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Poor chest compress...
Poor chest compression quality with mechanical compressions in simulated cardiopulmonary resuscitation : A randomized, cross-over manikin study
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- Blomberg, Hans (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- Gedeborg, Rolf (författare)
- Uppsala universitet,Anestesiologi och intensivvård,Uppsala kliniska forskningscentrum (UCR)
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- Berglund, Lars (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)
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- Karlsten, Rolf (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- Johansson, Jakob (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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(creator_code:org_t)
- Elsevier BV, 2011
- 2011
- Engelska.
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Ingår i: Resuscitation. - : Elsevier BV. - 0300-9572 .- 1873-1570. ; 82:10, s. 1332-1337
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction: Mechanical chest compression devices are being implemented as an aid in cardiopulmonary resuscitation (CPR), despite lack of evidence of improved outcome. This manikin study evaluates the CPR-performance of ambulance crews, who had a mechanical chest compression device implemented in their routine clinical practice 8 months previously. The objectives were to evaluate time to first defibrillation, no-flow time, and estimate the quality of compressions. Methods: The performance of 21 ambulance crews (ambulance nurse and emergency medical technician) with the authorization to perform advanced life support was studied in an experimental, randomized cross-over study in a manikin setup. Each crew performed two identical CPR scenarios, with and without the aid of the mechanical compression device LUCAS. A computerized manikin was used for data sampling. Results: There were no substantial differences in time to first defibrillation or no-flow time until first defibrillation. However, the fraction of adequate compressions in relation to total compressions was remarkably low in LUCAS-CPR (58%) compared to manual CPR (88%) (95% confidence interval for the difference: 13-50%). Only 12 out of the 21 ambulance crews (57%) applied the mandatory stabilization strap on the LUCAS device. Conclusions: The use of a mechanical compression aid was not associated with substantial differences in time to first defibrillation or no-flow time in the early phase of CPR. However, constant but poor chest compressions due to failure in recognizing and correcting a malposition of the device may counteract a potential benefit of mechanical chest compressions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Cardiopulmonary resuscitation (CPR)
- Defibrillation
- Cardiac arrest
- Chest compression
- Out-of-hospital CPR
- Cardiac-assist device
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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