Videographic assessment of cardiopulmonary resuscitation quality in the pediatric emergency department

Resuscitation
Aaron DonoghueVinay Nadkarni

Abstract

To describe the adherence to guidelines for CPR in a tertiary pediatric emergency department (ED) where resuscitations are reviewed by videorecording. Resuscitations in a tertiary pediatric ED are videorecorded as part of a quality improvement project. Patients receiving CPR under videorecorded conditions were eligible for inclusion. CPR parameters were quantified by retrospective review. Data were described by 30-s epoch (compression rate, ventilation rate, compression:ventilation ratio), by segment (duration of single providers' compressions) and by overall event (compression fraction). Duration of interruptions in compressions was measured; tasks completed during pauses were tabulated. 33 children received CPR under videorecorded conditions. A total of 650 min of CPR were analyzed. Chest compressions were performed at <100/min in 90/714 (13%) of epochs; 100-120/min in 309/714 (43%); >120/min in 315/714 (44%). Ventilations were 6-12 breaths/min in 201/708 (23%) of epochs and >12/min in 489/708 (70%). During CPR without an artificial airway, compression:ventilation coordination (15:2) was done in 93/234 (40%) of epochs. 178 pauses in CPR occurred; 120 (67%) were <10s in duration. Of 370 segments of compressions by individual p...Continue Reading

References

Apr 7, 2004·Circulation·Tom P AufderheideKeith G Lurie
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Lars WikPetter Andreas Steen
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Benjamin S AbellaLance B Becker
Nov 26, 2005·Annals of Emergency Medicine·Aaron J DonoghueUNKNOWN CanAm Pediatric Cardiac Arrest Investigators
May 28, 2008·Archives of Internal Medicine·Dana P EdelsonBenjamin S Abella
Mar 11, 2009·Circulation·Dianne L AtkinsUNKNOWN Resuscitation Outcomes Consortium Investigators
Jun 16, 2010·Journal of Paediatrics and Child Health·Ben GelbartCharles Barfield
Apr 12, 2011·Current Opinion in Critical Care·Jasmeet SoarGavin D Perkins
Feb 7, 2012·Resuscitation·C ZebuhrV M Nadkarni
May 25, 2012·Circulation·Ahamed H IdrisUNKNOWN Resuscitation Outcomes Consortium (ROC) Investigators
Jun 27, 2013·Circulation·Peter A MeaneyUNKNOWN CPR Quality Summit Investigators, the American Heart Association Emergency Cardiovascular Care Committee, and the Council on
Apr 11, 2014·Critical Care Medicine·Heather WolfeRobert M Sutton

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Citations

May 20, 2017·International Journal of Clinical Practice·Adam LloydGareth Clegg
Dec 18, 2016·Postgraduate Medical Journal·David J LoweGareth R Clegg
Mar 6, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Yuko ShiimaAaron Donoghue
Jun 10, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·David Oren KesslerUNKNOWN International Network for Simulation-based Pediatric Innovation, Research and Education (INSPIRE) CPR Investigators
Jul 1, 2017·Emergency Medicine Journal : EMJ·Adam LloydGareth R Clegg
Apr 30, 2019·Current Opinion in Pediatrics·Sage R Myers, Aaron J Donoghue
Oct 4, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Vinay NadkarniRobert A Berg
Aug 2, 2019·Critical Care Medicine·Robert M SuttonUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Apr 30, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dailys Garcia-JordaElaine Gilfoyle
Jun 3, 2020·Pediatric Emergency Care·Aaron J DonoghueUNKNOWN Best Pharmaceuticals for Children Act – Pediatric Trials Network
May 16, 2019·Current Opinion in Pediatrics·Sage R Myers, Aaron J Donoghue
Sep 12, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Debora AlmeidaJonathan Williams
Nov 19, 2020·The Western Journal of Emergency Medicine·David YamaneAaran Drake
Nov 9, 2020·Annals of Emergency Medicine·Sage R MyersAaron J Donoghue
Nov 21, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·David O KesslerUNKNOWN International Network for Simulation-based Pediatric Innovation, Research, and Education (INSPIRE) Cardiopulmonary Resuscita
Jun 14, 2021·International Journal of Clinical Practice·Joseph T BrooksDavid Yamane

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