Biomedical subjects

C Schmulian

Publications and source records attributed to C Schmulian.

5 recordsLinked to original sources

PubMed2005

Automatic external defibrillators--time for a change?

Defibrillation is the definitive treatment for cardiac arrest. Until relatively recently the use of defibrillators was restricted to medical staff and paramedics. The development of automatic external defibrillators (AEDs) now means that this life-saving equipment may be used by anyone with a short period of training. This article will review the patho-physiology of cardiac arrest, the use of AEDs and their significance to the dental team. A medical emergency could happen at any time in the dental practice. Cardiac arrest is the most serious emergency that can occur. Whilst life-threatening incidents are very rare, the dental team requires to be trained in the management of a cardiac arrest.

Cardiopulmonary Resuscitation↗

PubMed1985

Epidural diamorphine and the metabolic response to upper abdominal surgery.

The effect of the administration of diamorphine 10 mg epidurally on the metabolic response to cholecystectomy was investigated and compared with a control group of patients given intravenous papaveretum. There were no significant differences in blood glucose, lactate and pyruvate, and plasma nonesterified fatty acid values between the epidural diamorphine group and the control group. Plasma cortisol concentrations were significantly lower in the epidural diamorphine group postoperatively and this was associated with a marked improvement in pain relief. We conclude that epidural opiates do not directly influence the metabolic response to surgery, but decrease the cortisol response postoperatively secondary to improved analgesia.

Blood Glucose↗

PubMed1982

Use of microcomputers for self-assessment and continuing education in anaesthesia.

The suitability of computer-assisted self-assessment was evaluated as a means of quality assurance in anaesthesia. Altogether 202 anaesthetists participated in four trials of the method. Analyses of their performance in a self-assessment programme dealing with obstetric anaesthesia showed significant differences in the levels of knowledge of anaesthetists practising for different numbers of years. The acceptability of computer-assisted self-assessment ranged from 91% to 100% for the four trials. Similar programs have been shown to be of value in medical education and thus computer-assisted self-assessment appears to fulfil simultaneously the functions of self-assessment and continuing education. The criteria for a method of quality assurance are met.

Anesthesiology↗

PubMed1980

Computer-assisted self-assessment in anaesthesia: a preliminary study.

Fifty-six anaesthetists participated in a trial of the use of microcomputers for self-assessment. Ninety-three per cent of the anaesthetists found the concept of computer-assisted self-assessment acceptable. The only significant difference in the scores achieved by different groups was found with a specialised intensive care program in which senior registrars had a higher average score than older consultants.

Anesthesia, Obstetrical↗

PubMed1979

Computer-assisted learning in the teaching of anaesthesia.

A comparison of computer-assisted learning and small tutorial group teaching was carried out in the instruction of final year medical students in anaesthesia. The scores attained by fifteen of the sixteen students were higher after computer-assisted learning than after small group teaching. Statistical analyses of the results demonstrated that in this study computer-assisted learning was significantly better than small tutorial teaching.

Anesthesiology↗