Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial

Autor: Lyra Clark, Charlotte Barfod, Freddy Lippert, Roselil Maria Oelrich, Fredrik Folke, Annemarie Silver, Dimitra Nikoletou, Rasmus Meyer Lyngby, Julie Samsoee Kjoelbye, Tom Quinn, Helle Collatz Christensen
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
BLS
Basic life support
medicine.medical_treatment
Specialties of internal medicine
alliedhealth
law.invention
SGA
Supraglottic airway
sROSC
Sustained return of spontaneous circulation
Interquartile range
law
Hyperventilation
Ohca
Emergency medical services
medicine
Cardiopulmonary resuscitation
Tidal volume
Earth-Surface Processes
Simulation and Education
VQI
Ventilation Quality Indicator
EMS
Emergency Medical Services
business.industry
cardiovascular
TBI
Traumatic brain injury
EMS
Basic life support
CONSORT
Consolidated Standards Of Reporting Trials
ERC
European Resuscitation Council
health
Ventilation
ALS
Advanced life support
Advanced life support
RC581-951
Emergency medicine
Ventilation (architecture)
Real-time feedback
OHCA
Out-of-Hospital Cardiac Arrest
medicine.symptom
business
Corrigendum
CPR
Cardiopulmonary resuscitation
Zdroj: Resusc Plus
Lyngby, R M, Clark, L, Kjoelbye, J S, Oelrich, R M, Silver, A, Christensen, H C, Barfod, C, Lippert, F, Nikoletou, D, Quinn, T & Folke, F 2021, ' Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest : A randomised controlled trial ', Resuscitation Plus, vol. 5, 100082, pp. 1-10 . https://doi.org/10.1016/j.resplu.2021.100082
Resuscitation Plus
Resuscitation Plus, Vol 5, Iss, Pp 100082-(2021)
ISSN: 2666-5204
DOI: 10.1016/j.resplu.2021.100082
Popis: OBJECTIVES: To investigate whether real-time ventilation feedback would improve provider adherence to ventilation guidelines.DESIGN: Non-blinded randomised controlled simulation trial.SETTING: One Emergency Medical Service trust in Copenhagen.PARTICIPANTS: 32 ambulance crews consisting of 64 on-duty basic or advanced life support paramedics from Copenhagen Emergency Medical Service.INTERVENTION: Participant exposure to real-time ventilation feedback during simulated out-of-hospital cardiac arrest.MAIN OUTCOME MEASURES: The primary outcome was ventilation quality, defined as ventilation guideline-adherence to ventilation rate (8-10 bpm) and tidal volume (500-600 ml) delivered simultaneously.RESULTS: The intervention group performed ventilations in adherence with ventilation guideline recommendations for 75.3% (Interquartile range (IQR) 66.2%-82.9%) of delivered ventilations, compared to 22.1% (IQR 0%-44.0%) provided by the control group. When controlling for participant covariates, adherence to ventilation guidelines was 44.7% higher in participants receiving ventilation feedback. Analysed separately, the intervention group performed a ventilation guideline-compliant rate in 97.4% (IQR 97.1%-100%) of delivered ventilations, versus 66.7% (IQR 40.9%-77.9%) for the control group. For tidal volume compliance, the intervention group reached 77.5% (IQR 64.9%-83.8%) of ventilations within target compared to 53.4% (IQR 8.4%-66.7%) delivered by the control group.CONCLUSIONS: Real-time ventilation feedback increased guideline compliance for both ventilation rate and tidal volume (combined and as individual parameters) in a simulated OHCA setting. Real-time feedback has the potential to improve manual ventilation quality and may allow providers to avoid harmful hyperventilation.
Databáze: OpenAIRE
Externí odkaz: