The role of automated compression devices in out-of- and in- hospital cardiac arrest. Can we spare rescuers’ hands?

Latsios, George; Leopoulou, Marianna; Synetos, Αndreas; Καρανάσος, Αντώνιος; Melidi, Eleni; Toutouzas, Kostas; Tsioufis, Kostas

doi:10.4081/ecj.2021.9525

Cited by 4 publications

(2 citation statements)

References 76 publications

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“…Anyway, there are conflicting data about the relationship between LUCAS ® and OHCA outcome. 12 A recent meta-analysis by Zu et al failed to show significant differences in the resuscitative effects of mechanical and manual chest compression in terms of ROSC rate, the rate of survival to hospital admission, survival to hospital discharge and neurological function in OHCA patients. 13 Even though our results did not show any improvement of ROSC, we support the use of external chest compression devices in OHCA both to improve CPR quality, when a low number of rescuers is available, and operators' safety.…”

Section: Discussionmentioning

confidence: 99%

Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy

Breglia¹,

Ruggeri²,

Pettenella³

et al. 2022

Emer. Care J.

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The novel coronavirus disease 2019 (COVID-19) outbreak affected the epidemiology and the outcomes of Out-Of Hospital Cardiac Arrest (OHCA). We performed a retrospective observational study in the Western district of Vicenza (Veneto, Italy) to evaluate patients affected by non-traumatic OHCA and we analyzed epidemiological and clinical characteristics associated with sustained Return Of Spontaneous Circulation (ROSC). We collected 114 cases from January 2019 to May 2021 and we compared data of the pre-pandemic period (2019) with the pandemic one (2020-2021). During the pandemic we found an increase of bystander CPR, of OHCA with a cardiac cause and of shockable presenting rhythms. All these observations weren’t associated with an increase of sustained ROSC, which could be determined by both the reorganization of the health care system with the reduction of medical screenings and by the interruption of training courses reducing the efficacy of cardiopulmonary resuscitation. On the other hand, the higher percentage of presenting shockable rhythm reinforces the importance of bystander rule and of short time to start CPR.

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Section: Discussionmentioning

confidence: 99%

Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy

Breglia¹,

Ruggeri²,

Pettenella³

et al. 2022

Emer. Care J.

View full text Add to dashboard Cite

show abstract

“… 16 Similarly, during the early- and mid-2020, the spread of Covid-19 generated justified panic across the globe, as new ways to eliminate the human factor in the CPR process were examined. 17 With the advent of social media related misinformation, emergency situations requiring immediate bystander interventions, such as cardiac arrest, were affected. The dangerous combination of fear and misinformation might decrease morale along with the willingness to provide help to someone who suddenly collapses in a public place and further drop the rate of bystander-initiated CPR.…”

Section: Discussionmentioning

confidence: 99%

Greek BLS Certified Providers’ CPR Willingness and Skill Retention During the Pre-Vaccine Covid-19 Pandemic Period. A Survey of the Hellenic Society of Cardiology

Latsios

Synetos

Leopoulou

et al. 2022

OAEM

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Objective The aim of this study was to evaluate the level of established knowledge regarding cardiopulmonary resuscitation (CPR) during the pre-vaccine Covid-19 pandemic era of certified Basic Life Support (BLS) providers, as well as their attitude towards CPR and their willingness to provide CPR. Methods Certified BLS providers from courses held in Athens, Greece, were asked to complete an electronic survey regarding their knowledge of and stance towards performing CPR on victims with confirmed or suspected Covid-19 infection. Their insight on BLS courses was also assessed. Answers were collected during June 2020. Results Out of 5513 certified providers, 25.53% completed the survey. The majority (83.36%) would provide CPR to a cardiac arrest victim with possible or confirmed Covid-19 infection. Regarding the use of an automated external defibrillator, most respondents anticipated that it is equally safe as in the pre-Covid-19 period (58.24%). A more elementary level of education (p = 0.04) made rescuers more willing to provide CPR. Access to the European Resuscitation Council (ERC) or to the Greek National Public Health Organization (NPHO) guidelines was not correlated to the attitude towards resuscitation. Time since the last BLS seminar had no impact on the rescuers’ attitude (p = 0.72). All responders agreed that training in CPR during Covid-19 remains necessary. Conclusion Certified BLS providers maintained their willingness to perform CPR in cardiac arrest victims even during the pre-vaccine, dangerous Covid-19 pandemic period. Knowledge regarding Covid-19 CPR was satisfactory; however, continuous training, focused on the revised algorithms, was considered essential.

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“If you want to change the world, pick up your pen and write”

Ghiadoni

2021

Emerg Care J

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The role of automated compression devices in out-of- and in- hospital cardiac arrest. Can we spare rescuers’ hands?

Cited by 4 publications

References 76 publications

Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy

Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy

Greek BLS Certified Providers’ CPR Willingness and Skill Retention During the Pre-Vaccine Covid-19 Pandemic Period. A Survey of the Hellenic Society of Cardiology

“If you want to change the world, pick up your pen and write”

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