Measuring and improving cardiopulmonary resuscitation quality inside the emergency department.
作者： Christopher Crowe , Bentley J. Bobrow , Tyler F. Vadeboncoeur , Christian Dameff , Uwe Stolz
DOI: 10.1016/J.RESUSCITATION.2015.04.031
关键词:
摘要: Abstract Aim of study To evaluate CPR quality during cardiac resuscitation attempts in an urban emergency department (ED) and determine the influence combination scenario-based training, real-time audiovisual feedback (RTAVF), post-event debriefing on quality. Methods was recorded using R Series monitor-defibrillator (ZOLL Medical) treatment adult arrest patients. Phase 1 (P1; 11/01/2010-11/15/2012) observation period 2 (P2; 11/15/2012-11/08/2013) after a 60-min psychomotor skills training included RTAVF debriefing. Results A total 52 patients were treated P1 (median age 56yrs, 63.5% male) 49 P2 (age 60yrs, 83.7% male). Chest compression (CC) depth increased from 46.7±3.8mm to 61.6±2.8mm ( p =0.1), CC rate (125±3cpm vs. 125±3cpm P2, =0.7), or pre-shock pause (9.7s 5.9s =0.5), though fraction within guideline recommendations. Conclusion Implementation bundle feedback, associated with improved compliance guidelines this teaching department.
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