Center for Advanced Practice

Title

Analysis of CPR quality by individual providers in the pediatric emergency department.

Publication Title

Resuscitation

Document Type

Article

PubMed ID

32505613

Abstract

OBJECTIVES: To describe chest compression (CC) quality by individual providers in two pediatric emergency departments (EDs) using video review and compression monitor output during pediatric cardiac arrests.

METHODS: Prospective observational study. Patients1 min were eligible. Data was collected from video review and CC monitor device in a synchronized fashion and reported in 'segments' by individual providers. Univariate comparison by age (<1 >yo, 1-8 yo, >8 yo) was performed by chi-square testing for dichotomous variables ('high-quality' CPR) and nonparametric testing for continuous variables (CC rate and depth). Univariate comparison of ventilation rate (V) was made between segments with an advanced airway versus without.

RESULTS: 524 segments had data available; 42/524 (8%) met criteria for 'high-quality CC'. Patients >8 yo had more segments meeting criteria (18% vs. 2% and 0.5%; p < 0.001). Segments compliant for rate were less frequent in

CONCLUSIONS: CC depth is rarely guideline compliant in infants. Hyperventilation is more prevalent during CPR periods with an advanced airway in place. Measuring individual provider CPR quality is feasible, allowing future studies to evaluate the impact of CPR training.

Keywords

Cardiopulmonary Resuscitation, Child, Child, Preschool, Emergency Service, Hospital, Heart Arrest, Humans, Infant, Monitoring, Physiologic, Prospective Studies

DOI

10.1016/j.resuscitation.2020.05.026

Publication Date

8-1-2020

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