Abstract:
OBJECTIVES:The timing of and interval between events in prehospital care is important for system design, patient outcome, and prehospital research. Since these data can guide treatment recommendations, it is imperative that time-based prehospital documentation is accurate and precise, especially for time-sensitive conditions such as out-of-hospital cardiac arrest (OHCA). We compared the times of select events documented in the medical record (PCR) with times from time-stamped audio recordings in the monitor-defibrillator (AUD). METHODS:A retrospective cohort of prehospital, adult, atraumatic OHCA resuscitations from two regional EMS agencies over a 10-month period was performed. Primary outcome was absolute difference (minutes) between PCR and AUD documented times for select events during OHCA resuscitation (IV access, IO access, first epinephrine administration, supraglottic airway insertion, endotracheal intubation, and return of spontaneous circulation). We describe the magnitude and direction of differences, and estimate the potential error in time intervals abstracted from the medical record. RESULTS:Of 411 patients treated by EMS, 192 had complete data for ≥1 event and 136 had complete data for ≥2 events. 422 total events were identifiable in both PCR and AUD. Median absolute time discrepancy between PCR and AUD was 2 (IQR 1-4) min. Median differences between the smallest and largest PCR-AUD discrepancy was 2 (IQR 1-4.5) min. Discrepancies were both positive and negative, and not consistent within individual records. CONCLUSION:We found a 2 (IQR 1-4) min imprecision in the documented timing of select events during OHCA resuscitation. This imprecision contributes to uncertainty in analyses that incorporate time-stamped variables.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Frisch A,Reynolds JC,Condle J,Gruen D,Callaway CWdoi
10.1016/j.resuscitation.2014.05.002subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1111-4issue
8eissn
0300-9572issn
1873-1570pii
S0300-9572(14)00519-Xjournal_volume
85pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract::Intravenous regional anaesthesia in the reduction of Colles' fracture was compared in 70 patients with 55 others who were treated with general anaesthetics. It was found to be easier and to involve a shorter waiting time, not to require patients to be supervised so long during recovery, and after this method it was le...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(76)90022-8
更新日期:1976-01-01 00:00:00
abstract::Continuous balloon occlusion of the descending aorta is an experimental method that may improve blood flow to the myocardium and the brain during cardiopulmonary resuscitation (CPR). The aim of the present investigation was to evaluate the effects of this intervention on haemodynamics and the frequency of restoration ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(99)00021-0
更新日期:1999-04-01 00:00:00
abstract::During a 10-year period, 5631 cardiac arrests were treated in our paramedic system. In all, 4216 resuscitations were attempted, of which 533 (12.6%) resulted in saves, defined as hospital discharges. Patients presenting with an initial rhythm of coarse ventricular fibrillation or ventricular tachycardia were found to ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(89)90041-5
更新日期:1989-06-01 00:00:00
abstract:AIM:Bystander CPR-rates are embarrassingly low in some European countries. To increase bystander CPR-rates, many different approaches are used; one of them is training of schoolchildren in CPR. Multiple authors investigated practical and theoretical CPR performance and demonstrated gender differences related to schoolc...
journal_title:Resuscitation
pub_type: 杂志文章,评审
doi:10.1016/j.resuscitation.2018.01.025
更新日期:2018-04-01 00:00:00
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
更新日期:2015-07-01 00:00:00
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
更新日期:2007-03-01 00:00:00
abstract:PRIMARY OBJECTIVE:To determine whether using live actors to increase the reality of the scenario improves knowledge retention in Advanced Cardiac Life Support (ACLS) Courses. MAIN SECONDARY OBJECTIVES: To determine the effects of age, time since graduation from nursing or medicine, sex, medical specialty, and workplace...
journal_title:Resuscitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.resuscitation.2007.07.031
更新日期:2008-02-01 00:00:00
abstract::Open-chest cardiac massage appears beneficial in improving hemodynamics during resuscitation efforts and in improving resuscitation success. The time between cardiac arrest and the initiation of open-chest cardiac massage is crucial. It would appear that if initiation of open chest cardiac massage is delayed for more ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(87)90097-9
更新日期:1987-03-01 00:00:00
abstract::A direct correlation between the duration of arterial hypotension (40 mmHg) and the activity value of nuclear Ca2+/Mg(2+)-dependent DNA-endonucleases was revealed in dogs exposed to hemorrhagic shock. Thus, an increase in the activity of endonucleases was significant after 2 h of arterial hypotension. During that peri...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(94)90024-8
更新日期:1994-01-01 00:00:00
abstract:INTRODUCTION:Bystander cardiopulmonary resuscitation (CPR) has been shown to significantly improve outcome in sudden cardiac arrest in children. In view of this, most emergency medicine services deliver telephone instructions for carrying out CPR to laypeople who call the emergency services. Little is known as to wheth...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2007.06.012
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:Cardiac arrest (CA) is a rare but recognized complication of emergency airway management. Our aim was to measure the incidence of peri-intubation CA during emergency intubation and identify factors associated with this complication. METHODS:Retrospective cohort study of emergency endotracheal intubations per...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2013.07.022
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:Survival following out-of-hospital cardiac arrest (OHCA) continues to be disappointingly low world-wide, despite advances in technology and international guidelines for resuscitation. Few cities or emergency medical service (EMS) agencies report patient outcomes after OHCA. Among those who do, survival from w...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2009.07.019
更新日期:2009-11-01 00:00:00
abstract::Defibrillation is the definitive treatment for ventricular fibrillation (VF). Participation of physicians, paramedical personnel and lay people in cardiopulmonary resuscitation has significantly increased the survival from ventricular fibrillation. The number of defibrillators has increased and their primary placement...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(84)90037-6
更新日期:1984-02-01 00:00:00
abstract:AIM:Survival after out-of-hospital cardiac arrest (OHCA) has tripled during the past decade in Denmark as a likely result of improvements in cardiac arrest management. This study analyzed whether these improvements were applicable for patients with chronic obstructive pulmonary disease (COPD). METHODS:Patients ≥18 yea...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2016.04.017
更新日期:2016-07-01 00:00:00
abstract::The completeness of brain ischemia with a multi-arterial clamping method in dogs was examined using EEG, evoked potentials (EPs) and vessel staining with Evans blue. EEG was monitored by bipolar parietal lead. EPs stimulating electrodes were inserted into the first thoracic (T1) epidural space and recording electrodes...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(91)90031-s
更新日期:1991-12-01 00:00:00
abstract::Voluntary copper poisoning is a rare mode of suicide. We report a case of copper sulphate poisoning in a patient presenting delusions with mystic demands for purification. The initial gastrointestinal symptoms were followed by intravascular haemolysis and renal failure. The course was favourable after symptomatic trea...
journal_title:Resuscitation
pub_type: 杂志文章,评审
doi:10.1016/j.resuscitation.2008.02.017
更新日期:2008-07-01 00:00:00
abstract:INTRODUCTION:The combination of the LUCAS 2 (L-CPR) automated CPR device and an impedance threshold device (ITD) has been widely implemented in the clinical field. This animal study tested the hypothesis that the addition of an ITD on L-CPR would enhance cerebral and coronary perfusion pressures. METHODS:Ten female pi...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2014.09.013
更新日期:2014-12-01 00:00:00
abstract:AIMS:The cerebellum is among the brain regions most vulnerable to damage caused by cardiac arrest, and cerebellar Purkinje cell loss may contribute to neurologic dysfunction, including post-hypoxic myoclonus. However, it remains unknown whether cerebellar Purkinje cells are protected by post-cardiac arrest therapeutic ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.05.022
更新日期:2012-12-01 00:00:00
abstract:UNLABELLED:Trauma management systems have grown in response to regional variations in trauma population, geographical conditions and the provisions of care. National Trauma Registries are being established to improve patient outcomes. However international comparisons could provide the potential to record regional perf...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2007.06.023
更新日期:2007-11-01 00:00:00
abstract:AIM:To systematically review studies comparing bystander automated external defibrillator (AED) use to no AED use in regard to clinical outcomes in out-of-hospital cardiac arrest (OHCA), and to provide a descriptive summary of studies on the cost-effectiveness of bystander AED use. METHODS:We searched Medline, Embase,...
journal_title:Resuscitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.resuscitation.2017.09.003
更新日期:2017-11-01 00:00:00
abstract:AIM:Cardiopulmonary resuscitation (CPR) guidelines recommend specific chest compression (CC) target depths for children. We quantitatively describe relative anterior-posterior diameter (APD) depth, actual depth, and force of CCs during real CPR events in children. METHODS:CC depth and force were recorded during real C...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2011.10.014
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:This study aimed at evaluating two emergency medical service systems, one in which emergency life-saving technicians (ELSTs) are allowed to administer epinephrine (adrenaline) to patients with out-of-hospital cardiac arrest and one in which ELSTs are allowed to administer epinephrine, lidocaine, and atropine....
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2004.10.019
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Research investigating the effect of specialised content knowledge (SCK) on teaching and learning Basic Life Support (BLS) is lacking. PURPOSE:To investigate the effect of a specialised content knowledge workshop on teaching behaviour, lesson context and student learning of BLS. Specialised content knowledg...
journal_title:Resuscitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.resuscitation.2016.11.023
更新日期:2017-03-01 00:00:00
abstract::Primary systemic amyloidosis (AL) is a well-recognized systemic disease, and cardiac amyloidosis accounts for 10% of all nonischemic cardiomyopathies [J S C Med Assoc 97 (2001) 201-206]. The median survival of patients with symptomatic congestive heart failure secondary to cardiac amyloidosis is 4 months [New Engl J M...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2003.08.007
更新日期:2004-01-01 00:00:00
abstract::In-hospital emergency medicine in central Europe relies on inter-disciplinary co-operation. To improve team performance in the emergency room (ER), a questionnaire for assessment of attitudes and judgements in resuscitation procedures was developed. A total of 43 items were evaluated according to a five-point Likert s...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(00)00304-x
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Therapeutic hypothermia improves neurologic outcomes in patients resuscitated from cardiac arrest due to ventricular fibrillation. However, its role in patients with cardiac arrest due to non-shockable rhythms (pulseless electrical activity (PEA) and asystole) is unclear. We hypothesized that therapeutic hyp...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2011.08.005
更新日期:2012-02-01 00:00:00
abstract::Almost any insult to the body can set in motion the sequence of physiologic and biochemical changes leading to shock. In the absence of effective treatment widespread disruption of the body's biological mechanisms inevitably follows. This review will describe some of cellular and subcellular disturbances associated wi...
journal_title:Resuscitation
pub_type: 杂志文章,评审
doi:10.1016/0300-9572(89)90055-5
更新日期:1989-01-01 00:00:00
abstract:AIM OF THE STUDY:An emergency department providing critical care will have an effect on outcome and intensive-care-units' resources by avoiding unnecessary or futile intensive-care admissions and thereby save hospital expenses. The study focussed on this result. METHODS:The study employed a retrospective analysis of p...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2011.03.004
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Despite its prevalence, survival from out-of-hospital cardiac arrest remains low. High quality CPR has been associated with improved survival in cardiac arrest patients. In early 2014, a program was initiated to provide feedback on CPR quality to prehospital providers after every treated cardiac arrest. OBJ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2017.02.004
更新日期:2017-04-01 00:00:00
abstract:INTRODUCTION:We studied how effectively a mixed group of helpers could ventilate a manikin with a new rescue breathing device after a short period of instruction. The device consists of a mouthcap, a "glossopalatinal tube" (GPT) reaching between tongue and palate and a connector for a bag, ventilator or the rescuers mo...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(03)00205-3
更新日期:2003-11-01 00:00:00