Basic Cardiac Life Support Providers Checking the Carotid Pulse: Performance, Degree of Conviction, and Influencing Factors

Lapostolle, Frédéric; Toumelin, Philippe Le; Agostinucci, Jean Marc; Catineau, Jean; Adnet, Frédéric

doi:10.1197/j.aem.2004.02.528

Cited by 57 publications

(19 citation statements)

References 10 publications

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“…There have been 9 LOE D5 studies demonstrating that both lay rescuers 24 -26 and healthcare providers [27][28][29][30][31][32] have difficulty mastering the pulse check and remembering how to perform it. Three LOE D5 studies support the ability of healthcare providers to perform the pulse check; 2 evaluated the direct ear-to-chest method in infants, 33,34 and the third supported an alternative technique for the carotid pulse check when tested by dental students on healthy volunteers.…”

Section: Pulse Checkmentioning

confidence: 99%

Part 5: Adult Basic Life Support

Sayre¹,

Koster²,

Botha³

et al. 2010

Circulation

153

136

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Section: Pulse Checkmentioning

confidence: 99%

Part 5: Adult Basic Life Support

Sayre¹,

Koster²,

Botha³

et al. 2010

Circulation

153

136

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“…Studies have shown that both laypersons and healthcare providers have difficulty detecting a pulse. [35][36][37][38][39][40][41][42][43][44] For this reason pulse check was deleted from training for lay rescuers several years ago, and is deemphasized in training for healthcare providers. The lay rescuer should assume that cardiac arrest is present and should begin CPR if an adult suddenly collapses or an unresponsive victim is not breathing or not breathing normally (ie, only gasping).…”

Section: Recognition Of Arrest (Box 1)mentioning

confidence: 99%

“…[35][36][37][38][39][40][41][42][43][44] Healthcare providers also may take too long to check for a pulse. 38,41 • The lay rescuer should not check for a pulse and should assume that cardiac arrest is present if an adult suddenly collapses or an unresponsive victim is not breathing normally.…”

Section: Pulse Checkmentioning

confidence: 99%

Part 5: Adult Basic Life Support

Berg¹,

Robin²,

Abella³

et al. 2010

Circulation

703

495

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Basic life support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the emergency response system, early cardiopulmonary resuscitation (CPR), and rapid defibrillation with an automated external defibrillator (AED). Initial recognition and response to heart attack and stroke are also considered part of BLS. This section presents the 2010 adult BLS guidelines for lay rescuers and healthcare providers. Key changes and continued points of emphasis from the 2005 BLS Guidelines include the following:• Immediate recognition of SCA based on assessing unresponsiveness and absence of normal breathing (ie, the victim is not breathing or only gasping) Despite important advances in prevention, SCA continues to be a leading cause of death in many parts of the world. 1 SCA has many etiologies (ie, cardiac or noncardiac causes), circumstances (eg, witnessed or unwitnessed), and settings (eg, out-of-hospital or in-hospital). This heterogeneity suggests that a single approach to resuscitation is not practical, but a core set of actions provides a universal strategy for achieving successful resuscitation. These actions are termed the links in the "Chain of Survival." For adults they include When these links are implemented in an effective way, survival rates can approach 50% following witnessed out-ofhospital ventricular fibrillation (VF) arrest. 2 Unfortunately survival rates in many out-of-hospital and in-hospital settings fall far short of this figure. For example, survival rates following cardiac arrest due to VF vary from approximately 5% to 50% in both out-of-hospital and in-hospital settings. 3,4 This variation in outcome underscores the opportunity for improvement in many settings.Recognition of cardiac arrest is not always straightforward, especially for laypersons. Any confusion on the part of a rescuer can result in a delay or failure to activate the emergency response system or to start CPR. Precious time is lost if bystanders are too confused to act. Therefore, these adult BLS Guidelines focus on recognition of cardiac arrest with an appropriate set of rescuer actions. Once the lay bystander recognizes that the victim is unresponsive, that bystander must immediately activate (or send someone to activate) the emergency response system. Once the healthcare provider recognizes that the victim is unresponsive with no breathing or no normal breathing (ie, only gasping) the healthcare provider will activate the emergency response system. After activation, rescuers should immediately begin CPR.Early CPR can improve the likelihood of survival, and yet CPR is often not provided until the arrival of professional emergency responders. 5 Chest compressions are an especially critical component of CPR because perfusion during CPR

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“…The authors stated, If the absence of a pulse was the only factor determining the onset of CPR maneuvers, approximately 50% of pulseless patients simulated in our study would not have had CPR initiated. 47 …”

Section: Importance Of Vital Signs and Movement During Vt/vfmentioning

confidence: 99%

TASER Electronic Control Devices Can Cause Cardiac Arrest in Humans

Zipes

2014

Circulation

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Basic Cardiac Life Support Providers Checking the Carotid Pulse: Performance, Degree of Conviction, and Influencing Factors

Cited by 57 publications

References 10 publications

Part 5: Adult Basic Life Support

Part 5: Adult Basic Life Support

Part 5: Adult Basic Life Support

TASER Electronic Control Devices Can Cause Cardiac Arrest in Humans

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