O107 Basic cardiopulmonary resuscitation skills: A comparison of ambulance staff and medical students in Germany

A comparison of five techniques for detecting cardiac activity in infants

“…Our nurses' skill in palpation, which had great influence on the current results, might be questioned, but a 74.5% success rate of palpation of the infant's pulse is much higher than in the lay public (16,17). Furthermore, compared with other reports (6–14), our present success rate was not low. Therefore, we assume that their palpation technique was acceptable.…”

“…The new guidelines, however, recommend that the first responder should begin chest compressions without checking the pulse when signs of a circulation could not be found, such as normal breathing, coughing, or movement in response to stimulation. Many published studies (6–14) have documented the inability of laypersons to determine accurately the presence or absence of a pulse, and they have suggested that checking the pulse within 10 s, which is the recommendation of the AHA guidelines, is too difficult for laypersons and might be an inaccurate diagnostic test to determine cardiac arrest. The false‐negative error rate, the rescuer's diagnosis is ‘pulse present’, when in truth the pulse is not present, appeared to be 10% and the overall error rate 35% (9).…”

A comparison of five techniques for detecting cardiac activity in infants

“…Our nurses' skill in palpation, which had great influence on the current results, might be questioned, but a 74.5% success rate of palpation of the infant's pulse is much higher than in the lay public (16,17). Furthermore, compared with other reports (6–14), our present success rate was not low. Therefore, we assume that their palpation technique was acceptable.…”

“…The new guidelines, however, recommend that the first responder should begin chest compressions without checking the pulse when signs of a circulation could not be found, such as normal breathing, coughing, or movement in response to stimulation. Many published studies (6–14) have documented the inability of laypersons to determine accurately the presence or absence of a pulse, and they have suggested that checking the pulse within 10 s, which is the recommendation of the AHA guidelines, is too difficult for laypersons and might be an inaccurate diagnostic test to determine cardiac arrest. The false‐negative error rate, the rescuer's diagnosis is ‘pulse present’, when in truth the pulse is not present, appeared to be 10% and the overall error rate 35% (9).…”

Impact of Continuing Medical Education on Health Care Provider Performance in a Medical University, Karachi, Pakistan.

“…The result of current study for nonmedical are in agreement with the result of the study conducted by Flesche C et al 18 . It is observed that with CPR, survival rates can be as high as 49 to 75% after given the first shock 19,20 , while missing or delay in the diagnosis of sudden cardiac arrest will reduce the patients' survival rate to zero within about 10 minutes 21 . Therefore, with a simple course we could improve skills of BLS in medical and non-medicals.…”

Part 9: Pediatric Basic Life Support

“…191,[193][194][195][196][197][198][199][200][201][202][203][204][205] Previous guidelines de-emphasized the pulse check for infant-child CPR for 2 reasons. First, 3 small studies suggested that parents had difficulty finding and counting the pulse even in healthy infants.…”

“…192,203,206 Second, the reported complication rate from chest compressions in infants and children is low. [207][208][209][210][211][212][213][214] After publication of the 1992 ECC Guidelines, additional investigators evaluated the reliability of the pulse check with adult manikin simulation 198 in unconscious adult patients undergoing cardiopulmonary bypass, 202 unconscious mechanically ventilated adult patients, 199 and conscious adult "test persons." 194,201 These studies concluded that as a diagnostic test for cardiac arrest, the pulse check has serious limitations in accuracy, sensitivity, and specificity.…”

A comparison of five techniques for detecting cardiac activity in infants

“…Our nurses' skill in palpation, which had great influence on the current results, might be questioned, but a 74.5% success rate of palpation of the infant's pulse is much higher than in the lay public (16,17). Furthermore, compared with other reports (6–14), our present success rate was not low. Therefore, we assume that their palpation technique was acceptable.…”

“…The new guidelines, however, recommend that the first responder should begin chest compressions without checking the pulse when signs of a circulation could not be found, such as normal breathing, coughing, or movement in response to stimulation. Many published studies (6–14) have documented the inability of laypersons to determine accurately the presence or absence of a pulse, and they have suggested that checking the pulse within 10 s, which is the recommendation of the AHA guidelines, is too difficult for laypersons and might be an inaccurate diagnostic test to determine cardiac arrest. The false‐negative error rate, the rescuer's diagnosis is ‘pulse present’, when in truth the pulse is not present, appeared to be 10% and the overall error rate 35% (9).…”

Impact of Continuing Medical Education on Health Care Provider Performance in a Medical University, Karachi, Pakistan.

“…The result of current study for nonmedical are in agreement with the result of the study conducted by Flesche C et al 18 . It is observed that with CPR, survival rates can be as high as 49 to 75% after given the first shock 19,20 , while missing or delay in the diagnosis of sudden cardiac arrest will reduce the patients' survival rate to zero within about 10 minutes 21 . Therefore, with a simple course we could improve skills of BLS in medical and non-medicals.…”

Part 9: Pediatric Basic Life Support

“…191,[193][194][195][196][197][198][199][200][201][202][203][204][205] Previous guidelines de-emphasized the pulse check for infant-child CPR for 2 reasons. First, 3 small studies suggested that parents had difficulty finding and counting the pulse even in healthy infants.…”

“…192,203,206 Second, the reported complication rate from chest compressions in infants and children is low. [207][208][209][210][211][212][213][214] After publication of the 1992 ECC Guidelines, additional investigators evaluated the reliability of the pulse check with adult manikin simulation 198 in unconscious adult patients undergoing cardiopulmonary bypass, 202 unconscious mechanically ventilated adult patients, 199 and conscious adult "test persons." 194,201 These studies concluded that as a diagnostic test for cardiac arrest, the pulse check has serious limitations in accuracy, sensitivity, and specificity.…”

A comparison of five techniques for detecting cardiac activity in infants

“…Our nurses' skill in palpation, which had great influence on the current results, might be questioned, but a 74.5% success rate of palpation of the infant's pulse is much higher than in the lay public (16,17). Furthermore, compared with other reports (6–14), our present success rate was not low. Therefore, we assume that their palpation technique was acceptable.…”

“…The new guidelines, however, recommend that the first responder should begin chest compressions without checking the pulse when signs of a circulation could not be found, such as normal breathing, coughing, or movement in response to stimulation. Many published studies (6–14) have documented the inability of laypersons to determine accurately the presence or absence of a pulse, and they have suggested that checking the pulse within 10 s, which is the recommendation of the AHA guidelines, is too difficult for laypersons and might be an inaccurate diagnostic test to determine cardiac arrest. The false‐negative error rate, the rescuer's diagnosis is ‘pulse present’, when in truth the pulse is not present, appeared to be 10% and the overall error rate 35% (9).…”

Impact of Continuing Medical Education on Health Care Provider Performance in a Medical University, Karachi, Pakistan.

“…The result of current study for nonmedical are in agreement with the result of the study conducted by Flesche C et al 18 . It is observed that with CPR, survival rates can be as high as 49 to 75% after given the first shock 19,20 , while missing or delay in the diagnosis of sudden cardiac arrest will reduce the patients' survival rate to zero within about 10 minutes 21 . Therefore, with a simple course we could improve skills of BLS in medical and non-medicals.…”

Part 9: Pediatric Basic Life Support

“…191,[193][194][195][196][197][198][199][200][201][202][203][204][205] Previous guidelines de-emphasized the pulse check for infant-child CPR for 2 reasons. First, 3 small studies suggested that parents had difficulty finding and counting the pulse even in healthy infants.…”

“…192,203,206 Second, the reported complication rate from chest compressions in infants and children is low. [207][208][209][210][211][212][213][214] After publication of the 1992 ECC Guidelines, additional investigators evaluated the reliability of the pulse check with adult manikin simulation 198 in unconscious adult patients undergoing cardiopulmonary bypass, 202 unconscious mechanically ventilated adult patients, 199 and conscious adult "test persons." 194,201 These studies concluded that as a diagnostic test for cardiac arrest, the pulse check has serious limitations in accuracy, sensitivity, and specificity.…”