Innovation in resuscitation: A novel clinical decision display system for advanced cardiac life support
| Autor: | Michael V. Taasan, J. Adrian Tyndall, Lars K. Beattie, David B. Crabb, Austin Reed, Zachary J. Smith, Michelle Plourde, Emmett T. Martin, Joshua E. Hurwitz |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Resuscitation Cross-Over Studies Defibrillation business.industry medicine.medical_treatment Advanced cardiac life support Psychological intervention 030208 emergency & critical care medicine General Medicine Guideline Advanced Cardiac Life Support Decision Support Systems Clinical Heart Arrest Clinical Practice 03 medical and health sciences 0302 clinical medicine Intensive care Emergency medicine medicine Emergency Medicine Humans Guideline Adherence Clinical decision business |
| Zdroj: | The American journal of emergency medicine. 43 |
| ISSN: | 1532-8171 |
| Popis: | INTRODUCTION The Advanced Cardiac Life Support (ACLS) Clinical Decision Display System (CDDS) is a novel application designed to optimize team organization and facilitate decision-making during ACLS resuscitations. We hypothesized that resuscitation teams would more consistently adhere to ACLS guideline time intervals in simulated resuscitation scenarios with the CDDS compared to without. METHODS We conducted a simulation-based, non-blinded, randomized, crossover-design study with resuscitation teams comprised of Emergency Medicine physicians, registered nurses, critical care technicians, and paramedics. Each team performed 4 ACLS scenarios in randomized sequences, half with the CDDS and half without. We analyzed the resuscitations and recorded the times of interventions that have defined intervals by ACLS: rhythm checks, epinephrine administration, and shock delivery. In addition, we surveyed each resuscitation team regarding their experience using the CDDS. RESULTS On average, teams performed rhythm checks 4.9 s closer to ACLS guidelines with the CDDS (p = 0.0358). Teams were also more consistent; on average, teams reduced the variation of time between consecutive doses of epinephrine by 45% (p = 0.0001) and defibrillation by 47% (p |
| Databáze: | OpenAIRE |
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