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CPR Performance

David Weidenauer, Thomas Hamp, Christoph Schriefl, Caroline Holaubek, Markus Gattinger, Mario Krammel, Markus Winnisch, Ana Weidenauer, Gerald Mundigler, Irene Lang, Wolfgang Schreiber, Fritz Sterz, Harald Herkner, Hans Domanovits
BACKGROUND: Cardio-pulmonary-resuscitation (CPR) training starting at the age of 12 years is recommended internationally. Training younger children is not recommended because young children lack the physical ability to perform adequate CPR and discouragement to perform CPR later is apprehended. The aim of this study was to answer the following questions: Are younger children discouraged after CPR training? Is discouragement caused by their lack in physical ability to perform adequate chest compressions on a standard manikin and would the use of manikins with a reduced resistance affect their motivation or performance? METHODS: We investigated the motivation and CPR performance of children aged 8-13 years after CPR training on manikins of different chest stiffness in a prospective, randomized, single-blind, controlled trial...
2018: PloS One
Jongho Kim, Lyle Brewster, Sonja Maria, Jundong Moon
High-rise buildings present unique challenges to providing high-quality CPR. We investigated the effect of using a mechanical compressor and supraglottic airway on flow time and CPR quality in simulated cardiac arrests occurring within a high-rise building. Twelve teams of EMS providers performed CPR according to 4 scenarios: manual compression and ventilation through bag-valve-mask (MAB) or supraglottic airway (MAS); mechanical compression and ventilation through bag-valve-mask (MEB) or supraglottic airway (MES)...
2018: Emergency Medicine International
Vikramjeet Arora, Manju Bala, Sumit Chawla
Context: Basic life support (BLS) is a core life-saving skill which everyone should know, but knowledge of BLS is poor even among medical students. Aims: The aim of our study was to assess the knowledge regarding BLS among medical students and see impact of training and also to know whether a short session of video training made an impact on their cardiopulmonary resuscitation (CPR) skills. Settings and Design: Ninety-two 2nd -year medical students were included in the study...
July 2018: Indian Journal of Critical Care Medicine
David Fernández-Ayuso, Rosa Fernández-Ayuso, Cristino Del-Campo-Cazallas, José Luis Pérez-Olmo, Borja Matías-Pompa, Josué Fernández-Carnero, Cesar Calvo-Lobo
BACKGROUND: High-fidelity simulation represents a primary tool in nursing education, especially when hands-on practical training is involved. OBJECTIVE: We sought to determine the influence of high-fidelity clinical simulation, applied during cardiopulmonary resuscitation (CPR) training, on blood pressure, heart rate, stress, and anxiety levels in 2 groups of nursing students. One group had experience in health contexts, whereas the other group had none. METHODS: We performed a quasi-experimental study...
August 15, 2018: JMIR Serious Games
Yuko Sato, Mitsunori Miyashita, Kazuki Sato, Kenji Fujimori, Koichi Benjamin Ishikawa, Hiromasa Horiguchi, Kiyohide Fushimi, Chikashi Ishioka
Background: End-of-life (EOL) cancer care in Japanese acute care hospitals has not been well described. Methods: We aimed to assess the aggressiveness of EOL care and examine common treatments administered to cancer patients using a health administrative database. Subjects are adult cancer patients who died at acute care hospitals between April 2011 and March 2014. Data from the Japanese Diagnosis Procedure Combination database were analysed to measure the aggressiveness of care (chemotherapy, intensive care unit [ICU] admission and cardiopulmonary resuscitation [CPR]) and describe procedures and prescriptions administered in the last 14 and 30 days of life, disaggregated by hospital case volume: high, intermediate and low volumes...
August 13, 2018: Japanese Journal of Clinical Oncology
Helen Sherrell, Vicky Clifton, Sailesh Kumar
INTRODUCTION: Intrapartum complications are a major contributor to adverse perinatal outcomes, including stillbirth, hypoxic-ischaemic brain injury and subsequent longer term disability. In many cases, hypoxia develops as a gradual process due to the inability of the fetus to tolerate the stress of parturition suggesting reduced fetoplacental reserve before labour commences. The fetal cerebroplacental ratio (CPR) is an independent predictor of intrapartum fetal compromise, poor acid base status at birth and of neonatal unit admission at term...
August 13, 2018: BMJ Open
Christina Mackaill, Gregori Sponchiado, Ana K Leite, Paola Dias, Michele Da Rosa, Elliot J Brown, Julio C M de Lima, Lucas Rehnberg, Thais Russomano
INTRODUCTION: 2015 UK resuscitation guidelines aim for 50-60 mm depth when giving external chest compressions (ECCs). This is achievable in hypogravity if the rescuer flexes and extends their arms during CPR, or using a new method trialed; the 'Mackaill-Russomano' (MR CPR) method. METHODS: 10 participants performed 3 sets of 30 ECCs in accordance with 2015 guidelines. A control was used at 1Gz, with eight further conditions using Mars and Moon simulations, with and without braces in the terrestrial position and using the MR CPR method...
August 2018: Life Sciences in Space Research
Romualdo Sciorio, K J Thong, Susan J Pickering
This study investigates the utility of the Rapid-i closed device for vitrification of human blastocysts on day-5 (D5) and day-6 (D6) of development and the implantation and pregnancy rate following single blastocyst transfer (SBT) of warmed D5/D6 blastocysts. This retrospective cohort study was performed at Edinburgh Assisted Conception Programme, EFREC, Royal Infirmary of Edinburgh between January 2013 and January 2017. Good quality blastocysts were vitrified on D5 or D6 using Irvine Vitrification medium (Irvine Scientific-USA) and the Rapid-I closed Vitrification System™ (Vitrolife, Sweden)...
August 9, 2018: Cryobiology
Tomi M Toukola, Janna P Kauppila, Lasse Pakanen, Marja-Leena Kortelainen, Matti Martikainen, Heikki V Huikuri, M Juhani Junttila
Introduction: The previous studies about exercise-related sudden cardiac arrest (SCA) have mainly focused on sports activity, but information related to SCA in other forms of physical exercise is lacking. Our aim was to identify characteristics and prognosis of SCA victims in the general population who suffered SCA during physical activity. Methods and results: We collected retrospectively all cases of attempted resuscitation in Oulu University Hospital Area between 2007 and 2012. A total of 300 cases were of cardiac origin...
2018: Frontiers in Cardiovascular Medicine
Emanuel M Dogan, Linus Beskow, Fredrik Calais, Tal M Hörer, Birger Axelsson, Kristofer F Nilsson
INTRODUCTION: Aortic occlusion during cardiopulmonary resuscitation (CPR) increases systemic arterial pressures. Correct thoracic placement during the resuscitative endovascular balloon occlusion of the aorta (REBOA) may be important for achieving effective CPR. HYPOTHESIS: The positioning of the REBOA in the thoracic aorta during CPR will affect systemic arterial pressures. METHODS: Cardiac arrest was induced in 27 anesthetized pigs. After 7 min of CPR with a mechanical compression device, REBOA in the thoracic descending aorta at heart level (zone Ib, REBOA-Ib, n = 9), at diaphragmatic level (zone Ic, REBOA-Ic, n = 9) or no occlusion (control, n = 9) was initiated...
July 31, 2018: Shock
Pei-Fang Lai, Ping-An Wu
The best first-aid treatment for cardiac arrest patients is advanced cardiac life support (ACLS) in terms both of saving lives and of reducing the incidence of sequelae. The American Heart Association (AHA) published updated ACLS guidelines for care in 2015. These updated guidelines emphasized the importance of teamwork in resuscitation, noting that, in addition to standard procedures, team members should be familiar with their distinct roles and should cooperate together during emergent situations. Implementing ACLS is not easy due to stress and unfamiliarity with the process and thus often achieves less-than-optimal results in practice...
August 2018: Hu Li za Zhi the Journal of Nursing
Jacentha Buggs, Ebonie Rogers, Victor Bowers
The demand for organs for kidney transplantation (KTX) compels the use of high-risk donation after circulatory death donors (DCDs) and extended criteria donors (ECDs). Many deceased donors receive prehospital CPR, but the literature does not address CPR as a benefit to graft survival. We hypothesized that donor prehospital CPR correlates with improved graft survival with high-risk DCD/ECD kidneys. We retrospectively analyzed KTX recipients and their donor data from 2008 to 2013. A total of 646 cadaveric donors (498 SCDs, 55 DCDs, and 93 ECDs) facilitated 910 KTX...
July 1, 2018: American Surgeon
Young Sun Ro, Sang Do Shin, Seung Chul Lee, Kyoung Jun Song, Joo Jeong, Dae Han Wi, Sungwoo Moon
OBJECTIVES: We aimed to evaluate the associations between the centralization of dispatch centers and dispatcher-assisted bystander cardiopulmonary resuscitation (DA-BCPR) for out-of-hospital cardiac arrest (OHCA) patients. METHODS: All emergency medical services (EMS)-treated adults in Gyeonggi province (34 fire departments covering 43 counties, with a population of 12.6 million) with OHCAs of cardiac etiology were enrolled between 2013 and 2016, excluding cases witnessed by EMS providers...
July 29, 2018: Resuscitation
Anna Abelsson, Lars Lundberg
INTRODUCTION: As a part of the emergency medical services (EMS), the Swedish fire brigade can increase the survival rate in out-of-hospital cardiac arrests. AIM: To compare the quality of Cardiopulmonary resuscitation (CPR) performed by firefighters at a routine CPR practice, versus when involved in a simulated life-saving event. METHODS: In this study, 80 firefighters divided into two groups, performed CPR according to guidelines; one group indoors during a routine training session...
July 30, 2018: International Journal of Occupational Safety and Ergonomics: JOSE
C L O'Neill, A Parrella, D Keating, S Cheung, Z Rosenwaks, G D Palermo
OBJECTIVE: To design a reproductive treatment algorithm based on the sperm DNA fragmentation (SDF) for couples with unexplained infertility following a poor intrauterine insemination (IUI) outcome. DESIGN: Couples that failed IUI with no apparent reproductive issue in both partners were allocated to diverse reproductive treatments on the basis of SDF. SETTING: Reproductive medical center in an academic setting. PATIENT(S): Over 4 years, couples with an unexpected poor IUI outcome and no apparent female or male partner reproductive issues were recruited...
July 28, 2018: Journal of Assisted Reproduction and Genetics
D M Zive, R Schmicker, M Daya, P Kudenchuk, G Nichol, J C Rittenberger, T Aufderheide, G M Vilke, J Christenson, J E Buick, K Kaila, S May, T Rea, L J Morrison
BACKGROUND: The Resuscitation Outcomes Consortium (ROC)epidemiological registry (Epistry) provides opportunities to assess trends in out-of-hospital cardiac arrest treatment and outcomes. METHODS: Patient, event, system, treatment, and outcome data from adult (>18 years) out-of-hospital cardiac arrest (OHCA) from 10 geographically diverse North American ROC sites over four 12-month epochs, from July 1, 2011 to June 30, 2015, were assessed. Descriptive statistics were used to characterize the sample and logistic regression assessed the association of study epoch and key covariates on survival...
July 24, 2018: Resuscitation
Linda L Brown, Yiqun Lin, Nancy M Tofil, Frank Overly, Jonathan P Duff, Farhan Bhanji, Vinay M Nadkarni, Elizabeth A Hunt, Alexis Bragg, David Kessler, Ilana Bank, Adam Cheng
OBJECTIVE: We aimed to describe the differences in workload between team leaders and CPR providers during a simulated pediatric cardiac arrest, to evaluate the impact of a CPR feedback device on provider workload, and to describe the association between provider workload and the quality of CPR. METHODS: We conducted secondary analysis of data from a randomized trial comparing CPR quality in teams with and without use of a real-time visual CPR feedback device [1]...
September 2018: Resuscitation
Marc J G Zeldenrust, Robert Jan van Suylen, Bart P C Ramakers
BACKGROUND: The Waterhouse-Friderichsen syndrome (WFS) is a serious illness associated with a high mortality rate and characterized by septic shock and signs of adrenocortical insufficiency. CASE DESCRIPTION: A 33-year-old male was seen in the emergency department with severe abdominal and back pain with diffuse mottled skin and rapidly progressive petechiae all over his body. Laboratory results showed severe lactate acidosis with renal dysfunction and indications of diffuse intravascular coagulation...
May 25, 2018: Nederlands Tijdschrift Voor Geneeskunde
Jeong Ho Park, Sang Do Shin, Young Sun Ro, Kyoung Jun Song, Ki Jeong Hong, Tae Han Kim, Eui Jung Lee, So Yeon Kong
INTRODUCTION: The study aimed to determine the effect of community implementation of a bundles of cardiopulmonary resuscitation (CPR) programs on outcomes in out-of-hospital cardiac arrest (OHCA). METHODS: A before- and after-intervention study was performed in a metropolis. Emergency medical services (EMS)-treated adults and cardiac OHCAs were included. Three new CPR programs was implemented in January 2015: 1) a high-quality dispatcher-assisted CPR program (DACPR), 2) a multi-tier response (MTR) program using fire engines or basic life support vehicles, and 3) a feedback CPR (FCPR) program with professional recording and feedback of CPR process...
July 20, 2018: Resuscitation
Greg Scott, Tracey Barron, Isabel Gardett, Meghan Broadbent, Holly Downs, Leslie Devey, E J Hinterman, Jeff Clawson, Christopher Olola
IntroductionImplementation of high-quality, dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is critical to improving survival from out-of-hospital cardiac arrest (OHCA). However, despite some studies demonstrating the use of a metronome in a stand-alone setting, no research has yet demonstrated the effectiveness of a metronome tool in improving DA-CPR in the context of a realistic 911 call or using instructions that have been tested in real-world emergency calls.HypothesisUse of the metronome tool will increase the proportion of callers able to perform CPR within the target rate without affecting depth...
July 23, 2018: Prehospital and Disaster Medicine
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