Pauses in compressions during pediatric CPR: Opportunities for improving CPR quality

O’Connell, Karen; Keane, Ryan; Cochrane, Niall H.; Sandler, Alexis B.; Donoghue, Aaron; Kerrey, Benjamin T.; Myers, Sage; Vazifedan, Turaj; Mullan, Paul C.

doi:10.1016/j.resuscitation.2019.08.015

Cited by 16 publications

(10 citation statements)

References 38 publications

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“…Secondly, although video recording is increasingly integrated in CA care protocols, direct observation might alter the behaviour of team members and thus guideline adherence. 21. , 22.…”

Section: Limitationsmentioning

confidence: 99%

Measuring non-technical skills during prehospital advanced cardiac life support: A pilot study

et al. 2021

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Aim To analyse non-technical skills of mobile medical teams during out-of-hospital cardiac arrests (OHCA) using the validated Team Emergency Assessment Measure (TEAM) tool. To research the correlation between non-technical skills and patient outcome. Methods Adult patients who experienced an out-of-hospital cardiac arrest between July 2016, and June 2018, and were treated by a mobile medical team from the University Hospital Leuven, were eligible for the study. Resuscitations were video recorded from the team leader’s perspective. Video recordings were reviewed and scored by emergency physicians, using the TEAM evaluation form. Results In total 114 OHCAs were analysed. The mean TEAM score was 34.4/44 (SD = 5.5). The mean item score was 3.1/4 (SD = 0.8). On average, ‘effective team communication’ had the lowest score (2.4), while ‘acting with composure and control’ and ‘following of approved standards/guidelines’ scored the highest (3.4). The average non-technical skills theme scores were 2.9 (SD = 0.9) for ‘Leadership’, 3.1 (SD = 0.8) for ‘Teamwork’ and 3.3 (SD = 0.7) for ‘Task management’. ‘Leadership’ was rated significantly lower than ‘Teamwork’ (p = 0.004) and ‘Task management’ (p < 0.001). No significant correlation was found between TEAM and return of spontaneous circulation (p = 0.574) or one month survival (p = 0.225). Conclusion The mean overall TEAM score was categorized as good. Task management scored high, while leadership and team communication received lower scores. Future training programs should thus focus on improving leadership and communication. In this pilot study no correlation was found between non-technical skills and survival.

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“…Secondly, although video recording is increasingly integrated in CA care protocols, direct observation might alter the behaviour of team members and thus guideline adherence. 21. , 22.…”

Section: Limitationsmentioning

confidence: 99%

Measuring non-technical skills during prehospital advanced cardiac life support: A pilot study

et al. 2021

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“…Studies using video recordings in emergency care have shown that caregivers often deviate from the guidelines ( 7 – 10 ). These insights give the opportunity to evaluate and discuss the prevailing guidelines and adapt them where needed ( 8 , 11 ). Although more studies are needed to measure the effect of reevaluating guidelines, assessment of recordings of clinical care can emphasize the continuous need for reinforcement of adherence ( 7 , 10 , 12 ).…”

Section: Using Recordings For Assessing Quality Of Carementioning

confidence: 99%

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

et al. 2022

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As the complexity of emergency care increases, current research methods to improve care are often unable to capture all aspects of everyday clinical practice. Video recordings can visualize clinical care in an objective way. They can be used as a tool to assess care and to reflect on care with the caregivers themselves. Although the use of video recordings to reflect on medical interventions (video-reflection) has increased over the years, it is still not used on a regular basis. However, video-reflection proved to be of educational value and can improve teams’ management and performance. It has a positive effect on guideline adherence, documentation, clinical care and teamwork. Recordings can also be used for video-reflexivity. Here, caregivers review recordings together to reflect on their everyday practice from new perspectives with regard to context and conduct in general. Although video-reflection in emergency care has proven to be valuable, certain preconditions have to be met and obstacles need to be overcome. These include gaining trust of the caregivers, having a proper consent-procedure, maintaining confidentiality and adequate use of technical equipment. To implement the lessons learned from video-reflection in a sustainable way and to continuously improve care, it should be integrated in regular simulation training or education. This narrative review will describe the development of video recording in emergency care and how video-reflection can improve patient care and safety in new ways. On our own department, the NICU at the LUMC, video-reflection has already been implemented and we want to further expand this. We will describe the use of video-reflection in our own unit. Based on the results of this narrative review we will propose options for future research to increase the value of video-reflection.

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“…Hierzu wurden 2 Beobachtungsstudien identifiziert und wir verweisen zudem auf RR 32.3 zur Verwendung von Ultraschall während der CPR [ 576 , 577 ]. Es gibt keine randomisiert-kontrollierte Studie (RCT), in der die manuelle Pulskontrolle mit der Erkennung von Lebenszeichen verglichen wurde (Anhang RR 19.7).…”

Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

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Djakow

et al. 2021

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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Pauses in compressions during pediatric CPR: Opportunities for improving CPR quality

Cited by 16 publications

References 38 publications

Measuring non-technical skills during prehospital advanced cardiac life support: A pilot study

Measuring non-technical skills during prehospital advanced cardiac life support: A pilot study

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

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