incompetence, and are now looking to fleece the motorist another way.

What are the specific risks here and what steps have been taken to mitigate them? I challenge the council to reveal the financial benefit they anticipate from this and if any alternatives were considered.