• Emerg Med J · Sep 2020

    Review

    BET 1: Can hands-on defibrillation be performed safely?

    • David Adler, Andrew Helming, and Joshua Lupton.
    • Oregon Health and Science University School of Medicine, Portland, Oregon, USA.
    • Emerg Med J. 2020 Sep 1; 37 (9): 585-586.

    AbstractA short cut review was carried out to see whether hands-on defibrillation could be performed safely. 6 papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that hands-on defibrillation has the potential to be performed safely if the rescuer uses appropriate electrical insulating barriers such as polyethylene gloves or class 1 electrical insulating gloves. The safety profile of nitrile gloves is unclear. Since detection of shock was used as a proxy for safety, additional investigation is warranted before hands-on defibrillation becomes common practice.© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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