Analysis of bystander CPR quality during out-of-hospital cardiac arrest using data derived from automated external defibrillators

Resuscitation
Shannon M FernandoIan Stiell

Abstract

Little is known regarding the quality of cardiopulmonary resuscitation (CPR) performed by bystanders in out-of-hospital cardiac arrest (OHCA). We sought to determine quality of bystander CPR provided during OHCA using CPR quality data stored by Automated External Defibrillators (AEDs). We used the Resuscitation Outcomes Consortium database to identify OHCA cases of presumed cardiac etiology where an AED was utilized. We then matched AED data to each case identified. AED data was analyzed using manufacturer software in order to determine overall measures of bystander CPR quality, changes in bystander CPR quality over time, and adherence to existing 2010 Resuscitation Quality Guidelines. 100 cases of OHCA of presumed cardiac etiology involving bystander CPR and with corresponding AED data. Mean age was 62.3 years, and 75% were male. Bystanders demonstrated high-quality CPR over all minutes of resuscitation, with a chest compression fraction of 76%, a compression depth of 5.3 cm, and a compression rate of 111.2 compressions/min. Mean perishock pause was 26.8 s. Adherence rates to 2010 Resuscitation Guidelines for compression rate and depth were found to be 66% and 55%, respectively. CPR quality was lowest in the first minute, resu...Continue Reading

Citations

Mar 27, 2020·Emergency Medicine International·Hye Ji ParkChoung Ah Lee
Mar 5, 2021·Journal of the American Heart Association·Richard ChocronThomas Rea
Jul 9, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marinos KosmopoulosDemetris Yannopoulos
Aug 5, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Anne-Sofie Linde JellestadLinn Andelius

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