Jul 4, 2009

Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation

Annals of Emergency Medicine
Henry E WangClifton W Callaway

Abstract

Emergency cardiac care guidelines emphasize treatment of cardiopulmonary arrest with continuous uninterrupted cardiopulmonary resuscitation (CPR) chest compressions. Paramedics in the United States perform endotracheal intubation on nearly all victims of out-of-hospital cardiopulmonary arrest. We quantified the frequency and duration of CPR chest compression interruptions associated with paramedic endotracheal intubation efforts during out-of-hospital cardiopulmonary arrest. We studied adult out-of-hospital cardiopulmonary arrest treated by an urban and a rural emergency medical services agency from the Resuscitation Outcomes Consortium during November 2006 to June 2007. Cardiac monitors with compression sensors continuously recorded rescuer CPR chest compressions. A digital audio channel recorded all resuscitation events. We identified CPR interruptions related to endotracheal intubation efforts, including airway suctioning, laryngoscopy, endotracheal tube placement, confirmation and adjustment, securing the tube in place, bag-valve-mask ventilation between intubation attempts, and alternate airway insertion. We identified the number and duration of CPR interruptions associated with endotracheal intubation efforts. We included...Continue Reading

Mentioned in this Paper

Emergency Care
Emergency Treatment
Basic Cardiac Life Support
Anterior Thoracic Region
Sternum
Intubation, Intratracheal
Chest
Cardiopulmonary
Heart
Laryngoscopy

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