https://www.selleckchem.com/products/ldc195943-imt1.html During times of increased crowding, rapid pathway use continued to be associated with reduction in ED LOS (p<0.01). The reduction in ED LOS was sustained when comparing initial results (2013-2014) to recent data (2015-2018). This study found that a streamlined process to admit critically-ill trauma patients is sustainable and associated with reduction in ED LOS. As ED crowding remains pervasive, these findings support restructured care processes to limit prolonged ED boarding times for critically-ill patients. This study found that a streamlined process to admit critically-ill trauma patients is sustainable and associated with reduction in ED LOS. As ED crowding remains pervasive, these findings support restructured care processes to limit prolonged ED boarding times for critically-ill patients. Lifeguard teams carry out their work in extremely hot conditions in many parts of the world. The aim of this study was to analyze the impact of high temperatures on physiological parameters during cardiopulmonary resuscitation (CPR). A randomized quasi-experimental cross-over design was used to test physiological lifesaving demands (50min acclimatization +10min CPR) in two different thermal environments Thermo-neutral environment (25°C) vs Hyperthermic environment (37°C). The data obtained from 21 lifeguards were included, this covers a total of 420min of resuscitation. The CPR performance was constantly maintained during the 10min. The Oxygen uptake (VO 2) ranged from 17 to 18ml/min/kg for chest compressions (CC) and between 13 and 14ml/min/kg for ventilations (V) at both 25°C and 37°C, with no significant difference between environments (p>0.05). The percentage of maximum heart rate (%HR max) increased between 7% and 8% at 37°C (p<0.001), ranging between 75% and 82% of HR max. The loss of body fluids (LBF) was higher in the hyperthermic environment; LBF (37°C 400±187g vs 25°C 148±81g, p<0.001). Body temperature was 1