Factors influencing high-quality chest compressions during cardiopulmonary resuscitation scenario, according to 2015 American Heart Association Guidelines

2018 ◽  
pp. 642-647 ◽  
Author(s):  
Halla Kaminska ◽  
Wojciech Wieczorek ◽  
Pawel Matusik ◽  
Lukasz Czyzewski ◽  
Jerzy Robert Ladny ◽  
...  
Perfusion ◽  
2017 ◽  
Vol 33 (1) ◽  
pp. 71-73 ◽  
Author(s):  
Yong Mei ◽  
Xufeng Chen ◽  
Kai Sun ◽  
Jinru Lv ◽  
Hao Sun ◽  
...  

In recent years, the development of extracorporeal membrane oxygenation (ECMO) technology has led to its extensive use in clinical practice. In particular, ECMO can play an important role in cardiopulmonary resuscitation (CPR). The American Heart Association CPR guidelines recommend its use in patients with cardiac arrest due to reversible disorders, along with high-quality CPR. This is called extracorporeal cardiopulmonary resuscitation (ECPR). However, it is important to be aware of the possibility of infection-related complications. Here, we report on a patient who suffered a cardiac arrest in hospital and was rescued with ECMO, but who subsequently developed an infection with Scedosporium apiospermum.


2018 ◽  
Vol 12 (1) ◽  
pp. 118 ◽  
Author(s):  
Lusineide Carmo Andrade de Lacerda ◽  
Manoel Patrocinio Ferreira Júnior ◽  
Flávia Emília Cavalcante Valença Fernandes ◽  
Rachel Mola De Mattos

RESUMOObjetivo: identificar o conhecimento de profissionais do corpo de bombeiros militar sobre as manobras de ressuscitação cardiopulmonar. Método: estudo quantitativo, descritivo e exploratório. Foi aplicado questionário em 41 profissionais com questões referentes aos aspectos conceituais e práticos sobre a PCR de acordo com as diretrizes da American Heart Association/2015. Para a análise estatística, foram utilizados os programas Stata 12.0 e WinPepi, versão 11.43. Resultados: prevaleceu o sexo masculino, idade média de 35 anos, com formação superior e mais de cinco anos de experiência. Sobre os aspectos conceituais, apenas a definição de “Tempo de ouro” apresentou acertos inferiores a 50%. Para os aspectos práticos, as variáveis sobre a postura e profundidade das compressões torácicas ficaram abaixo de 50% de acertos. A associação da idade e a relação entre erros e acertos das questões sobre os aspectos práticos foi estatisticamente significativa. Conclusão: revelou-se a necessidade de qualificação em busca da excelência no atendimento à vítima de PCR dada a sua natureza emergencial. Descritores: Parada Cardiorrespiratória; Ressuscitação Cardiopulmonar; Emergências; Socorristas; Bombeiros.ABSTRACTObjective: to identify the knowledge of military firefighters on the maneuvers of cardiopulmonary resuscitation. Method: quantitative, descriptive and exploratory study. A questionnaire was administered to 41 professionals with questions regarding the conceptual and practical aspects of CRA according to the guidelines of the American Heart Association / 2015. For the statistical analysis, the programs Stata 12.0 and WinPepi, version 11.43, were used. Results: male prevailed, mean age 35 years, with higher education and more than five years of experience. Regarding the conceptual aspects, only the definition of "Golden time" presented hits less than 50%. For the practical aspects, the variables on the posture and depth of the chest compressions were below 50% of hits. The association between age and the relationship between errors and correct answers to questions about practical aspects was statistically significant. Conclusion: it was revealed the need for qualification in search of excellence in the assistance to the victim of CRA due to its emergency nature. Descriptors: Cardiorespiratory Arrest; Cardiopulmonary Resuscitation; Emergencies; Lifeguards; Firefighters.RESUMEN Objetivo: identificar el conocimiento de profesionales del cuerpo de bomberos militares sobre las maniobras de resucitación cardiopulmonar. Método: estudio cuantitativo, descriptivo y exploratorio. Se aplicó cuestionario en 41 profesionales con cuestiones referentes a los aspectos conceptuales y prácticos sobre la PCR de acuerdo con las directrices de la American Heart Association / 2015. Para el análisis estadístico, se utilizaron los programas Stata 12.0 y WinPepi, versión 11.43. Resultados: prevaleció el sexo masculino, edad media de 35 años, con formación superior y más de cinco años de experiencia. Sobre los aspectos conceptuales, sólo la definición de "Tiempo de oro" presentó aciertos inferiores al 50%. Para los aspectos prácticos, las variables sobre la postura y profundidad de las compresiones torácicas quedaron por debajo del 50% de aciertos. La asociación de la edad y la relación entre errores y aciertos de las cuestiones sobre los aspectos prácticos fue estadísticamente significativa. Conclusión: se reveló la necesidad de calificación en busca de la excelencia en la atención a la víctima de PCR dada la su naturaleza de emergencia. Descriptores: Parada Cardiorrespiratoria; Resucitación Cardiopulmonar; Emergencias; Socorristas; Bomberos.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Ahmad Jaafar ◽  
Mohammad Abdulwahab ◽  
Eman Al-Hashemi

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.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Joseph L Sullivan ◽  
Robert G Walker ◽  
Isabelle L Banville ◽  
Thomas D Rea ◽  
Fred W Chapman

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.


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 ◽  
...  

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