2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary

Olasveengen, Theresa M.; Caen, Allan R. de; Mancini, Mary E.; Maconochie, Ian; Aickin, Richard; Atkins, Dianne L.; Berg, Robert A.; Bingham, Robert; Brooks, Steven C.; Castrèn, Maaret; Chung, Sung Phil; Considine, Julie; Couto, Thomaz Bittencourt; Escalante, Raffo; Gazmuri, Raúl J.; Guerguerian, Anne‐Marie; Hatanaka, Tetsuo; Koster, Rudolph W.; Kudenchuk, Peter J.; Lang, Eddy; Lim, Swee Han; Løfgren, Bo; Meaney, Peter A.; Montgomery, William; Morley, Peter; Morrison, Laurie J.; Nation, Kevin; Ng, Kee-Chong; Nadkarni, Vinay; Nishiyama, Chika; Nuthall, Gabrielle; Ong, Gene Yong-Kwang; Perkins, Gavin D.; Reis, Amélia G.; Ristagno, Giuseppe; Sakamoto, Tetsuya; Sayre, Michael R.; Schexnayder, Stephen M.; Sierra, Alfredo F.; Singletary, Eunice M.; Shimizu, Naoki; Smyth, Michael A.; Stanton, David; Tijssen, Janice A.; Travers, Andrew H.; Vaillancourt, Christian; Voorde, Patrick Van de; Hazinski, Mary Fran; Nolan, Jerry P.

doi:10.1161/cir.0000000000000541

Cited by 124 publications

(79 citation statements)

References 58 publications

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“…The early start of cardiopulmonary resuscitation with automated external defibrillation (CPR-AED) may double survival from out-of-hospital cardiac arrest (OHCA) [1][2][3][4][5][6]. The Swedish Registry for Cardiopulmonary Resuscitation (SRCR) reports 11% for 30-day survival after OHCA, even though CPR is initiated in 75% of cases before the arrival of the ambulance [2].…”

Section: Accepted M M a N U mentioning

confidence: 99%

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Self-learning training versus instructor-led training for basic life support: A cluster randomised trial

et al. 2019

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Aim: To compare the effectiveness of two basic life support (BLS) training interventions. Methods: This experimental trial enrolled 1,301 lay people in BLS training. The participants were cluster randomised to either self-learning training or to traditional instructor-led training. Both groups used the Mini-Anne Kit (Laerdal Medical, Stavanger, Norway) and standardised film instructions. After training, the participants practical skills were measured on a Resusci Anne manikin and an AED trainer with the PC SkillReporting System (Laerdal Medical, Stavanger, Norway). The primary outcome was the total score from the modified Cardiff Test of basic life support with automated external defibrillation (19-70 points), six months after training. The secondary outcomes were total score directly after training and quality of individual variables, self-assessed knowledge, confidence and willingness to act, directly and six months after training. Results: For primary outcome six months after training there was no statistically significant difference (p=0.44) between the total score for the self-learning group (n=670; median 59, IQR 55-62) compared with the instructor-led group (n=561; median 59, IQR 55-63). The instructor-led training resulted in a statistically significant higher total score (median 61 versus 59, p<0.0001), self-assessed knowledge and willingness to act, directly after training (secondary outcomes) compared with the self-learning training. Conclusions: There was no statistically significant difference in practical skills or willingness to act when comparing self-learning training with instructor-led training six months after training in BLS. However, directly after the intervention, practical skills were better when the training was led by an instructor.

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Section: Accepted M M a N U mentioning

confidence: 99%

“…One important factor for survival from OHCA is the delay from cardiac arrest to the start of CPR-AED [1][2][3][4][5][6].…”

Section: Accepted M M a N U mentioning

confidence: 99%

Self-learning training versus instructor-led training for basic life support: A cluster randomised trial

et al. 2019

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“…In the Air Versus Oxygen in Myocardial Infarction (AVOID) trial, Stub and colleagues (1) found that hyperoxia caused more cardiac injury in patients with STelevation MI but without hypoxia. Kilgannon and colleagues (2,3) found that arterial hyperoxia following resuscitation from cardiac arrest was associated with increased in-hospital mortality, and a pulse oxygen saturation (SpO 2 ) of 94-98% was recommended (4).…”

Section: Introductionmentioning

confidence: 99%

Low versus high pulse oxygen saturation directed oxygen therapy in critically ill patients: a randomized controlled pilot study

Yang¹,

Shang²,

Yuan³

2019

J. Thorac. Dis.

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Background: Data on the safety and feasibility of pulse oxygen saturation (SpO 2 ) directed oxygen therapy in mainland China are scarce. The aim of this pilot study was to test the feasibility of SpO time to death within 28 days between the two groups was not different (P=0.284). Conclusions: SpO 2 directed oxygen therapy in critically ill patients was feasible. Our pilot trial necessitates and rationalizes our large-sample multicenter trial.

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“…In the conventional method, after diagnosis of cardiopulmonary arrest in an adult, the 'rescuer' immediately begins to externally compress the chest. After doing 30 compressions on the chest, the rescuer performs two ventilations (2). Although the standard CPR is an international guideline and is used worldwide, recent studies in animal and human subjects have shown that active ventilation of patients suffering from cardiac arrest during CPR may be unnecessary and even harmful (3).…”

Section: Introductionmentioning

confidence: 99%

Effects of ‘Rescuer’ Rotating Time on the Quality of Chest Compressions: 1-Minute Vs. 2-Minute Intervals

Gheibati

Heidarzadeh

Shamshiri

et al. 2019

Australasian Journal of Paramedicine

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IntroductionFatigue can influence the quality of continuous chest compression cardiopulmonary resuscitation (CCC-CPR). This study was conducted to compare the effect of ‘rescuer’ rotating time on the quality of chest compressions at 1-minute and 2-minute intervals.MethodsThe present semi-experimental study was conducted on 70 non-professional ‘rescuers’ as 35 two-person teams using a crossover design. All teams performed eight 2-minute cycles of CCC-CPR with a rotation of 1 minute and 2 minutes. Quality metrics of the chest compression rate, appropriate depth of compression, and total rate of compressions at the end of eight 2-minute cycles were used to assess the quality of the chest compressions.ResultsThe study results showed that the number of chest compressions with an adequate depth performed by the non-professional rescuers in the 1- and 2-minute scenarios wererespectively 118.18 and 100.87. There was no significant difference in the number of chest compressions between the two scenarios at the end of the CCC-CPR, but the number of compressions with sufficient depth in the 1-minute scenario was better than that in the 2-minute scenario.ConclusionThe study showed that although the rate of chest compression had a downward trend in the 1-minute scenario, rescuers maintained 100 to 120 chest compressions after 16 minutes. This means that non-professional rescuers replacement after 1 minute can increase chest compression with sufficient depth.

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2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary

Cited by 124 publications

References 58 publications

Self-learning training versus instructor-led training for basic life support: A cluster randomised trial

Self-learning training versus instructor-led training for basic life support: A cluster randomised trial

Low versus high pulse oxygen saturation directed oxygen therapy in critically ill patients: a randomized controlled pilot study

Effects of ‘Rescuer’ Rotating Time on the Quality of Chest Compressions: 1-Minute Vs. 2-Minute Intervals

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