Minimizing Pulse Check Duration Through Educational Video Review.

The Western Journal of Emergency Medicine
David YamaneAaran Drake

Abstract

The American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) recommend pulse checks of less than 10 seconds. We assessed the effect of video review-based educational feedback on pulse check duration with and without point-of-care ultrasound (POCUS). Cameras recorded cases of CPR in the emergency department (ED). Investigators reviewed resuscitation videos for ultrasound use during pulse check, pulse check duration, and compression-fraction ratio. Investigators reviewed health records for patient outcomes. Providers received written feedback regarding pulse check duration and compression-fraction ratio. Researchers reviewed selected videos in multidisciplinary grand round presentations, with research team members facilitating discussion. These presentations highlighted strategies that include the following: limit on pulse check duration; emphasis on compressions; and use of "record, then review" method for pulse checks with POCUS. The primary endpoint was pulse check duration with and without POCUS. Over 19 months, investigators reviewed 70 resuscitations with a total of 325 pulse checks. The mean pulse check duration was 11.5 ± 8.8 seconds (n = 224) and 13.8 ± 8.6 seconds (n = 101) without and with POCUS, r...Continue Reading

References

Apr 1, 1988·The Journal of Trauma·D B HoytJ B Fortune
Sep 1, 1995·Journal of Clinical Monitoring·C F MackenzieR L Horst
Oct 1, 1996·The American Journal of Emergency Medicine·T A SantoraM A Schinco
Jun 5, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M Blaivas, J C Fox
Jun 5, 2003·American Journal of Surgery·Lynette A SchererFelix D Battistella
Aug 24, 2005·Circulation·Terence D ValenzuelaGordon A Ewy
Apr 28, 2009·Annals of Emergency Medicine·Bryan McNallyUNKNOWN CARES Surveillance Group
Sep 16, 2009·Circulation·Jim ChristensonUNKNOWN Resuscitation Outcomes Consortium Investigators
Nov 11, 2010·Journal of Emergencies, Trauma, and Shock·S HunzikerS Marsch
Jan 1, 2009·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·David L RodgersRudy D Pauley
Apr 10, 2012·Journal of Surgical Education·Nicholas Allen HamiltonMary E Klingensmith
Jul 27, 2012·Prehospital and Disaster Medicine·Vicki R LeblancKevin King
Jun 7, 2013·Swiss Medical Weekly·Sabnina HunzikerStephan Marsch
Jun 27, 2013·Circulation·Peter A MeaneyUNKNOWN CPR Quality Summit Investigators, the American Heart Association Emergency Cardiovascular Care Committee, and the Council on
Dec 18, 2016·Postgraduate Medical Journal·David J LoweGareth R Clegg
Feb 23, 2017·World Journal of Clinical Pediatrics·Sandesh ShivanandaGautham Suresh
Jul 30, 2017·Resuscitation·Maite A Huis In 't VeldMichael E Winters
Dec 23, 2017·Journal of Graduate Medical Education·Stacey M KassuttoWilliam Schweickert

❮ Previous
Next ❯

Software Mentioned

POCUS
SAS
LUCAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.