Hands-on time during cardiopulmonary resuscitation is affected by the process of teambuilding: A prospective randomised simulator-based trial

Background Cardiac arrests are handled by teams rather than by individual health-care workers. Recent investigations demonstrate that adherence to CPR guidelines can be less than optimal, that deviations from treatment algorithms are associated with lower survival rates, and that deficits in performance are associated with shortcomings in the process of team-building. The aim of this study was to explore and quantify the effects of ad-hoc team-building on the adherence to the algorithms of CPR among two types of physicians that play an important role as first responders during CPR: general practitioners and hospital physicians. Methods To unmask team-building this prospective randomised study compared the performance of preformed teams, i.e. teams that had undergone their process of team-building prior to the onset of a cardiac arrest, with that of teams that had to form ad-hoc during the cardiac arrest. 50 teams consisting of three general practitioners each and 50 teams consisting of three hospital physicians each, were randomised to two different versions of a simulated witnessed cardiac arrest: the arrest occurred either in the presence of only one physician while the remaining two physicians were summoned to help ("ad-hoc"), or it occurred in the presence of all three physicians ("preformed"). All scenarios were videotaped and performance was analysed post-hoc by two independent observers. Results Compared to preformed teams, ad-hoc forming teams had less hands-on time during the first 180 seconds of the arrest (93 ± 37 vs. 124 ± 33 sec, P < 0.0001), delayed their first defibrillation (67 ± 42 vs. 107 ± 46 sec, P < 0.0001), and made less leadership statements (15 ± 5 vs. 21 ± 6, P < 0.0001). Conclusion Hands-on time and time to defibrillation, two performance markers of CPR with a proven relevance for medical outcome, are negatively affected by shortcomings in the process of ad-hoc team-building and particularly deficits in leadership. Team-building has thus to be regarded as an additional task imposed on teams forming ad-hoc during CPR. All physicians should be aware that early structuring of the own team is a prerequisite for timely and effective execution of CPR.

All Hands On Deck, v.2, 2 April 2009

Actions Teams Launched.

All Hands on Deck, v.4, 16 April 2009

Medication Reconcilliation

All Hands on Deck, v.3, 9 April 2009

New Isolation Signs

A hands-on education project: antenna design for inter-CubeSat communications

CubeSat platforms have become a de facto standard for universities willing to initiate space-technology activities with students. These small satellite platforms ease the implementation of hands-on education projects and opening the apertures of new research areas. Moreover, due to the limited volume (a 10 cm cube) and power (1 W), the application of imaginative solutions is mandatory. This leads to new innovation processes in the course of CubeSat projects. In this paper, we present a hands-on education project the aim of which is the specification, design, building and measurement of an antenna for communication between nanosatellites and, in particular, CubeSats. The project lies within the framework of ETSIT-UPM innovative education activities in the area of space technology, where students play a leading role in real engineering projects.

ETSIT-UPM experiences in hands-on nanosatellite activities

In this paper, the experience of ETSIT-UPM in hands-on nanosatellite activities is presented. Innovate methodologies based on the active participation of students are presented. Projects with the participation of students have proven to be successful if students are motivated and assume responsibilities. Aspects as international collaboration and students motivation are described.

Hands-on training in Nonimaging Optics for SME's: the SMETHODS experience

A 5-day training in Nonimaging Optics for European SME’s employees was carried out in June 2012 in the framework of the FP7 funded Support Action "SMETHODS". The training combined theoretical introduction and hands-on practice. The experience was very positive, and the lessons learned will improve the next scheduled sessions. Introduction The FP7 funded Support Action "SMETHODS" [1] is an initiative of seven European academic institutions to strengthen Europe's optics and photonics industry, which has started on 1 September 2011. Participation in training sessions is free for participants, who are selected with priority will be given to employees of small and medium sized European enterprises (SMEs). The consortium in SMETHODS is formed by seven partners that are the most prominent academic institutions in optical design in their countries. Through fully integrated collaborative training sessions, the consortium provides professional assistance as well as hands-on training in a variety of design tasks in four domains: (1) imaging optics, (2) nonimaging optics, (3) wave optics, and (4) diffractive optics. For each of this domains domain, 5-day training sessions are scheduled to be hold in different locations throughout Europe, four times in two years, the teach four times in a 2.5 years period.

Hands on lake ecology : teachers guide.

Presents classroom activities aimed at students in grades 5 through 8 on the forces impacting water quality and living things within the lake environment.

Hands on lake ecology : student workbook.

Includes classroom activities and experiments designed to develop a greater understanding of the forces impacting water quality and the living things within the lake environment.

Hands-on architecture /

"12/17/86."

Hands-on solutions to improve your profits & productivity.

"DE95009205"--P. [4] of cover.