Randomized controlled trial comparing pit crew resuscitation model against standard advanced life support training

Peltonen, Ville; Peltonen, Laura-María; Rantanen, Matias; Säämänen, Jari; Vänttinen, Olli; Koskela, Jaana; Perkonoja, Katariina; Salanterä, Sanna; Tommila, Miretta

doi:10.1002/emp2.12721

Cited by 3 publications

(1 citation statement)

References 39 publications

(108 reference statements)

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“…This approach recognizes the importance of communication, role clarity, and swift transitions between chest compressors to minimize interruptions. Integrating technology, simulation training, and ongoing education further enhances healthcare teams' proficiency in performing high-quality CPR, especially in the dynamic and stressful environment of pediatric cardiac arrest [ 11 ].…”

Section: Reviewmentioning

confidence: 99%

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

Taksande,

Meshram

2023

Cureus

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This comprehensive review thoroughly examines post-resuscitation care in pediatric ICUs (PICUs) following cardiac arrest. The analysis encompasses adherence to resuscitation guidelines, advances in therapeutic interventions, and the nuanced management of neurological, cardiovascular, and respiratory considerations during the immediate post-resuscitation phase. Delving into the complexities of long-term outcomes, cognitive and developmental considerations, and rehabilitation strategies, the review emphasizes the importance of family-centered care for pediatric survivors. A call to action is presented, urging continuous education, research initiatives, and quality improvement efforts alongside strengthened multidisciplinary collaboration and advocacy for public awareness. Through implementing these principles, healthcare providers and systems can collectively contribute to ongoing advancements in pediatric post-resuscitation care, ultimately improving outcomes and fostering a culture of excellence in pediatric critical care.

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Section: Reviewmentioning

confidence: 99%

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

Taksande,

Meshram

2023

Cureus

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Randomized controlled trial comparing pit crew resuscitation model against standard advanced life support training

Peltonen

Rantanen

et al. 2022

JACEP Open

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Clinical trial registration: ClinicalTrials.gov, NCT04364529 This trial did not meet the definition of an applicable clinical trial (ACT) and thus, it was not registered in the Clinical Trials initially. During the conduction of the study, the authors however, saw for the best to conduct the Clinical trial registration anyway. The registration was done after the enrollment and ALS education but before analyzing the collected data.Funding and support: By JACEP Open policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist.

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Leadership factors for cardiopulmonary resuscitation for clinicians in‐hospital; behaviours, skills and strategies: A systematic review and synthesis without meta‐analysis

Jurd,

Barr

2024

Journal of Clinical Nursing

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AimTo identify leadership factors for clinicians during in‐hospital cardiopulmonary resuscitation.DesignSystematic review with synthesis without meta‐analysis.MethodsThe review was guided by SWiM, assessed for quality using CASP and reported with PRISMA.Data SourcesCochrane, EMBASE, PubMed, Medline, Scopus and CINAHL (years of 2013–2023) and a manual reference list search of all included studies.ResultsA total of 60 papers were identified with three major themes of useful resuscitation leadership; ‘social skills’, ‘cognitive skills and behaviour’ and ‘leadership development skills’ were identified. Main factors included delegating effectively, while being situationally aware of team members' ability and progress during resuscitation, and being empathetic and supportive, yet ‘controlling the room’ using a hands‐off style. Shared decision‐making to reduce cognitive load for one leader was shown to improve effective teamwork. Findings were limited by heterogeneity of studies and inconsistently applied tools to measure leadership.ConclusionTraditional authoritarian leadership styles are not wanted by team members with preference for shared leadership and collaboration. Balancing this with the need for team members to see leaders in ‘control of the room’ brings new challenges for leaders and trainers of resuscitation.Implications for Nursing ProfessionAll clinicians need effective leadership skills for cardiopulmonary resuscitation in‐hospital. Nurses provide first response and ongoing leadership for cardiopulmonary resuscitation. Nurses typically display suitable skills that align with useful resuscitation leader factors.ImpactWhat were the main findings?Collaboration rather than an authoritarian approach to leadership is preferred by team members. Nurses are suitable to ‘control the room’. Restricting resuscitation team size will manage disruptive behaviour of team members.Trial RegistrationPROSPERO Registration: CRD42022385630.Patient of Public ContributionNo patient of public contribution.

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Randomized controlled trial comparing pit crew resuscitation model against standard advanced life support training

Cited by 3 publications

References 39 publications

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

Randomized controlled trial comparing pit crew resuscitation model against standard advanced life support training

Leadership factors for cardiopulmonary resuscitation for clinicians in‐hospital; behaviours, skills and strategies: A systematic review and synthesis without meta‐analysis

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