Improving cardiopulmonary resuscitation in the emergency department by real-time video recording and regular feedback learning.
Summary of "Improving cardiopulmonary resuscitation in the emergency department by real-time video recording and regular feedback learning."
AIM OF THE
STUDY:
Improvement in the quality of cardiopulmonary resuscitation (CPR) may improve the survival rate following cardiac arrest. The aims of our study were to describe how recording of CPR maneuvers performed in our emergency department with real-time video and regular feedback learning may improve CPR.
METHODS:
A digital video-recording system enabled us to record and analyze CPR procedures for adult patients from March 2007 to July 2008. Our resuscitation teams received video-recording feedback learning every week. RESULTS AND
CONCLUSIONS:
We analyzed 45 cases, divided into three groups of 15 consecutive patients. Instantaneous rates of chest compression showed variation with 75% exceeding 110cpm. There was a significant difference in instantaneous rates among groups (135 [112-150] in group 1, 123 [110-136] in group 2 and 124 [111-137]cpm in group 3, P<0.001). Ratio of hands-off time to total manual compression time (%) significantly decreased over time (Spearman correlation=-0.30, P=0.04). There were significant differences in hands-off time per minute among the groups (11 [3-28], 6 [2-21] and 7 [2-19]smin(-1), P<0.001). There was a significant improvement in time delay to first chest compression (11 [5-50], 20 [8-68] and 0 [0-12]s, P=0.01), but not in time delay to first ventilation (91 [31-190], 65 [17-121] and 24 [9-64]s, P=0.08). Data are median [25-75% interquartile]. Regular feedback learning from real-time video recording may improve the quality of major CPR variables.
Affiliation
Emergency Department of Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuchang, Wuhan, Hubei 430071, China.
Journal Details
This article was published in the following journal.
Name: Resuscitation
ISSN: 1873-1570
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20727657
- DOI: http://dx.doi.org/10.1016/j.resuscitation.2010.06.023
Medical and Biotech [MESH] Definitions
Video-assisted Surgery
Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).
Cardiopulmonary Resuscitation
The artificial substitution of heart and lung action as indicated for HEART ARREST resulting from electric shock, DROWNING, respiratory arrest, or other causes. The two major components of cardiopulmonary resuscitation are artificial ventilation (RESPIRATION, ARTIFICIAL) and closed-chest CARDIAC MASSAGE.
Lightning Injuries
Accidental injuries caused by brief high-voltage electrical discharges during thunderstorms. Cardiopulmonary arrest, coma and other neurologic symptoms, myocardial necrosis, and dermal burns are common. Prompt treatment of the acute sequelae, including cardiopulmonary resuscitation, is indicated for survival.
Respiratory Therapy
Care of patients with deficiencies and abnormalities associated with the cardiopulmonary system. It includes the therapeutic use of medical gases and their administrative apparatus, environmental control systems, humidification, aerosols, ventilatory support, bronchopulmonary drainage and exercise, respiratory rehabilitation, assistance with cardiopulmonary resuscitation, and maintenance of natural, artificial, and mechanical airways.
Emergency Nursing
The specialty or practice of nursing in the care of patients admitted to the emergency department.
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