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Biomedical subjects

B T J Meursing

Publications and source records attributed to B T J Meursing.

2 recordsLinked to original sources
PubMed2003

[International and Dutch reanimation guidelines].

The 'Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care' have been published in a number of journals by a group of international experts. Although these guidelines are not dictated or imposed, their implementation would necessitate changes to the curriculum 'Basic Life Support' instruction for laymen. The recall of all persons ever instructed to inform them about the new Guidelines is also necessary. However, in view of the present lack of solid scientific basis, the wisdom of implementing the present guidelines in Dutch practice in an unrestricted manner has to be questioned, due to financial and human impact that would be involved.

Advanced Cardiac Life Support↗
PubMed2003

[Resuscitation: CAB versus ABC].

In the resuscitation guidelines revised by the Netherlands Resuscitation Council, the decision has been made to conform with the resuscitation flowchart used elsewhere in the world, and to use the ABC sequence: 'airway-breathing-circulation'. This implies that the CAB sequence ('circulation-airway-breathing'), which has been in use since 1981, has been abandoned. Intrinsic arguments in favour of the CAB scheme are based on animal experiments and observations in humans. They come down to time-saving in the various diagnostic and therapeutic steps, whereby the chance of successful recovery of the circulation increases, and the convalescence phase and the risk of brain damage probably are reduced. In addition, this scheme is better suited to the relatively large group of patients with a cardiac cause underlying their loss of consciousness, and to the preference of lay people to limit themselves to heart massage when attending the patient. Intrinsic arguments in favour of the ABC scheme are not based on scientific data. They concern improvement of the ventilation-perfusion ratio with the first heart massage, oxygenation of the blood in the lung capillaries, improvement of the circulation and the palpability of pulses.

Animals↗