scholarly journals Immediate Bystander Response to Sudden Cardiac Arrest During Sports is Associated with Improved Survival -- A Video Analysis.

2020 ◽  
Author(s):  
Nicole M Panhuyzen-Goedkoop ◽  
Hein JJ Wellens ◽  
Andre LM Verbeek ◽  
Jan J Piek ◽  
Ron JG Peters
Keyword(s):  
Cardiac Arrest ◽  
Video Analysis ◽  
Elite Athletes ◽  
Sudden Cardiac Arrest ◽  
Early Defibrillation ◽  
Chest Compressions ◽  
Neurologic Dysfunction ◽  
Bystander Response ◽  
Current Guidelines

Abstract Background Sudden cardiac arrest (SCA) during sports can be the first symptom of yet undetected cardiovascular conditions. Immediate chest compressions and early defibrillation offer SCA victims the best chance of survival, which requires prompt bystander response.Aims To determine the effect of rapid bystander response to SCA during sports by searching for and analyzing videos of these SCA/SCD events from the internet.Methods We searched images.google.com, video.google.com and YouTube.com, and included any camera-witnessed non-traumatic SCA in athletes and other sports participants at any sports facility. The rapidity of starting bystander chest compressions and defibrillation was classified as <3, 3-5, or >5 minutes. The year SCA occurred was allocated to 1990-2009, 2010-2014 or 2015 onwards, compatible with the current guidelines.ResultsWe identified and included 28 victims of average age 27.9 years (SD=9.8); 27 were males, 22 elite athletes, and 17 participated in soccer. Bystander response <3 minutes (6/28) or 3-5 minutes (1/28) and defibrillation <3 minutes was associated with 100% survival. Not performing chest compressions and defibrillation was associated with death (14/28), and >5 minutes delay of intervention with worse outcome (death 4/28, severe neurologic dysfunction 1/28). Survival was highest between 2010-2014 (71.4%).ConclusionsAnalysis of internet videos showed that immediate bystander response to non-traumatic SCA during sports was associated with improved survival. This suggests that immediate chest compressions and early defibrillation are crucially important in SCA during sport, as they are in other settings. Optimal use of both will most likely result in survival. The observed bystander responses to SCA during sports do not show awareness of current guidelines.

scholarly journals Immediate Bystander Cardiopulmonary Resuscitation to Sudden Cardiac Arrest During Sports is Associated with Improved Survival—a Video Analysis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nicole M. Panhuyzen-Goedkoop ◽  
Hein J. Wellens ◽  
André L. M. Verbeek ◽  
Jan J. Piek ◽  
Ron J. G. Peters
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Early Defibrillation ◽  
Chest Compressions ◽  
Sports Activity ◽  
Link Type ◽  
Elite Level ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Bystander Cpr

Abstract Background Sudden cardiac arrest (SCA) during sports can be the first symptom of yet undetected cardiovascular conditions. Immediate chest compressions and early defibrillation offer SCA victims the best chance of survival, which requires prompt bystander cardiopulmonary resuscitation (CPR). Aims To determine the effect of rapid bystander CPR to SCA during sports by searching for and analyzing videos of these SCA/SCD events from the internet. Methods We searched images.google.com, video.google.com, and YouTube.com, and included any camera-witnessed non-traumatic SCA during sports. The rapidity of starting bystander chest compressions and defibrillation was classified as < 3, 3–5, or > 5 min. Results We identified and included 29 victims of average age 27.6 ± 8.5 years. Twenty-eight were males, 23 performed at an elite level, and 18 participated in soccer. Bystander CPR < 3 min (7/29) or 3–5 min (1/29) and defibrillation < 3 min was associated with 100% survival. Not performing chest compressions and defibrillation was associated with death (14/29), and > 5 min delay of intervention with worse outcome (death 4/29, severe neurologic dysfunction 1/29). Conclusions Analysis of internet videos showed that immediate bystander CPR to non-traumatic SCA during sports was associated with improved survival. This suggests that immediate chest compressions and early defibrillation are crucially important in SCA during sport, as they are in other settings. Optimal use of both will most likely result in survival. Most videos showing recent events did not show an improvement in the proportion of athletes who received early resuscitation, suggesting that the problem of cardiac arrest during sports activity is poorly recognized.

scholarly journals The Role of Automated External Defibrillators in Athletics

2009 ◽  
Vol 1 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Justin D. Rothmier ◽  
Jonathan A. Drezner
Keyword(s):  
Cardiac Arrest ◽  
Action Plan ◽  
Sudden Cardiac Arrest ◽  
Public Access ◽  
Time Interval ◽  
Athletic Programs ◽  
Early Defibrillation ◽  
Automated External Defibrillators ◽  
External Defibrillator

Context: Sudden cardiac arrest is the leading cause of death in young athletes. The purpose of this review is to summarize the role of automated external defibrillators and emergency planning for sudden cardiac arrest in the athletic setting. Evidence Acquisition: Relevant studies on automated external defibrillators, early defibrillation, and public-access defibrillation programs were reviewed. Recommendations from consensus guidelines and position statements applicable to automated external defibrillators in athletics were also considered. Results: Early defibrillation programs involving access to automated external defibrillators by targeted local responders have demonstrated a survival benefit for sudden cardiac arrest in many public and athletic settings. Conclusion: Schools and organizations sponsoring athletic programs should implement automated external defibrillators as part of a comprehensive emergency action plan for sudden cardiac arrest. In a collapsed and unresponsive athlete, sudden cardiac arrest should be suspected and an automated external defibrillator applied as soon as possible, as decreasing the time interval to defibrillation is the most important priority to improve survival in sudden cardiac arrest.

Comparing bystander response to a sudden cardiac arrest using a virtual reality CPR training mobile app versus a standard CPR training mobile app

Resuscitation ◽  
2019 ◽  
Vol 139 ◽  
pp. 167-173 ◽  
Author(s):  
Marion Leary ◽  
Shaun K. McGovern ◽  
Zainab Chaudhary ◽  
Jaldhi Patel ◽  
Benjamin S. Abella ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Mobile App ◽  
Bystander Response ◽  
Cpr Training

Abstract 196: Comparing Bystander Response to an Unannounced Cardiac Arrest Based on Victim Gender Using an Immersive Virtual Reality System

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Marion Leary ◽  
Alfredo Almodovar ◽  
David Buckler ◽  
Jaldhi Patel ◽  
Zainab A Chaudhary ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Real Life ◽  
Emergency Situation ◽  
Male Victims ◽  
Female Victim ◽  
Male Victim ◽  
Female Victims ◽  
Bystander Response

Introduction: Bystander response to a sudden cardiac arrest (SCA) should ideally be the same for all victims, however studies have shown disparities in response exist based on the gender of the victim. Current virtual reality (VR) wearable technology allows for the creation of high realism scenarios permitting manipulation of the victim’s gender in order to observe bystander response. Objectives: We sought to compare lay bystander response to an unannounced simulated VR SCA event based on the victim’s gender. Methods: Using our VR SCA system integrated with a CPR recording manikin, we randomized the avatar victim’s gender to either female or male (Figure 1). Subjects were able to interact with simulated bystanders, give vocal commands such as “call 911” or “get an AED”, and perform CPR on the simulated victim in the virtual environment while simultaneously performing CPR on the manikin. Subjects were unaware of the nature of the event but were told to respond however they would in real-life to an emergency situation. Subject’s ability to proceed through the Chain of Survival (Call 911, Perform CPR, Ask for and Use an AED) and CPR quality were recorded. Results: Between 9/2017 and 12/2017, 75 subjects were enrolled; mean age was 31±11 yrs, 35% were female, 49% were White, and 66% had never been trained in CPR or were trained >2 yrs prior. In total, 59% of subjects performed CPR, and 11% used an AED. CPR was performed on male victims 65% of the time vs 54% on female victims (p=NS, Figure 2a); An AED was used 21% of the time for male victims vs 15% for female victims (p=NS, Figure 2b). If the subject was male, CPR was performed on a female victim 56% of the time vs 71% for a male victim; female subjects performed CPR on a female victim 50% vs 58% on a male victim (p=NS). Conclusion: In our unannounced, immersive VR SCA study, there was a trend toward less CPR and AED use on female avatar victims. Future work will need to be powered to evaluate disparities in CPR and AED use based on gender.

scholarly journals Hands-On Times, Adherence to Recommendations and Variance in Execution among Three Different CPR Algorithms: A Prospective Randomized Single-Blind Simulator-Based Trial

2020 ◽  
Vol 17 (21) ◽  
pp. 7946
Author(s):  
Sami Rifai ◽  
Timur Sellmann ◽  
Dietmar Wetzchewald ◽  
Heidrun Schwager ◽  
Franziska Tschan ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Randomized Trials ◽  
Supraglottic Airway ◽  
Chest Compressions ◽  
Median Percentage ◽  
Liaison Committee ◽  
Hands On ◽  
Cardiocerebral Resuscitation ◽  
Current Guidelines ◽  
Single Blind

Background: Alternative cardiopulmonary resuscitation (CPR) algorithms, introduced to improve outcomes after cardiac arrest, have so far not been compared in randomized trials with established CPR guidelines. Methods: 286 physician teams were confronted with simulated cardiac arrests and randomly allocated to one of three versions of a CPR algorithm: (1) current International Liaison Committee on Resuscitation (ILCOR) guidelines (“ILCOR”), (2) the cardiocerebral resuscitation (“CCR”) protocol (3 cycles of 200 uninterrupted chest compressions with no ventilation), or (3) a local interpretation of the current guidelines (“Arnsberg“, immediate insertion of a supraglottic airway and cycles of 200 uninterrupted chest compressions). The primary endpoint was percentage of hands-on time. Results: Median percentage of hands-on time was 88 (interquartile range (IQR) 6) in “ILCOR” teams, 90 (IQR 5) in “CCR” teams (p = 0.001 vs. “ILCOR”), and 89 (IQR 4) in “Arnsberg” teams (p = 0.032 vs. “ILCOR”; p = 0.10 vs. “CCR”). “ILCOR” teams delivered fewer chest compressions and deviated more from allocated targets than “CCR” and “Arnsberg” teams. “CCR” teams demonstrated the least within-team and between-team variance. Conclusions: Compared to current ILCOR guidelines, two alternative CPR algorithms advocating cycles of uninterrupted chest compressions resulted in very similar hands-on times, fewer deviations from targets, and less within-team and between-team variance in execution.

Cardiopulmonary resuscitation: the science behind the hands

Heart ◽  
2018 ◽  
Vol 104 (13) ◽  
pp. 1056-1061 ◽  
Author(s):  
Andrew W Harris ◽  
Peter J Kudenchuk
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Heart Association ◽  
Scientific Basis ◽  
Chest Compressions ◽  
High Quality ◽  
Physiological Basis ◽  
Successful Resuscitation ◽  
External Chest Compressions

Sudden cardiac arrest is a leading cause of death worldwide. Despite significant advances in resuscitation science since the initial use of external chest compressions in humans nearly 60 years ago, there continues to be wide variability in rates of successful resuscitation across communities. The American Heart Association (AHA) and European Resuscitation Council emphasise the importance of high-quality chest compressions as the foundation of resuscitation care. We review the physiological basis for the association between chest compression quality and clinical outcomes and the scientific basis for the AHA’s key metrics for high-quality cardiopulmonary resuscitation. Finally, we highlight that implementation of strategies that promote effective chest compressions can improve outcomes in all patients with cardiac arrest.

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