Comparison of Cardiopulmonary Resuscitation Quality in a Simulated Model: At Incident Scene vs During EMS Transport.
Introduction: Out-of-hospital cardiac arrest remains a leading cause of death and significantly impacts global health outcomes. International guidelines emphasize the importance of high-quality CPR (cardiopulmonary resuscitation). Objectives: Our goal was to compare CPR efficiency using the criteria...
| Publicado en: | Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 26; no. 5; pp. 1322 - 1328 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188664045&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188664045 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1936900X 8B61 jtl: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health issn: 1936900X maglogo: N pubinfo: dt: Sep2025 vid: 26 iid: 5 pid: 29816 pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health place: Orange, California artinfo: ui: 188664045 188664045 188664045 10.5811/westjem.40234 188664045 ppf: 1322 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Comparison of Cardiopulmonary Resuscitation Quality in a Simulated Model: At Incident Scene vs During EMS Transport. aug: au: Çetin, Murat Yilmaz, Gökhan Uz, İlhan Kılıç, Turgay Yılmaz Guvenç, Erkan Ergun, Volkan Araz, Ebru Şener Bayram, Başak Long, Brit Jeffrey Gottlieb, Michael Brady, William J. affil: Department of Emergency Medicine, Izmir Dr. Behçet Uz Children's Disease and Surgery Education and Research Hospital, Izmir, Türkiye sug: subj: Heart Arrest Therapy Resuscitation, Cardiopulmonary Methods Prehospital Care Methods Transportation of Patients Emergency Medical Services Practice Guidelines Quality Assessment Human Male Female Adult Cardiac Patients Comparative Studies Descriptive Statistics Data Analysis Software Ambulances Emergency Medical Technicians Work Experiences Unpaired T-Tests Paired T-Tests Guideline Adherence Patient Safety Simulations Quality Improvement Treatment Outcomes Adult: 19-44 years Male Female ab: Introduction: Out-of-hospital cardiac arrest remains a leading cause of death and significantly impacts global health outcomes. International guidelines emphasize the importance of high-quality CPR (cardiopulmonary resuscitation). Objectives: Our goal was to compare CPR efficiency using the criteria recommended by international guidelines between two out-of-hospital cardiac arrest intervention scenarios: CPR at the incident site; and CPR during patient transport to the hospital by emergency medical services. Methods: In each of the two scenarios, five full two-minute cycles of cardiac compression were applied to a manikin according to international guidelines. The CPR quality parameters were chest compression rate, chest compression depth recorded by the manikin, and investigator-evaluated correct hand placement on the manikin. Results: We analyzed data from 240 CPR cycles provided by 24 healthcare professionals. The mean chest compression rate was higher (120.5±10.9/minutes vs 125.3±14.7/min, P = .001) and the mean chest compression depth was shallower (43.9±6.6 millimeters [mm] vs 37.9±7.2 mm, P = .001) in the on-the-move group. The two groups' appropriate hand placement rates were similar (92.1±5.4% vs 92.2±4.5%, P = .48) Conclusion: In this study, the moving ambulance simulation demonstrated that chest compressions were administered at a rate exceeding recommended guidelines and at a shallower depth than recommended, while the frequency of correct hand placement remained comparable. If the patient requires transportation from the scene of the incident, the healthcare team must be aware of the potential adverse effects on the chest compression quality. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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