Resuscitation
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Randomized Controlled Trial Comparative Study
A randomised control trial of prompt and feedback devices and their impact on quality of chest compressions-a simulation study.
This study aims to compare the effect of three CPR prompt and feedback devices on quality of chest compressions amongst healthcare providers. ⋯ CPR feedback devices vary in their ability to improve performance. In this study the pressure sensor device improved compression depth, whilst the accelerometer device reduced it and metronome had no effect.
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Randomized Controlled Trial
Basic Life Support trained nurses ventilate more efficiently with laryngeal mask Supreme than with facemask or laryngeal tube Suction-Disposable-a prospective, randomized clinical trial.
In some emergency situations resuscitation and ventilation may have to be performed by basic life support trained personnel, especially in rural areas where arrival of advanced life support teams can be delayed. The use of advanced airway devices such as endotracheal intubation has been deemphasized for basically-trained personnel, but it is unclear whether supraglottic airway devices are advisable over traditional mask-ventilation. ⋯ After one hour of introductory training, nurses were able to use LMA-S more effectively than facemask and LTS-D. High ventilation failure rates with facemask and LTS-D may indicate that additional training is required to perform airway management adequately with these devices. High-level trials are needed to confirm these results in cardiac arrest patients.
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Randomized Controlled Trial Comparative Study
Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: a randomised simulation study.
Efficiently performed basic life support (BLS) after cardiac arrest is proven to be effective. However, cardiopulmonary resuscitation (CPR) is strenuous and rescuers' performance declines rapidly over time. Audio-visual feedback devices reporting CPR quality may prevent this decline. We aimed to investigate the effect of various CPR feedback devices on CPR quality. ⋯ While we found differences between the investigated CPR feedback devices, overall BLS quality was suboptimal in all groups. Surprisingly, effective compression was not improved by any CPR feedback device compared to standard BLS. All feedback devices caused substantial delay in starting CPR, which may worsen outcome.