Optimizing CPR Chest Compression in the EMS Environment

Chest compression-only CPR or good quality 30:2 CPR.

There is debate as to whether chest compression-only cardiopulmonary resuscitation (CC-CPR) or standard 30:2 CPR should be taught to laypersons. Equivalence in outcomes between standard CPR and CC-CPR has been amply demonstrated in communities with short ambulance response times of about five minutes. Depriving oxygen from a collapsed patient beyond six minutes results in poorer outcomes. Commu...

Chest-compression-only versus standard CPR.

Comparison of CPR outcome predictors between rhythmic abdominal compression and continuous chest compression CPR techniques.

OBJECTIVE Bystander cardiopulmonary resuscitation (CPR) provides treatment for out-of-hospital cardiac arrest since perfusion of vital organs is critical to resuscitation. Alternatives to standard CPR are evaluated for effectiveness based upon outcome predictive metrics and survival studies. This study focuses on evaluating the performance of rhythmic-only abdominal compression CPR (OAC-CPR) re...

CPR with chest compression alone or with rescue breathing.

BACKGROUND The role of rescue breathing in cardiopulmonary resuscitation (CPR) performed by a layperson is uncertain. We hypothesized that the dispatcher instructions to bystanders to provide chest compression alone would result in improved survival as compared with instructions to provide chest compression plus rescue breathing. METHODS We conducted a multicenter, randomized trial of dispatc...

The effect of distraction by dual work on a CPR practitioner's efficiency in chest compression

BACKGROUND In the clinical setting, the dispersed practitioners' attention often leads to decreased competence in their performance. We aimed to investigate the effect of distracted practitioners on the quality of chest compression during cardiopulmonary resuscitation. METHODS A randomized controlled crossover simulation study was conducted. Participants were recruited from among doctors, nur...