Sair 3X0-101 : Linux Installation and Configuration (Level 1) Exam

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Exam Number : 3X0-101
Exam Name : Linux Installation and Configuration (Level 1)
Vendor Name : Sair
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Sair Installation certification

Shoulder strap fixation of LUCAS-2 to facilitate continuous CPR throughout non-supine (stair) stretcher transport of OHCAs patients | 3X0-101 Test Prep and test dumps

analyze setting

This non-randomised manikin simulation trial turned into carried out between December 3, 2017 and March 18, 2018. A simulation protocol become set up based on the 2015 American coronary heart affiliation (AHA) basic life aid (BLS) guidelines21. This study turned into authorized by using the Chang Gung Memorial sanatorium Institutional overview Board (IRB No.20170044B0).

study materials

A loaded Resusci Anne First help full body manikin (Laerdal; Stavanger, Norway) changed into used to simulate a 60-kg OHCA patient, with a pair of volunteer EMTs forming each and every clinical response team. The LUCAS-2 chest compression equipment changed into used for mechanical computerized chest compressions. This device is a mechanical CPR device with an built-in piston and suction cup designed to bring compressions according to resuscitation instructions, and has been experimentally shown to enhance organ perfusion pressures, boost cerebral blood flow, and raise conclusion-tidal CO2 anxiety in comparison to manual CPR22,23.

To enable operation of LUCAS-2 in a non-supine place whereas the sufferers are transported on the stair stretcher, we mounted adjustable attachment straps to a variety of facets of the equipment. The straps along both sides of the upper edge of the backboard, to be secured to the lessen edge on the contrary aspect (Fig. 1a,b), served to bind the backboard to the OHCA affected person via going from the ipsilateral shoulder to the contralateral axilla. Two extra units of straps on the facets of the LUCAS-2 device helped to increase the stability of the whole contraption and prevent slippage. first-class of CPR compressions carried out become measured using the CPRmeter (Laerdal; Stavanger, Norway) positioned on the sternum of the manikin in advance of the birth of each simulation run.

determine 1

variations of LUCAS-2 mechanical chest compression gadget enabling its operation in upright position throughout transportation. (a) Anterior view of simulated affected person. (b) Lateral view of simulated affected person.

Simulation protocol

We deploy simulated scenarios based on the 2015 AHA BLS guidelines21 at the scene and all through transportation. each and every OHCA simulated affected person, positioned on the third ground of a five-storied constructing with out an elevator, changed into tended to by means of a team of two EMTs. The state of affairs required the EMTs to establish the patient’s cardiac arrest, automatically initiate guide chest compressions, and connect the practicing automatic external defibrillator (AED) for initial rhythm analysis and shock birth. As per commonplace follow, 2 min of CPR and laryngeal masks placement became then performed, before additional moves have been taken.

Subsequent management protocol differed in keeping with group. The experimental group turned into steered to set up the adapted LUCAS-2 equipment on the manikin earlier than transporting it down the stairs in a stair stretcher, while the control group become tasked to strap the manikin at once to the stair stretcher and produce it to the floor ground. installation of the LUCAS-2 machine turned into done through aligning the piston directly with the accelerometer of the CPRmeter manually, with the gadget’s continuous compression mode chosen post-setting up.

Bag valve masks air flow changed into performed as per regular CPR protocols during affected person transport down the stairwell for both businesses. The state of affairs became considered achieved upon the EMT group’s arrival on the ambulance on the floor flooring. publish-simulation, the positions of the LUCAS-2 equipment piston in relation to the CPRmeter accelerometer were inspected to investigate for slippage. A sample video of the trial on a simulated affected person is obtainable as Supplementary Video 1 (https://www.dropbox.com/s/kdq0yk4cenaopsx/%E4p.cB8%8A%E5p.cadvert%97p.cE5percentB9percent95.wmv?dl=0). informed consent to put up was received from all members within the video.

participants

20 EMTs with at the very least EMT-II certification (desk 1) had been recruited from the metropolis hearth brigade and placed in teams of two. All EMTs had more than a yr’s working journey and had participated in more than five OHCA rescue missions per year. simple demographic particulars had been recorded, comparable to age, sex, EMT level, and years of working journey.

table 1 EMT certification requirements.

All individuals had been knowledgeable on placement of the adapted LUCAS-2 equipment on the manikin with instant comments offered. each and every EMT become requested to show the approach thrice before the exact simulation check to be sure that practising became beneficial. After the machine placement practising session, members had been provided 10 min to have arms-on practice on the manikin with the CPR meter. The simulation protocols had been then run thereafter.

All group pairings have been randomised by means of drawing of poker playing cards—EMTs drawing the same number card could be paired together. each crew underwent 4 simulation runs, alternating between using the LUCAS-2 device (experimental neighborhood) and with out the equipment (handle neighborhood).

information collection and size

The respective instances taken for every part of the simulation protocol have been recorded (Fig. 2). CPR best changed into one at a time assessed by means of the CPRmeter, and protected here variables: chest compression depth, fee, percentage of full recoil at end of compression, and no-circulate time. The no-movement time changed into in consequence used to calculate the chest compression fraction by way of right here components:

$$ \textChest compression fraction = \left( \textual contenttotal resuscitation time - \textno-\textual contentmove time \right)/\left( \texttotal resuscitation time \correct) $$

determine 2

diverse checkpoints of simulation runs.

pattern size estimation

Taking a significance stage of 5% and power of eighty%, we estimated a minimal pattern measurement of 20 patients per neighborhood, for a complete of 40 simulation runs.

Statistical evaluation

information become analysed using SPSS v24.0 for windows (SPSS; Chicago, IL, usa). categorical and continuous variables had been offered as frequencies with their corresponding percentages and medians with interquartile ranges respectively. Fisher’s accurate tests had been used to analyse the former and median test to analyse the latter. Statistical magnitude changed into taken at p < 0.05.

moral approval

The Chang Gung Memorial clinic Institutional overview Board permitted this examine (IRB No. 20170044B0). The analysis was performed in line with vital guidelines/laws in the manuscript. All strategies performed in reviews involving human individuals had been in line with the ethical standards of the Chang Gung clinical foundation Institutional evaluate Board and with the 1964 Helsinki declaration and its later amendments or related ethical standards.

suggested consent

counseled consent was obtained from all participants.




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