![]() A colour coding system was also used to highlight specific jobs. Discrepancies in the layout of each team's weekday list necessitated the design of a new weekday list to match the weekend list to facilitate the easy transfer of information between the two lists. A unified weekend list ordering all surgical patients by ward and bed number was introduced. We recognised a need to reduce time searching for patients, jobs and reviews, and to streamline weekend ward rounds. The existing model at Great Western Hospital (GWH) involved three general surgical teams and a urology team placing their printed patient lists, complete with weekend jobs, in a folder for the on-call team to collect at the weekend. All rights reserved.Ĭulwick, Caroline Devine, Chris Coombs, CatherineĮffective handovers are vital to patient safety and continuity of care, and this is recognised by several national bodies including the GMC. However, prolonged pre-ECPR support associated with off-hours cardiac arrest does not appear to impact survival or functional outcome in pediatric patients. Cardiac arrest occurring at night or during weekend hours is associated with a longer ECPR initiation time and higher rates of CNS injury. 44% weekday, p=0.44), or neurologic outcome (Pediatric Cerebral Performance Score at 1-year post-ECPR, 1.45 weekday vs. 55% weekday, p=0.57), one-year survival (33% night/ weekend vs. Time of arrest did not impact survival to hospital discharge (44% night/ weekend vs. 15% weekday, p=0.04), with associated 75% mortality prior to hospital discharge. ![]() Rate of central nervous system (CNS) injury was higher in the night/ weekend group (43% night/ weekend vs. 33min weekday, p<0.001) as was the interval from ECPR activation to incision for cannulation (26min night/ weekend vs. Interval from ECPR activation to initiation of extracorporeal life support was significantly longer during night/ weekends (49min night/ weekend vs. During the study period, ECPR was performed 54 times in 53 patients (20 weekday, 34 night/ weekend). This is a single institution, retrospective review of all pediatric patients who received ECPR from December 2008 to August 2015. However, an association between cardiac arrest occurring during off-hours and ECPR outcome has not been established in children. Previous studies suggest that maintaining a 24/7 in-house surgical team may reduce ECPR initiation time and improve survival in adult patients. Pediatric extracorporeal cardiopulmonary resuscitation during nights and weekends.īurke, Christopher R Chan, Titus Brogan, Thomas V McMullan, D MichaelĮxtracorporeal cardiopulmonary resuscitation (ECPR) is a lifesaving rescue therapy for patients with refractory cardiac arrest. Our findings indicate that as the temporal overlap increases between wildlife and humans, so does the influence that humans have on wildlife. ![]() Raccoons (nocturnal) reduced activity during weekends, but only within campground areas. Beavers and mountain lions (both nocturnal) did not negatively respond to increased human activity. Mule deer (crepuscular) reduced activity throughout our entire study area during weekends and avoided campgrounds. We found that three out of the four focal species supported our predictions. To address our objective, we placed 50 remote cameras along the Diamond Fork River in Utah from January to June 2015. We predicted that as nocturnality increased, the effect of human activity would decrease. Our objective was to test the weekend effect in relation to the degree of nocturnality of mammals in a recreational area. Because nocturnal species generally avoid times when humans are active, they are likely less affected by anthropogenic activity on weekends. Much of what we understand about the weekend effect is based on research conducted on diurnal species, which have greater temporal overlap with humans. Human recreation can negatively affect wildlife, particularly on weekends when human activity is highest (i.e., the weekend effect). Nix, Joshua H Howell, Ryan G Hall, Lucas K McMillan, Brock R The influence of periodic increases of human activity on crepuscular and nocturnal mammals: Testing the weekend effect. Encouraging students and their families to use their "scientific eyes" to explore these wonderful wet places is what Weekend Science Project is all about. Whether it's fishing, swimming, or simply picnicking by the river, water plays a significant role in many recreational endeavors. ERIC Educational Resources Information Center
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