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Abelairas-Gómez C, Carballo-Fazanes A, Martínez-Isasi S, López-García S, Rodríguez-Núñez A. An effort to reduce chest compression pauses during automated external defibrillator use among laypeople: A randomized partially blinded controlled trial. Resusc Plus 2023; 14:100393. [PMID: 37207261 PMCID: PMC10189509 DOI: 10.1016/j.resplu.2023.100393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/21/2023] Open
Abstract
Aim To implement small methodological changes in basic life support (BLS) training to reduce unnecessary pauses during automated external defibrillator (AED) use. Methods One hundred and two university students with no BLS knowledge were randomly allocated into three groups (control and 2 experimental groups). Both experimental groups received a two-hour BLS training. While the contents were identical in both groups, in one of them the reduction of no-flow time was focused on (focused no-flow group). The control group did not receive any training. Finally, all of them were evaluated in the same out-of-hospital cardiac arrest simulated scenario. The primary endpoint was the compression fraction. Results Results from 78 participants were analysed (control group: 19; traditional group: 30; focused no-flow group: 29). The focused no-flow group achieved higher percentages of compression fraction (median: 56.0, interquartile rank (IQR): 53.5-58.5) than the traditional group (44.0, IQR: 42.0-47.0) and control group (52.0, IQR: 43.0-58.0) in the complete scenario. Participants from the control group performed compression-only cardiopulmonary resuscitation (CPR), while the other groups performed compression-ventilation CPR. CPR fraction was calculated, showing the fraction of time in which the participants were performing resuscitation manoeuvres. In this case, the focused no-flow group reached higher percentages of CPR fraction (77.6, IQR: 74.4-82.4) than the traditional group (61.9, IQR: 59.3-68.1) and the control group (52.0, IQR: 43.0-58.0). Conclusions Laypeople having automated external defibrillation training focused on acting in anticipation of the AED prompts contributed to a reduction in chest compression pauses during an OHCA simulated scenario.
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Affiliation(s)
- Cristian Abelairas-Gómez
- Faculty of Education Sciences, Universidade de Santiago de Compostela Santiago de Compostela, Spain
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Reseach Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain SICRUS Research Group, Spain
- Corresponding author at: Faculty of Education Sciences, Av/Xoan XIII, s/n, 15782 – Santiago de Compostela, Spain.
| | - Aida Carballo-Fazanes
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela Santiago de Compostela, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Reseach Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain SICRUS Research Group, Spain
| | - Santiago Martínez-Isasi
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela Santiago de Compostela, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Reseach Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain SICRUS Research Group, Spain
| | | | - Antonio Rodríguez-Núñez
- CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Spain
- Faculty of Nursing, Universidade de Santiago de Compostela Santiago de Compostela, Spain
- Simulation and Intensive Care Unit of Santiago (SICRUS) Reseach Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, Spain SICRUS Research Group, Spain
- Pediatric Intensive Care Unit, University Hospital of Santiago de Compostela-CHUS Spain
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Ballesteros-Peña S, Jiménez-Mercado ME, Fernández-Aedo I. Survival after out-of-hospital cardiopulmonary resuscitation before ambulance arrival in the Basque Country. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2022; 75:848-850. [PMID: 35701288 DOI: 10.1016/j.rec.2022.05.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Sendoa Ballesteros-Peña
- Osakidetza, Hospital Santa Marina, Bilbao, Vizcaya, Spain; Instituto de Investigación Sanitaria Biocruces Bizkaia, Barakaldo, Vizcaya, Spain; Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea, Spain.
| | - Mario Ernesto Jiménez-Mercado
- Osakidetza, Emergentziak, Vitoria-Gasteiz, Álava, Spain; Instituto de Investigación Sanitaria Bioaraba, Vitoria-Gasteiz, Álava, Spain
| | - Irrintzi Fernández-Aedo
- Instituto de Investigación Sanitaria Biocruces Bizkaia, Barakaldo, Vizcaya, Spain; Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea, Spain
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Ballesteros-Peña S, Jiménez-Mercado ME, Fernández-Aedo I. Supervivencia tras reanimación cardiopulmonar extrahospitalaria previa a la llegada del primer recurso asistencial en el País Vasco. Rev Esp Cardiol 2022. [DOI: 10.1016/j.recesp.2022.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Quality of dispatcher-assisted vs. automated external defibrillator-guided cardiopulmonary resuscitation: a randomised simulation trial. Eur J Emerg Med 2021; 28:19-24. [PMID: 32925478 DOI: 10.1097/mej.0000000000000715] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Quality of hands-only cardiopulmonary resuscitation (CPR) is an important determinant of resuscitation outcome for cardiac arrest patients cared for by lay rescuers. We designed a simulation trial to assess and compare the quality of CPR among untrained lay people under two different scenarios: automated external defibrillator (AED)-guided and dispatcher-assisted CPR. PATIENTS AND METHODS A simulation study was performed involving 42 volunteers selected by non-probabilistic sampling. Participants were randomized into two CPR simulation scenarios with a manikin: (A) AED-guided CPR and (T) dispatcher-assisted CPR. The quality of CPR was evaluated by metric monitoring of the chest compressions and timing of actions. Content analysis of the telephone instructions was performed by two independent researchers using a checklist. RESULTS CPR was started in 20 of the 21 cases in scenario A and in all cases in scenario T. In total, 12 053 chest compressions were applied, 57.6% corresponding to scenario A. The proportion of compressions that were of an adequate depth was low in both cases, 15.3% in scenario A vs. 31.7% in scenario T (P < 0.001), while complete chest recoil was allowed in 66 and 72% (P < 0.001) of compressions, respectively. The AED advised to shock 91 times, and shocks were delivered in all cases. CONCLUSIONS Although guided CPR helps untrained people to initiate resuscitation manoeuvres, the quality of CPR was poor in both groups. Telephone guidance improved the proportion of compressions that achieved adequate chest compression and recoil but did not optimise the compression rate.
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Pujalte-Jesús MJ, Leal-Costa C, Ruzafa-Martínez M, Ramos-Morcillo AJ, Díaz Agea JL. Relief Alternatives during Resuscitation: Instructions to Teach Bystanders. A Randomized Control Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E5495. [PMID: 32751430 PMCID: PMC7432336 DOI: 10.3390/ijerph17155495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/22/2020] [Accepted: 07/26/2020] [Indexed: 06/11/2023]
Abstract
To analyze the quality of resuscitation (CPR) performed by individuals without training after receiving a set of instructions (structured and unstructured/intuitive) from an expert in a simulated context, the specific objective was to design a simple and structured CPR learning method on-site. An experimental study was designed, consisting of two random groups with a post-intervention measurement in which the experimental group (EG) received standardized instructions, and the control group (CG) received intuitive or non-standardized instructions, in a public area simulated scenario. Statistically significant differences were found (p < 0.0001) between the EG and the CG for variables: time needed to give orders, pauses between chest compressions and ventilations, depth, overall score, chest compression score, and chest recoil. The average depth of the EG was 51.1 mm (SD 7.94) and 42.2 mm (SD 12.04) for the CG. The chest recoil median was 86.32% (IQR 62.36, 98.87) for the EG, and 58.3% (IQR 27.46, 84.33) in the CG. The use of a sequence of simple, short and specific orders, together with observation-based learning makes possible the execution of chest compression maneuvers that are very similar to those performed by rescuers, and allows the teaching of the basic notions of ventilation. The structured order method was shown to be an on-site learning opportunity when faced with the need to maintain high-quality CPR in the presence of an expert resuscitator until the arrival of emergency services.
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Using a Mobile Phone Application Versus Telephone Assistance During Cardiopulmonary Resuscitation: A Randomized Comparative Study. J Emerg Nurs 2020; 46:460-467.e2. [PMID: 32444161 DOI: 10.1016/j.jen.2020.03.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 01/22/2020] [Accepted: 03/16/2020] [Indexed: 12/15/2022]
Abstract
INTRODUCTION In recent years, the way CPR instructions are given has changed because of the development of new technology that allows bystanders who witness a cardiac arrest to be guided in performing CPR. This study aimed to compare the effectiveness of using a mobile phone application (app) versus telephone operator assistance in performing cardiopulmonary resuscitation (CPR) techniques in simulated settings. METHODS A comparative study was performed with 2 intervention groups: (1) mobile phone app and (2) telephone assistance. A total of 128 students participated and were distributed randomly into each intervention group. A CPR observation checklist and standard CPR quality parameter measurements were used for data collection. RESULTS The group that used the app obtained better results than the group that had telephone assistance on 5 items during CPR observation: checking if the area is secure (X2(1) = 26.81; P < 0.05), asking for help (X2(1) = 66.07; P < 0.05), opening of airways (X2(1) = 12.03; P < 0.05), checking for breathing (X2(1) = 6.10; P < 0.05), and contacting emergency services (X2(1) = 12.41; P < 0.05). Regarding the skill level of CPR, no statistically significant differences were found when comparing the 2 intervention groups (X2(1) = 0.91; P = 0.33). As for the parameters measured, there were only statistically significant differences found in the item compression fraction (U = 1,593.00; Z = -2.16; P < 0.05), with the group that used the app obtaining better results. DISCUSSION Better outcomes were observed in recognizing if the area was safe, asking for help, opening up the airways, checking for breathing, and calling emergency services in the mobile phone app group. However, the results indicated that there were no differences in the CPR parameters, except compression fraction, when the app was used as opposed to being guided by telephone.
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Blewer AL, Schmicker RH, Morrison LJ, Aufderheide TP, Daya M, Starks MA, May S, Idris AH, Callaway CW, Kudenchuk PJ, Vilke GM, Abella BS. Variation in Bystander Cardiopulmonary Resuscitation Delivery and Subsequent Survival From Out-of-Hospital Cardiac Arrest Based on Neighborhood-Level Ethnic Characteristics. Circulation 2019; 141:34-41. [PMID: 31887076 PMCID: PMC6993941 DOI: 10.1161/circulationaha.119.041541] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Bystander cardiopulmonary resuscitation (B-CPR) delivery and survival after out-of-hospital cardiac arrest vary at the neighborhood level, with lower survival seen in predominantly black neighborhoods. Although the Hispanic population is the fastest-growing minority population in the United States, few studies have assessed whether the proportion of Hispanic residents in a neighborhood is associated with B-CPR delivery and survival from out-of-hospital cardiac arrest. We assessed whether B-CPR rates and survival vary by neighborhood-level ethnicity. We hypothesized that neighborhoods with a higher proportion of Hispanic residents have lower B-CPR rates and lower survival. METHODS We conducted a retrospective cohort study using data from the Resuscitation Outcomes Consortium Epistry at US sites. Neighborhoods were classified by census tract based on percentage of Hispanic residents: <25%, 25% to 50%, 51% to 75%, or >75%. We independently modeled the likelihood of receipt of B-CPR and survival by neighborhood-level ethnicity controlling for site and patient-level confounding characteristics. RESULTS From 2011 to 2015, the Resuscitation Outcomes Consortium collected 27 481 US arrest events; after excluding pediatric arrests, emergency medical services-witnessed arrests, or arrests occurring in a healthcare or institutional facility, 18 927 were included. B-CPR was administered in 37% of events. In neighborhoods with <25% Hispanic residents, B-CPR was administered in 39% of events, whereas it was administered in 27% of events in neighborhoods with >75% Hispanic residents. Compared with <25% Hispanic neighborhoods in a multivariable analysis, out-of-hospital cardiac arrest in predominantly Hispanic neighborhoods had lower B-CPR rates (51% to 75% Hispanic: odds ratio, 0.79 [CI, 0.65-0.95], P=0.014; >75% Hispanic: odds ratio, 0.72 [CI, 0.55-0.96], P=0.025) and lower survival rates (global P value 0.029; >75% Hispanic: odds ratio, 0.56 [CI, 0.34-0.93], P=0.023). CONCLUSIONS Individuals with out-of-hospital cardiac arrest in predominantly Hispanic neighborhoods were less likely to receive B-CPR and had lower likelihood of survival. These findings suggest a need to understand the underlying disparities in cardiopulmonary resuscitationdelivery and an unmet cardiopulmonary resuscitationtraining need in Hispanic communities.
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Affiliation(s)
- Audrey L Blewer
- Department of Family Medicine and Community Health (A.L.B.), Duke University, Durham, NC
| | - Robert H Schmicker
- The Clinical Trial Center (R.H.S., S.M.), University of Washington, Seattle
| | - Laurie J Morrison
- Rescu, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Emergency Medicine, Department of Medicine, University of Toronto, Canada (L.J.M.)
| | - Tom P Aufderheide
- Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee (T.P.A.)
| | - Mohamud Daya
- Department of Emergency Medicine, Oregon Health and Science University, Portland (M.D.)
| | - Monique A Starks
- Duke Clinical Research Institute (M.A.S.), Duke University, Durham, NC
| | - Susanne May
- The Clinical Trial Center (R.H.S., S.M.), University of Washington, Seattle
| | - Ahamed H Idris
- Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas (A.H.I.)
| | | | | | - Gary M Vilke
- Department of Emergency Medicine, University of California San Diego, La Jolla (G.M.V.)
| | - Benjamin S Abella
- Department of Emergency Medicine and Center for Resuscitation Science, University of Pennsylvania, Philadelphia (B.S.A.)
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Navarro-Patón R, Freire-Tellado M, Fernández-González N, Basanta-Camiño S, Mateos-Lorenzo J, Lago-Ballesteros J. What is the best position to place and re-evaluate an unconscious but normally breathing victim? A randomised controlled human simulation trial on children. Resuscitation 2019; 134:104-109. [DOI: 10.1016/j.resuscitation.2018.10.030] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Revised: 10/11/2018] [Accepted: 10/29/2018] [Indexed: 10/28/2022]
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Báez-Ferrer N, Gironés-Bredy C, Domínguez-Rodriguez A, Burillo-Putze G. Aumento del tiempo para cesar la reanimación cardiopulmonar en la parada cardiaca extrahospitalaria. Med Intensiva 2018; 42:395-396. [DOI: 10.1016/j.medin.2017.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 06/12/2017] [Accepted: 06/15/2017] [Indexed: 10/19/2022]
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González-Salvado V, Abelairas-Gómez C, Peña-Gil C, Neiro-Rey C, Barcala-Furelos R, González-Juanatey JR, Rodríguez-Núñez A. Basic life support training into cardiac rehabilitation programs: A chance to give back. A community intervention controlled manikin study. Resuscitation 2018; 127:14-20. [PMID: 29545137 DOI: 10.1016/j.resuscitation.2018.03.018] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 01/12/2018] [Accepted: 03/10/2018] [Indexed: 01/09/2023]
Abstract
AIM Early basic life support is crucial to enhance survival from out-of-hospital cardiac arrest but rates remain low, especially in households. High-risk groups' training has been advocated, but the optimal method is unclear. The CArdiac REhabilitation and BAsic life Support (CAREBAS) project aims to compare the effectiveness of two basic life support educational strategies implemented in a cardiac rehabilitation program. METHODS A community intervention study including consecutive patients enrolled on an exercise-based cardiac rehabilitation program after acute coronary syndrome or revascularization was conducted. A standard basic life support training (G-Stan) and a novel approach integrating cardiopulmonary resuscitation hands-on rolling refreshers (G-CPR) were randomly assigned to each group and compared. Basic life support performance was assessed by means of simulation at baseline, following brief instruction and after the 2-month program. RESULTS 114 participants were included and 108 completed the final evaluation (G-Stan:58, G-CPR:50). Basic life support performance was equally poor at baseline and significantly improved following a brief instruction. A better skill retention was found after the 2-month program in G-CPR, significantly superior for safety and sending for an automated external defibrillator. Confidence and self-perceived preparation were also significantly greater in G-CPR after the program. CONCLUSIONS Integrating cardiopulmonary resuscitation hands-on rolling refreshers in the training of an exercise-based cardiac rehabilitation program is feasible and improves patients' skill retention and confidence to perform a basic life support sequence, compared to conventional training. Exporting this formula to other programs may result in increased numbers of trained citizens, enhanced social awareness and bystander resuscitation.
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Affiliation(s)
- Violeta González-Salvado
- Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Institute of Health Research of Santiago (IDIS), Spain.
| | - Cristian Abelairas-Gómez
- Institute of Health Research of Santiago (IDIS), Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Educational Sciences, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Carlos Peña-Gil
- Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Institute of Health Research of Santiago (IDIS), Spain
| | - Carmen Neiro-Rey
- Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Roberto Barcala-Furelos
- Institute of Health Research of Santiago (IDIS), Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain; REMOSS Research Group, Universidade de Vigo, Pontevedra, Spain
| | - José Ramón González-Juanatey
- Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Institute of Health Research of Santiago (IDIS), Spain
| | - Antonio Rodríguez-Núñez
- Institute of Health Research of Santiago (IDIS), Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Paediatric Emergency and Critical Care Division, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
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The authors reply: Comparing dispatcher assisted CPR versus trained bystander CPR. Am J Emerg Med 2017; 35:652-653. [DOI: 10.1016/j.ajem.2017.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Accepted: 01/12/2017] [Indexed: 11/20/2022] Open
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Rosell-Ortiz F, Escalada-Roig X, Fernández del Valle P, Sánchez-Santos L, Navalpotro-Pascual JM, Echarri-Sucunza A, Adsuar-Quesada JM, Ceniceros-Rozalén I, Ruiz-Azpiazu JI, Ibarguren-Olalde K, López-Cabeza N, Mier-Ruiz MV, Martín-Sánchez E, Martínez del Valle M, Inza-Muñoz G, Cordero Torres JA, García-Ochoa MJ, Cortés-Ramas JA, Canabal-Berlanga R, Zoyo López-Navarro R, López-Messa JB, García del Águila J, Alonso-Moreno D, Pozo-Pérez C, Bravo-Castello J, Ramos-García N, Gómez-Larrosa I, Mellado-Vergel FJ. Out-of-hospital cardiac arrest (OHCA) attended by mobile emergency teams with a physician on board. Results of the Spanish OHCA Registry (OSHCAR). Resuscitation 2017; 113:90-95. [DOI: 10.1016/j.resuscitation.2017.01.029] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Revised: 12/23/2016] [Accepted: 01/30/2017] [Indexed: 10/20/2022]
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Navarro-Patón R, Freire-Tellado M, Pavón-Prieto MDP, Vázquez-López D, Neira-Pájaro M, Lorenzana-Bargueiras S. Dispatcher assisted CPR: Is it still important to continue teaching lay bystander CPR? Am J Emerg Med 2016; 35:569-573. [PMID: 28010960 DOI: 10.1016/j.ajem.2016.12.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Revised: 12/01/2016] [Accepted: 12/08/2016] [Indexed: 11/30/2022] Open
Affiliation(s)
| | - Miguel Freire-Tellado
- Emergency Medical Services, Fundación Pública Urgencias Sanitarias (FPUS) 061, Lugo, Spain
| | | | - Daniel Vázquez-López
- Emergency Medical Services, Fundación Pública Urgencias Sanitarias (FPUS) 061, Lugo, Spain
| | - Miguel Neira-Pájaro
- Emergency Medical Services, Fundación Pública Urgencias Sanitarias (FPUS) 061, Foz, Spain
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Basanta Camiño S, Navarro Patón R, Freire Tellado M, Barcala Furelos R, Pavón Prieto MP, Fernández López M, Neira Pájaro MA. Assessment of knowledge and skills in using an Automated External Defibrillator (AED) by university students. A quasi-experimental study. Med Intensiva 2016; 41:270-276. [PMID: 27773493 DOI: 10.1016/j.medin.2016.07.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 07/19/2016] [Accepted: 07/31/2016] [Indexed: 11/29/2022]
Abstract
AIM To evaluate layperson (university student) ability to use an automated external defibrillator (AED). DESIGN A repeated measures quasi-experimental study with non-probabilistic sampling and a control group was carried out. SCOPE Teacher training degree students at the University of Santiago de Compostela (Spain). PARTICIPANTS The sample consisted of 129 subjects (69% women and 31% men), between 19-47 years of age (mean 23.2±4.7 years). As inclusion criterion, the subjects were required to have no previous knowledge of AED. INTERVENTIONS Times to apply defibrillation with an AED to a mannequin were recorded untrained (T0), after a theoretical and practice explanation lasting less than one minute (T1), and 6 months after the training process (T2). MAIN VARIABLES OF INTEREST The primary endpoint was the time taken to deliver a defibrillation discharge. The "improvement effect" variable was defined by the absolute time difference between T1 and T0, while the "degree of forgetfulness effect" variable was defined as the absolute difference between T1 and T2. RESULTS The mean times were T0=67.7s; T1=44.2s; T2=45.9s. The time to apply defibrillation was reduced after explanation training (T1<T0) (-23.4s; P<.001). T2 proved shorter than T0 (-21.8s; P<.001) but longer than T1 (1.6s; P=.002). The improvement effect was significant (P<.001), in the same way as the degree of forgetfulness (P=.002). CONCLUSIONS Easy handling of AED was demonstrated, since untrained people were able to deliver a discharge. Defibrillation time was reduced after brief training. This time barely increased after 6 months.
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Affiliation(s)
- S Basanta Camiño
- Facultad de Formación del Profesorado, Universidad de Santiago de Compostela, Lugo, España
| | - R Navarro Patón
- Facultad de Formación del Profesorado, Universidad de Santiago de Compostela, Lugo, España.
| | - M Freire Tellado
- Servicio de Emergencias Médicas de la Fundación Pública Urgencias Sanitarias 061, Base 061 Lugo, Centro de Salud de Fingoy, Lugo, España
| | - R Barcala Furelos
- Facultad de Ciencias de la Educación y del Deporte, Universidad de Vigo, Campus A Xunqueira, Pontevedra, España
| | - M P Pavón Prieto
- Servicio de Emergencias Médicas de la Fundación Pública Urgencias Sanitarias 061, Base 061 Lugo, Centro de Salud de Fingoy, Lugo, España
| | - M Fernández López
- Servicio de Emergencias Médicas de la Fundación Pública Urgencias Sanitarias 061, Base 061 Lugo, Centro de Salud de Fingoy, Lugo, España
| | - M A Neira Pájaro
- Fundación Pública Urgencias Sanitarias 061, Base 061 Foz, Foz, Lugo, España
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Azeli Y, Barbería E, Jiménez-Herrera M, Bonet G, Valero-Mora E, Lopez-Gomariz A, Lucas-Guarque I, Guillen-Lopez A, Alonso-Villaverde C, Landín I, Torralba P, Jammoul A, Bladé-Creixenti J, Axelsson C, Bardají A. The ReCaPTa study - a prospective out of hospital cardiac arrest registry including multiple sources of surveillance for the study of sudden cardiac death in the Mediterranean area. Scand J Trauma Resusc Emerg Med 2016; 24:127. [PMID: 27756343 PMCID: PMC5070156 DOI: 10.1186/s13049-016-0309-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2016] [Accepted: 09/26/2016] [Indexed: 11/21/2022] Open
Abstract
Background Cardiovascular diseases are one of the leading causes of death in the industrialized world. Sudden cardiac death is very often the first manifestation of the disease and it occurs in the prehospital setting. The determination of the sudden cardiac death phenotype is challenging. It requires prospective studies in the community including multiple sources of case ascertainment that help to identify the cause and circumstances of death. The aim of the Clinical and Pathological Registry of Tarragona (ReCaPTa) is to study incidence and etiology of Sudden Cardiac Death in the Tarragona region (Catalonia, Spain). Methods ReCaPTa is a population-based registry of OHCA using multiple sources of surveillance. The population base is 511,662. This registry is compiled chronologically in a relational database and it prospectively contains data on all the OHCA attended by the EMS from April 2014 to April 2017. ReCaPTa collects data after each emergency medical assistance using an online application including variables of the onset of symptoms. A quality control is performed and it permits monitoring the percentage of cases included by the emergency crew. Simultaneously, data from the medico-legal autopsies is taken from the Pathology Center of the area. All the examination findings following a specific protocol for the sudden death study are entered into the ReCaPTa database by one trained person. Survivors admitted to hospital are followed up and their clinical variables are collected in each hospital. The primary care researchers analyze the digital clinical records in order to obtain medical background. All the available data will be reviewed after an adjudication process with the aim of identifying all cases of sudden cardiac death. Discussion There is a lack of population-based registries including multiple source of surveillance in the Mediterranean area. The ReCaPTa study could provide valuable information to prevent sudden cardiac death and develop new strategies to improve its survival.
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Affiliation(s)
- Youcef Azeli
- Emergency Medical System of Catalonia (SEM), 112 Reus, Carrer del pagesos 2, 43204, Reus, Spain. .,Emergency Department Sant Joan University Hospital, Reus, Spain.
| | - Eneko Barbería
- Pathology Service, Institute of Legal Medicine and Forensic Science, Catalonia, Spain.,Rovira Virgili University, Tarragona, Spain
| | | | - Gil Bonet
- Rovira Virgili University, Tarragona, Spain.,Cardiology Service, Joan XXIII University Hospital, Tarragona, Spain.,Pere Virgili Health Research Institute, Tarragona, Spain
| | - Eva Valero-Mora
- Emergency Medical System of Catalonia (SEM), 112 Reus, Carrer del pagesos 2, 43204, Reus, Spain
| | - Alfonso Lopez-Gomariz
- Emergency Medical System of Catalonia (SEM), 112 Reus, Carrer del pagesos 2, 43204, Reus, Spain
| | - Isaac Lucas-Guarque
- Emergency Medical System of Catalonia (SEM), 112 Reus, Carrer del pagesos 2, 43204, Reus, Spain
| | - Alex Guillen-Lopez
- Emergency Medical System of Catalonia (SEM), 112 Reus, Carrer del pagesos 2, 43204, Reus, Spain.,Primary Care Center of Cambrils, SAGESSA, Cambrils, Spain
| | | | - Inés Landín
- Pathology Service, Institute of Legal Medicine and Forensic Science, Catalonia, Spain.,Rovira Virgili University, Tarragona, Spain
| | - Pilar Torralba
- Pathology Service, Institute of Legal Medicine and Forensic Science, Catalonia, Spain
| | - Ali Jammoul
- Rovira Virgili University, Tarragona, Spain.,Internal Medicine Department Sant Joan University Hospital, Reus, Spain
| | | | | | - Alfredo Bardají
- Rovira Virgili University, Tarragona, Spain.,Cardiology Service, Joan XXIII University Hospital, Tarragona, Spain.,Pere Virgili Health Research Institute, Tarragona, Spain
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