Kansas Woman Drives Car Up Stairs, Hits Building, Rolls Over

From JEMS:

TOPEKA, Kan. — A woman escaped serious injury Wednesday evening during a wild ride in which she accidentally applied the accelerator instead of her brakes and went up a small flight of stairs before ultimately coming to rest upside down.

First responders were sent about 6:50 p.m. to the 1100 block of S.E. Washington on a report of a single-vehicle rollover.

Topeka police first to the location found a black four-door passenger car on its top in the grass next to a parking lot for Antioch Missionary Baptist Church, 1100 S.E. Washington.

A Topeka police officer said the woman was attempting to park in a stall on the east side of the church when she accidentally hit the gas pedal. The vehicle went over a concrete parking block, up a flight of concrete stairs and crashed into the building before rolling off the side of the steps and onto its top.

Mechanical CPR devices compared to manual CPR during out-of-hospital cardiac arrest and ambulance transport: a systematic review

From the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine:

The authors found insufficient evidence to support or refute the use of mechanical Cardio–Pulmonary Resuscitation (CPR) devices in settings of out–of–hospital cardiac arrest and during ambulance transport. While there is some low quality evidence suggesting that mechanical CPR can improve consistency and reduce interruptions in chest compressions, there is no evidence that mechanical CPR devices improve survival, to the contrary they may worsen neurological outcome.

Methods

  • Databases including PubMed, Cochrane Library (including Cochrane database for systematic reviews and Cochrane Central Register of Controlled Trials), Embase, and AHA EndNote Master Library were systematically searched.
  • Further references were gathered from cross–references from articles and reviews as well as forward search using SCOPUS and Google scholar.
  • The inclusion criteria for this review included manikin and human studies of adult cardiac arrest and anti–arrhythmic agents, peer–review.
  • Excluded were review articles, case series and case reports.

Results

  • Out of 88 articles identified, only 10 studies met the inclusion criteria for further review.
  • Of these 10 articles, 1 was Level of Evidence (LOE) 1, 4 LOE 2, 3 LOE 3, 0 LOE 4, 2 LOE 5.
  • 4 studies evaluated the quality of CPR in terms of compression adequacy while the remaining six studies evaluated on clinical outcomes in terms of return of spontaneous circulation (ROSC), survival to hospital admission, survival to discharge and Cerebral Performance Categories (CPC).
  • 7 studies were supporting the clinical question, 1 neutral and 2 opposing.