Part 3. Advanced cardiac life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation

Lee, Mi Jin; Rho, Tai Ho; Kim, Hyun; Kang, Gu Hyun; Kim, June Soo; Rho, Sang Gyun; Park, Hyun Kyung; Oh, Dong Jin; Oh, Seil; Wi, Jin; Je, Sangmo; Chung, Sung Phil; Hwang, Sung Oh

doi:10.15441/ceem.16.134

Cited by 22 publications

(18 citation statements)

References 65 publications

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“…Previous studies found that excess hyperventilation after advanced airway management should be avoided because it can cause increased intrathoracic pressure leading to decreased coronary and cerebral perfusion pressure in patients with OHCA. 5,21 Kilgannon et al 22 also reported that hyperoxia that occurs in patients following resuscitation from cardiac arrest is associated with increased mortality. It is, therefore, possible that these unexpected physiologic effects may offset the potential benefits of proper advanced airway management during transport.…”

Section: Discussionmentioning

confidence: 99%

“…4 Advanced airway management including ETI or the use of supraglottic airway (SGA) devices can facilitate the performance of high-quality CPR without interrupting chest compressions (as would be required with BVM ventilation) and increases the rates of short-term survival, ROSC, and survival to admission. 5,6 ETI, which prevents airway obstruction and facilitates airway management, is preferred by hospitals, although performing it requires high skill. 7 Various SGAs such as the esophageal obturator airway, laryngeal mask, laryngeal tube, and I-gel device are being disseminated to assist healthcare providers to maintain open airways with minimal training.…”

Section: Introductionmentioning

confidence: 99%

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Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

et al. 2020

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Objective The incidences of prehospital advanced airway management by emergency medical technicians in South Korea are increasing; however, whether this procedure improves the survival outcomes of patients experiencing out-of-hospital cardiac arrest remains unclear. The present study aimed to investigate the association between prehospital advanced airway management and neurologic outcomes according to a transport time interval (TTI) using the Korean Cardiac Arrest Research Consortium database. Methods We retrospectively analyzed the favorable database entries that were prospectively collected between October 2015 and December 2016. Patients aged 18 years or older who experienced cardiac arrest that was presumed to be of a medical etiology and that occurred prior to the arrival of emergency medical service personnel were included. The exposure variable was the type of prehospital airway management provided by emergency medical technicians. The primary endpoint was a favorable neurologic outcome. Results Of 1,871 patients who experienced out-of-hospital cardiac arrest, 785 (42.0%), 121 (6.5%), and 965 (51.6%) were managed with bag-valve-mask ventilation, endotracheal intubation (ETI), and supraglottic airway (SGA) devices, respectively. SGAs and ETI provided no advantage in terms of favorable neurologic outcome in patients with TTIs ≥ 12 minutes (odds ratio [OR], 1.37; confidence interval [CI], 0.65-2.87 for SGAs; OR, 1.31; CI, 0.30-5.81 for ETI) or in patients with TTI < 12 minutes (OR, 0.57; CI, 0.31-1.07 for SGAs; OR, 0.63; CI, 0.12-3.26 for ETI). Conclusion Neither the prehospital use of SGA nor administration of ETI was associated with superior neurologic outcomes compared with bag-valve-mask ventilation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

et al. 2020

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“…The 2015 AHA guidelines have recently been accepted as the standard guideline by national academic organizations. [13,14]…”

Section: Study Settingmentioning

confidence: 99%

Place-provider-matrix of bystander cardiopulmonary resuscitation and outcomes of out-of-hospital cardiac arrest: A nationwide observational cross-sectional analysis

Kim¹,

Shin²,

Ro³

et al. 2020

PLoS ONE

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This study aims to test the association between the place-provider-matrix (PPM) of bystander cardiopulmonary resuscitation (CPR) and outcomes of out-of-hospital cardiac arrest (OHCA). Methods Adult patients with OHCA with a cardiac etiology from 2012 to 2017 in Korea were analyzed, excluding patients who had unknown information on place, type of bystander, or outcome. The PPM was categorized into six groups by two types of places (public versus home) and three types of providers (trained responder (TR), family bystander, and layperson bystander). Outcomes were survival to discharge and good cerebral performance category (CPC) of 1 or 2. Multivariable logistic regression analysis was performed to test the association between PPM group and outcomes with adjustment for potential confounders to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) (reference = Public-TR). Results A total of 73,057 patients were analyzed and were categorized into Public-TR (0.6%), Home-TR (0.3%), Public-Family (1.8%), Home-Family (79.8%), Public-Layperson (9.9%), and Home-Layperson (7.6%) groups. Compared with the Public-TR group, the AORs (95% CIs) for survival to discharge were 0.61 (0.35-1.05) in the Home-TR group, 0.85 (0.62-1.17) in the Public-Family group, 0.38 (0.29-0.50) in the Home-Family group, 1.12 (0.85-1.49) in the Public-Layperson group, and 0.42 (0.31-0.57) in the Home-Layperson group.

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“…As the country undergoes rapid industrialization, heart diseases continue to increase due to the ageing, westernized eating habits, development of medical technology, chronic diseases, and various accidents. Such an increase in heart disease and ageing can increase the likelihood of sudden cardiac arrest [3]. Additionally, after successful resuscitation, it is often necessary to rely on others or require continuous treatment; therefore, applying appropriate cardiopulmonary resuscitation (CPR) to reduce mortality due to acute cardiac arrest is a very important issue as well as for individuals and families [3].…”

Section: Introductionmentioning

confidence: 99%

Effects and Retention of Self-Re-Learning Using Video Recording of Advanced Life Support (ALS) On Nursing Students’ Knowledge, Self-Efficacy, and Skills Performance

Jang¹,

Kim²,

Oh³

et al. 2020

Preprint

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Background In-hospital cardiac arrests account for 80% of hospital deaths, and the survival rate is not significantly different from that of pre-hospitalized cardiac arrest patients. The nurses would presumably be the first to see an in-hospital cardiac arrest patient. This study proposed to measure nursing students’ knowledge, self-efficacy, and skills performance of advanced life support (ALS) 6 months after the training by sending their videos taken during the final skills test after the ALS training.Methods This is an experimental study with a randomized control group design. The participants’ knowledge, self-efficacy, and skill performance of ALS were evaluated immediately after the training and participants were videotaped during the final skills test. Thereafter, we sent the video to the experimental group through the mobile phone messenger application once a month from the third month after training. Approximately six months after the training day, we conducted a follow-up test of the measured variables using the blinded method.Results Six months after the ALS training, knowledge scores decreased significantly in both groups (p<0.001). Self-efficacy decreased by about 3 from 50.55 to 47.18 in the experimental group (p = 0.089), while it decreased by 10 in the control group from 50.67 to 39 (p<0.001). The skills performance decreased from 27.5 to 26.68 in the experimental group, while it decreased significantly from 27.95 to 16.9 in the control group (p< 0.001).Conclusion Self-study with videos taken during an ALS skills test helps enhance the sustainable effects of training, such as knowledge, self-efficacy, and skills performance.

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Part 3. Advanced cardiac life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation

Cited by 22 publications

References 65 publications

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

Place-provider-matrix of bystander cardiopulmonary resuscitation and outcomes of out-of-hospital cardiac arrest: A nationwide observational cross-sectional analysis

Effects and Retention of Self-Re-Learning Using Video Recording of Advanced Life Support (ALS) On Nursing Students’ Knowledge, Self-Efficacy, and Skills Performance

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