Joost Jan Laurens Marie Bierens

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lectrolyte abnormalities can cause cardiac rrhythmias or cardiopulmonary arrest. Lifehreatening arrhythmias are associated commonly ith potassium disorders, particularly hyperalaemia, and less commonly with disorders of erum calcium and magnesium. In some cases herapy for life-threatening electrolyte disorders hould start before the laboratory results(More)
BACKGROUND Bystanders make a critical difference in the survival of drowning victims. Little information on their role before arrival of the Emergency Medical Services (EMS) is available in the scientific literature. In a descriptive study, this role is investigated. METHODS AND RESULTS We studied 289 rescue reports (1999-2004) available from the Dutch(More)
BACKGROUND Self-directed BLS-training, using a personal training manikin with video has been shown to be as effective as instructor-led training. This has not previously been investigated for AED-training. MATERIALS AND METHODS This prospective, randomized study with a non-inferiority design compared traditional instructor-led training with three(More)
uropean Resuscitation Council Guidelines for Resuscitation 2010 ection 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, oisoning, drowning, accidental hypothermia, hyperthermia, asthma, naphylaxis, cardiac surgery, trauma, pregnancy, electrocution asmeet Soara,∗, Gavin D. Perkinsb, Gamal Abbasc, Annette Alfonzod, Alessandro Barelli e,(More)
AIM OF THE STUDY Accidental hypothermia (AH) is a complex and life threatening condition. Knowledge about epidemiology, rewarming treatments, complications and outcome is limited. This study was initiated to obtain data on causes, rewarming treatments and complications. METHODS A retrospective cohort study of all patients with a body temperature ≤ 35°C(More)
AIM OF STUDY The café fire at Volendam occurred shortly after midnight on the first of January 2001 and resulted in one of the worst mass burn incidents in recent Dutch history. The aim of this study was to provide insight into medical and organisational requirements of a major burns incident. METHODS Shortly after the fire, two university hospitals and a(More)
Drowning is a leading cause of accidental death. Survivors may sustain severe neurologic morbidity. There is negligible research specific to brain injury in drowning making current clinical management non-specific to this disorder. This review represents an evidence-based consensus effort to provide recommendations for management and investigation of the(More)
All nations would benefit from a simple, clear Drowning Chain of Survival. In high income nations this tool will refine prevention and the call for action. In low and middle income nations this tool is a guide for policy making, resource allocation and priority setting in drowning prevention. A best evidence approach was utilized to create a universal(More)
This study was initiated to identify the incidence, risk factors and outcome predictors of patients admitted to hospital in the Netherlands because of accidental hypothermia. Information about these patients was available for study through the National Health Care Data Bank. Between 1987 and 1990, 612 accidental hypothermic patients were admitted: 185(More)