Previously assessed technologies include mechanical
chest compression for patients with cardiac arrests, radiotracers for recurring prostate cancer and glucose monitoring devices for people with diabetes.
In this prospective study, we randomized providers to provide conventional provider-driven CPR or CPR guided by an audio-visual feedback accelerometer to determine if there is a difference in the quality of the five critical components of CPR (
chest compression depth,
chest compression rate, chest recoil, excessive ventilation, and percent
chest compression fraction (CCF%)) when applied in simulated cardiac arrest with in-hospital providers in the ED.
HOW TO GIVE
CHEST COMPRESSION TO A BABY PLACE two fingertips on the centre of the baby's chest.
The guidelines of Heart Care Foundation of India encourage the performance of CPR using excellent
chest compression alone.
Taken together, these studies indicate that prolonged pause of
chest compression reduces the coronary and cerebral perfusion pressure, which may have deleterious consequences for the patient.
Nevalainen et al., "Deeper
chest compression - More complications for cardiac arrest patients?" Resuscitation, vol.
de Ruijter.10 Skills to adequately check vital signs and start CPR when appropriate were preserved longer.11 As described in the introduction section, several studies show that practical skills in resuscitation decrease rapidly.12 In our study, most students adequately assess vital signs but failed to maintain sufficient
chest compression depth and ventilation volumes; we believe this delay in practical skills is caused by the lack of opportunities for practice.10
AHA has found that the
chest compression sequence best serves resuscitative efforts is C-A-B; Compressions, Airway, Breathing.
New guidelines on cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) set upper limits on
chest compression rate and depth, add naloxone to the care of suspected opioid abusers, and remove vasopressin from the advanced cardiac life support (ACLS) algorithm.
Imagine learning to resuscitate someone to the musical rhythm of
chest compression rate, demonstrated by trained paramedics masquerading as musical performers!
Continuous
chest compression and electrical defibrillation were preformed immediately.
American Heart Association (AHA) 2010 resuscitation guidelines emphasize the importance of performing high-quality CPR and recommend that for CPR to be of a high quality the
chest compression depth should be at least 2.5 inches, the
chest compression rate should be at least 100/min, and the ventilation delivered should cause a noticeable chest rise.