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@matthewjdouma @CtPicard Mixed Methods in Health Services Research
To Improve Human Performance & Patient Outcomes Matthew J Douma RN Christopher Picard RN @matthewjdouma @CtPicard
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Disclosures Affiliations
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Technology & Life-saving
Goal & Objectives Goal: Describe what our team does that relates to resuscitation science and cardiac arrest Hemorrhage Control Cardiac Arrest Education Quality Improvement Technology & Life-saving
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Junctional Hemorrhage
Hemorrhage Control Junctional Hemorrhage Leading cause of potentially survivable traumatic death
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External Aortic Compression
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External Aortic Compression
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Tourniquets Systematic Review of Tourniquet Devices for patient comfort, speed of application and occlusion rate VS
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Manual control & wound packing for life-threatening hemorrhage
Stop the Bleed! Manual control & wound packing for life-threatening hemorrhage
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Defibrillation Programs
National Survey of Public Access Defibrillation Programs Operational Readiness Barriers/Areas for Improvement Training of Providers Naloxone
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BLS for High-Frequency Providers
Translates AHA/HSF into local context Setting specific curriculum Core cases 4 x year skill re-certs Feedback devices
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Patient-Centered Cardiac Arrest Care
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Family support and follow-up Debriefing to staff/providers
Edmonton Zone ED Cardiac Arrest Care Quality Improvement Project Chest compressions Family support and follow-up Debriefing to staff/providers Reduce time reversible causes
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Hospital Accreditation
In-hospital cardiac arrest care is poor outside specialized settings Prevention, detection and BLS MET/RRT & Code Blue minimum standards
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Randomized X-Over Trial of Chest Compression Effectiveness
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Randomized X-Over Trial Vasoactive Medication
Preparation & Delivery in Cardiovascular Collapse
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Canadian Code Blue Records
Environmental Scan of Canadian Code Blue Records 88 unique records from ED & ICU to identify best practices and core content
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Alexa vs Siri vs Google vs Cortana
Digital Assistants for First Aid Queries A Mixed Methods Approach Alexa vs Siri vs Google vs Cortana
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Cardiac Arrest Video Registry
800+ videos, 180 verified Cardiac Arrest Prodrome Victim Post-Arrest Behavior Bystander Behavior (Good & Bad)
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Undergrad students Non-healthcare professionals Non-academics Career Researchers EMS, nursing, medicine
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