Impedance Threshold Device Combined With High-Quality Cardiopulmonary Resuscitation Improves Survival With Favorable Neurological Function After Witnessed Out-of-Hospital Cardiac Arrest

Rationale and Strategies for Development of an Optimal Bundle of Management for Cardiac Arrest

“…Although the agencies each possessed diverse attributes in terms of agency size, population components, variable response configurations, and geographically diverse jurisdictions, the analyses revealed that, despite these differences, each had adopted similar, comprehensive strategies as reported here and each had similar results. Portfolio inventories consistently featured highly integrated procedural and technological interventions that were physiologically driven and intensely choreographed across the seven pillars of care ( 12 , 19 , 20 , 23 , 26 , 28 , 31 , 39 , 40 ).…”

“…Most commonly, the majority of these EMS-10 systems had 1) included the use of new technological tools for bCPR and streamlined dispatch procedures ( 41 , 42 ); 2) introduced the “combination” of an ITD with highly choreographed and closely monitored quality CPR, usually expedited by mechanical CPR devices ( 10 , 14 , 26 , 39 ); and 3) they also used designated receiving facilities that provided TTM and rapid access to PCI ( 18 – 20 , 33 ). Several systems had yet to implement technologies such as ECMO (in-hospital or prehospital) or DACSE of the head and thorax during CPR ( 22 , 31 , 43 – 47 ).…”

“…Although positive pressure ventilation can be used to achieve adequate lung inflation (to enhance oxygenation and transpulmonary blood flow during CPR), it can also detrimentally obstruct circulation if provided too frequently ( 9 ). Likewise, the ITD can significantly improve survival chances, but only with optimal combinations of minimally interrupted chest compressions (rate, depth, and full chest recoil) properly coordinated with ventilation ( 14 , 17 , 31 , 36 , 38 , 39 ). Conversely, they stressed that using novel procedures with simpler “system-1 thinking” strategies, such as age-based pediatric dosing, will not only expedite delivery of care but will also diminish errors ( 12 ).…”

An optimal chest compression technique using personal protective equipment during resuscitation in the COVID-19 pandemic: a randomized crossover simulation study

“…To our best knowledge, this is the first study to compare manual chest compressions in a The ability to perform high quality CPR is an important element of the management of patients with sudden cardiac arrest, directly affecting survival and reducing neurological losses [15,16]. The algorithms to be applied by the medical personnel are the guidelines of the European Resuscitation Council [11] or the American Heart Association [12], following the principles of evidence-based medicine.…”

Survival rate of incoming patients with cardiac arrest at the cardiology infirmary of the emergency department of a public hospital in Greece

“…In particular, in most of the published research studies, there is evidence of good quality of chest compressions, the presence of witnesses in cardiac arrest incident, airway management, the use of an automatic external defibrillator and the known history of heart disease, in conjunction with the improved survival rate after the arrest. [8][9][10][11][12][13][14][15][16][17][18][19] In 2014, Kuocw et al in their research study, which involved 712 patients with out-of-hospital cardiac arrest, showed a 17.8% who returned to systemic circulation, a 16.3% surviving during their incoming to the Emergency Department, and only 1.4% who managed to get discharged from the hospital. 20 In Greece, two studies dealt with the survival rate of the incoming patients at the Emergency Department with rates of arrest, as well as their stay time until their discharge.…”