Pediatric Basic Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Berg, Marc D.; Schexnayder, Stephen M.; Chameides, Leon; Terry, Mark A.; Donoghue, Aaron; Hickey, Robert W.; Berg, Robert A.; Sutton, Robert M.; Hazinski, Mary Fran

doi:10.1542/peds.2010-2972c

Cited by 230 publications

(218 citation statements)

References 163 publications

(92 reference statements)

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“…6 Early and high quality cardiopulmonary resuscitation (CPR) has been shown to greatly improve the survival rate of cardiac arrest victims, 7,8 as indicated by American Heart Association (AHA) guidelines changes from 2005 to date. [9][10][11] For this reason, the 2015 Guidelines for Cardiopulmonary Resuscitation stress the importance of performing high quality CPR immediately after a cardiac arrest. Both laypersons and health care providers, in fact, are recommended to compress the adult chest at a rate of at least 100 compressions per minute (not exceeding 120) with a compression depth of at least 5 cm (not exceeding 6 cm); rescuers should also allow complete chest recoil after each compression and attempt to minimize frequency and duration of interruptions in compressions.…”

Section: Introductionmentioning

confidence: 99%

Real-time visual feedback during training improves laypersons’ CPR quality: a randomized controlled manikin study

Baldi

Cornara

Epis

et al. 2017

CJEM

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Objective: The chances of surviving an out-of-hospital cardiac arrest depend on early and high-quality cardiopulmonary resuscitation (CPR). Our aim is to verify whether the use of feedback devices during laypersons' CPR training improves chest compression quality. Methods: Laypersons totalling 450 participating in Basic Life Support and Automated External Defibrillation (BLS/ AED) courses were randomly divided into three groups: group No Feedback (NF) attended a course without any feedback, group Short Feedback (SF) a course with 1-minute training with real-time visual feedback, and group Long Feedback (LF) a course with 10-minute training with real-time visual feedback. At the end of each course, we recorded 1 minute of compression-only CPR. The primary end point was the difference in the percentage of compressions performed with correct depth. Results: There was a significant improvement in the percentage of compressions with correct depth in the groups receiving feedback compared to the other (NF v. LF, p = 0.022; NF v. SF, p = 0.005). This improvement was also present in the percentage of compressions with a complete chest recoil (71.7% in NF, 86.6% in SF, and 88.8% in LF; p < 0.001), compressions with the correct hand position (93.2% in NF, 98.2% in SF, and 99.3% in LF; p < 0.001), and in the Total CPR Score (79.4% in NF, 90.2% in SF, and 92.5% in LF; p < 0.001). There were no significant differences for all of the parameters between group SF and group LF. Conclusions: Real-time visual feedback improves laypersons' CPR quality, and we suggest its use in every BLS/AED course for laypersons because it can help achieve the goals emphasized by the International Liaison Committee on Resuscitation recommendations. RÉSUMÉObjectif: Les chances de survie à la suite d'un arrêt cardiaque survenu dans la collectivité dépend de la rapidité des manoeuvres de réanimation cardiorespiratoire (RCR) ainsi que de leur qualité. L'étude décrite ici visait à vérifier si l'utilisation de dispositifs de rétroaction durant la formation des profanes en la matière pouvait améliorer la qualité des compressions thoraciques. Méthode: Ont participé à des cours de réanimation de base et de défibrillation 450 profanes en la matière, divisés au hasard en trois groupes : le premier a suivi le cours sans rétroaction (SR) aucune; le deuxième a suivi le cours avec une brève rétroaction (BR), soit 1 minute de formation avec une rétroaction visuelle en temps réel; et le troisième a suivi le cours avec une longue rétroaction (LR), soit 10 minutes de formation avec une rétroaction visuelle en temps réel. À la fin de chacun des cours, il y a eu enregistrement des compressions seules durant 1 min. Le principal critère d'évaluation était les différences de pourcentage quant aux compressions réalisées à la bonne profondeur. Résultats: Une amélioration sensible du pourcentage des compressions réalisées à la bonne profondeur a été observée dans les groupes dans lesquels il y avait eu de la rétroaction comparativement à celui qui n'en avait pas reç...

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Section: Introductionmentioning

confidence: 99%

Real-time visual feedback during training improves laypersons’ CPR quality: a randomized controlled manikin study

Baldi

Cornara

Epis

et al. 2017

CJEM

View full text Add to dashboard Cite

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“…After the "call-first versus CPR-first" debate in the 1990s [8], BLS guidelines stated that a single rescuer should perform 1-2 min CPR before making an emergency call for paediatric cardiac arrests, particularly those with respiratory origin [1][2][3][4][5][6][7]. As stated clearly in the European Resuscitation Council guidelines 2000 [7], the CPR-first BLS action should be considered when the likely cause of unconsciousness or unresponsiveness is trauma and submersion.…”

Section: Discussionmentioning

confidence: 99%

“…A single rescuer is recommended to perform cardiopulmonary resuscitation (CPR) for 1 or 2 minutes before making an emergency call for paediatric cardiac arrests, particularly those with respiratory origin [1][2][3][4][5][6]. This "CPR-first" basic life support (BLS) action may be considered when the causes of unconsciousness or unresponsiveness might be trauma and submersion [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Advantage of CPR-first over call-first actions for out-of-hospital cardiac arrests in nonelderly patients and of noncardiac aetiology

et al. 2015

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Aim: To assess the benefit of immediate call or cardiopulmonary resuscitation (CPR) for survival from outof-hospital cardiac arrests (OHCAs). Results: The overall survival rates in immediate Call + CPR, Call-First, and CPR-First groups were 11.5, 12.4, and 11.5%, respectively without significant differences (p = 0.543). Subgroup analyses by multivariate logistic regression following univariate analysis disclosed that CPR-first group is more likely to survive in subgroups of noncardiac aetiology (adjusted odds ratio; 95% confidence interval, 2.01; 1.39-2.98) and of nonelderly OHCAs (1.38; 1.09-1.76). MethodsConclusions: Immediate CPR-first action followed by an emergency call without a large delay may be recommended when a bystander with sufficient skills to perform CPR witnesses OHCAs in nonelderly people and of noncardiac aetiology.Word count: 250

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“…10 The ratio of single rescuer compression to ventilation remains identical for all ages (30:2), but it changes to 15:2 for infants and children once two healthcare providers are involved. The recommended compression rate remains constant for all ages, i.e.…”

mentioning

confidence: 99%

“…10 Le rapport compression/ventilation en cas de sauveteur unique est identique (30/2) pour tous les âges, mais il passe à 15/2 pour les nourrissons et les enfants dès que deux professionnels de la santé sont impliqués. La fréquence de compression recommandée reste constante pour tous les âges, soit 100 compressions par minute (pousser vite).…”

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What’s new in pediatric resuscitation? A practical update for the anesthesiologist

Caen

Bhanji

2012

Can J Anesth/J Can Anesth

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Pediatric Basic Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Cited by 230 publications

References 163 publications

Real-time visual feedback during training improves laypersons’ CPR quality: a randomized controlled manikin study

Real-time visual feedback during training improves laypersons’ CPR quality: a randomized controlled manikin study

Advantage of CPR-first over call-first actions for out-of-hospital cardiac arrests in nonelderly patients and of noncardiac aetiology

What’s new in pediatric resuscitation? A practical update for the anesthesiologist

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