Abstract 2688: Automated Rhythm Analysis To Reduce Pauses During Cardiopulmonary Resuscitation

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Joseph L Sullivan ◽  
Robert G Walker ◽  
Isabelle L Banville ◽  
Thomas D Rea ◽  
Fred W Chapman
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Current Approach ◽  
Adjacent Segment ◽  
Automatic External Defibrillator ◽  
Predictive Values ◽  
Rhythm Analysis ◽  
External Defibrillator

Background : Pauses in cardiopulmonary resuscitation (CPR) for Automatic External Defibrillator (AED) ECG analysis may adversely affect cardiac arrest resuscitation. Thus, approaches that analyze the ECG rhythm during CPR may improve outcomes. We developed and tested an Analysis During CPR (ADC) algorithm to determine if it would meet the American Heart Association recommended 90% sensitivity for coarse (>0.2 mV peak-peak) ventricular fibrillation (VF) and 95% specificity for non-shockable rhythms. Methods : Defibrillator ECG and impedance recordings from 162 patients were retrospectively gathered from 3 EMS systems. 1047 15-second CPR-artifacted segments (274 coarse VF + 773 non-shockable) were identified for analysis; their artifact and rhythm distributions reflect those found in the 162 patients. Each CPR artifacted segment was paired with an adjacent segment free of CPR artifact for reference. Independent reviewers manually annotated and verified Shock/No-Shock rhythm designations blinded to the ADC determination. The ADC algorithm automatically classified each segment into categories of Shock/No Shock/Pause CPR For Clean Analysis, where the last category is segments recognized by the ADC as too noisy for accurate Shock/No Shock determination. In those situations the device would revert to the current approach of a CPR pause for AED rhythm analysis. Results : Of the 1047 CPR-artifacted segments, the ADC recommended to “Pause CPR For Clean Analysis” in 10% (n=109), including 4.4% of VF segments (12/274) and 12% (97/773) of non-shockable segments. Of the 938 remaining segments, the ADC correctly identified VF in 97% (sensitivity: 255/262) and correctly identified nonshockable rhythms in 96% (specificity: 650/676). Corresponding positive and negative predictive values were 91% and 99% respectively. Conclusions : The ADC is the first algorithm for automated ECG rhythm analysis during ongoing CPR that has been demonstrated to meet the existing AHA sensitivity and specificity recommendations designed for traditional rhythm analysis during hands-off pauses. Incorporation of this algorithm into an AED may eliminate about 90% of analysis pauses without compromising analysis accuracy and in turn may improve the likelihood of resuscitation.

scholarly journals TANGGAP DARURAT MEDIS (CODE BLUE) STUDI KASUS PADA RUMAH SAKIT UMUM DAERAH ABDUL WAHAB SJAHRANIE DI SAMARINDA

2019 ◽  
Vol 5 (2) ◽  
pp. 93-103
Author(s):  
Widya Mulya ◽  
Muhammad Syandi Fahrizal
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Automatic External Defibrillator ◽  
Code Blue ◽  
External Defibrillator

Code blue digunakan untuk menandakan adanya pasien yang sedang mengalami henti nafas, henti jantung di Rumah Sakit. Tim code blue melakukan Cardiopulmonary Resuscitation (CPR) yaitu tindakan pertolongan pertama pada orang yang mengalami henti napas, kemudian melakukan defibrilasi yaitu menganalisis irama jantung secara otomatis dan memberikan kejutan listrik untuk mengembalikan irama jantung dengan alat medis Automatic External Defibrillator (AED) (standar waktu tanggap petugas terhadap keadaan darurat code blue yaitu 3 – 5 menit menurut American Heart Association). Menurut data Rumah Sakit Umum Daerah Abdul Wahab Sjahranie Samarinda (Mei 2019), kejadian darurat code blue terjadi 12 kali dalam 3 tahun terakhir dengan diagnosa gagal jantung kongestif (decompensate cordis). Tujuan penelitian yaitu untuk mengetahui tanggap darurat medis (code blue) studi kasus pada Rumah Sakit Umum Daerah Abdul Wahab Sjahranie di Samarinda. Penelitian ini dilakukan dengan cara observasi langsung dan simulasi serta wawancara mendalam terkait waktu tanggap petugas terhadap kejadian darurat code blue. Berdasarkan hasil simulasi code blue pada Tanggal 04 Juli 2019, bahwa waktu tanggap petugas terhadap keadaan darurat code blue, pasien mendapatkan CPR dan AED pada waktu 4 menit 31 detik setelah alarm berbunyi. Berdasarkan hasil observasi langsung dan wawancara mendalam, sistem tanggap darurat blue code di Rumah Sakit Umum Daerah Abdul Wahab Sjahranie sudah terdiri dari sistem alarm, sarana dan prasarana pendukung tanggap darurat, pengetahuan pekerja, sistem organisasi dan sistem prosedur. Perbaikan-perbaikan yang diperlukan terdiri dari standar operasional prosedur kejadian henti jantung, standar operasional prosedur penggunaan alat defibrilasi (AED) karena petugas berpotensi mengalami beberapa bahaya saat melakukan tanggap darurat seperti shock dari alat defibrilasi otomatis, kemudian dokumentasi dan pelaporan.

scholarly journals Influence of Rescuers’ Gender and Body Mass Index on Cardiopulmonary Resuscitation according to the American Heart Association 2010 Resuscitation Guidelines

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Ahmad Jaafar ◽  
Mohammad Abdulwahab ◽  
Eman Al-Hashemi
Keyword(s):  
Body Mass Index ◽  
Cardiopulmonary Resuscitation ◽  
Body Mass ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Resuscitation Guidelines ◽  
The Mean ◽  
The Individual ◽  
Cpr Training

Background and Objectives. The quality of cardiopulmonary resuscitation (CPR) is an important factor in determining its overall outcome. This study aims to test the association between rescuers’ gender, Body Mass Index (BMI), and the accuracy of chest compressions (CC) as well as ventilation, according to American Heart Association (AHA) 2010 resuscitation guidelines. Methods. The study included 72 participants of both genders. All the participants received CPR training according to AHA 2010 resuscitation guidelines. One week later, an assessment of their CPR was carried out. Moreover, the weight and height of the participants were measured in order to calculate their BMI. Results. Our analysis showed no significant association between gender and the CC depth (P=0.53) as well as between gender and ventilation (P=0.42). Females were significantly faster than males in CC (P=0.000). Regarding BMI, participants with a BMI less than the mean BMI of the study sample tended to perform CC with the correct depth (P=0.045) and to finish CC faster than those with a BMI more than the mean (P=0.000). On the other hand, no significant association was found between BMI and ventilation (P=0.187). Conclusion. CPR can be influenced by factors such as gender and BMI, as such the individual rescuer and CPR training programs should take these into account in order to maximize victims’ outcome.

Part 5: Neonatal Resuscitation 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

PEDIATRICS ◽  
2020 ◽  
Vol 147 (Supplement 1) ◽  
pp. e2020038505E ◽  
Author(s):  
Khalid Aziz ◽  
Chair; Henry C. Lee ◽  
Marilyn B. Escobedo ◽  
Amber V. Hoover ◽  
Beena D. Kamath-Rayne ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Neonatal Resuscitation ◽  
Heart Association ◽  
Cardiovascular Care

scholarly journals 2019 American Heart Association Focused Update on Systems of Care: Dispatcher-Assisted Cardiopulmonary Resuscitation and Cardiac Arrest Centers: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Circulation ◽  
2019 ◽  
Vol 140 (24) ◽  
Author(s):  
Ashish R. Panchal ◽  
Katherine M. Berg ◽  
José G. Cabañas ◽  
Michael C. Kurz ◽  
Mark S. Link ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Systems Of Care ◽  
Heart Association ◽  
Integrated System ◽  
Care Chain ◽  
Published Evidence ◽  
Hospital Cardiac Arrest

Survival after out-of-hospital cardiac arrest requires an integrated system of care (chain of survival) between the community elements responding to an event and the healthcare professionals who continue to care for and transport the patient for appropriate interventions. As a result of the dynamic nature of the prehospital setting, coordination and communication can be challenging, and identification of methods to optimize care is essential. This 2019 focused update to the American Heart Association systems of care guidelines summarizes the most recent published evidence for and recommendations on the use of dispatcher-assisted cardiopulmonary resuscitation and cardiac arrest centers. This article includes the revised recommendations that emergency dispatch centers should offer and instruct bystanders in cardiopulmonary resuscitation during out-of-hospital cardiac arrest and that a regionalized approach to post–cardiac arrest care may be reasonable when comprehensive postarrest care is not available at local facilities.

scholarly journals 2019 American Heart Association Focused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Circulation ◽  
2019 ◽  
Vol 140 (24) ◽  
Author(s):  
Jonathan P. Duff ◽  
Alexis A. Topjian ◽  
Marc D. Berg ◽  
Melissa Chan ◽  
Sarah E. Haskell ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
Life Support ◽  
American Heart ◽  
Heart Association ◽  
Targeted Temperature Management ◽  
Temperature Management ◽  
Liaison Committee ◽  
Hospital Cardiac Arrest

This 2019 focused update to the American Heart Association pediatric advanced life support guidelines follows the 2018 and 2019 systematic reviews performed by the Pediatric Life Support Task Force of the International Liaison Committee on Resuscitation. It aligns with the continuous evidence review process of the International Liaison Committee on Resuscitation, with updates published when the International Liaison Committee on Resuscitation completes a literature review based on new published evidence. This update provides the evidence review and treatment recommendations for advanced airway management in pediatric cardiac arrest, extracorporeal cardiopulmonary resuscitation in pediatric cardiac arrest, and pediatric targeted temperature management during post–cardiac arrest care. The writing group analyzed the systematic reviews and the original research published for each of these topics. For airway management, the writing group concluded that it is reasonable to continue bag-mask ventilation (versus attempting an advanced airway such as endotracheal intubation) in patients with out-of-hospital cardiac arrest. When extracorporeal membrane oxygenation protocols and teams are readily available, extracorporeal cardiopulmonary resuscitation should be considered for patients with cardiac diagnoses and in-hospital cardiac arrest. Finally, it is reasonable to use targeted temperature management of 32°C to 34°C followed by 36°C to 37.5°C, or to use targeted temperature management of 36°C to 37.5°C, for pediatric patients who remain comatose after resuscitation from out-of-hospital cardiac arrest or in-hospital cardiac arrest.

Sign in / Sign up

Export Citation Format

Share Document