Perkins, Gavin D., Boyle, William, Bridgestock, Hannah, Davies, Sarah, Oliver, Zoe, Bradburn, Sandra, Green, Clare, Davies, Robin R. and Cooke, Matthew (Professor of clinical systems design). (2008) Quality of CPR during advanced resuscitation training. Resuscitation, Vol.77 (No.1). pp. 69-74. ISSN 0300-9572

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Abstract

Introduction: Previous studies have documented poor quality CPR during real life resuscitation attempts. This study investigated whether poor quality CPR during advanced life support training could be contributing to poor performance in clinical practice.

Methods: Observational study of quality of CPR during advanced life support training courses before and after the implementation of the European Resuscitation Council Guidelines 2005 into the ALS course. The quality of chest compressions were downloaded from a manikin and direct observations of no-flow time; pre-shock pauses were recorded.

Results: 94 cardiac arrest simulations were studied (46 before implementation of Guidelines 2005 and 48 after). Delays in starting CPR, inadequate compression depth, prolonged interruptions of chest compressions and excessive pre-shock pauses were identified. The introduction of Guidelines 2005 resulted in improvements in the number of compressions given per minute and a reduction in no-flow time and duration of pre-shock pauses, but overall the quality of CPR performed during the ALS course remained poor. There was Little evidence of performance improving over successive simulations as the course progressed.

Conclusion: The implementation of Guidelines 2005 into the ALS course appear to have improved the process of CPR by reducing no-flow time during simulated CPR. However, the quality of CPR during AILS training remains sub-optimal. Delays in starting CPR, inadequate compression depth, excessive interruptions in chest compressions and prolonged pre-shock pauses mirror observations from clinical practice. Strategies to improve CPR performance during ALS training should be explored and potentially may result in improvements in clinical practice. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	CPR (First aid) -- Evaluation, Medical education, Cardiac arrest -- Treatment, Cardiac resuscitation -- Evaluation, Electric countershock
Journal or Publication Title:	Resuscitation
Publisher:	Elsevier Ireland Ltd
ISSN:	0300-9572
Official Date:	April 2008
Volume:	Vol.77
Number:	No.1
Number of Pages:	6
Page Range:	pp. 69-74
Identification Number:	10.1016/j.resuscitation.2007.10.012
Status:	Peer Reviewed
Publication Status:	Published
Funder:	Resuscitation Council (UK)
URI:	http://wrap.warwick.ac.uk/id/eprint/30284

Data sourced from Thomson Reuters' Web of Knowledge

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