Michael P Müller1, Torsten Richter2, Norbert Papkalla2, Cynthia Poenicke2, Carsten Herkner3, Anne Osmers2, Sigrid Brenner2, Thea Koch3, Uta Schwanebeck4, Axel R Heller3. 1. ResQer (Resuscitation - Quality in Education and Research), Department of Anesthesiology and Intensive Care Medicine, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany; Interdisciplinary Medical Simulation Centre (ISIMED), University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany. Electronic address: mpmueller.web@gmail.com. 2. ResQer (Resuscitation - Quality in Education and Research), Department of Anesthesiology and Intensive Care Medicine, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany; Interdisciplinary Medical Simulation Centre (ISIMED), University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany. 3. ResQer (Resuscitation - Quality in Education and Research), Department of Anesthesiology and Intensive Care Medicine, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany. 4. Coordination Centre for Clinical Trials, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.
Abstract
AIM OF THE STUDY: Many hospitals have basic life support (BLS) training programmes, but the effects on the quality of chest compressions are unclear. This study aimed to evaluate the no-flow fraction (NFF) during BLS provided by standard care nursing teams over a five-year observation period during which annual participation in the BLS training was mandatory. METHODS: All healthcare professionals working at Dresden University Hospital were instructed in BLS and automated external defibrillator (AED) use according to the current European Resuscitation Council guidelines on an annual basis. After each cardiac arrest occurring on a standard care ward, AED data were analyzed. The time without chest compressions during the period without spontaneous circulation (i.e., the no-flow fraction) was calculated using thoracic impedance data. RESULTS: For each year of the study period (2008-2012), a total of 1454, 1466, 1487, 1432, and 1388 health care professionals, respectively, participated in the training. The median no-flow fraction decreased significantly from 0.55 [0.42; 0.57] (median [25‰; 75‰]) in 2008 to 0.3 [0.28; 0.35] in 2012. Following revision of the BLS curriculum after publication of the 2010 guidelines, cardiac arrest was associated with a higher proportion of patients achieving ROSC (72% vs. 48%, P=0.025) but not a higher survival rate to hospital discharge (35% vs. 19%, P=0.073). CONCLUSION: The NFF during in-hospital cardiac resuscitation decreased after establishment of a mandatory annual BLS training for healthcare professionals. Following publication of the 2010 guidelines, more patients achieved ROSC after in-hospital cardiac arrest.
AIM OF THE STUDY: Many hospitals have basic life support (BLS) training programmes, but the effects on the quality of chest compressions are unclear. This study aimed to evaluate the no-flow fraction (NFF) during BLS provided by standard care nursing teams over a five-year observation period during which annual participation in the BLS training was mandatory. METHODS: All healthcare professionals working at Dresden University Hospital were instructed in BLS and automated external defibrillator (AED) use according to the current European Resuscitation Council guidelines on an annual basis. After each cardiac arrest occurring on a standard care ward, AED data were analyzed. The time without chest compressions during the period without spontaneous circulation (i.e., the no-flow fraction) was calculated using thoracic impedance data. RESULTS: For each year of the study period (2008-2012), a total of 1454, 1466, 1487, 1432, and 1388 health care professionals, respectively, participated in the training. The median no-flow fraction decreased significantly from 0.55 [0.42; 0.57] (median [25‰; 75‰]) in 2008 to 0.3 [0.28; 0.35] in 2012. Following revision of the BLS curriculum after publication of the 2010 guidelines, cardiac arrest was associated with a higher proportion of patients achieving ROSC (72% vs. 48%, P=0.025) but not a higher survival rate to hospital discharge (35% vs. 19%, P=0.073). CONCLUSION: The NFF during in-hospital cardiac resuscitation decreased after establishment of a mandatory annual BLS training for healthcare professionals. Following publication of the 2010 guidelines, more patients achieved ROSC after in-hospital cardiac arrest.
Authors: Rainer Nitzschke; Christoph Doehn; Jan F Kersten; Julian Blanz; Tobias J Kalwa; Norman A Scotti; Jens C Kubitz Journal: Scand J Trauma Resusc Emerg Med Date: 2017-04-04 Impact factor: 2.953
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Authors: Thomas Wurmb; Tina Vollmer; Peter Sefrin; Martin Kraus; Oliver Happel; Christian Wunder; Andreas Steinisch; Norbert Roewer; Sebastian Maier Journal: Scand J Trauma Resusc Emerg Med Date: 2015-10-31 Impact factor: 2.953