• Joseph T Brooks, Ayal Z Pierce, Patrick McCarville, Natalie Sullivan, Anahita Rahimi-Saber, Christopher Payette, Margarita Popova, Narou Koizumi, Ali Pourmand, and David Yamane.
• Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
• Int. J. Clin. Pract. 2021 Oct 1; 75 (10): e14525.

BackgroundOut-of-hospital cardiac arrests are a leading global cause of mortality. The American Heart Association (AHA) promotes several important strategies associated with improved cardiac arrest (CA) outcomes, including decreasing pulse check time and maintaining a chest compression fraction (CCF) > 0.80. Video review is a potential tool to improve skills and analyse deficiencies in various situations; however, its use in improving medical resuscitation remains poorly studied in the emergency department (ED). We implemented a quality improvement initiative, which utilised video review of CA resuscitations in an effort to improve compliance with such AHA quality metrics.MethodsA cardiopulmonary resuscitation video review team of emergency medicine residents were assembled to analyse CA resuscitations in our urban academic ED. Videos were reviewed by two residents, one of whom was a senior resident (Postgraduate Year 3 or 4), and analysed using Spearman's rank correlation coefficient for numerous quality improvement metrics, including pulse check time, CCF, time to intravenous access and time to patient attached to monitor.ResultsWe collected data on 94 CA resuscitations between July 2017 and June 2020. Average pulse check time was 13.09 (SD ± 5.97) seconds, and 38% of pulse checks were <10 seconds. After the implementation of the video review process, there was a significant decrease in average pulse check time (P = .01) and a significant increase in CCF (P = .01) throughout the study period.ConclusionsOur study suggests that the video review and feedback process was significantly associated with improvements in AHA quality metrics for resuscitation in CA amongst patients presented to the ED.© 2021 John Wiley & Sons Ltd.

9 keywords...

hide…