Push Hard, Push Fast, Do Not Stop—Optimal Chest Compression Rate and Depth

Cone, David C.

doi:10.1001/jamacardio.2019.2838

Cited by 3 publications

(1 citation statement)

References 8 publications

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“… 1. , 2. Chest injuries caused by CPR have recently been described as an independent factor for 30-day mortality following out-of-hospital cardiac arrest (OHCA).…”

Section: Introductionmentioning

confidence: 99%

Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival

et al. 2022

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“… 1. , 2. Chest injuries caused by CPR have recently been described as an independent factor for 30-day mortality following out-of-hospital cardiac arrest (OHCA).…”

Section: Introductionmentioning

confidence: 99%

Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival

et al. 2022

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Virtual Reality and Haptic Cardiopulmonary Resuscitation Training Approaches: A Review

Everson

Joordens

Forbes

et al. 2022

IEEE Systems Journal

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CPR-Induced Life-Threatening Hemothorax in a Rescue PCI Patient: Case Report and Brief Challenges of Regional Centers

Thanabalasingam,

Tan,

Sella Kapu

et al. 2024

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Background: Cardiopulmonary resuscitation (CPR) is performed in cardiac arrests. There exist life support guidelines for individuals in performing effective CPR. CPR-related bleeding and hemothoraces are rare. Intercostal artery rupture leading up to shock and respiratory compromise in such situations is rare. Here, we present a unique case with a management dilemma while discussing challenges and guidance to regional centers. Case presentation: A 49-year-old Caucasian male experienced an out-of-hospital cardiac arrest which required bystander cardiopulmonary resuscitation from a colleague prior to commencement of lysis protocol at the local hospital. Transfer was later arranged to the nearest cardiac catheterization laboratory where a rescue percutaneous coronary intervention was performed in the left anterior descending artery that required strict dual antiplatelet use. Beneath the shroud of these events was a life-threatening right-sided hemothorax from rupture of intercostal arteries that occurred during initial resuscitation. Astute recognition of this post-percutaneous coronary intervention resulted in eventual transfer of the patient to a tertiary center where the source and the collection of the bleed was addressed. The patient’s took a great trajectory to improvement. Conclusions: A regional center poses many challenges and limitations. Massive bleeding from intercostal arteries leading to hemorrhagic shock and respiratory compromise from an expanding hemothorax post-CPR is rare. Post-percutaneous coronary intervention use of dual antiplatelets posed a management dilemma that prompted assistance from tertiary counterparts. Clinicians should be astute and quick in assessing and providing care.

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Push Hard, Push Fast, Do Not Stop—Optimal Chest Compression Rate and Depth

Abstract: Confirming the clinical safety and feasibility of a bundled methodology to improve cardiopulmonary resuscitation involving a head-up/torso-up chest compression technique.

Cited by 3 publications

References 8 publications

Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival

Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival

Virtual Reality and Haptic Cardiopulmonary Resuscitation Training Approaches: A Review

CPR-Induced Life-Threatening Hemothorax in a Rescue PCI Patient: Case Report and Brief Challenges of Regional Centers

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