当前位置： SCI文献检索 > RESUSCITATION期刊下所有文献 > Effects of a mandatory basic life support training programme on the no-flow fraction during in-hospital cardiac resuscitation: an observational study.

Effects of a mandatory basic life support training programme on the no-flow fraction during in-hospital cardiac resuscitation: an observational study.

Abstract：

AIM OF THE STUDY:Many hospitals have basic life support (BLS) training programmes, but the effects on the quality of chest compressions are unclear. This study aimed to evaluate the no-flow fraction (NFF) during BLS provided by standard care nursing teams over a five-year observation period during which annual participation in the BLS training was mandatory. METHODS:All healthcare professionals working at Dresden University Hospital were instructed in BLS and automated external defibrillator (AED) use according to the current European Resuscitation Council guidelines on an annual basis. After each cardiac arrest occurring on a standard care ward, AED data were analyzed. The time without chest compressions during the period without spontaneous circulation (i.e., the no-flow fraction) was calculated using thoracic impedance data. RESULTS:For each year of the study period (2008-2012), a total of 1454, 1466, 1487, 1432, and 1388 health care professionals, respectively, participated in the training. The median no-flow fraction decreased significantly from 0.55 [0.42; 0.57] (median [25‰; 75‰]) in 2008 to 0.3 [0.28; 0.35] in 2012. Following revision of the BLS curriculum after publication of the 2010 guidelines, cardiac arrest was associated with a higher proportion of patients achieving ROSC (72% vs. 48%, P=0.025) but not a higher survival rate to hospital discharge (35% vs. 19%, P=0.073). CONCLUSION:The NFF during in-hospital cardiac resuscitation decreased after establishment of a mandatory annual BLS training for healthcare professionals. Following publication of the 2010 guidelines, more patients achieved ROSC after in-hospital cardiac arrest.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Müller MP,Richter T,Papkalla N,Poenicke C,Herkner C,Osmers A,Brenner S,Koch T,Schwanebeck U,Heller AR

doi

10.1016/j.resuscitation.2014.03.046

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

874-8

issue

7

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(14)00190-7

journal_volume

85

pub_type

杂志文章

相关文献

RESUSCITATION文献大全
  • Comparative assessment of the ventricular fibrillation detection algorithms in five semi-automatic or advisory defibrillators.

    abstract：:The sensitivity and specificity of ventricular fibrillation (VF) detection in three semi-automatic defibrillators (Laerdal Heartstart 3000, Spacelabs First Medic 610, Physio-Control Lifepak 300) and two advisory defibrillators (S&W DMS940, Marquette Responder 1500) were assessed with 25 ECG recordings, each of length ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(93)90175-p

    authors： Murray A,Clayton RH,Campbell RW

    更新日期：1993-10-01 00:00:00

  • Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A Scientific Statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Coun

    abstract：AIM OF THE REVIEW:To review the epidemiology, pathophysiology, treatment and prognostication in relation to the post-cardiac arrest syndrome. METHODS:Relevant articles were identified using PubMed, EMBASE and an American Heart Association EndNote master resuscitation reference library, supplemented by hand searches of...

    journal_title：Resuscitation

    pub_type： 共识发展会议,杂志文章

    doi：10.1016/j.resuscitation.2008.09.017

    authors： Nolan JP,Neumar RW,Adrie C,Aibiki M,Berg RA,Böttiger BW,Callaway C,Clark RS,Geocadin RG,Jauch EC,Kern KB,Laurent I,Longstreth WT,Merchant RM,Morley P,Morrison LJ,Nadkarni V,Peberdy MA,Rivers EP,Rodriguez-Nunez A,S

    更新日期：2008-12-01 00:00:00

  • Arterial blood gases during and their dynamic changes after cardiopulmonary resuscitation: A prospective clinical study.

    abstract：PURPOSE:An arterial blood gas analysis (ABG) yields important diagnostic information in the management of cardiac arrest. This study evaluated ABG samples obtained during out-of-hospital cardiopulmonary resuscitation (OHCPR) in the setting of a prospective multicenter trial. We aimed to clarify prospectively the ABG ch...

    journal_title：Resuscitation

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.resuscitation.2016.06.013

    authors： Spindelboeck W,Gemes G,Strasser C,Toescher K,Kores B,Metnitz P,Haas J,Prause G

    更新日期：2016-09-01 00:00:00

  • NASCAR pit-stop model improves delivery room and admission efficiency and outcomes for infants

    abstract：AIM:To evaluate a new process based on teamwork in a manner similar to the race car pit stop on organization and efficiency during the "Golden Hours" for extremely preterm infants. METHODS:A team designed an improved process focused on checklists, preparation, assigning roles, and best practices, for the care of infan...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2015.03.022

    authors： Vergales BD,Dwyer EJ,Wilson SM,Nicholson EA,Nauman RC,Jin L,Sinkin RA,Kaufman DA

    更新日期：2015-07-01 00:00:00

  • Minimal effects on ex vivo coagulation during mild therapeutic hypothermia in post cardiac arrest patients.

    abstract：OBJECTIVES:Mild therapeutic hypothermia (MTH) is being used to improve neurological outcome and survival in patients successfully resuscitated after cardiac arrest. The impact on coagulation may be difficult to assess since most coagulation parameters are measured at 37°C and not at actual body core temperature. Theref...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2014.06.009

    authors： Brinkman AC,Ten Tusscher BL,de Waard MC,de Man FR,Girbes AR,Beishuizen A

    更新日期：2014-10-01 00:00:00

  • Health-related quality of life after surviving an out-of-hospital compared to an in-hospital cardiac arrest: A Swedish population-based registry study.

    abstract：BACKGROUND:Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA. METHODS:Patie...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2020.04.002

    authors： Djärv T,Bremer A,Herlitz J,Israelsson J,Cronberg T,Lilja G,Rawshani A,Årestedt K

    更新日期：2020-06-01 00:00:00

  • Prevalence and effect of fever on outcome following resuscitation from cardiac arrest.

    abstract：OBJECTIVE:Evaluate the prevalence of fever in the first 48 h after cardiac arrest and its effect on outcomes. METHODS:Review of patients treated between 1/1/2005 and 6/30/2010. Fever was defined as T ≥ 38.0°C. We classified categories of post-cardiac arrest illness severity as (I) awake, (II) coma+mild cardiopulmonary...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2013.03.038

    authors： Gebhardt K,Guyette FX,Doshi AA,Callaway CW,Rittenberger JC,Post Cardiac Arrest Service.

    更新日期：2013-08-01 00:00:00

  • Sustained abdominal compression during CPR raises coronary perfusion pressures as much as vasopressor drugs.

    abstract：OBJECTIVES:This study investigated sustained abdominal compression as a means to improve coronary perfusion pressure (CPP) during cardiopulmonary resuscitation (CPR) and compared the resulting CPP augmentation with that achieved using vasopressor drugs. METHOD:During electrically induced ventricular fibrillation in an...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2007.05.012

    authors： Lottes AE,Rundell AE,Geddes LA,Kemeny AE,Otlewski MP,Babbs CF

    更新日期：2007-12-01 00:00:00

  • An international collaborative clinical study mechanism for resuscitation research.

    abstract：:Recent experimental and clinical studies of cardiac arrest, suggesting a brain damage ameliorating effect of thiopental loading, stimulated the development of an international randomized clinical trial of brain resuscitation. Twelve collaborating hospitals in 9 countries are testing the efficacy of post-cardiac arrest...

    journal_title：Resuscitation

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0300-9572(82)90022-3

    authors： Abramson NS,Safar P,Detre K,Kelsey S,Reinmuth O,Snyder J

    更新日期：1982-06-01 00:00:00

  • A new evaluation method for instructors of advanced cardiac life support.

    abstract：:This study evaluated the ability of a specific educational program to teach instructors of advanced cardiac life support (ACLS) how to identify errors committed by team leaders of cardiac arrest simulations. The design compared experimental and control groups for differences in identification of critical performance e...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(86)90121-8

    authors： Goldman SL,Thompson B,Whitcomb J

    更新日期：1986-11-01 00:00:00

  • Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study.

    abstract：OBJECTIVE:A head-to-head trial was conducted to compare laypersons' long-term retention of life-saving psychomotor and cognitive skills learned in the traditional multi-hour training format for basic cardiopulmonary resuscitation and automated external defibrillator use to those learned in an abbreviated (30 min) cours...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2006.12.017

    authors： Roppolo LP,Pepe PE,Campbell L,Ohman K,Kulkarni H,Miller R,Idris A,Bean L,Bettes TN,Idris AH

    更新日期：2007-08-01 00:00:00

  • Hypothermia outcome prediction after extracorporeal life support for hypothermic cardiac arrest patients: The HOPE score.

    abstract：AIMS:Currently, the decision to initiate extracorporeal life support for patients who suffer cardiac arrest due to accidental hypothermia is essentially based on serum potassium level. Our goal was to build a prediction score in order to determine the probability of survival following rewarming of hypothermic arrested ...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/j.resuscitation.2018.02.026

    authors： Pasquier M,Hugli O,Paal P,Darocha T,Blancher M,Husby P,Silfvast T,Carron PN,Rousson V

    更新日期：2018-05-01 00:00:00

  • A public access defibrillation programme in non-inpatient hospital areas.

    abstract：INTRODUCTION:Automatic external defibrillators (AED) have proven to be valuable and life saving for out of hospital cardiac arrests. Their use in hospital arrests is less well documented, but they offer the opportunity to improve survival in the hospital setting also. METHODS:The implementation of a public access defi...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2005.09.025

    authors： Friedman FD,Dowler K,Link MS

    更新日期：2006-06-01 00:00:00

  • Effects of epinephrine in a pig model of hypothermic cardiac arrest and closed-chest cardiopulmonary resuscitation combined with active rewarming.

    abstract：OBJECTIVE:The aim of the current study was to assess the effects of epinephrine in a pig model of hypothermic cardiac arrest followed by closed-chest cardiopulmonary resuscitation combined with active rewarming, simulating the clinical management of an arrested hypothermic patient in a hospital without cardiopulmonary ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(01)00353-7

    authors： Kornberger E,Lindner KH,Mayr VD,Schwarz B,Rackwitz KS,Wenzel V,Krismer AC,Mair P

    更新日期：2001-09-01 00:00:00

  • Out-of-hospital airway management with the LMA CTrach--a prospective evaluation.

    abstract：AIM OF THE STUDY:Airway management in an out-of-hospital setting is a critical and demanding skill. Previous studies evaluated the intubating laryngeal mask airway (ILMA) as a valuable tool in this area. The LMA CTrach Laryngeal Mask Airway (CTrach) may increase intubation success. Therefore, we evaluated the CTrach as...

    journal_title：Resuscitation

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.resuscitation.2008.06.020

    authors： Nickel EA,Timmermann A,Roessler M,Cremer S,Russo SG

    更新日期：2008-11-01 00:00:00

  • First aid cooling techniques for heat stroke and exertional hyperthermia: A systematic review and meta-analysis.

    abstract：BACKGROUND:Heat stroke is an emergent condition characterized by hyperthermia (>40 °C/>104 °F) and nervous system dysregulation. There are two primary etiologies: exertional which occurs during physical activity and non-exertional which occurs during extreme heat events without physical exertion. Left untreated, both m...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/j.resuscitation.2020.01.007

    authors： Douma MJ,Aves T,Allan KS,Bendall JC,Berry DC,Chang WT,Epstein J,Hood N,Singletary EM,Zideman D,Lin S,First Aid Task Force of the International Liaison Committee on Resuscitation.

    更新日期：2020-03-01 00:00:00

  • Comparative effectiveness of hypothermia rewarming techniques: radio frequency energy vs. warm water.

    abstract：:The purpose of this study was to compare the rewarming effectiveness of a radio frequency coil (13.56 MHz) at a specific absorption rate (SAR) of 2.5 W/kg (RF) with warm water immersion (40 degrees C) (WW) and an insulated mummy-type insulating sack (IS) under simulated field conditions. Four male subjects, ages 24-35...

    journal_title：Resuscitation

    pub_type： 临床试验,杂志文章

    doi：10.1016/0300-9572(94)00845-7

    authors： Kaufman JW,Hamilton R,Dejneka KY,Askew GK

    更新日期：1995-06-01 00:00:00

  • Advanced cardiac life support training improves long-term survival from in-hospital cardiac arrest.

    abstract：CONTEXT:Advanced cardiac life support (ACLS) training was introduced to bring order and a systematic approach to the treatment of cardiac arrest by professional responders. In spite of the wide dissemination of ACLS training, it has been difficult to demonstrate improved outcome following such training. OBJECTIVE:To d...

    journal_title：Resuscitation

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.resuscitation.2006.06.039

    authors： Moretti MA,Cesar LA,Nusbacher A,Kern KB,Timerman S,Ramires JA

    更新日期：2007-03-01 00:00:00

  • Simulation training enables emergency medicine providers to rapidly and safely initiate extracorporeal cardiopulmonary resuscitation (ECPR) in a simulated cardiac arrest scenario.

    abstract：BACKGROUND:Extracorporeal cardiopulmonaryresuscitation (ECPR) is emerging as a viable rescue strategy for refractory out-of-hospital cardiac arrest. In the U.S., limited training of emergency medicine providers is a barrier to widespread implementation. AIMS:Test the hypothesis that emergency medicine physicians and n...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2019.03.002

    authors： Whitmore SP,Gunnerson KJ,Haft JW,Lynch WR,VanDyck T,Hebert C,Waldvogel J,Havey R,Weinberg A,Cranford JA,Rooney DM,Neumar RW

    更新日期：2019-05-01 00:00:00

  • Design of the Circulation Improving Resuscitation Care (CIRC) Trial: a new state of the art design for out-of-hospital cardiac arrest research.

    abstract：PURPOSE:Mechanical chest compression devices, such as the AutoPulse(®), have been developed to overcome problems associated with manual CPR (M-CPR). Animal and human studies have shown that AutoPulse CPR improves hemodynamic parameters over M-CPR. However, human studies conducted in the prehospital setting have conflic...

    journal_title：Resuscitation

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.resuscitation.2010.11.013

    authors： Lerner EB,Persse D,Souders CM,Sterz F,Malzer R,Lozano M Jr,Westfall M,Brouwer MA,van Grunsven PM,Whitehead A,Olsen JA,Herken UR,Wik L

    更新日期：2011-03-01 00:00:00

  • Glucose, insulin and potassium (GIK) during reperfusion mediates improved myocardial bioenergetics.

    abstract：:Previous studies suggest glucose, insulin and potassium (GIK) infusion during ischemia reduces infarct size and improves post-ischemic myocardial function in acute myocardial infarction and following surgical revascularization of the heart. The potential use of GIK when given only during reperfusion after a period of ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(02)00215-0

    authors： Angelos MG,Murray HN,Gorsline RT,Klawitter PF

    更新日期：2002-12-01 00:00:00

  • The 9 ALS triads--an alphabetical checklist for advanced life support providers.

    abstract：:The successful outcome of a resuscitation attempt relies frequently on the performance of many advanced life support interventions. A checklist of 27 procedures, following an alphabetical sequence, is presented as an educational memory aid for healthcare providers. ...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/s0300-9572(00)00368-3

    authors： Kloeck WG

    更新日期：2001-07-01 00:00:00

  • Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study.

    abstract：BACKGROUND:The epidemiology and outcome after out-of-hospital cardiac arrest (OHCA) varies across Europe. Following on from EuReCa ONE, the aim of this study was to further explore the incidence of and outcomes from OHCA in Europe and to improve understanding of the role of the bystander. METHODS:This prospective, mul...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2019.12.042

    authors： Gräsner JT,Wnent J,Herlitz J,Perkins GD,Lefering R,Tjelmeland I,Koster RW,Masterson S,Rossell-Ortiz F,Maurer H,Böttiger BW,Moertl M,Mols P,Alihodžić H,Hadžibegović I,Ioannides M,Truhlář A,Wissenberg M,Salo A,Escutna

    更新日期：2020-03-01 00:00:00

  • Cardiac complications in preterm infants with percutaneous long lines: the importance of early diagnosis.

    abstract：:Percutaneous long lines, routinely used in preterm infants, can be associated with several cardiac complications such as pericardial effusion and consequent cardiac tamponade. We report three patients with pericardial effusion highlighting the importance of cardiac ultrasound monitoring to both early diagnosis and tre...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2008.07.023

    authors： Fusco FP,De Carolis MP,Costa S,De Rosa G,Zambraro A,Romagnoli C

    更新日期：2008-12-01 00:00:00

  • Team Emergency Assessment Measure (TEAM) for the assessment of non-technical skills during resuscitation: Validation of the French version.

    abstract：AIM:Evaluation of team performances during medical simulation must rely on validated and reproducible tools. Our aim was to build and validate a French version of the Team Emergency Assessment Measure (TEAM) score, which was developed for the assessment of team performance and non-technical skills during resuscitation....

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2015.11.024

    authors： Maignan M,Koch FX,Chaix J,Phellouzat P,Binauld G,Collomb Muret R,Cooper SJ,Labarère J,Danel V,Viglino D,Debaty G

    更新日期：2016-04-01 00:00:00

  • Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: a randomised simulation study.

    abstract：BACKGROUND:Efficiently performed basic life support (BLS) after cardiac arrest is proven to be effective. However, cardiopulmonary resuscitation (CPR) is strenuous and rescuers' performance declines rapidly over time. Audio-visual feedback devices reporting CPR quality may prevent this decline. We aimed to investigate ...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2013.10.028

    authors： Zapletal B,Greif R,Stumpf D,Nierscher FJ,Frantal S,Haugk M,Ruetzler K,Schlimp C,Fischer H

    更新日期：2014-04-01 00:00:00

  • The resuscitation great. Charles Hederer and his pulmoventilateur.

    abstract：:Various methods of artificial respiration using manual chest compressions with or without movement of the arms were first proposed by Leroy d'Etiolles in 1827 and introduced in the late 19th and early 20th centuries. External manual methods generating a forced expiration were preferred until Safar reintroduced mouth-t...

    journal_title：Resuscitation

    pub_type： 传,历史文章,杂志文章

    doi：10.1016/j.resuscitation.2008.05.014

    authors： De Turck BJ

    更新日期：2008-10-01 00:00:00

  • Regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest in Australia and New Zealand: Results from the Aus-ROC Epistry.

    abstract：INTRODUCTION:The aim of this study was to investigate regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in Australia and New Zealand. METHODS:This was a population-based cohort study of OHCA using data from the Aus-ROC Australian and New Zealand OHCA Epistry ove...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2018.02.029

    authors： Beck B,Bray J,Cameron P,Smith K,Walker T,Grantham H,Hein C,Thorrowgood M,Smith A,Inoue M,Smith T,Dicker B,Swain A,Bosley E,Pemberton K,McKay M,Johnston-Leek M,Perkins GD,Nichol G,Finn J,Aus-ROC Steering Committee.

    更新日期：2018-05-01 00:00:00

  • Pharmacotherapy and hospital admissions before out-of-hospital cardiac arrest: a nationwide study.

    abstract：BACKGROUND:For out-of-hospital cardiac arrest (OHCA) to be predicted and prevented, it is imperative the healthcare system has access to those vulnerable before the event occurs. We aimed to determine the extent of contact to the healthcare system before OHCA. METHODS:All patients in Denmark with a registered OHCA Jun...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2010.06.025

    authors： Weeke P,Folke F,Gislason GH,Lippert FK,Olesen JB,Andersson C,Fosbøl EL,Charlot MG,Kanters JK,Poulsen HE,Nielsen SL,Køber L,Torp-Pedersen C

    更新日期：2010-12-01 00:00:00

  • An interesting complication of the Heimlich manoeuvre.

    abstract：:The removal of inhaled foreign bodies using the Heimlich manoeuvre is recommended as part of the immediate management of the choking child. We report on a case of witnessed laryngeal obstruction by a foreign body in which repeated Heimlich manoeuvres failed to expel the foreign body, but temporarily relieved the obstr...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(98)00109-9

    authors： Nowitz A,Lewer BM,Galletly DC

    更新日期：1998-10-01 00:00:00