12/31/2023 0 Comments High quality cpr pauses in compressionThe resuscitation team can be activated now or after checking breathing and pulse.Ĭheck for no breathing or only gasping if there is none, begin CPR with chest compressions.Ĭheck for no breathing or only gasping and check for a pulse (ideally should be done simultaneously). Ensure that the phone remains on speaker, if at all possible. Responder should shout for nearby help and activate the emergency response system (9-1-1, emergency response). Resuscitation 2017.Responder should shout for nearby help and phone or have another bystander phone 9-1-1 the phone should remain on speaker for receiving further instructions from the dispatcher. Ultrasound use during cardiopulmonary resuscitation associated with delays in chest compressions. More research is required to investigate why interruptions are longer, potential benefits of POCUS in arrest and the impact of prolonged pauses in this situation. Providers should be cautious to not allow POCUS to interfere with interventions proven to be beneficial (compressions and defibrillation). Intra-arrest POCUS may increase the duration of rhythm checks which has the potential to worsen outcomes. Employing transesophogeal echo for assessment of compression quality, assessment of rhythm and reversible etiologies may be a superior approach as compression interruptions are unnecessary. The use of POCUS intra-arrest or of POCUS driven arrest care must be thoughtfully applied to reduce potentials for harm. Extending rhythm checks to obtain good US images is not acceptable. Regardless of whether POCUS is used intra-arrest or not, interruptions in compressions should be minimized. While this study is too small to show an effect on patient outcomes from prolonged interruptions, everything in the existing literature tells us that longer interruptions will lead to worse outcomes. The use of intra-arrest POCUS was associated with an increased length of rhythm checks and, thus, an increased length in compression interruptions. “In this prospective cohort trial of 24 patients with CA, POCUS during CPR pauses was associated with longer interruptions in CPR.” Our Conclusions Single center study reduces external validity.Absence of explanation of pauses without rhythm check.Small study and most of the cardiac arrests that occurred were not included due to absence of video.Does not look at patient centered outcomes.Adds to the scant literature on the topic of US impact on pauses during cardiac arrest care.
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