Mechanical, Team-Focused, Video-Reviewed Cardiopulmonary Resuscitation Improves Return of Spontaneous Circulation After Emergency Department Implementation.

Journal of the American Heart Association
Daniel M RolstonLance B Becker

Abstract

Background Outcomes in cardiac arrest remain suboptimal. Mechanical cardiopulmonary resuscitation (CPR) has not demonstrated clear clinical benefit; however, video review provides the capability to monitor CPR quality and provide constructive feedback to individuals and teams to improve their performance. The aim of our study was to evaluate cardiac arrest outcomes before and after initiation of a mechanical, team-focused, video-reviewed CPR intervention. Methods and Results In 2018, our emergency department began using mechanical CPR; a new team-focused strategy with nurse-led Advanced Cardiovascular Life Support; and biweekly, multidisciplinary video review of cardiac arrests. A revised approach to resuscitation was generated from a performance improvement session, and in situ simulation was used to disseminate our approach. The primary outcome of this study was the return of spontaneous circulation rate before and after our mechanical, team-focused, video-reviewed CPR intervention. Secondary outcomes included survival to admission and discharge. Multivariable logistic regression modeling was used. The pre- and postintervention groups were similar at baseline. A total of 248 patients were included in our study (97 before and ...Continue Reading

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Citations

Aug 14, 2020·Journal of Palliative Medicine·Tessie W OctoberRobert M Arnold
Oct 12, 2020·Annals of the New York Academy of Sciences·Muhammad Shoaib, Lance B Becker
Jun 14, 2021·International Journal of Clinical Practice·Joseph T BrooksDavid Yamane
Aug 10, 2021·Journal of the American Heart Association·James M HorowitzFelipe Teran

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