2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary

Soar, Jasmeet; Donnino, Michael W.; Maconochie, Ian; Aickin, Richard; Atkins, Dianne L.; Andersen, Lars W.; Berg, Katherine M.; Bingham, Robert; Böttiger, Bernd W.; Callaway, Clifton W.; Couper, Keith; Couto, Thomaz Bittencourt; Caen, Allan R. de; Deakin, Charles D.; Drennan, Ian R.; Guerguerian, Anne Marie; Lavonas, Eric J.; Meaney, Peter A.; Nadkarni, Vinay; Neumar, Robert W.; Ng, Kee Chong; Nicholson, Tonia; Nuthall, Gabrielle; Ohshimo, Shinichiro; O’Neil, Brian J.; Ong, Gene Yong Kwang; Paiva, Edison Ferreira de; Parr, Michael; Reis, Amélia G.; Reynolds, Joshua C.; Ristagno, Giuseppe; Sandroni, Claudio; Schexnayder, Stephen M.; Scholefield, Barnaby R.; Shimizu, Naoki; Tijssen, Janice A.; Voorde, Patrick Van de; Wang, Tzong Luen; Welsford, Michelle; Hazinski, Mary Fran; Nolan, Jerry P.; Morley, Peter

doi:10.1016/j.resuscitation.2018.10.017

Cited by 64 publications

(32 citation statements)

References 55 publications

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“…[31]. During CPR in patients with non-traumatic cardiac arrest or PEA, POCUS can also rule in reversible causes, mainly cardiac tamponade and severe systolic ventricular dysfunction [32,33].…”

Section: Patients With Shock Of Unknown Origin and Peri-arrest Situatmentioning

confidence: 99%

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Torres‐Macho

Aro²,

Bruckner

et al. 2020

European Journal of Internal Medicine

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Section: Patients With Shock Of Unknown Origin and Peri-arrest Situatmentioning

confidence: 99%

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Torres‐Macho

Aro²,

Bruckner

et al. 2020

European Journal of Internal Medicine

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“…Einige Studien haben die BMV bei der Atemwegssicherung in Reanimationsstudien im Vergleich zur invasiven Atemwegssicherung untersucht. Hier zeigt sich ein Trend, dass die BMV bei Patienten unter Reanimation nicht zu schlechteren Behandlungsergebnissen führt [12,13]. In den Empfehlungen des International Liaison Committee on Resuscitation (ILCOR-Empfehlungen) zum Atemwegsmanagement für die kardiopulmonale Reanimation [13] wird die BMV ebenfalls berücksichtigt; im Einzelfall kann bei vermuteter geringer Intubationswahrscheinlichkeit eine BMV bis zur Klinik fortgeführt werden.…”

Section: Grundsätzlich Sollte Jeder Rettungsdienstmitarbeiter Dieunclassified

Atemwegsmanagement im Rettungsdienst

Michael¹,

Tautz²,

Sensen³

et al. 2020

Notfallmedizin up2date

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ZusammenhangIm Einsatzspektrum des professionellen Rettungsdienstes stellen Atemwegsnotfälle („A-Probleme“) einen seltenen, respiratorische Notfälle („B-Probleme“) hingegen einen häufigen Einsatzgrund dar. Die Vorhaltung entsprechenden Materials, Schulung und regelmäßiges Training, die Etablierung von SOPs und gelebtes Teamwork sind wesentliche Aspekte für ein erfolgreiches Atemwegsmanagement, für das die S1-Leitlinie „Prähospitales Atemwegsmanagement“ einen praktischen Leitfaden bietet.

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“…Adequate ventilation, improved oxygenation, and avoidance of aspiration are important factors concerning the rate of ROSC as well as the neurological outcome of a patient undergoing CPR (1, 2). Current updated international recommendations for advanced airway management from the International Liaison Committee on Resuscitation (ILCOR) suggest supraglottic devices for adults with Out-of-hospital cardiac arrest (OHCA) in settings with a low intubation success rate (3). In case of less experienced providers they recommended mask ventilation or supraglottic devices in order to not interrupt chest compressions.In the Anglo-American paramedic system, the success rates for prehospital ETI using DL are between 71% and 75% (4,5).…”

Section: Introductionmentioning

confidence: 99%

Comparison of videolaryngoscopy and direct laryngoscopy by German paramedics during out-of-hospital cardiopulmonary resuscitation. An observational prospective study.

Risse

Volberg

Kratz

et al. 2020

Preprint

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Introduction: Videolaryngoscopy (VL) has become a popular method of intubation (ETI). Although VL may facilitate ETI in less-experienced rescuers there are limited data available concerning ETI performed by paramedics during CPR. The goal was to evaluate the impact VL compared with DL on intubation success and glottic view during CPR performed by German paramedics. We investigated in an observational prospective study the superiority of VL by paramedics during CPR compared with direct laryngoscopy (DL). Methods: In a single Emergency Medical Service (EMS) in Germany with in total 32ambulances paramedics underwent an initial instruction from in endotracheal intubation (ETI) with GlideScope ® (GVL) during resuscitation. The primary endpoint was good visibility of the glottis (Cormack-Lehane grading 1/2), and the secondary endpoint was successful intubation comparing GVL and DL.Results: In total n = 97 patients were included, n = 69 with DL (n = 85 intubation attempts) and n = 28 VL (n = 37 intubation attempts). Videolaryngoscopy resulted in a significantly improved visualization of the larynx compared with DL. In the group using GVL, 82% rated visualization of the glottis as CL 1&2 versus 55% in the DL group (p = 0.02). Despite better visualization of the larynx, there was no statistically significant difference in successful ETI between GVL and DL (GVL 75% vs. DL 68.1%, p = 0.63).Conclusions: We found no difference in Overall and First Pass Success (FPS) between GVL and DL during CPR by German paramedics despite better glottic visualization with GVL. Therefore, we conclude that education in VL should also focus on insertion of the endotracheal tube, considering the different procedures of GVL.

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2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary

Cited by 64 publications

References 55 publications

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Atemwegsmanagement im Rettungsdienst

Comparison of videolaryngoscopy and direct laryngoscopy by German paramedics during out-of-hospital cardiopulmonary resuscitation. An observational prospective study.

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