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Do pulse checks cause a significant delay in the initial defibrillation sequence?

Abstract：

:This study was undertaken to determine if checking for a pulse between initial defibrillations causes a clinically significant delay in the administration of the defibrillations. Ten emergency department nurses and 10 emergency medicine resident physicians were timed delivering three successive defibrillations (200, 300 and 360 J) to a manikin under three randomly assigned scenarios: (1) without pulse checks; (2) with pulse checks performed by an assistant; and (3) with pulse checks performed by the participant. All participants performed the three defibrillation scenarios using three different models of defibrillators. Repeated measures analysis of variance was used to compare mean defibrillation times for the three scenarios. The mean time was 20.4 +/- 1.0 s for defibrillation without pulse checks; 20.2 +/- 1.2 s with pulse checks by an assistant and 22.0 +/- 2.0 s with pulse checks by the participant. There was a statistically significant difference between no pulse checks and pulse checks by the participant. No statistically significant difference was noted between no pulse checks and pulse checks by an assistant. We conclude that checking for a pulse does cause a statistically significant delay in the administration of defibrillations. This difference, however, is not likely to be clinically relevant.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Gough JE,Kerr MK,Henderson RA,Brown LH,Dunn KA

doi

10.1016/s0300-9572(96)01043-x

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

23-5

issue

1

eissn

0300-9572

issn

1873-1570

pii

S030095729601043X

journal_volume

34

pub_type

临床试验,杂志文章,随机对照试验

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