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https://www.readbyqxmd.com/read/28436244/a-systematic-review-and-meta-synthesis-of-the-qualitative-literature-exploring-the-experiences-and-quality-of-life-of-survivors-of-a-cardiac-arrest
#1
Gunilla Haydon, Pamela van der Riet, Kerry Inder
BACKGROUND: Survival following cardiac arrest and subsequent cardiopulmonary resuscitation (CPR) is increasing worldwide, mainly due to greater awareness of the symptoms of cardiac events and an increased attention to CPR training. Although patient outcomes remain unpredictable and quantitative studies suggest that the overall quality of life (QOL) is acceptable, it is valuable to synthesise qualitative studies exploring these phenomena in depth, providing a deeper knowledge of survivors' experiences and QOL...
April 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28422540/evaluating-barriers-to-bystander-cpr-among-laypersons-before-and-after-compression-only-cpr-training
#2
Andrew J Bouland, Megan H Halliday, Angela C Comer, Matthew J Levy, Kevin G Seaman, Benjamin J Lawner
OBJECTIVE: Bystander CPR is an essential part of out-of-hospital cardiac arrest (OHCA) survival. EMS and public safety jurisdictions have embraced initiatives to teach compression-only CPR to laypersons in order to increase rates of bystander CPR. We examined barriers to bystander CPR amongst laypersons participating in community compression-only CPR training and the ability of the training to alleviate these barriers. The barriers analyzed include fear of litigation, risk of disease transmission, fear of hurting someone as a result of doing CPR when unnecessary, and fear of hurting someone as a result of doing CPR incorrectly...
April 19, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28407020/mortality-after-out-of-hospital-cardiac-arrest-in-a-spanish-region
#3
Rosa Requena-Morales, Antonio Palazón-Bru, María Mercedes Rizo-Baeza, José Manuel Adsuar-Quesada, Vicente Francisco Gil-Guillén, Ernesto Cortés-Castell
AIMS: To determine out-of-hospital cardiac arrest mortality in the province of Alicante (Spain) and its associated factors. METHODS: Cross-sectional observational study of all patients who received cardiopulmonary resuscitation (CPR) by the Emergency Medical Services (EMS) (n = 422) in the province of Alicante in 2013. To determine associated factors, a binary logistic regression model was constructed. Primary outcome: death before arriving at the hospital. Predictive variables: gender, age, artificial respiration, prior functional status, asystole, cardiogenic aetiology, bystander CPR, time from the cardiac arrest to the arrival of the EMS and location of cardiac arrest...
2017: PloS One
https://www.readbyqxmd.com/read/28401688/goals-of-patient-care-system-change-with-video-based-education-increases-rates-of-advance-cardiopulmonary-resuscitation-decision-making-and-discussions-in-hospitalised-rehabilitation-patients
#4
Claire Johnson, Jeffrey Chong, Anne Wilkinson, Barbara Hayes, Sonia Tait, Nicholas Waldron
BACKGROUND: Advance CPR discussions and decision-making are not routine clinical practice in the hospital setting. Frail older patients may be at risk of non-beneficial CPR. AIM: To assess the utility and safety of two interventions to increase CPR decision-making, documentation and communication for hospitalised older patients. METHODS: A pre-post study tested two interventions: i) standard ward-based education forums with CPR content; and ii) a combined, two-pronged strategy with 'Goals of Patient Care' (GoPC) system change and structured video-based workshop; against usual practice (ie no formal training)...
April 12, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28397636/community-emergency-response-team-cert-training-of-high-risk-teens-in-the-community-of-watts-south-los-angeles-2013-2014
#5
Shamika Ossey, Sharon Sylvers, Sona Oksuzyan, Lisa V Smith, Douglas Frye, Leila Family, Jannah Scott, Jan B King
The Community Emergency Response Team (CERT) concept was initially developed for adult members of the community to help prepare for disasters and minimize damage when disasters occur. CERTs also served as a tool for building community capacity and self-sufficiency by supporting a diverse group of people working together in dealing with challenges affecting their communities. The novel approach to CERTs described here sought to involve high-risk youth from low-socioeconomic status communities in CERTs and first aid and cardiopulmonary resuscitation (CPR) training to help them build ties with communities, stay off the streets, and become leaders in the community...
April 11, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28392368/passive-ultra-brief-video-training-improves-performance-of-compression-only-cardiopulmonary-resuscitation
#6
Justin L Benoit, Jennifer Vogele, Kimberly W Hart, Christopher J Lindsell, Jason T McMullan
BACKGROUND: Bystander compression-only cardiopulmonary resuscitation (CPR) improves survival after out-of-hospital cardiac arrest. To broaden CPR training, 1-2min ultra-brief videos have been disseminated via the Internet and television. Our objective was to determine whether participants passively exposed to a televised ultra-brief video perform CPR better than unexposed controls. METHODS: This before-and-after study was conducted with non-patients in an urban Emergency Department waiting room...
April 6, 2017: Resuscitation
https://www.readbyqxmd.com/read/28385638/barriers-to-patient-positioning-for-telephone-cardiopulmonary-resuscitation-in-out-of-hospital-cardiac-arrest
#7
Blake T Langlais, Micah Panczyk, John Sutter, Hidetada Fukushima, Zhixin Wu, Taku Iwami, Daniel Spaite, Bentley Bobrow
BACKGROUND: 9-1-1 callers often face barriers preventing them from starting Telephone CPR (TCPR). The most common problem is getting patients to a hard, flat surface. This study describes barriers callers report when trying to move patients to a hard, flat surface and assesses conditions associated with overcoming these barriers. METHODS: We audited 2,396 out-of-hospital cardiac arrest (OHCA) audio recordings. A barrier was defined as any statement by the caller that the rescuer could not move the patient to the ground and into a supine position...
April 3, 2017: Resuscitation
https://www.readbyqxmd.com/read/28377054/complete-chest-recoil-during-laypersons-cpr-is-it-a-matter-of-weight
#8
Enrico Contri, Stefano Cornara, Alberto Somaschini, Cinzia Dossena, Michela Tonani, Francesco Epis, Elisa Zambaiti, Ferdinando Fichtner, Enrico Baldi
INTRODUCTION: Chest compressions depth and complete chest recoil are both important for high-quality Cardio-Pulmonary Resuscitation (CPR). It has been demonstrated that anthropometric variables affect chest compression depth, but there are no data about they could influence chest recoil. The aim of this study was to verify whether physical attributes influences chest recoil in lay rescuers. METHODS: We evaluated 1 minute of compression-only CPR performed by 333 laypersons immediately after a Basic Life Support and Automated External Defibrillation (BLS/AED) course...
March 25, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28376849/effect-of-an-interactive-cardiopulmonary-resuscitation-assist-device-with-an-automated-external-defibrillator-synchronised-with-a-ventilator-on-the-cpr-performance-of-emergency-medical-service-staff-a-randomised-simulation-study
#9
Rainer Nitzschke, Christoph Doehn, Jan F Kersten, Julian Blanz, Tobias J Kalwa, Norman A Scotti, Jens C Kubitz
BACKGROUND: The present study evaluates whether the quality of advanced cardiac life support (ALS) is improved with an interactive prototype assist device. This device consists of an automated external defibrillator linked to a ventilator and provides synchronised visual and acoustic instructions for guidance through the ALS algorithm and assistance for face-mask ventilations. METHODS: We compared the cardiopulmonary resuscitation (CPR) quality of emergency medical system (EMS) staff members using the study device or standard equipment in a mannequin simulation study with a prospective, controlled, randomised cross-over study design...
April 4, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28368963/improved-retention-of-chest-compression-psychomotor-skills-with-brief-rolling-refresher-training
#10
Dana E Niles, Akira Nishisaki, Robert M Sutton, Okan U Elci, Peter A Meaney, Kathleen A OʼConnor, Jessica Leffelman, Jo Kramer-Johansen, Robert A Berg, Vinay Nadkarni
INTRODUCTION: High-quality cardiopulmonary resuscitation (CPR) is critical to improve survival from cardiac arrest. However, cardiopulmonary resuscitation knowledge and psychomotor skill proficiency are transient. We hypothesized that brief, in situ refresher training will improve chest compression (CC) psychomotor skill retention for bedside providers. METHODS: Nurses completed a baseline skill evaluation of CC quality 6 months after traditional basic life support recertification...
April 1, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28367771/the-effect-of-step-stool-use-and-provider-height-on-cpr-quality-during-pediatric-cardiac-arrest-a-simulation-based-multicentre-study
#11
Adam Cheng, Yiqun Lin, Vinay Nadkarni, Brandi Wan, Jonathan Duff, Linda Brown, Farhan Bhanji, David Kessler, Nancy Tofil, Kent Hecker, Elizabeth A Hunt
OBJECTIVES: We aimed to explore whether a) step stool use is associated with improved cardiopulmonary resuscitation (CPR) quality; b) provider adjusted height is associated with improved CPR quality; and if associations exist, c) determine whether just-in-time (JIT) CPR training and/or CPR visual feedback attenuates the effect of height and/or step stool use on CPR quality. METHODS: We analysed data from a trial of simulated cardiac arrests with three study arms: No intervention; CPR visual feedback; and JIT CPR training...
April 3, 2017: CJEM
https://www.readbyqxmd.com/read/28367441/public-knowledge-and-attitudes-towards-bystander-cardiopulmonary-resuscitation-in-china
#12
Meng Chen, Yue Wang, Xuan Li, Lina Hou, Yufeng Wang, Jie Liu, Fei Han
The rate of bystander CPR is much lower in China than in developed countries. This survey was implemented to assess the current status of layperson CPR training, to analyze the willingness of bystanders to perform CPR, and to identify barriers to improving bystander CPR rates. The questionnaire included individual information, current status of bystander CPR training, and individual's willingness and attitude towards performing CPR. There were 25.6% laypersons who took CPR training. The majority (98.6%) of laypersons would perform CPR on their family members, but fewer laypersons (76...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28353609/assessing-practical-skills-in-cardiopulmonary-resuscitation-discrepancy-between-standard-visual-evaluation-and-a-mechanical-feedback-device
#13
Baltasar Sánchez González, Laura Martínez, Manel Cerdà, Enrique Piacentini, Josep Trenado, Salvador Quintana
This paper aims to analyze agreement in the assessment of external chest compressions (ECC) by 3 human raters and dedicated feedback software.While 54 volunteer health workers (medical transport technicians), trained and experienced in cardiopulmonary resuscitation (CPR), performed a complete sequence of basic CPR maneuvers on a manikin incorporating feedback software (Laerdal PC v 4.2.1 Skill Reporting Software) (L), 3 expert CPR instructors (A, B, and C) visually assessed ECC, evaluating hand placement, compression depth, chest decompression, and rate...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28353555/effect-of-dyad-training-on-medical-students-cardiopulmonary-resuscitation-performance
#14
Candice Wang, Chin-Chou Huang, Shing-Jong Lin, Jaw-Wen Chen
We investigated the effects of dyadic training on medical students' resuscitation performance during cardiopulmonary resuscitation (CPR) training.We provided students with a 2-hour training session on CPR for simulated cardiac arrest. Student teams were split into double groups (Dyad training groups: Groups A and B) or Single Groups. All groups received 2 CPR simulation rounds. CPR simulation training began with peer demonstration for Group A, and peer observation for Group B. Then the 2 groups switched roles...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28349529/continuous-chest-compression-versus-interrupted-chest-compression-for-cardiopulmonary-resuscitation-of-non-asphyxial-out-of-hospital-cardiac-arrest
#15
REVIEW
Lei Zhan, Li J Yang, Yu Huang, Qing He, Guan J Liu
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is a major cause of death worldwide. Cardiac arrest can be subdivided into asphyxial and non asphyxial etiologies. An asphyxia arrest is caused by lack of oxygen in the blood and occurs in drowning and choking victims and in other circumstances. A non asphyxial arrest is usually a loss of functioning cardiac electrical activity. Cardiopulmonary resuscitation (CPR) is a well-established treatment for cardiac arrest. Conventional CPR includes both chest compressions and 'rescue breathing' such as mouth-to-mouth breathing...
March 27, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28331374/clinical-experience-and-skills-of-physicians-in-hospital-cardiac-arrest-teams-in-denmark-a-nationwide-study
#16
Kasper G Lauridsen, Anders S Schmidt, Philip Caap, Rasmus Aagaard, Bo Løfgren
BACKGROUND: The quality of in-hospital resuscitation is poor and may be affected by the clinical experience and cardiopulmonary resuscitation (CPR) training. This study aimed to investigate the clinical experience, self-perceived skills, CPR training and knowledge of the guidelines on when to abandon resuscitation among physicians of cardiac arrest teams. METHODS: We performed a nationwide cross-sectional study in Denmark. Telephone interviews were conducted with physicians in the cardiac arrest teams in public somatic hospitals using a structured questionnaire...
2017: Open Access Emergency Medicine: OAEM
https://www.readbyqxmd.com/read/28292745/cardiopulmonary-resuscitation-training-in-schools-following-8%C3%A2-years-of-mandating-legislation-in-denmark-a-nationwide-survey
#17
Carolina Malta Hansen, Line Zinckernagel, Annette Kjær Ersbøll, Tine Tjørnhøj-Thomsen, Mads Wissenberg, Freddy Knudsen Lippert, Peter Weeke, Gunnar Hilmar Gislason, Lars Køber, Christian Torp-Pedersen, Fredrik Folke
BACKGROUND: School cardiopulmonary resuscitation (CPR) training has become mandatory in many countries, but whether legislation has translated into implementation of CPR training is largely unknown. We assessed CPR training of students following 8 years of legislative mandates in Denmark. METHODS AND RESULTS: A nationwide cross-sectional survey of Danish school leadership (n=1240) and ninth-grade homeroom teachers (n=1381) was carried out for school year 2013-2014...
March 14, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28288975/lay-bystanders-perspectives-on-what-facilitates-cardiopulmonary-resuscitation-and-use-of-automated-external-defibrillators-in-real-cardiac-arrests
#18
Carolina Malta Hansen, Simone Mørk Rosenkranz, Fredrik Folke, Line Zinckernagel, Tine Tjørnhøj-Thomsen, Christian Torp-Pedersen, Kathrine B Sondergaard, Graham Nichol, Morten Hulvej Rod
BACKGROUND: Many patients who suffer an out-of-hospital cardiac arrest will fail to receive bystander intervention (cardiopulmonary resuscitation [CPR] or defibrillation) despite widespread CPR training and the dissemination of automated external defibrillators (AEDs). We sought to investigate what factors encourage lay bystanders to initiate CPR and AED use in a cohort of bystanders previously trained in CPR techniques who were present at an out-of-hospital cardiac arrest. METHODS AND RESULTS: One-hundred and twenty-eight semistructured qualitative interviews with CPR-trained lay bystanders to consecutive out-of-hospital cardiac arrest, where an AED was present were conducted (from January 2012 to April 2015, in Denmark)...
March 13, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28280405/clinical-training-in-medical-students-during-preclinical-years-in-the-skill-lab
#19
Namrata Upadhayay
BACKGROUND: In Nepal, medical education is a high-stakes and stressful course. To enhance learning and minimize students' stress, the conventional method has been replaced by integrated, student-centered learning. As an approach to train effectively, colleges have started establishing skill labs. OBJECTIVES: To evaluate the effectiveness of clinical skill training on exam performance as compared with the conventional teaching practice. Further, to assess the perceptions of students of the importance of skill lab training in college...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28242210/cpr-quality-during-out-of-hospital-cardiac-arrest-transport
#20
Sheldon Cheskes, Adam Byers, Cathy Zhan, P Richard Verbeek, Dennis Ko, Ian R Drennan, Jason E Buick, Steven C Brooks, Steve Lin, Ahmed Taher, Laurie J Morrison
BACKGROUND: Previous studies have demonstrated significant associations between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge. No adequately powered study has explored the relationship between location of resuscitation (scene vs. transport) and CPR quality. METHODS: We analyzed CPR quality data from treated adult OHCA occurring over a 40 month period beginning January 1, 2013 from the Rescu Epistry-cardiac arrest database...
May 2017: Resuscitation
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