scholarly journals Usefulness of a stool to stabilize dental chairs for cardiopulmonary resuscitation (CPR)

2019 ◽  
Author(s):  
Norimasa Awata ◽  
Takashi Hitosugi ◽  
Yoichiro Miki ◽  
Yoshifumi Kawakubo ◽  
Takeshi Yokoyama
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Sudden Cardiac Arrest ◽  
Vertical Displacement ◽  
Care Providers ◽  
Dental Surgery ◽  
Dental Chair ◽  
Different Types ◽  
Vertical Displacements

Abstract Background: Cardiopulmonary resuscitation (CPR) requires immediate start of external chest compression (ECC) and cardioversion as soon as possible. During dental surgery, CPR could be started in the dental chair considering difficulty to move the patient from the dental chair to the floor. However, all types of dental chairs are not stable for ECC. We previously developed a procedure to stabilize a dental chair by using a stool. ERC guideline 2015 adopted our procedure when cardiac arrest during dental surgery. The objective of this study was to verify the efficacy of a stool as a stabilizer in different types of dental chairs. Methods: Three health care providers participated in this study, and 8 kinds of dental chairs were examined. ECC were performed on a manikin that was laid on the backrest of a dental chair. A stool was placed under the backrest to stabilize the dental chair. The vertical displacement of the backrest by ECC were compared between with and without a stool, and recorded by a camcorder. Results: In all 8 dental chairs, the method by using a stool significantly (p < 0.001) reduced the vertical displacements of the backrest by ECC. The reduction ratio varies varied between nearly 39 and 85%, and the overall mean was 62 ± 11%although it was different by chairs. Conclusions: Our procedure to stabilize dental chairs by using a stool reduced the displacement of a backrest against ECC in all chairs. Clinical relevance: Effective ECC could be performed in dental chairs by using a stool when sudden cardiac arrest occurs during dental surgery.

scholarly journals Usefulness of a stool to stabilize dental chairs for external chest compression

2019 ◽  
Author(s):  
Norimasa Awata ◽  
Takashi Hitosugi ◽  
Yoichiro Miki ◽  
Yoshifumi Kawakubo ◽  
Takeshi Yokoyama
Keyword(s):  
Cardiac Arrest ◽  
Health Care Providers ◽  
Chest Compression ◽  
Sudden Cardiac Arrest ◽  
Vertical Displacement ◽  
Care Providers ◽  
Dental Surgery ◽  
Dental Chair ◽  
External Chest Compression ◽  
Vertical Displacements

Abstract Objectives: Cardiopulmonary resuscitation (CPR) requires immediate start of external chest compression (ECC) and cardioversion as soon as possible. During dental surgery, CPR should be started in the dental chair considering difficulty to move the patient from the dental chair to the floor. However, all types of dental chairs are not stable for ECC. We previously developed a procedure to stabilize a dental chair by using a stool. ERC guideline 2015 adopted our procedure when cardiac arrest during dental surgery. The objective of this study was to verify the efficacy of a stool as a stabilizer in different types of dental chairs. Materials and methods: Three health care providers participated in this study, and 8 dental chairs were examined. ECC were performed on a manikin that was laid on the backrest of a dental chair. A stool was placed under the backrest to stabilize the dental chair. The vertical displacement of the backrest by ECC were compared between with and without a stool, and recorded by a camcorder. Results: In all 8 dental chairs, the method by using a stool significantly reduced the vertical displacements of the backrest by ECC. The reduction ratios were between nearly 39~85%, although it was different by chairs. Conclusions: Our procedure to stabilize dental chairs by using a stool significantly reduced the displacement of a backrest against ECC in all chairs. Clinical relevance: Effective ECC could be performed in dental chairs by using a stool when sudden cardiac arrest occurs during dental surgery.

scholarly journals Usefulness of a stool to stabilize dental chairs for cardiopulmonary resuscitation (CPR)

2019 ◽  
Author(s):  
Norimasa Awata ◽  
Takashi Hitosugi ◽  
Yoichiro Miki ◽  
Masanori Tsukamoto ◽  
Yoshifumi Kawakubo ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Vertical Displacement ◽  
Care Providers ◽  
European Resuscitation Council ◽  
Dental Surgery ◽  
Dental Chair ◽  
Different Types ◽  
Manual Chest Compression ◽  
Vertical Displacements

Abstract Background: Cardiopulmonary resuscitation (CPR) requires immediate start of manual chest compression (MCC) and defibrillation as soon as possible. During dental surgery, CPR could be started in the dental chair considering difficulty to move the patient from the dental chair to the floor. However, all types of dental chairs are not stable for MCC. We previously developed a procedure to stabilize a dental chair by using a stool. EUROPEAN RESUSCITATION COUNCIL (ERC) guideline 2015 adopted our procedure when cardiac arrest during dental surgery. The objective of this study was to verify the efficacy of a stool as a stabilizer in different types of dental chairs. Methods: Three health care providers participated in this study, and 8 kinds of dental chairs were examined. MCC were performed on a manikin that was laid on the backrest of a dental chair. A stool was placed under the backrest to stabilize the dental chair. The vertical displacement of the backrest by MCC was recorded by a camcorder and measured by millimeter. Next, the vertical displacement of the backrest by MCC were compared between with and without a stool. Results: In all 8 dental chairs, the method by using a stool significantly reduced the vertical displacements of the backrest by during MCC. The reduction ratio (mean [interquartile range]) varied between nearly 27 [20] and 87 [5] %. In the largest stabilization case, the displacement was 3.5 [0.5] mm with a stool versus 26 [5.5] mm without a stool (p < 0.001).

scholarly journals Usefulness of a stool to stabilize dental chairs for cardiopulmonary resuscitation (CPR)

2019 ◽  
Author(s):  
Norimasa Awata ◽  
Takashi Hitosugi ◽  
Yoichiro Miki ◽  
Masanori Tsukamoto ◽  
Yoshifumi Kawakubo ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Vertical Displacement ◽  
Care Providers ◽  
European Resuscitation Council ◽  
Dental Surgery ◽  
Dental Chair ◽  
Different Types ◽  
Manual Chest Compression ◽  
Vertical Displacements

Abstract Background: Cardiopulmonary resuscitation (CPR) requires immediate start of manual chest compression (MCC) and defibrillation as soon as possible. During dental surgery, CPR could be started in the dental chair considering difficulty to move the patient from the dental chair to the floor. However, all types of dental chairs are not stable for MCC. We previously developed a procedure to stabilize a dental chair by using a stool. EUROPEAN RESUSCITATION COUNCIL (ERC) guideline 2015 adopted our procedure when cardiac arrest during dental surgery. The objective of this study was to verify the efficacy of a stool as a stabilizer in different types of dental chairs. Methods: Three health care providers participated in this study, and 8 kinds of dental chairs were examined. MCC were performed on a manikin that was laid on the backrest of a dental chair. A stool was placed under the backrest to stabilize the dental chair. The vertical displacement of the backrest by MCC was recorded by a camcorder and measured by millimeter. Next, the vertical displacement of the backrest by MCC were compared between with and without a stool. Results: In all 8 dental chairs, the method by using a stool significantly reduced the vertical displacements of the backrest by during MCC. The reduction ratio (mean [interquartile range]) varied between nearly 27 [20] and 87 [5] %. In the largest stabilization case, the displacement was 3.5 [0.5] mm with a stool versus 26 [5.5] mm without a stool (p < 0.001).

scholarly journals Usefulness of a stool to stabilize dental chairs for cardiopulmonary resuscitation (CPR)

2019 ◽  
Author(s):  
Norimasa Awata ◽  
Takashi Hitosugi ◽  
Yoichiro Miki ◽  
Masanori Tsukamoto ◽  
Yoshifumi Kawakubo ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Vertical Displacement ◽  
Care Providers ◽  
European Resuscitation Council ◽  
Dental Surgery ◽  
Dental Chair ◽  
Different Types ◽  
Manual Chest Compression ◽  
Vertical Displacements

Abstract Background: Cardiopulmonary resuscitation (CPR) requires immediate start of manual chest compression (MCC) and defibrillation as soon as possible. During dental surgery, CPR could be started in the dental chair considering difficulty to move the patient from the dental chair to the floor. However, all types of dental chairs are not stable for MCC. We previously developed a procedure to stabilize a dental chair by using a stool. EUROPEAN RESUSCITATION COUNCIL (ERC) guideline 2015 adopted our procedure when cardiac arrest during dental surgery. The objective of this study was to verify the efficacy of a stool as a stabilizer in different types of dental chairs. Methods: Three health care providers participated in this study, and 8 kinds of dental chairs were examined. MCC were performed on a manikin that was laid on the backrest of a dental chair. A stool was placed under the backrest to stabilize the dental chair. The vertical displacement of the backrest by MCC was recorded by a camcorder and measured by millimeter. Next, the vertical displacement of the backrest by MCC were compared between with and without a stool. Results: In all 8 dental chairs, the method by using a stool significantly reduced the vertical displacements of the backrest by during MCC. The reduction ratio (mean [interquartile range]) varied between nearly 27 [20] and 87 [5] %. In the largest stabilization case, the displacement was 3.5 [0.5] mm with a stool versus 26 [5.5] mm without a stool (p < 0.001).

Effectiveness of a Dispatcher-Assisted Cardiopulmonary Resuscitation Program Developed by the Thailand National Institute of Emergency Medicine (NIEMS)

2021 ◽  
pp. 1-6
Author(s):  
Chuenruthai Angkoontassaneeyarat ◽  
Chaiyaporn Yuksen ◽  
Chetsadakon Jenpanitpong ◽  
Pemika Rukthai ◽  
Marisa Seanpan ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Care Providers ◽  
Chest Compressions ◽  
Threatening Condition ◽  
Life Threatening

Abstract Background: Out-of-hospital cardiac arrest (OHCA) is a life-threatening condition with an overall survival rate that generally does not exceed 10%. Several factors play essential roles in increasing survival among patients experiencing cardiac arrest outside the hospital. Previous studies have reported that implementing a dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) program increases bystander CPR, quality of chest compressions, and patient survival. This study aimed to assess the effectiveness of a DA-CPR program developed by the Thailand National Institute for Emergency Medicine (NIEMS). Methods: This was an experimental study using a manikin model. The participants comprised both health care providers and non-health care providers aged 18 to 60 years. They were randomly assigned to either the DA-CPR group or the uninstructed CPR (U-CPR) group and performed chest compressions on a manikin model for two minutes. The sequentially numbered, opaque, sealed envelope method was used for randomization in blocks of four with a ratio of 1:1. Results: There were 100 participants in this study (49 in the DA-CPR group and 51 in the U-CPR group). Time to initiate chest compressions was statistically significantly longer in the DA-CPR group than in the U-CPR group (85.82 [SD = 32.54] seconds versus 23.94 [SD = 16.70] seconds; P <.001). However, the CPR instruction did not translate into better performance or quality of chest compressions for the overall sample or for health care or non-health care providers. Conclusion: Those in the CPR-trained group applied chest compressions (initiated CPR) more quickly than those who initiated CPR based upon dispatch-based CPR instructions.

scholarly journals Cardiopulmonary resuscitation during the COVID-19 pandemic: a scientific statement on CPR management protocol of Kasr Al-Ainy University Hospital is presented

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Hesham S. Taha ◽  
Mirna M. Shaker ◽  
Mohamed M. Abdelghany
Keyword(s):  
Health Care ◽  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
University Hospital ◽  
Rapid Sequence Intubation ◽  
Main Body ◽  
Care Providers ◽  
Management Protocol ◽  
Scientific Statement

Abstract Background The COVID-19 pandemic poses a major burden to the healthcare system in Egypt, and in the face of a highly infective disease which can prove fatal, healthcare systems need to change their management protocols to meet these new challenges. Main body This scientific statement, developed by the cardiology department at Cairo University, emphasized 6 different aspects that are intended to guide healthcare providers during cardiopulmonary resuscitation (CPR) in the era of the COVID-19 pandemic. It highlighted the importance of dealing with all cardiac arrest victims, during the pandemic, as potential COVID-19 cases, and the use of appropriate personal protective equipment (PPE) by health care providers during the procedure. It also stated that the CPR procedure should be done in a separate room with the door closed and that the number of providers present during the procedure should be limited to only those who are essential for patient resuscitation. It also stressed that family members and accompanying personnel of patients with possible COVID-19 should not be in the vicinity of CPR site. The statement also pointed out that CPR procedure should be done in the standard manner with precautions to minimize spread of infection to the staff and accompanying people. Early intubation was prioritized, and the use of rapid sequence intubation with appropriate PPE was recommended. For delivery of CPR for the prone ventilated patient, delivery of chest compressions by pressing the patient’s back, while a team prepares to turn the patient supine, was recommended. During intra-hospital transport, it was emphasized that the receiving intensive care unit (ICU) should be notified about the possibility of the patient being COVID-19 positive, so that appropriate infection control precautions are taken. Conclusion Cardiopulmonary resuscitation of cardiac arrest patients in the COVID-19 era poses a significant challenge, and all health care providers should deal with any cardiac arrest victim presenting to the emergency department as potential COVID-19 suspects and should use the appropriate PPE.

scholarly journals Knowledge of Nonmedical Individuals about Cardiopulmonary Resuscitation in Case of Cardiac Arrest: A Cross-Sectional Study in the Population of Jeddah, Saudi Arabia

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Fadi Jandali Qara ◽  
Loui K. Alsulimani ◽  
Maged M. Fakeeh ◽  
Diyaa H. Bokhary
Keyword(s):  
Saudi Arabia ◽  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Life Support ◽  
Public Awareness ◽  
Care Providers ◽  
Chest Compressions ◽  
Cross Sectional ◽  
Initial Care

Introduction. In cardiac arrest victims, providing a high-quality cardiopulmonary resuscitation (CPR) is a fundamental component of initial care, especially in the out-of-hospital settings. In this study, we sought to assess the knowledge of nonmedical people regarding cardiopulmonary resuscitation in the case of out-of-hospital cardiac arrest. Methods. A cross-sectional survey containing 22 questions was administered to individuals aged ≥ 18 years, who were not health care providers. Sample included residents of Jeddah, Saudi Arabia. The survey included knowledge about cardiac arrest findings, previous experience with CPR, knowledge of basic life support (BLS), and concerns related to CPR. Results. The fully completed survey forms of 600 respondents were analysed. Out of these, 28.7% stated that they had previously received training in CPR. Regarding manifestations of cardiac arrest, 40.7% suggested loss of consciousness, 36.8% suggested cessation of breathing, and 24.7% suggested cessation of circulation. Only 11.7% among respondents were found to be able to perform chest compressions. Also, only 9.2% could perform mouth-to-mouth ventilation, and 29.5% were able to perform both. While 55.5% knew the location for performing chest compressions, 44.7% knew the correct depth, and only 18.5% knew the correct compression–ventilation rate. Bystander CPR had been performed by only 10.7%. Conclusion. In our sample, we found lack of knowledge regarding CPR. We advise for a coordinated national effort to improve the public awareness about CPR performance. This may include mass education, specialized training, and setting legislations.

scholarly journals Comparison of Different Methods For Effective Manual Chest Compression In Dental Chairs, During Cardiopulmonary Resuscitation (CPR): A Manikin Study

2021 ◽  
Author(s):  
Takashi Hitosugi ◽  
Norimasa Awata ◽  
Yoichiro Miki ◽  
Masanori Tsukamoto ◽  
Takeshi Yokoyama
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Vertical Displacement ◽  
Reduction Ratio ◽  
Dental Chair ◽  
Manikin Study ◽  
Flat Shape ◽  
Sufficient Stability ◽  
Manual Chest Compression ◽  
Vertical Displacements

Abstract During cardiopulmonary resuscitation (CPR), almost commercially dental chairs lack sufficient stability to perform effective manual chest compression (MCC). In our previous study, our technique that stabilizing stool can significantly reduce vertical displacement in a dental chair’s backrest. This study demonstrates that the efficacy of different methods for stabilizing 3 types of dental chair with a flat or a severely curved backrest exterior for effective MCC. Vertical displacement of the dental chair’s backrest was recorded. The data was captured with three different stool positions (no stool, under MCC, under shoulders). Reduction ratios were calculated to evaluate the effectiveness of the stool positions. In all types of dental chair, the technique significantly reduced the vertical displacements of the backrest. The reduction ratio varied nearly 40% under the area for MCC and 65% under the shoulder with a severely curved backrest exterior. With a flat shape of dental chair, these ratios were around 90% versus without a stool. The technique is a firm support and reduce the displacement of any type of dental chair’s backrest for effective MCC.

P2827Different views of sudden cardiac arrest characteristics according to the assessed population

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
N Karam ◽  
W Bougouin ◽  
V Waldmann ◽  
F Dumas ◽  
D Jost ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Arrest ◽  
Intensive Care ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Population Characteristics ◽  
P Value ◽  
Automated External Defibrillator ◽  
Care Providers ◽  
External Defibrillator

Abstract Background Survival rate remains extremely low in sudden cardiac arrest (SCA) and death may occur at all stages of its management. We hypothesized that different medical care providers have different visions of the SCA population characteristics. Purpose To assess SCA characteristics among four groups: all-comers SCA, resuscitated SCA, SCA admitted alive to intensive care unit (ICU), and SCA admitted to cardiology. Methods Data was taken from the Paris Sudden Cardiac Death Expertise Center prospective registry that includes all adults presenting SCA in Paris and suburbs (6.7 millions). We compared SCA characteristics according to the management phase where the population was assessed. Results Of 18,622 out-of-hospital cardiac arrests occurring between 2011 and 2016, 15,207 fulfilled SCA criteria and had known resuscitation status. Among them, 9,721 SCA (63.9%) underwent resuscitation, leading to 3,349 SCA (22.0%) admitted to ICU, then 735 (4.8%) admitted to Cardiology. Mean age was highest in the global population (70.7yrs), and decreased progressively throughout the phases to 57.0yrs in cardiology (P<0.001). Ratio of male victims and rates of witnessed SCA and bystanders' cardiopulmonary resuscitation and automated external defibrillator use increased gradually (all P<0.001). No flow duration decreased by a third (9.1min overall to 3.0min in cardiology, P<0.001). The rate of shockable initial rhythm increased drastically, from 19.5% overall to 26.8% in resuscitated patients, 48.9% in ICU-admitted SCA, and 89.4% in cardiology-admitted (Table). Sudden cardiac arrests characteristics Entire SCA population SCA with attempted resuscitation SCA admitted to ICU SCA admitted to Cardiology P value n=15,207 n=9,721 n=3349 n=735 Age (years ± SD) 70.7±16.9 65.8±16.1 59.7±15.7 57.0±14.5 <0.001 Male sex, n (%) 9,353 (61.6) 6607 (68.0) 2395 (71.5) 599 (81.5) <0.001 Home location, n (%) 12,297 (81.1) 7075 (73.0) 1906 (56.9) 269 (36.6) <0.001 Bystander, n (%) 10,546 (71.2) 7545 (78.7) 3037 (90.7) 715 (97.3) <0.001 Bystander CPR, n (%) 5,684 (39.1) 4504 (47.7) 2120 (63.5) 583 (81.2) <0.001 Public AED use, n (%) 155 (1.0) 142 (1.5) 116 (3.5) 51 (6.9) <0.001 No flow, (min ± SD) 9.1±12.5 7.5±10.4 5.3±6.6 3.0±3.8 <0.001 EMS call-to-arrival delay, (min ± SD) 10.2±5.8 10.1±5.7 10.1±6.1 9.6±6.4 0.068 Initial Shockable rhythm, n (%) 2,643 (19.5) 2529 (26.8) 1635 (48.9) 657 (89.4) <0.001 SCA: sudden cardiac arrest; AED: automated external defibrillator; CPR: cardiopulmonary resuscitation; EMS: emergency medical service; ICU: intensive care unit. Conclusion Characteristics of SCA change considerably according to the assessed population, leading to different views on SCA reality. Keeping in mind the SCA population considered is paramount for a non-biased view of SCA.

scholarly journals How is quality of cardiopulmonary resuscitation being assessed? A national survey of Canadian emergency medicine physicians

CJEM ◽  
2019 ◽  
Vol 21 (6) ◽  
pp. 744-748 ◽  
Author(s):  
Natasha Wright ◽  
Yiqun Lin ◽  
Adam Cheng
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Real Time ◽  
Health Care Providers ◽  
Visual Observation ◽  
Care Providers ◽  
Emergency Physicians ◽  
Canadian Association ◽  
Cpr Quality

ABSTRACTBackgroundHigh-quality cardiopulmonary resuscitation (CPR) is a fundamental intervention for cardiac arrest, yet health care providers rarely adhere to recommended guidelines. Real-time feedback improves CPR performance. It is currently unknown how Canadian emergency physicians assess CPR quality during cardiac arrest and if they use feedback devices. Our aim was to describe how emergency physicians assess CPR quality and to describe eventual barriers to implementation of feedback technology.MethodsThis was a cross-sectional survey that was distributed to attending and resident emergency physicians through the Canadian Association of Emergency Physicians. Responses were summarized and analyzed using descriptive statistics.ResultsThe response rate was 19% (323/1735). Visual observation was the most common method of assessing CPR quality (41.2%), with leaders standing at the foot of the bed (67.4%). This was followed by real-time pulse check (29.7%) and end-tidal CO2 values (21.7%). Only 12% of physicians utilized CPR feedback technology. The most common perceived barrier to utilization was unavailability, inexperience with devices and lack of guidelines/evidence for their use.ConclusionMost Canadian emergency physicians that responded to our survey, assess quality of CPR by standing at the foot of the bed and utilize visual observation and palpation methods which are known to be inaccurate. A minority utilize objective measurements such as ETCO2 or feedback devices, with the greatest barrier being lack of availability.

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