Cardiopulmonary Resuscitation Interruptions With Use of a Load-Distributing Band Device During Emergency Department Cardiac Arrest

Ong, Marcus Eng Hock; Annathurai, Annitha; Shahidah, Ahmad; Leong, Benjamin Sieu‐Hon; Ong, Venetia; Tiah, Ling; Ang, Shiang Hu; Yong, Kok Leong; Sultana, Papia

doi:10.1016/j.annemergmed.2010.01.004

Cited by 41 publications

(20 citation statements)

References 33 publications

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“…[129][130][131][132][133] The most likely explanation is that inexperienced rescuers underestimate the time required to apply the device, 134 which leads to a significant decrease in CCF during the first 5 minutes of an arrest [135][136][137] despite increases in CCF later in the resuscitation. 138 There is evidence that pre-event "pit crew" team training can reduce the pause required to apply the device.…”

Section: Additional Logistic Considerationsmentioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

861

521

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The "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care" increased the focus on methods to ensure that high-quality cardiopulmonary resuscitation (CPR) is performed in all resuscitation attempts. There are 5 critical components of high-quality CPR: minimize interruptions in chest compressions, provide compressions of adequate rate and depth, avoid leaning between compressions, and avoid excessive ventilation. Although it is clear that high-quality CPR is the primary component in influencing survival from cardiac arrest, there is considerable variation in monitoring, implementation, and quality improvement. As such, CPR quality varies widely between systems and locations. Victims often do not receive high-quality CPR because of provider ambiguity in prioritization of resuscitative efforts during an arrest. This ambiguity also impedes the development of optimal systems of care to increase survival from cardiac arrest. This consensus statement addresses the following key areas of CPR quality for the trained rescuer: metrics of CPR performance; monitoring, feedback, and integration of the patient’s response to CPR; team-level logistics to ensure performance of high-quality CPR; and continuous quality improvement on provider, team, and systems levels. Clear definitions of metrics and methods to consistently deliver and improve the quality of CPR will narrow the gap between resuscitation science and the victims, both in and out of the hospital, and lay the foundation for further improvements in the future.

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Section: Additional Logistic Considerationsmentioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

861

521

View full text Add to dashboard Cite

show abstract

“…The study found that in the best performing site, the introduction of Autopulse increased the no flow fraction, whilst at the poorer performing sites, the no flow fraction improved [29]. The finding that the application of mechanical CPR devices may impair CPR performance has also been observed in clinical studies emphasising the importance of adequate training not only on use of the device but also in the context of the overall CPR attempt [30].…”

Section: Autopulsementioning

confidence: 60%

Mechanical chest-compression devices: current and future roles

Perkins

Brace

Gates

2010

Current Opinion in Critical Care

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Purpose of review:It is recognised that the quality of CPR is an important predictor of outcome from cardiac arrest yet studies consistently demonstrate that the quality of CPR performed in real life is frequently sub-optimal. Mechanical chest compression devices provide an alternative to manual CPR. This review will consider the evidence and current indications for the use of these devices. Recent findings:Physiological and animal data suggest that mechanical chest compression devices are more effective than manual CPR. However there is no high quality evidence showing improved outcomes in humans. There are specific circumstances where it may not be possible to perform manual CPR effectively e.g. during ambulance transport to hospital, en-route to and during cardiac catheterisation, prior to organ donation and during diagnostic imaging where using these devices may be advantageous. Summary:There is insufficient evidence to recommend the routine use of mechanical chest compression devices. There may be specific circumstances when CPR is difficult or impossible where

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“…If the device application process is inefficient, a prolonged interruption in chest compressions may result that could counteract any benefits from the subsequent mechanical compressions. [3][4][5][6][7] Minimizing the interruption in chest compressions associated with application of a mechanical CPR device is thus an important http://dx.doi.org/10.1016/j.resuscitation.2015.04.005 0300-9572/© 2015 Elsevier Ireland Ltd. All rights reserved. goal for optimal integration of such devices into the process of resuscitation.…”

Section: Introductionmentioning

confidence: 98%

A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest resuscitation

et al. 2015

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Cardiopulmonary Resuscitation Interruptions With Use of a Load-Distributing Band Device During Emergency Department Cardiac Arrest

Cited by 41 publications

References 33 publications

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Mechanical chest-compression devices: current and future roles

A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest resuscitation

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