Jun 15, 2006

Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial

JAMA : the Journal of the American Medical Association
Al HallstromLeonard A Cobb

Abstract

High-quality cardiopulmonary resuscitation (CPR) may improve both cardiac and brain resuscitation following cardiac arrest. Compared with manual chest compression, an automated load-distributing band (LDB) chest compression device produces greater blood flow to vital organs and may improve resuscitation outcomes. To compare resuscitation outcomes following out-of-hospital cardiac arrest when an automated LDB-CPR device was added to standard emergency medical services (EMS) care with manual CPR. Multicenter, randomized trial of patients experiencing out-of-hospital cardiac arrest in the United States and Canada. The a priori primary population was patients with cardiac arrest that was presumed to be of cardiac origin and that had occurred prior to the arrival of EMS personnel. Initial study enrollment varied by site, ranging from late July to mid November 2004; all sites halted study enrollment on March 31, 2005. Standard EMS care for cardiac arrest with an LDB-CPR device (n = 554) or manual CPR (n = 517). The primary end point was survival to 4 hours after the 911 call. Secondary end points were survival to hospital discharge and neurological status among survivors. Following the first planned interim monitoring conducted by an...Continue Reading

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Mentioned in this Paper

Emergency Medicine (Field)
Emergency Care
Brain
Survival Analysis
Basic Cardiac Life Support
Blood Flow
Organ
Anterior Thoracic Region
Chest
Cerebral Hemisphere Structure (Body Structure)

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