Jan 20, 2005

Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest

JAMA : the Journal of the American Medical Association
L WikPetter Andreas Steen

Abstract

Cardiopulmonary resuscitation (CPR) guidelines recommend target values for compressions, ventilations, and CPR-free intervals allowed for rhythm analysis and defibrillation. There is little information on adherence to these guidelines during advanced cardiac life support in the field. To measure the quality of out-of-hospital CPR performed by ambulance personnel, as measured by adherence to CPR guidelines. Case series of 176 adult patients with out-of-hospital cardiac arrest treated by paramedics and nurse anesthetists in Stockholm, Sweden, London, England, and Akershus, Norway, between March 2002 and October 2003. The defibrillators recorded chest compressions via a sternal pad fitted with an accelerometer and ventilations by changes in thoracic impedance between the defibrillator pads, in addition to standard event and electrocardiographic recordings. Adherence to international guidelines for CPR. Chest compressions were not given 48% (95% CI, 45%-51%) of the time without spontaneous circulation; this percentage was 38% (95% CI, 36%-41%) when subtracting the time necessary for electrocardiographic analysis and defibrillation. Combining these data with a mean compression rate of 121/min (95% CI, 118-124/min) when compressions ...Continue Reading

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Mentioned in this Paper

Computer Software
Acrocallosal Syndrome
Certified Registered Nurse Anesthetist
Ventricular Fibrillation
LARS gene
Electric Impedance
Emergency Care
Complex (molecular entity)
Brain
Basic Cardiac Life Support

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