Part 7: CPR Techniques and Devices

Cave, Diana; Gazmuri, Raúl J.; Otto, Charles W.; Nadkarni, Vinay; Cheng, Adam; Brooks, Steven C.; Daya, Mohamud; Sutton, Robert M.; Branson, Richard D.; Hazinski, Mary Fran

doi:10.1161/circulationaha.110.970970

Cited by 210 publications

(142 citation statements)

References 113 publications

(75 reference statements)

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“…4 Previous work has demonstrated that victims of OHCA may be sensitive to changes in CPR techniques. [4][5][6][7][8] A recent consensus statement by the AHA stressed the importance of improving CPR quality and measuring key CPR metrics as part of a continuous quality improvement methodology to reduce preventable deaths from cardiac arrest. 9 The following highlights the key components of the consensus statement.…”

Section: Cpr Qualitymentioning

confidence: 99%

The impact of prehospital resuscitation research on in-hospital care

Mausz

Cheskes

2015

CJEM

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Since their introduction over 40 years ago, paramedics have been trained to deliver select advanced life support interventions in the community with the goal of reducing morbidity and mortality from cardiovascular disease and trauma. The ensuing decades witnessed a great deal of interest in paramedic care, with an exponential growth in prehospital resuscitation research. As part of the CJEM series on emergency medical services (EMS), we review recent prehospital research in out-of-hospital cardiac arrest and discuss how, in a novel departure from the origins of EMS, prehospital research is beginning to influence in-hospital care. We discuss emerging areas of study related to cardiopulmonary resuscitation (CPR) quality, therapeutic hypothermia, termination of resuscitation, and the use of end-tidal carbon dioxide measurement, as well as the subtle ripple effects that prehospital research is having on the broader understanding of the management of these critically ill patients. RÉSUMÉDepuis leur arrivée il y a plus d'une quarantaine d'années, les ambulanciers paramédicaux sont formés pour pratiquer certaines interventions de réanimation cardiorespiratoire (RCR) médicalisée dans la collectivité dans le but de réduire la morbidité et la mortalité liées aux maladies cardiovasculaires et aux traumas. Au cours des décennies suivantes, les soins paramédicaux ont suscité un vif intérêt, qui s'est accompagné d'une forte croissance de la recherche en réanimation préhospitalière. Dans le cadre de la série d'articles portant sur les services médi-caux d'urgence (SMU) dans le JCMU, il sera question de la recherche récente sur la prise en charge préhospitalière des arrêts cardiaques qui surviennent dans la collectivité ainsi que de l'influence que commence à avoir la recherche dans le domaine préhospitalier sur les soins hospitaliers, influence qui signe une nouvelle orientation par rapport au point de départ des SMU. L'article portera sur de nouveaux champs d'étude liés à la qualité de la RCR, à l'hypothermie thérapeutique, à l'arrêt des manoeuvres de réanimation et à l'utilisation de la mesure du gaz carbonique en fin d'expiration ainsi que sur les effets d'entraînement discrets que la recherche dans le domaine préhospitalier a sur la compréhension élargie du traitement des personnes gravement malades ou blessées.

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Section: Cpr Qualitymentioning

confidence: 99%

The impact of prehospital resuscitation research on in-hospital care

Mausz

Cheskes

2015

CJEM

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“…However, this is an active area of research at the present time, and in line with the 2010 AHA guidelines, routine use of these techniques cannot be endorsed or refuted. [45][46][47][48][49][50] Electric Therapies…”

Section: Airway and Breathingmentioning

confidence: 99%

“…The ITD is a valve that is connected to an airway device (mask, supraglottic airway, endotracheal tube) and reduces air entry to the lungs during the decompression phase of chest compressions. 48 It results in negative intrathoracic pressure, improving venous return during CPR. The 2010 AHA guidelines advised that the ITD could be considered for use in adult cardiac arrest by trained personnel.…”

Section: Airway Management Techniquesmentioning

confidence: 99%

“…The 2010 AHA guidelines advised that the ITD could be considered for use in adult cardiac arrest by trained personnel. 48 Two new research studies have been published on the use of ITDs since that time. Aufderheide et al 94 conducted a randomized multicenter trial assessing the effect of active compression-decompression CPR with ITD versus control patients receiving standard CPR.…”

Section: Airway Management Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Advances in Resuscitation

Mottram

Page

2012

Circulation

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“…Latest guidelines from the American Heart Association (AHA) (3) recommend that E-CPR should be considered "when ECPR is readily available, (…) the time without blood flow is short and the condition leading to CA is deemed reversible or amenable to heart transplantation or revascularization" (class IIb). As stated in this recommendation by a level of evidence at C, studies supporting these guidelines are actually limited (4-6).…”

mentioning

confidence: 99%