Clattenburg EJ, Wroe P, Brown S, et al.Ultrasound use during cardiopulmonary resuscitation is associated with delays in chest compressions. Huis In 't Veld MA, Allison MG, Bostick DS, et al.Assessment of chest compression interruptions during advanced cardiac life support. Dewolf P, Wauters L, Clarebout G, et al.The impact of increased chest compression fraction on return of spontaneous circulation for out-of-hospital cardiac arrest patients not in ventricular fibrillation. Vaillancourt C, Everson-Stewart S, Christenson J, et al Resuscitation Outcomes Consortium Investigators.Chest compression fraction determines survival in patients with out-of-hospital ventricular fibrillation. Christenson J, Andrusiek D, Everson-Stewart S, et al Resuscitation Outcomes Consortium Investigators.Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. Paradis NA, Martin GB, Rivers EP, et al.Coronary perfusion pressure during experimental cardiopulmonary resuscitation. Niemann JT, Rosborough JP, Ung S, Criley JM.Consider having someone on the team count the seconds out loud during pauses so the entire team is aware of the interruption time and will recognize when CPR needs to be resumed.Change your pulse check to a rhythm check utilizing arterial line placement, end-tidal monitoring, or US/doppler at the femoral artery in order to minimize the search for a pulse as a reason for prolonged CPR interruption.Physicians must be mindful of hands-off time to improve their chance of obtaining ROSC, minimizing each CPR interruption to 80%.Previous studies have shown an increase in hands-off time associated with the use of cardiac POCUS during rhythm checks as well. 11.1% Installation/use mechanical CPR device.5 recently performed a prospective observational study using body cameras to find that 33% (623/1867) of their CPR interruptions were longer than the recommended 10 seconds: Despite the knowledge that minimizing interruptions in chest compressions during CPR is key to maintaing coronary perfusion pressure and chance of ROSC, 1-4 difficulties in limiting hands-off time remain.ĭewolf et al.
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