Transmission of Infections during Cardiopulmonary Resuscitation

Fragkou, Paraskevi C.; Dimopoulou, Dimitra; Latsios, George; Koudounis, Panagiotis; Synetos, Αndreas; Dimopoulou, Anastasia; Tsioufis, Κonstantinos; Papaevangelou, Vassiliki; Tsiodras, Sotirios

doi:10.1128/cmr.00018-21

Cited by 17 publications

(11 citation statements)

References 81 publications

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“…In view of the low probability that enhanced PPE increases staff safety, 7 our results in the context of other studies 9 , 10 bring further evidence against the common practice of deviating from the recommended standards by adding additional protective measures. That SSS-PPE is becoming seen as mandatory might still have the psychological benefit of staff feeling safer, but the impairment of soft skills remains a concern.…”

supporting

confidence: 68%

“…This practice, termed super-safe setting PPE (SSS-PPE), penetrated local policies and hospital guidelines despite evidence suggesting that it can increase physical load and impair tactile sensitivity and manual dexterity 1 , 5 , 6 and no evidence that it brings additional protection. 7 We therefore hypothesised that SSS-PPE is inferior to WHO-PPE in terms of medical personnel and team performance during emergencies and impairs patient-centred outcomes.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Influence of additional personal protective equipment on team performance in simulation-based emergency scenarios: a randomised controlled trial

Renza

Peřan

Sýkora

et al. 2023

British Journal of Anaesthesia

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supporting

confidence: 68%

mentioning

confidence: 99%

Influence of additional personal protective equipment on team performance in simulation-based emergency scenarios: a randomised controlled trial

Renza

Peřan

Sýkora

et al. 2023

British Journal of Anaesthesia

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“…Historically, the possibility of contracting an infectious disease while performing CPR has been a major cause of concern. 16 Similarly, during the early- and mid-2020, the spread of Covid-19 generated justified panic across the globe, as new ways to eliminate the human factor in the CPR process were examined. 17 With the advent of social media related misinformation, emergency situations requiring immediate bystander interventions, such as cardiac arrest, were affected.…”

Section: Discussionmentioning

confidence: 99%

Greek BLS Certified Providers’ CPR Willingness and Skill Retention During the Pre-Vaccine Covid-19 Pandemic Period. A Survey of the Hellenic Society of Cardiology

Latsios

Synetos

Leopoulou

et al. 2022

OAEM

Self Cite

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Objective The aim of this study was to evaluate the level of established knowledge regarding cardiopulmonary resuscitation (CPR) during the pre-vaccine Covid-19 pandemic era of certified Basic Life Support (BLS) providers, as well as their attitude towards CPR and their willingness to provide CPR. Methods Certified BLS providers from courses held in Athens, Greece, were asked to complete an electronic survey regarding their knowledge of and stance towards performing CPR on victims with confirmed or suspected Covid-19 infection. Their insight on BLS courses was also assessed. Answers were collected during June 2020. Results Out of 5513 certified providers, 25.53% completed the survey. The majority (83.36%) would provide CPR to a cardiac arrest victim with possible or confirmed Covid-19 infection. Regarding the use of an automated external defibrillator, most respondents anticipated that it is equally safe as in the pre-Covid-19 period (58.24%). A more elementary level of education (p = 0.04) made rescuers more willing to provide CPR. Access to the European Resuscitation Council (ERC) or to the Greek National Public Health Organization (NPHO) guidelines was not correlated to the attitude towards resuscitation. Time since the last BLS seminar had no impact on the rescuers’ attitude (p = 0.72). All responders agreed that training in CPR during Covid-19 remains necessary. Conclusion Certified BLS providers maintained their willingness to perform CPR in cardiac arrest victims even during the pre-vaccine, dangerous Covid-19 pandemic period. Knowledge regarding Covid-19 CPR was satisfactory; however, continuous training, focused on the revised algorithms, was considered essential.

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“…Unprotected rescuers are exposed to numerous pathogens during cardiopulmonary resuscitation (CPR), either through direct contact with the patient’s blood, body fluids or with droplets and aerosols 1 . Despite the ubiquitous risk of infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV) through blood, current attention is focused mainly on transmission of viruses by aerosols and droplets during CPR 1 .…”

Section: Introductionmentioning

confidence: 99%

Thin foil body-shield resuscitation barrier device to protect from blood: an experimental study

Hermann

Isser²,

Bilgeri

et al. 2022

Sci Rep

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In times of collective concern about pandemics, body-shield resuscitation barrier devices are more and more considered to protect against transmission of different pathogens between rescuers and patients. The objective of this experimental study was to investigate the characteristics of blood drops dispersed on the surface of four different foils suitable for blanketing patients during resuscitation. We analyzed run-off characteristics of blood stains depending on surface properties of polyvinyl chloride, polyethylene, polyethylene terephthalate and aluminum-coated polyethylene terephthalate. Confocal fluorescence microscopy revealed less cellular density and lack of fibrin networks in blood stains on the four foil surfaces than on paper towel. Delayed clotting went along with larger areas of contamination indicating a greater likelihood of coming into contact with potential germs but a smaller chance of contracting an infection. Space blankets as obligatory components of first aid kits are readily available for rescuers and serve as a mechanical barrier between rescuers and patients during resuscitation.

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Transmission of Infections during Cardiopulmonary Resuscitation

Cited by 17 publications

References 81 publications

Influence of additional personal protective equipment on team performance in simulation-based emergency scenarios: a randomised controlled trial

Influence of additional personal protective equipment on team performance in simulation-based emergency scenarios: a randomised controlled trial

Greek BLS Certified Providers’ CPR Willingness and Skill Retention During the Pre-Vaccine Covid-19 Pandemic Period. A Survey of the Hellenic Society of Cardiology

Thin foil body-shield resuscitation barrier device to protect from blood: an experimental study

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