European Resuscitation Council Guidelines for Resuscitation 2015

Maconochie, Ian; Bingham, Robert; Eich, Christoph; López‐Herce, Jesús; Rodrı́guez-Núñez, Antonio; Rajka, Thomas; Voorde, Patrick Van de; Zideman, David; Biarent, Dominique; Monsieurs, Koenraad G.; Nolan, Jerry P.

doi:10.1016/j.resuscitation.2015.07.028

Cited by 393 publications

(367 citation statements)

References 425 publications

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“…16,17 Inadequate chest compression rates have been widely reported during pediatric and adult-simulated CPR. 18,23,30,31 Whereas optimal compression rate has been reached by only 50% of the T-NG group, the participants with telephone assistance met the target for 87.5% of the U-G group and 96.7% of the T-G group.…”

Section: Discussionmentioning

confidence: 99%

“…36 Current guidelines recommend the delivery of chest compressions to be performed with the tips of 2 fingers for single rescuer and with encircling technique in case of multiple rescuers. 16,17 The chest compression quality may be influenced by the technique we adopted in our protocol. Indeed, several studies on trained volunteers without T-CPR showed that the 2-thumb technique not only improved chest compression depth compared with the 2-finger technique 30,35,37,38 but also reduced the erratic positioning of the fingers.…”

Section: Discussionmentioning

confidence: 99%

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Dispatcher-Assisted Telephone Cardiopulmonary Resuscitation Using a French-Language Compression-Ventilation Pediatric Protocol

Peters¹,

Stipulante²,

Delfosse³

et al. 2017

Pediatr Emer Care

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Objective: Out-of-hospital cardiac arrest (OHCA) in pediatrics is a devastating event associated with poor survival rates. Although telephone dispatcher-assisted cardiopulmonary resuscitation (CPR; T-CPR) instructions improve the frequency and quality of bystander CPR for OHCA in adults, this support remains undeveloped in children. Our objective was to assess the effectiveness of a pediatric T-CPR protocol in untrained and trained bystanders. Secondarily, we sought to determine the feasibility and the effectiveness of ventilation in such a protocol.Methods: Eligible adults with no CPR experience were recruited in a movie theater in Liege, as well as bachelor nursing students in Liege. All volunteers were randomly assigned either to T-CPR or to no-T-CPR using randomization. The volunteers were exposed to a pediatric manikin model cardiac arrest. On the basis of Cardiff evaluation test, data were collected to evaluate CPR performance.Results: A total of 115 volunteers were assigned to 4 groups: untrained nonguided group (n = 27), untrained guided group (n = 32), trained nonguided group (n = 26), and trained guided group (n = 30). We found an improvement in CPR performance in the guided groups. Most volunteers (81.2%) in untrained guided group and 83.3% in the trained guided group were able to give 2 ventilations after each compressions cycle. Conclusions:In a pediatric manikin model of OHCA, T-CPR instructions including mouth-to-mouth ventilations and chest compressions produced a significant increase in resuscitation performance not only among previously untrained but also among trained volunteers.Key Words: CPR, cardiac arrest, infant, manikin, telephone, prospective study (Pediatr Emer Care 2017;33: 00-00) A lthough uncommon in children, out-of-hospital cardiac arrest (OHCA) has devastating complications.1 Indeed, the survival rate at hospital discharge rarely exceeds 8% 2 despite care being conducted in accordance with chain of survival concept. In adults, early bystander-initiated cardiopulmonary resuscitation (CPR) has been related to better neurological outcomes and higher survival rates.4 However, regardless of population, most OHCAs still do not receive any CPR before the arrival of emergency medical services.1,5 As a consequence, only 37% of infants at best actually receive early bystander CPR, whereas most OHCAs occur at home. 3 The lack of CPR knowledge or skills has been advocated to explain this low rate of CPR and subsequent poorer prognosis for OHCA occurring in private places as compared with the ones taking place in public locations. 6,7 Besides, stress, reluctance to practice mouth-to-mouth ventilation, and fear of communicable disease are other major barriers for bystander CPR practice, although these bystanders are most frequently the parents.In adults, dispatcher-assisted compression-only CPR has been demonstrated to enhance the rate of CPR attempts. This observation was the rationale for current guidelines recommending bystander chest compression-only CPR in adults. 8 However, such recom...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dispatcher-Assisted Telephone Cardiopulmonary Resuscitation Using a French-Language Compression-Ventilation Pediatric Protocol

Peters¹,

Stipulante²,

Delfosse³

et al. 2017

Pediatr Emer Care

View full text Add to dashboard Cite

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“…Adult guidelines recommend a uniform depth range between 5 and 6 cm. Current pediatric recommendation for compression depth is at least one third the anterior-posterior diameter of the chest [7]. This variable target complicates rescuer's intervention in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

“…For pediatric patients, conversely, target depth is one third of the anteroposterior diameter of the chest, and thus varies depending on patient age and morphology [7]. Available feedback devices are designed for adults and there is no available solution adapted to pediatrics.…”

Section: Introductionmentioning

confidence: 99%

Chest Diameter Measurement in Pediatric Patients for Chest Compression Feedback Calibration

Gauna

González-Otero

Ruiz

et al. 2016

2016 Computing in Cardiology Conference (CinC)

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“…Therefore, the European Resuscitation Council (ERC) and American Heart Association (AHA) guidelines recommend starting CPR and continuing it until the heart muscle is sufficiently oxygenated and regains sufficient contractility and function. CPR in these conditions will also allow oxygen transport to be restored to the brain, eliminating the risk of severe damage of the central nervous system resulting from acute hypoxia [7][8][9]. Currently, many techniques of CPR in newborns can be applied [10].…”

Section: Introductionmentioning

confidence: 99%

Which position should we take during newborn resuscitation? A prospective, randomised, multicentre simulation trial

et al. 2018

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A b s t r a c tBackground: Early bystander cardiopulmonary resuscitation (CPR) for cardiac arrest is crucial in the chain of survival. Cardiac arrest in infants is rare, but CPR is also performed in severe bradycardia. European Resuscitation Council and American Heart Association guidelines recommend continuing CPR until the heart muscle is sufficiently oxygenated and regains sufficient contractility and function. The most common and recommended CPR techniques that can be applied in newborns are the two-finger technique and two-thumb technique. Aim:We sought to assess the quality of CPR performed in newborns with the two-finger technique depending on the position of the rescuer during resuscitation. Methods:This was a prospective, randomised, crossover, simulated study. It involved 93 nurses who were required to perform a two-minute CPR using the two-finger technique in three scenarios: (A) with the newborn lying on the floor; (B) on a table; and (C) with the newborn on the rescuer's forearm. The Newborn Tory ® S2210 manikin was used to simulate a neonatal patient in cardiac arrest. The following parameters were measured: chest compression (CC) depth, CC rate, no-flow time, percentage of full release, ventilation rate, and ventilation volume, as well as the number of effective compressions and effective ventilations.Results: Statistical analysis showed significant differences in CC rates between scenarios A and B (p < 0.001) and between scenarios B and C (p = 0.002). Significant differences were also observed between the median CC depth. The median percentage of no-flow-fraction was the highest for scenario A (55%), followed by scenario B (48%), and scenario C (46%). There were significant differences between the values of no-flow-fraction between scenarios A and B (p < 0.001), and between scenarios A and C (p < 0.001). The percentage of chest full releases for scenarios A, B, and C amounted to 94%, 1%, and 92%, respectively. Significant differences in the number of effective CCs between scenarios A and B (p < 0.001) as well as B and C (p < 0.001) were revealed. The median ventilation rate was highest for scenario B (13 × min ). The highest tidal volume was obtained in scenario A (27 mL), and the lowest in scenario C (26 mL). The most effective CPR was performed when resuscitation was carried out on the rescuer's forearm. Conclusions:The quality of CCs in newborns depends on the location of the patient and the rescuer. The optimal form of resuscitation of newborns is resuscitation on the rescuer's forearm.

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European Resuscitation Council Guidelines for Resuscitation 2015

Cited by 393 publications

References 425 publications

Dispatcher-Assisted Telephone Cardiopulmonary Resuscitation Using a French-Language Compression-Ventilation Pediatric Protocol

Dispatcher-Assisted Telephone Cardiopulmonary Resuscitation Using a French-Language Compression-Ventilation Pediatric Protocol

Chest Diameter Measurement in Pediatric Patients for Chest Compression Feedback Calibration

Which position should we take during newborn resuscitation? A prospective, randomised, multicentre simulation trial

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