AP066 The effect of in-hospital cardiopulmonary cerebral resuscitation management on resuscitation outcomes

Salari, Amir; Mohammadnejad, Esmaeil; Vanaki, Zohreh; Ahmadi, Fazlollah

doi:10.1016/s0300-9572(11)70099-5

Cited by 6 publications

(7 citation statements)

References 18 publications

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“…Studies have shown the effects of the trained people on the resuscitation process. They indicated that an expert can have a significant effect on the outcome of resuscitation (8,9). According to the Iranian Ministry of Health and Medical Education, cardiovascular disease is known as the first cause of mortality in the country with more than 300 000 death tolls per year.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of cardiopulmonary resuscitation in the emergency department

Haghighi

Vahdati

Mahmoudie

et al. 2017

J Emerg Pract Trauma

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Objective: Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in the prevention of death or delaying it in a person with cardiac arrest. In this regard, demographic information about patients who need CPR is vital. Methods: In this cross-sectional study patients with cardiopulmonary arrest or arrhythmias admitted to Imam Reza and Sina educational hospitals of Tabriz University of Medical Sciences from 22 December 2013 to 21 December 2014 entered the study. Demographic information such as age, sex, cardiopulmonary resuscitation time, the place of cardiopulmonary arrest (outside or inside the hospital), the duration of resuscitation process, success or failure of the resuscitation process and the mechanism of cardiopulmonary arrest were obtained. Results: From a total of 354 cases of cardiopulmonary resuscitation, 281 cases (79%) were unsuccessful and 73 cases (21%) were successful. The average age of patients was 59 ± 22 years. The average time of the resuscitation process was 31 ± 12 minutes. There was a significant difference between the mean of age and resuscitation time in patients who had experienced successful or unsuccessful resuscitation (P = 0.0001). There was a significant relationship between sex and the success rate of resuscitation (P = 0.0001). In addition, a significant relationship between the success of the resuscitation operation and the ward of resuscitation was observed (P = 0.0001). Conclusion:The most common mechanism leading to cardiopulmonary arrest among patients was asystole. In this regard, no significant difference was observed between successful and unsuccessful resuscitation processes. It was also observed that the success of resuscitation from 8 am to 4 pm was more than any other time period.

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Section: Introductionmentioning

confidence: 99%

Outcomes of cardiopulmonary resuscitation in the emergency department

Haghighi

Vahdati

Mahmoudie

et al. 2017

J Emerg Pract Trauma

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“…Therefore, management, standardization and education of Cardiopulmonary resuscitation (CPR) process would be of high importance. (Salari et al, 2011) Basic life support (BLS) may be defined as maintaining circulation, airway and breathing without any equipment except simple airways. It consists of four elements: initial assessment; chest compression; airway maintenance and expired air ventilation.…”

Section: Introductionmentioning

confidence: 99%

Identifying the effect of a Basic life Support teaching Program on nurses’ Knowledge and skills at Emergency care unit

Naeem

Mohamed

Mohammed

et al. 2015

Assiut Scientific Nursing Journal

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Nursing staff in the hospital are frequently the first to witness a cardiac arrest, they play a central role in the effective management of in-hospital cardiac arrest. Aim: Identifying the effect of a Basic life Support teaching Program on nurses' Knowledge and skills at Emergency care unit. Research design: A quasi experimental research design. Setting: Emergency care medical department at Assuit University Hospitals. Sample: Nurses working in selected setting and having more than one year clinical experience. Methods: Two tools were used for data collection. Knowledge and skills assessment tools. The current study was carried out on assessment of baseline nurses' level of knowledge and skills followed by implementation. The effect of teaching was carried out immediately after application of the program. Results: The study revealed that the majority of nurses had poor knowledge and skills related to CPR before teaching program which has been improved after teaching program. Conclusion, there was a significant improvement in the nurses' knowledge and skills related to CPR after teaching program. Recommendation annually assessment and refreshing courses to nursing staff with up-to-date guidelines to impart cognitive knowledge and psychomotor skills of CPR and to provide a standardized care to cardiac arrest patients.

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“…In the United Kingdom, 30000 people undergo CPR annually due to out-of-hospital cardiac arrest and only one of the twenty victims survives until hospital discharge ( 5 ). Based on the studies in Iran, a mortality rate of 90% has been reported for those undergoing CPR and only 7% of the survivors could be discharged from the hospital ( 6 ); however, the survivors of CPR are prone to severe neurologic complications ( 5 ). The short-term and long-term survival and improvement in prognosis of the patients after CPR are immensely related to rapid onset of CPR and related advanced cardiac interventions, which in fact, are the chains of the survival process; these processes include the diagnosis of the critical patients in order to prevent cardiac arrest, primary and rapid access to the patient, rapid onset of CPR and basic life support, timely defibrillation, advanced cardiac life support, and post-CPR care ( 6 ).…”

Section: Contextmentioning

confidence: 99%

Hypothermia After Cardiac Arrest as a Novel Approach to Increase Survival in Cardiopulmonary Cerebral Resuscitation: A Review

Soleimanpour¹,

Rahmani²,

Safari³

et al. 2014

Iran Red Crescent Med J

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Context:The aim of this review study was to evaluate therapeutic mild hypothermia, its complications and various methods for induced mild hypothermia in patients following resuscitation after out-of-hospital cardiac arrest.Evidence Acquisition:Studies conducted on post-cardiac arrest cares, history of induced hypothermia, and therapeutic hypothermia for patients with cardiac arrest were included in this study. We used the valid databases (PubMed and Cochrane library) to collect relevant articles.Results:According to the studies reviewed, induction of mild hypothermia in patients after cardiopulmonary resuscitation would lead to increased survival and better neurological outcome; however, studies on the complications of hypothermia or different methods of inducing hypothermia were limited and needed to be studied further.Conclusions:This study provides strategic issues concerning the induction of mild hypothermia, its complications, and different ways of performing it on patients; using this method helps to increase patients’ neurological survival rate.

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AP066 The effect of in-hospital cardiopulmonary cerebral resuscitation management on resuscitation outcomes

Cited by 6 publications

References 18 publications

Outcomes of cardiopulmonary resuscitation in the emergency department

Outcomes of cardiopulmonary resuscitation in the emergency department

Identifying the effect of a Basic life Support teaching Program on nurses’ Knowledge and skills at Emergency care unit

Hypothermia After Cardiac Arrest as a Novel Approach to Increase Survival in Cardiopulmonary Cerebral Resuscitation: A Review

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