The precordial thump

Miller, Jeffrey G.; Tresch, Donald D.; Horwitz, Louis; Thompson, Bruce; Aprahamian, Charles; Darin, Joseph C.

doi:10.1016/s0196-0644(84)80439-4

Cited by 37 publications

(15 citation statements)

References 6 publications

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“…Two case series (LOE 4 123,130 ) and a case report(LOE 5 131 ) documented the potential for complications from use of the precordial thump, including sternal fracture, osteomyelitis, stroke, and rhythm deterioration in adults and children.…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 5: Adult Basic Life Support

Sayre¹,

Koster²,

Botha³

et al. 2010

Circulation

151

136

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Section: Consensus On Sciencementioning

confidence: 99%

Part 5: Adult Basic Life Support

Sayre¹,

Koster²,

Botha³

et al. 2010

Circulation

151

136

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“…Much transatlantic speculation and anecdotal banter continues to effect the performance, if at all, of a precordial thump in a witnessed cardiac arrest prior to initiation of CPR when a defibrillator is not immediately available 52–54. Maron3 describe a case of a 14-year-old with SCA after a forceful collision with a teammate who was initially administered ‘a forceful chest thump’ by a physician bystander followed by standard CPR.…”

Section: Immediate Precordial Thumpmentioning

confidence: 99%

Review of the management of sudden cardiac arrest on the football field: Figure 1

2010

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Football is the most popular sport on earth. When a young, fit popular player suddenly collapses and dies during play, the tragic event is frequently screened and publicised worldwide. The reported incidence of sudden cardiac arrest (SCA) varies from 1:65 000 to 1:200 000 athletes. A broad spectrum of cardiac and non-cardiac causes have been implicated, and regular precompetition medical assessments are recommended as a preventive measure. Immediate cardiopulmonary resuscitation and early defibrillation is the treatment for SCA. High success rates can be achieved if this is initiated promptly, preferably within seconds of the arrest. Trained medical responders must be allowed to respond, ideally with a defibrillator (manual or automated) in hand, to a player who suddenly and unexpectedly collapses and remains unresponsive on the field. Immediate defibrillation of a pulseless ventricular tachycardia or ventricular fibrillation, within 1 to 2 min of onset, has a successful cardioversion rate exceeding 90%. Medical responders should be well trained and rehearsed in the recognition of SCA, including distractors such as seizures, myoclonic jerks and agonal (gasping) breathing. Prompt initiation of chest compressions on the field, together with early defibrillation, will result in many athletes' lives being saved by immediate implementation of these simple recommendations.

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“…In addition, Cinar et al (31) reported that the intubation success rate was 92.6% in a study of paramedics that had not used ILMA before. Studies of esophageal-tracheal Combitubes in in-hospital and out-of-hospital resuscitations have demonstrated that rescuers with different education levels can use the Combitube and that it provides ventilation at the same level as endotracheal intubation (32)(33)(34)(35)(36). A successful ventilation rate of 62%-100% has been reported during cardiopulmonary resuscitation with the use of the Combitube.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Alternative Airway Devices in University and Educational and Research Hospital Emergency Departments in Turkey

Cevik¹,

Bilge²,

Çınar³

et al. 2015

EAJEM

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Aim: This study aims to assess the presence of alternative airway devices (AAD) in emergency departments (ED) of university and educational and research hospitals in Turkey. Thus, the instrument choices and application status and the qualifications of EDs were determined in this era. Materials and Methods:Survey forms were sent via emails to emergency physicians who were working in university and educational and research hospitals that provided specialized training in emergency medicine. These surveys comprised questions regarding intubation frequencies, name of AADs, application status, and capnography and ventilator presence. Data were evaluated with SPSS and Medcalc statistical packet programs.Results: Of a total of 51 hospitals that participated in this study, 47% were university hospitals and 53% were educational and research hospitals. The laryngeal mask airway was the most common AAD; only 13 (25.4%) EDs stored at least one supraglottic airway, one videoscopic imaging system, and surgical airway instrument. Conclusion:It was concluded that the rate of the presence of AAD and capnography in our EDs were low, and increasing the frequency of the presence of alternative airway devices is essential to reduce mortality and morbidity in EDs where difficult airway cases are frequently observed. (Eurasian J Emerg Med 2015; 14: 192-6)

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The precordial thump

Cited by 37 publications

References 6 publications

Part 5: Adult Basic Life Support

Part 5: Adult Basic Life Support

Review of the management of sudden cardiac arrest on the football field: Figure 1

Evaluation of Alternative Airway Devices in University and Educational and Research Hospital Emergency Departments in Turkey

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