Outcomes after in-hospital cardiopulmonary resuscitation (CPR) are very poor, particularly in patients with oxygen dependent chronic obstructive pulmonary disease (COPD) or metastatic cancer. Recent work found that in-hospital CPR is being performed more often before death with unchanging survival and that fewer CPR survivors are being discharged home, thus suggesting that CPR is increasingly performed without benefit and that the burden of this ineffective treatment is increasing. Unlike other medical procedures, CPR has become the default provided to all patients even those with tremendously poor outcomes. It is time to change the paradigm of CPR. Through comparing an innovative informed assent approach toward in-hospital CPR (informing patients that their underlying chronic illness makes outcomes of CPR so poor that CPR is not performed while allowing them to disagree) versus usual care in a group of chronically ill patients with reduced life expectancy, the investigators aspire to ...
Cardiac arrest and cardiopulmonary resuscitation outcome reports : update of the Utstein resuscitation registry templates for out-of-hospital cardiac arrest : a statement for healthcare professionals from a task force of the international liaison committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation ...
The Delegation for Medical Ethics within the Swedish Society of Medicine has taken the initiative to create national ethical guidelines on cardiopulmonary resuscitation. The reasons behind this initiative were indications of differences in the way decisions about cardiopulmonary resuscitation were made and documented and requests expressed by health- care professionals for new national ethical guidelines. During the process of creating the guidelines, a number of work- shops were held with representatives from the delegation and clinical experts from various branches of medicine. Several versions of the working document were sent to consultation bodies with requests for comments. We therefore believe that the final guidelines are well supported by the medical profession in Sweden. The purpose of this article is to present ethical issues on which it was difficult to reach consensus due to divergent opinions expressed by the people and organisations involved. The arguments for and against a ...
BACKGROUND: Information from the Swedish Cardiac Arrest Registry was used to investigate: (a) The proportion of patients suffering an out-of-hospital cardiac arrest who were given bystander cardiopulmonary resuscitation (B-CPR). (b) Where and by whom B-CPR was given. (c) The effect of B-CPR on survival. METHOD: a prospective, observational study of cardiac arrests reported to the Swedish Cardiac Arrest Registry. Analyses were based on standardised reports of out-of-hospital cardiac arrests from ambulance organisations in Sweden, serving 60% of the Swedish population. From 1983 to 1995 approximately 15-20% of the population had been trained in CPR. RESULTS: Of 9877 patients, collected between January 1990 and May 1995, B-CPR was attempted in 36%. In 56% of these cases, the bystanders were lay persons and in 25% they were medical personnel. Most of the arrests took place at home (69%) and only 23% of these patients were given B-CPR in contrast to cardiac arrest in other places where 53% were given ...
These Web-based Integrated Guidelines incorporate all relevant recommendations from 2010, 2015 and 2017.. The 2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality addresses the comparison of chest compression-only CPR to CPR using chest compressions with rescue breaths for cardiac arrest in infants and children. It includes 2 additional out-of-hospital cardiac arrest (OHCA) studies published after 2015 that further expand the evidence base used to develop the 2015 Guidelines Update.. The 2015 American Heart Association (AHA) Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) section on pediatric basic life support (BLS) differs substantially from previous versions of the AHA Guidelines.1 This publication updates the 2010 AHA Guidelines on pediatric BLS for several key questions related to pediatric CPR. The Pediatric ILCOR Task Force reviewed the topics covered in the 2010 ...
Nolan, J.P. et al. (2016) Critical Care.20(219) Background: In recent years there have been many developments in post-resuscitation care. We have investigated trends in patient characteristics and outcome following admission to UK critical care units following cardiopulmonary resuscitation (CPR) for the period 2004-2014. Our hypothesis is that there has been a reduction in risk-adjusted mortality during this…
OBJECTIVE: Data regarding pediatric in-hospital cardiopulmonary resuscitation (CPR) have been limited because of retrospective study designs, small sample sizes, and inconsistent definitions of cardiac arrest and CPR. The purpose of this study was to prospectively describe and evaluate pediatric in-hospital CPR with the international consensus-derived epidemiologic definitions from the Utstein guidelines.. METHODS: All 129 in-hospital CPRs during 12 months at a 122-bed university childrens hospital in Sao Paulo, Brazil, were described and evaluated using Utstein reporting guidelines. These guidelines include standardized descriptions of hospital variables, patient variables, arrest/event variables, and outcome variables. CPR was defined as chest compressions and assisted ventilation provided because of cardiac arrest or because of severe bradycardia with poor perfusion. Outcome variables included sustained return of spontaneous circulation, 24-hour survival, 30-day survival, 1-year survival, ...
2016 China CPR expert consensus released - Sohu health recently, the guidance of Chinas comprehensive prevention and control system of cardiac arrest and CPR clinical practice guidelines for action - the 2016 China cardiopulmonary resuscitation expert consensus (hereinafter referred to as consensus) officially released. It is reported that the consensus by the society of China research-oriented hospital cardiopulmonary resuscitation study collection of experts in the field of CPR domestic Specialized Committee, CPR international scientific consensus guidelines based on the combination of Chinas national conditions and practice, and recently by the critical care medicine promulgated. China abdomen cardiopulmonary resuscitation, the founder of Chinese research hospital to learn CPR, Specialized Committee chair, Chinese Medical Association branch chairman of the popularization of science, the armed police general hospital emergency medical center director, doctoral tutor Professor Wang ...
AIM: The primary aim of this study was to evaluate the association between chest compression rates and 1) arterial blood pressure and 2) survival outcomes during pediatric in-hospital cardiopulmonary resuscitation (CPR).. METHODS: Prospective observational study of children ≥37 weeks gestation and ,19 years old who received CPR in an intensive care unit (ICU) as part of the Pediatric Intensive Care Unit Quality of CPR Study (PICqCPR) of the Collaborative Pediatric Critical Care Research Network (CPCCRN). Arterial blood pressure and compression rate were determined from manually extracted arterial line waveform data during the first 10 min of CPR. The primary outcome was survival to hospital discharge. Modified Poisson regression models assessed the association between rate categories (80-,100, 100-120 [Guidelines], ,120-140, ,140) and outcomes.. RESULTS: Compression rate data were available for 164 patients. More than half (98/164; 60%) were ,1 year old. Return of circulation was achieved in ...
Failure of `Predictors of Cardiopulmonary Resuscitation Outcomes to Predict Cardiopulmonary Resuscitation Outcomes: Implications for Do-Not-Resuscitate Policy and Advance ...
2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations ...
Objective: Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in the prevention of death or delaying it in a person with cardiac arrest. In this regard, demographic information about patients who need CPR is vital. Methods: In this cross-sectional study patients with cardiopulmonary arrest or arrhythmias admitted to Imam Reza and Sina educational hospitals of Tabriz University of Medical Sciences from 22 December 2013 to 21 December 2014 entered the study. Demographic information such as age, sex, cardiopulmonary resuscitation time, the place of cardiopulmonary arrest (outside or inside the hospital), the duration of resuscitation process, success or failure of the resuscitation process and the mechanism of cardiopulmonary arrest were obtained. Results: From a total of 354 cases of cardiopulmonary resuscitation, 281 cases (79%) were unsuccessful and 73 cases (21%) were successful. The average age of patients was 59 ± 22 years. The average time of the resuscitation process was 31 ± 12
The ResQPOD® Impedance Threshold Device (ITD) is a simple, non-invasive device that delivers Intrathoracic Pressure Regulation (IPR) Therapy during basic or advanced life support CPR to improve perfusion.
Our BLS courses are organised every week at our training centre in Bangor. We are Northern Ireland BEST choice for First Aid courses. CPR Courses weekly.
Our BLS courses are organised every week at our training centre in Bangor. We are Northern Ireland BEST choice for First Aid courses. CPR Courses weekly.
Objective: While cardiopulmonary resuscitation (CPR) chest compression fraction (CCF) is associated with out-of-hospital cardiac arrest (OHCA) outcomes, there is no standard method for the determination of CCF. We compared nine methods for calculating CCF. Methods: We studied consecutive adult OHCA patients treated by Alabama Emergency Medical Services (EMS) agencies of the Resuscitation Outcomes Consortium (ROC) during January 1, 2010 to October 28, 2010. Paramedics used portable cardiac monitors with real-time chest compression detection technology (LifePak 12, Physio-Control, Redmond, WA). We performed both automated CCF calculation for the entire care episode as well as manual review of CPR data in 1-min epochs, defining CCF as the proportion of each treatment interval with active chest compressions. We compared the CCF values resulting from 9 calculation methods: (1) mean CCF for the entire patient care episode (automated calculation by manufacturer software), (2) mean CCF for first 3. min ...
The ResQGARD Impedance Threshold Device (ITD) provides a rapid, safe and non-invasive way to improve perfusion in spontaneously breathing hypotensive patients. Learn more.
Using an isolated, fibrillated canine heart-lung preparation, we studied the effects of simultaneous lung inflation and chest compression on blood flow in a model of cardiopulmonary resuscitation. The heart and lungs were placed in an artificial thorax with the great vessels and trachea exteriorized and attached to an artificial perfusion circuit and respirator, respectively. The blood volume of the system was adjusted to obtain various levels of static equilibrium pressure. Blood flow was obtained by cyclically raising and lowering the pressure in the artificial thorax, simulating the changes in pleural pressure that occur during cardiopulmonary resuscitation. Lung inflation during the compression phase caused an increase in cardiopulmonary resuscitation blood flow when the change in pleural pressure was small and when static equilibrium pressure was high. In contrast, lung inflation caused a decrease in blood flow when changes in pleural pressure were high and when blood volume was low. These ...
Cardiac arrest is a serious complication that must be dealt with swiftly to ensure a higher revival and survival rate for the victims of the attack. Heart attack commonly occurs for older people, but sometimes, there are children and even infants that suffer from this illness. Heart attack does not choose its victims, but there are ways in which someone can help the revival of a person that is undergoing sudden cardiac arrest and that is through the administration of cardiopulmonary resuscitation.. Cardiopulmonary resuscitation is the process of repeated chest compressions along with the inputting of air into a persons lungs. This seemingly simple maneuver takes a long time to master and to successfully administer, but being able to have rudimentary knowledge is good enough for the layperson. For those truly wanting to know how to perform proper and effective cardiopulmonary resuscitation, a training done under the wing of a professional CPR administrator that has the proper equipment that can ...
More than half of the spouses of cardiac patients experience emotional distress,1 and they have higher levels of distress than the patients themselves.2 Despite evidence suggesting that spouses can help with their partners recovery,3 there are few tested interventions to reduce spousal stress and improve their ability to assist in the recovery process.. Moser and Dracup hypothesised that CPR training for spouses would increase perceived control, decrease emotional distress, and therefore, improve the ability to assist in their partners recovery. Although the authors found that higher levels of control were associated with low levels of distress at baseline, they did not assess whether the increase in perceived control resulting from the CPR training had an effect on distress.. The use of a randomised controlled design is a major strength of this study. As most of the spouses were white, had incomes higher than the average, and had completed a mean of 14 years of education, the results may not ...
Callaway and Sunde1 are right when they advise caution in adoption of extracorporeal cardiopulmonary resuscitation (ECPR) given the varying definitions of what ECPR constitutes. However, we believe ECPR is not coming too fast and furious but rather like a Formula One car, dependent on focused high performance teams, bespoke with narrow specifications and at the cutting edge.. Current survival for cardiac arrest by conventional cardiopulmonary resuscitation (CCPR) is indeed dismal at around 10%.2 ECPR has led to improved outcomes compared with CCPR in many regions.3-6 ECPR consideration is in some ways analogous to resuscitative thoracotomy (RT) in trauma. Despite moderate quality of evidence, RT is strongly recommended in pulseless penetrating torso trauma with signs of life in ED.7 … ...
LM087 - Face Shield for CPR Training, FaceShee Features Reasonable price. Those who prefer not to use their mouth on a doll directly or those who are sharing a model while training should use the face shield ...
High quality cardiopulmonary resuscitation (CPR) is crucial for influencing survival from cardiac arrest. Healthcare professionals are expected to know how to perform CPR as they may encounter emergency situations during their work. Physiotherapists, who use exercise as a therapeutic approach, should have good knowledge and skills in CPR not only to cope with possible adverse cardiac events during exercise but also because a widespread CPR application and early defibrillation can greatly reduce mortality due to heart attack. The aim of this study is to investigate knowledge of Greek physiotherapists in European Resuscitation Council guidelines for resuscitation. A secondary aim of this study was to assess and compare the knowledge score between those with and without previous training and/or lower self-confidence in CPR skills. Three hundred and fifty Greek physiotherapists who were working in hospitals and rehabilitation centres (face-to-face and e-mail contact) were randomly selected to ...
Introduction: The 2010 guidelines for cardiopulmonary resuscitation (CPR) stressed that it is necessary to improve CPR quality. It is not known whether the neurologically intact survival rate will increase if lay rescuers and/or emergency medical service (EMS) personnel perform the CPR procedures according to the 2010 guidelines. We divided the period of each guidelines in the first half and the second half, and compared the first half and the second half.. Methods: From the data of the All-Japan Utstein Registry, a prospective, nationwide, population-based registry of out-of-hospital cardiac arrest (OHCA), we included adult patients who had bystander-witnessed OHCA due to cardiac etiology and in whom shockable arrest was recorded as an initial rhythm. Study patients were divided into two groups based on the different CPR guidelines; the 2005 guidelines (2005G), and 2010 guidelines (2010G). The primary endpoint, favorable neurological outcome at 30 days after OHCA, was compared between the first ...
Perkins, Gavin D., Travers, Andrew H., Berg, Robert A., Castren, Maaret, Considine, Julie, Escalante, Raffo, Gazmuri, Raul J., Koster, Rudolph W., Lim, Swee Han, Nation, Kevin J., Olasveengen, Theresa M., Sakamoto, Tetsuya, Sayre, Michael R., Sierra, Alfredo, Smyth, Michael A., Stanton, David, Vaillancourt, Christian and Basic Life Support Chapter Collaborators 2015, Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations, Resuscitation, vol. 95, pp. e43-e69, doi: 10.1016/j.resuscitation.2015.07.041. ...
Background Passive leg raising (PLR), to augment the artificial circulation, was deleted from cardiopulmonary resuscitation (CPR) guidelines in 1992. Increases in end-tidal carbon dioxide (PETCO2) during CPR have been associated with increased pulmonary blood flow reflecting cardiac output. Measurements of PETCO2 after PLR might therefore increase our understanding of its potential value in CPR. We also observed the alteration in PETCO2 in relation to the return of spontaneous circulation (ROSC) and no ROSC. Methods and results The PETCO2 was measured, subsequent to intubation, in 126 patients suffering an out-of-hospital cardiac arrest (OHCA), during 15min or until ROSC. Forty-four patients were selected by the study protocol to PLR 35cm; 21 patients received manual chest compressions and 23 mechanical compressions. The PLR was initiated during uninterrupted CPR, 5min from the start of PETCO2 measurements. During PLR, an increase in PETCO2 was found in all 44 patients within 15s (p=0.003), 45s ...
A basic life support working group of the European Resuscitation Council was set up in 1991. It was given the objective of producing agreed standards of basic life support to ensure uniform teaching of the techniques to health care professionals and lay people throughout Europe. A common complaint in the past, particularly from members of the public who have received instruction in basic life support, is that different organisations teach different techniques. This problem exists within countries as well as among countries. The European Resuscitation Council presents below its basic life support guidelines, which it hopes will be detailed enough to avoid any ambiguities and to be acceptable for use in all the countries represented by the council. ...
Cardiopulmonary resuscitation, also known by the acronym CPR is an emergency procedure performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest. It is a basic but proven first aid skill, practiced throughout the world. It is an effective method of keeping a victim of cardiac arrest alive long enough for definitive treatment to be delivered (usually defibrillation and intravenous cardiac drugs). Prior to the inception of Cardiopulmonary Resuscitation, there had been some techniques to keep people alive developed in the 18th century, both in Japan and in Europe, however it was not until the mid-20th century that James Elam and Peter Safar discovered and published the method now known as CPR. Safar conducted research on existing basic life support procedures including controlling a persons breathing airway by tilting back his or her head with an open mouth; and ...
The first treatment involves using a device called the Impedance Threshold Device (ITD). The ITD is a small hard plastic device about the size of a fist that is attached to the face mask or airway tube used during CPR (cardiopulmonary resuscitation). The ITD provides increased blood flow back to the heart during chest compressions until the heart starts beating on its own again.. The other treatment involves the amount of CPR given before the emergency medical services (EMS) providers first look at the heart rhythm to determine if a shock is needed. A person would receive either about 30 seconds of chest compressions or about 3 minutes of compressions before checking the heart rhythm. Giving some compressions before checking the heart rhythm increases the blood being circulated to the body. Researchers do not know how many compressions before the rhythm check are necessary to save more lives.. Depending on the circumstances of the cardiac arrest a person may receive only one of these treatments ...
In January of 2019, the AHA began requiring the use of feedback devices in CPR training manikins which provide real-time, audio-visual feedback on chest compression rate, depth, and recoil ...
In a system and a method of testing a person in the performance of cardiopulmonary resuscitation and for evaluating training exercises therein, a training device simulating a patient includes sensors for detecting various resuscitation procedures performed thereon. Parameter signals from the sensors are fed to a computer including a series of counters, a timing means and various memories, for analyzing the parameter signals and assessing whether the corresponding operations have been correctly or incorrectly performed. The values processed by the computer are then displayed on a display providing a clear moving representation of the procedures performed on the training device, the representation taking place in real time on the basis of corresponding signals from the timing means, whereby, by viewing the display, the trainee operator can directly check and if appropriate correct the resuscitation procedures he is performing. The display can display the whole of the cardiopulmonary resuscitation
Fingerprint Dive into the research topics of A reappraisal of mouth-to-mouth ventilation during bystander-initiated cardiopulmonary resuscitation. Together they form a unique fingerprint. ...
INTRODUCTION: In spite of the advances and worldwide standardization for cardiopulmonary resuscitation (CPR), knowledge on the effectiveness of in-hospital CPR is not yet sufficient in Brazil.. Methods: This cross-sectional study included, prospectively, 763 patients who presented in-hospital cardiac arrest (CA) from 2007 to 2010, in 17 hospitals. CPR was performed in 575 patients.. RESULTS: Asystole was the CA modality most frequently found (40.7%), followed by pulseless electrical activity (39,3%). Immediate survival (recovery of spontaneous circulation - ROSC up to 24 h) was 48,8%, survival until hospital discharge was 13%, 4.3% in 6 m and 3.8% in 12 months. Independent predictors associated with higher immediate survival were: ventricular fibrillation (VF) or ventricular tachycardia (VT) without pulse as the initial rhythm of CA (RR 1.31; IC 95% 1.10 to 1.55; p = 0.002); presence of victim consciousness signs when the emergency staff arrived (RR 1.37; IC95% 1.16 to 1.61; p , 0.001); use of ...
Søholm et al report on consecutive 2527 attempted resuscitations of out of hospital cardiac arrest in Copenhagen between 2007 and 2011. The authors identify correlates for successful resuscitation attempts. Shockable rhythm, witnessed arrest and public location were associated with increased survival. Cardiac arrest between midnight and 8 am was associated with lower probability of successful…
Objective: Despite widespread training with CPR guidelines, CPR is often poorly performed. We explore relationships between knowledge of CPR guidelines and performance (compression rate, compression depth, compression to ventilation ratio, and ventilation volume). Methods: Sixty professional EMTs were sampled at 26 randomly ordered EMS response stations from an urban system of 31 stations. A recording manikin and video model were used to assess performance in a standardized scenario, and a survey was used to assess guideline knowledge. Survey and performance outcomes were categorized prospectively as correct or incorrect based on the International CPR Guidelines from 2000. Relationships were modeled with logistic regression. Covariates included years of work experience, frequency of CPR performance, and ALS versus BLS EMT level. Results: Compression rate was between 80 and 120 min-1 in 56% (33/59) of trials. Compression depth was 1.5-2 in. in 39% (23/59), compression to ventilation ratio ...
One study will compare continuous chest compressions combined with pause-free rescue breathing to standard cardiopulmonary resuscitation. The other trial will compare treatment with the drug amiodarone, another drug called lidocaine or a salt-water placebo in participants with shock-resistant ventricular fibrillation, a condition in which the heart beats chaotically instead of pumping blood.. "Although immediate CPR can be lifesaving, more than 90 percent of people who experience a cardiac arrest outside of a hospital die before reaching a hospital or soon thereafter," said Jeffrey Kerby, M.D., Ph.D., UAB trauma surgeon and lead investigator at UAB. "The goal of both of these trials is to reduce that number." "Increasing survival rates for people who experience out-of-hospital cardiac arrest is a major public health goal," said Susan B. Shurin, M.D., acting director of the NIHs National Heart, Lung, and Blood Institute, which is the lead federal sponsor of the studies. "These new trials could ...
Cardiopulmonary resuscitation should begin between one to four minutes after a cardiac arrest in order to be a success. (A) Cardiopulmonary resuscitation should begin between ...
TY - JOUR. T1 - Pharmacokinetics of intraosseous and central venous drug delivery during cardiopulmonary resuscitation. AU - Hoskins, Stephen L.. AU - do Nascimento, Paulo. AU - Lima, Rodrigo M.. AU - Espana-Tenorio, Jonathan M.. AU - Kramer, George C.. PY - 2012/1/1. Y1 - 2012/1/1. N2 - We compared the pharmacokinetics of intraosseous (IO) drug delivery via tibia or sternum, with central venous (CV) drug delivery during cardiopulmonary resuscitation (CPR). Methods: CPR of anesthetized KCl arrest swine was initiated 8. min post arrest. Evans blue and indocyanine green, each were simultaneously injected as a bolus with adrenaline through IO sternal and tibial needles, respectively, n=7. In second group (n=6) simultaneous IO sternal and IV central venous (CV) injections were made. Results: Peak arterial blood concentrations were achieved faster for sternal IO vs. tibial IO administration (53 ± 11. s vs. 107 ± 27. s, p=0.03). Tibial IO dose delivered was 65% of sternal administration (p=0.003). ...
Cardiopulmonary resuscitation (CPR) Cardiopulmonary resuscitation (CPR), is an emergency procedure performed in an effort to… Read More ». ...
Cardiopulmonary resuscitation (CPR) Cardiopulmonary resuscitation (CPR), is an emergency procedure performed in an effort to… Read More ». ...
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Provide Cardiopulmonary Resuscitation (HLTAID001) This nationally recognised course satisfies 1 Unit of Competency from the new HLT Health Training Package. It describes the skills and knowledge required to perform cardiopulmonary resuscitation (C...
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Non-occlusive colonic ischaemia is a recognized albeit rare entity related to low blood flow within the visceral circulation and in most reported cases the right colon was affected. This is the second case report in the literature of extensive colonic necrosis following cardiac arrest and cardiopulmonary resuscitation (CPR). A 83-year-old Caucasian woman was admitted to our hospital due to a low energy hip fracture. On her way to the radiology department she sustained a cardiac arrest. CPR started immediately and was successful. A few hours later, the patient developed increasing abdominal distension and severe metabolic acidocis. An abdominal multidetector computed tomography (MDCT) scan was suggestive of intestinal ischaemia. At laparotomy, the terminal ileum was ischaemic and extensive colonic necrosis was found, sparing only the proximal third of the transverse colon. The rectum was also spared. The terminal ileum and the entire colon were resected and an end ileostomy was fashioned. Although the
This certification is for healthcare workers to maintain and obtain CPR skills. This course is designed to meet the needs of healthcare professionals who respond to cardiac and respiratory emergencies. The course will focus on: The role of the healthcare provider and community in the total emergency cardiaccare (ECC) system. The information and techniques needed for adult and pediatric cardiopulmonary resuscitation. The anatomy and physiology of the cardiovascular, respiratory, and cerebrovascular systems.
BACKGROUND: The Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care recommend that for adult cardiac arrest the single rescuer performs "two quick breaths followed by 15 chest compressions." This cycle is continued until additional help arrives. Previous studies have shown that lay persons and medical students take 16 +/- 1 and 14 +/- 1 s, respectively, to perform these "two quick breaths." The purpose of this study was to determine the time required for trained professional paramedic firefighters to deliver these two breaths and the effects that any increase in the time it takes to perform rescue breathing would have on the number of chest compressions delivered during single rescuer BLS CPR. We hypothesized that trained professional rescuers would also take substantially longer then the Guidelines recommendation for delivering the two rescue breaths before every 15 compressions during simulated single rescuer BLS CPR.. METHODS: Twenty-four paramedic firefighters ...
Guest speaker was Dr Mark Taubert, Clinical Director and Consultant in Palliative Medicine at Velindre NHS Trust, Cardiff and contributor to the BBC Horizon programme We Need to Talk about Death. Dr Taubert led us in a series of reflections on cardiopulmonary resuscitation.
Take our free online course on CPR training that could save lives in emergency conditions. This e-learning course teaches you steps on how to perform Cardiopulmonary resuscitation.
TY - JOUR. T1 - Compression techniques and blood flow during cardiopulmonary resuscitation. AU - Halperin, H. R.. AU - Chandra, N. C.. AU - Levin, H. R.. AU - Rayburn, B. K.. AU - Tsitlik, J. E.. AU - Hamill, AU - Branson, AU - Pepe, P. E.. AU - Durbin, C. G.. AU - Boudin, AU - Sanders, A. B.. AU - Rubenfeld, PY - 1995. Y1 - 1995. N2 - The level of coronary perfusion generated during resuscitation of cardiac arrest is, clearly, an important determinant of resuscitation success. Therefore, optimizing the components of coronary perfusion-the pump and the load-is key to improving patient survivability following cardiac arrest. Research that fully characterizes these components and perfects current techniques and develops new ones is clearly needed and is, in part, underway.. AB - The level of coronary perfusion generated during resuscitation of cardiac arrest is, clearly, an important determinant of resuscitation success. Therefore, optimizing the components of coronary perfusion-the pump and the ...