Improving In-Hospital Cardiac Arrest Process and Outcomes With Performance Debriefing
Archives of Internal MedicinePublished 26 May 2008
Dana P. Edelson
Citations468
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The combination of RAPID and real-time audiovisual feedback improved CPR quality compared with the use of feedback alone and was associated with an increased rate of return of spontaneous circulation.
Abstract
clinicaltrials.gov Identifier: NCT00228293.
Keywords
MedicineHealth Professions
JAMAQuality of Cardiopulmonary Resuscitation During Out-of-Hospital Cardiac Arrest
1,526 Citations2005Lars Wik
Academic MedicineSimulation-Based Medical Education
958 Citations2003Amitai Ziv, Paul Root Wolpe +2 more
Four themes provide a framework for an ethical analysis of simulation-based medical education: best standards of care and training, error management and patient safety, patient autonomy, and social justice and resource allocation.
CirculationHyperventilation-Induced Hypotension During Cardiopulmonary Resuscitation
887 Citations2004Tom P. Aufderheide, Garðar Sigurðsson +8 more
Subsequent animal studies demonstrated that similar excessive ventilation rates resulted in significantly increased intrathoracic pressure and markedly decreased coronary perfusion pressures and survival rates.
ResuscitationImplementation of a standardised treatment protocol for post resuscitation care after out-of-hospital cardiac arrest
878 Citations2007Kjetil Sunde, Morten Pytte +6 more
Discharge rate from hospital, neurological outcome and 1-year survival improved after standardisation of post resuscitation care, and hospital treatment in the intervention period was the most important independent predictor of survival.
CirculationChest Compression Rates During Cardiopulmonary Resuscitation Are Suboptimal
690 Citations2005Benjamin S. Abella, Nathan Sandbo +8 more
In-hospital chest compression rates were below published resuscitation recommendations, and suboptimal compression rates in this study correlated with poor return of spontaneous circulation.
ResuscitationEffects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest
664 Citations2006Dana P. Edelson, Benjamin S. Abella +8 more
The quality of CPR prior to defibrillation directly affects clinical outcomes and strategies to correct these deficiencies should be developed and consideration should be made to replacing current-generation automated external defibrillators that require long pre-shock pauses for rhythm analysis.
ResuscitationQuality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: A prospective interventional study
520 Citations2006Jo Kramer‐Johansen, Helge Myklebust +5 more
Automatic feedback improved CPR quality in this prospective non-randomised study of out-of-hospital cardiac arrest and increased compression depth was associated with increased short-term survival.
JAMAEffectiveness of Bystander Cardiopulmonary Resuscitation and Survival Following Out-of-Hospital Cardiac Arrest
467 Citations1995E.John Gallagher
The association between bystander CPR and survival in out-of-hospital cardiac arrest appears to be confounded by CPR quality, and effective CPR is independently associated with a quantitatively and statistically significant improvement in survival.
ResuscitationQuality and efficiency of bystander CPR
450 Citations1993Raf J Van Hoeyweghen, Leo Bossaert +5 more
Bystander CPR might have a beneficial effect on survival by maintaining the heart in ventricular fibrillation by ECC, and a negative effect of badly performed bystander CPR was not observed compared to cases which had not received bystanding CPR.
AnesthesiologyValue of Debriefing during Simulated Crisis Management
424 Citations2006Georges L. Savoldelli, Viren N. Naik +4 more
Exposure to a simulated crisis without constructive debriefing by instructors offers little benefit to trainees, and the addition of video review did not offer any advantage over oral feedback alone, which means valuable simulation training can be achieved even when video technology is not available.
JAMAManual Chest Compression vs Use of an Automated Chest Compression Device During Resuscitation Following Out-of-Hospital Cardiac Arrest
382 Citations2006Al Hallstrom, Thomas D. Rea +12 more
Use of an automated LDB-CPR device as implemented in this study was associated with worse neurological outcomes and a trend toward worse survival than manual CPR.
ResuscitationCPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system
365 Citations2007Benjamin S. Abella, Dana P. Edelson +7 more
Real-time CPR-sensing and feedback technology modestly improved the quality of CPR during in-hospital cardiac arrest, and may serve as a useful adjunct for rescuers during resuscitation efforts.
Teaching and Learning in MedicineSimulation-Based Training of Internal Medicine Residents in Advanced Cardiac Life Support Protocols: A Randomized Trial
336 Citations2005Diane B. Wayne, John Butter +6 more
A randomized trial with wait-list controls using a medical simulator to assess baseline proficiency in ACLS and determine the impact of an intervention on skill development, which improved significantly after simulator training.
CirculationInterruptions of Chest Compressions During Emergency Medical Systems Resuscitation
316 Citations2005Terence D. Valenzuela, Karl B. Kern +8 more
Frequent interruption of chest compressions results in no circulatory support during more than half of resuscitation efforts, which could be a major contributing factor to the continued poor outcome seen with OOH cardiac arrest.
CirculationIncreasing Use of Cardiopulmonary Resuscitation During Out-of-Hospital Ventricular Fibrillation Arrest
280 Citations2006Thomas D. Rea, Michael Helbock +5 more
The results suggest the new resuscitation guidelines will alter the interface between defibrillation and cardiopulmonary resuscitation and in turn may improve outcomes.
BMJ Quality & SafetyImproving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator
274 Citations2005Michael A. DeVita
The objective was to use a human simulation training educational environment to develop multidisciplinary team skills and improve medical emergency team (MET) performance and report findings of a crisis team training course that is focused on organization.
Critical Care MedicineTherapeutic hypothermia utilization among physicians after resuscitation from cardiac arrest*
247 Citations2006Raina M. Merchant, Jasmeet Soar +9 more
Physician utilization of cooling after cardiac arrest remains low, and the data suggest that development of better cooling methodology and recent incorporation into resuscitation guidelines may improve use.
JAMAUse of an Automated, Load-Distributing Band Chest Compression Device for Out-of-Hospital Cardiac Arrest Resuscitation
242 Citations2006Marcus Eng Hock Ong, Joseph P. Ornato +10 more
Compared with resuscitation using manual CPR, a resuscitation strategy using LDB-CPR on EMS ambulances is associated with improved survival to hospital discharge in adults with out-of-hospital nontraumatic cardiac arrest.
Annals of Emergency MedicineHawthorne Effect: Implications for Prehospital Research
242 Citations1995Jack P. Campbell, Vada A. Maxey +1 more
The Hawthorne effect must be considered in the design of prehospital studies and interpretation of data collected by paramedics, and it may require a perceived demand for performance.
ResuscitationInduced hypothermia is underused after resuscitation from cardiac arrest: a current practice survey
214 Citations2005Benjamin S. Abella, James W. Rhee +3 more
Despite compelling data supporting its use, hypothermia has yet to be broadly incorporated into physician practice, which highlights the need for improved awareness and education regarding this treatment option, as well as the need to consider Hypothermia protocols for inclusion in future iterations of ACLS.
ResuscitationUniform reporting of measured quality of cardiopulmonary resuscitation (CPR)
206 Citations2007Jo Kramer‐Johansen, Dana P. Edelson +3 more
The results from an international consensus working group are presented to propose common definitions and criteria for reporting variables of CPR quality, based on the best available data for the importance of various CPR variables.
ResuscitationRetention of basic life support skills 6 months after training with an automated voice advisory manikin system without instructor involvement
183 Citations2002Lars Wik, Helge Myklebust +2 more
The computer-based voice advisory manikin (VAM) feedback system can improve immediate performance of basic life support (BLS) skills, with better long-term retention with overtraining.
ResuscitationImproving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator
160 Citations2003Anthony J. Handley, Simon A.J. Handley
The results suggest that if the feedback system were to be incorporated into an AED, it could lead to better performance of CPR during a resuscitation attempt.
ResuscitationAn automated voice advisory manikin system for training in basic life support without an instructor. A novel approach to CPR training
151 Citations2001Lars Wik, Jon Thowsen +1 more
It is concluded that this automated voice advisory manikin system, a novel approach to basic CPR training, caused an immediate improvement in the skills performance of paramedic students.
IEEE Transactions on Biomedical EngineeringCompression depth estimation for CPR quality assessment using DSP on accelerometer signals
127 Citations2002S.O. Aase, H. Myklebust
This paper demonstrates how the compression depth can be estimated using the principles of inertia navigation using accelerometer sensors, one placed on the patient's chest, the other beside the patient, using discrete-time digital signal processing.
ResuscitationEuropean Resuscitation Council Guidelines for Resuscitation 2005
123 Citations2005Peter Baskett, Jerry P. Nolan +4 more
The optimal interal for retraining has not been established, but refresher training at intervals of less than months seems to be needed for most individuals who are not undertaking resuscitation on a regular asis.
Journal of Air Medical TransportCritical incident stress debriefing: Keeping your flight crew healthy
5 Citations1992Tracy A. Troiani, R. Boland
Most flight team members have experienced some type of a stress reaction in their flight career, but few have been debriefed appropriately and proper mental health evaluation may be the answer.