Quality of Cardiopulmonary Resuscitation Among Highly Trained Staff in an Emergency Department Setting

Abstract

Highly trained professionals in an emergency department can achieve appropriate chest compression rates during CPR with a low hands-off ratio. Increased attention must be paid in all situations to the avoidance of hyperventilation.

Cardiopulmonary resuscitation quality and patient survival outcome in cardiac arrest: A systematic review and meta-analysis

“…they provided only the overall survival outcome for the entire patient cohort and did not stratify by CPR quality parameter. 19 …”

In-hospital cardiac arrests: effect of amended Australian Resuscitation Council 2006 guidelines

“…3 The Australian Resuscitation Council (ARC) followed this with the release of the ARC Previous guidelines resulted in too much 'hands-off time' and contributed to poor-quality CPR, 3 with suboptimal chest compression and ventilation rates 5 correlated with poor pos-resuscitation survival rates. 6 ARC Cardiopulmonary Resuscitation Guideline 7 was amended to increase the number and rate of compressions, minimise interruptions to compressions, and prevent excess ventilation. The ARC ALS guidelines 11.…”

Chest Compression Quality Over Time in Pediatric Resuscitations

“…[11][12][13][14] Data in simulated and real patients demonstrate that laypersons, emergency medical services personnel, and health care providers frequently perform poor-quality CCs. 9,10,[15][16][17] Previous adult manikin studies document deterioration of CC quality with time, resulting in markedly diminished levels of effective CCs after as little as 1 minute. [18][19][20] These studies also note that practitioners were unaware of their deterioration in performance and only reported subjective fatigue after 3 to 4 minutes of CCs.…”