PURPOSE OF REVIEW: The quality of cardiopulmonary resuscitation (CPR) impacts on outcome after cardiac arrest. This review will explore the factors that contribute to high-quality CPR and the metrics that can be used to monitor performance. RECENT FINDINGS: A recent consensus statement from North America defined five key components of high-quality CPR: minimizing interruptions in chest compressions, providing compressions of adequate rate and depth, avoiding leaning on the chest between compressions, and avoiding excessive ventilation. Studies have shown that real-time feedback devices improve the quality of CPR and, in one before-and-after study, outcome from out-of-hospital cardiac arrest. SUMMARY: There is evidence for increasing survival rates following out-of-hospital cardiac arrest and this is associated with increasing rates of bystander CPR. The quality of CPR provided by healthcare professionals can be improved with real-time feedback devices. The components of high-quality CPR and the metrics that can be measured and fed back to healthcare professionals have been defined by expert consensus. In the future, real-time feedback based on the physiological responses to CPR may prove more effective.
PURPOSE OF REVIEW: The quality of cardiopulmonary resuscitation (CPR) impacts on outcome after cardiac arrest. This review will explore the factors that contribute to high-quality CPR and the metrics that can be used to monitor performance. RECENT FINDINGS: A recent consensus statement from North America defined five key components of high-quality CPR: minimizing interruptions in chest compressions, providing compressions of adequate rate and depth, avoiding leaning on the chest between compressions, and avoiding excessive ventilation. Studies have shown that real-time feedback devices improve the quality of CPR and, in one before-and-after study, outcome from out-of-hospital cardiac arrest. SUMMARY: There is evidence for increasing survival rates following out-of-hospital cardiac arrest and this is associated with increasing rates of bystander CPR. The quality of CPR provided by healthcare professionals can be improved with real-time feedback devices. The components of high-quality CPR and the metrics that can be measured and fed back to healthcare professionals have been defined by expert consensus. In the future, real-time feedback based on the physiological responses to CPR may prove more effective.
Authors: Kyoung-Chul Cha; Hyung Il Kim; Yong Won Kim; Gyo Jin Ahn; Yoon Seob Kim; Sun Ju Kim; Jun Hyuk Lee; Sung Oh Hwang Journal: PLoS One Date: 2019-08-30 Impact factor: 3.240
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