TITLE

Push hard, push fast, if you're downtown: a citation review of urban-centrism in American and European basic life support guidelines

AUTHOR(S)
Orkin, Aaron M.
PUB. DATE
June 2013
SOURCE
Scandinavian Journal of Trauma, Resuscitation & Emergency Medici;2013, Vol. 21 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Bystander cardiopulmonary resuscitation (CPR) improves out-of-hospital cardiac arrest (OHCA) survival. In settings with prolonged ambulance response times, skilled bystanders may be even more crucial. In 2010, American Heart Association (AHA) and European Resuscitation Council (ERC) introduced compression-only CPR as an alternative to conventional bystander CPR under some circumstances. The purpose of this citation review and document analysis is to determine whether the evidentiary basis for 2010 AHA and ERC guidelines attends to settings with prolonged ambulance response times or no formal ambulance dispatch services. Primary and secondary citations referring to epidemiological research comparing adult OHCA survival based on the type of bystander CPR were included in the analysis. Details extracted from the citations included a study description and primary outcome measure, the geographic location in which the study occurred, EMS response times, the role of dispatchers, and main findings and summary statistics regarding rates of survival among patients receiving no CPR, conventional CPR or compression-only CPR. The inclusion criteria were met by 10 studies. 9 studies took place exclusively in urban settings. Ambulance dispatchers played an integral role in 7 studies. The cited studies suggest either no survival benefit or harm arising from compression-only CPR in settings with extended ambulance response times. The evidentiary basis for 2010 AHA and ERC bystander CPR guidelines does not attend to settings without rapid ambulance response times or dispatch services. Standardized bystander CPR guidelines may require adaptation or reconsideration in these settings.
ACCESSION #
88014142

 

Related Articles

  • Hands-only CPR can be lifesaving.  // Consumer Reports on Health;Oct2010, Vol. 22 Issue 10, p3 

    The article reports on research from the July 29, 2010 issue of the "New England Journal of Medicine" which suggests that a simplified hands-only version of cardiopulmonary resuscitation can save as many lives as a standard version of cardiopulmonary resuscitation.

  • Bystander CPR positively associated with cardiac arrest survival.  // Operating Theatre Journal;Oct2013, Issue 277, p12 

    The article reports on the increase of bystander cardiopulmonary resuscitation (CPR) rates on patients in cardiac arrest as part of the government's initiative to improve resuscitation education in Denmark.

  • Improving survival after out-of-hospital cardiac arrest. Nolan, Jerry P.; Perkins, Gavin D.; Soar, Jasmeet // BMJ: British Medical Journal;10/10/2015, Vol. 351 Issue 8028, ph4989 

    The authors reflect on the improvements in the survival rates and functional outcomes of cardiac arrest survivors. Topics discussed include the U.S. Institute of Medicine's report on strategies to improve survival from cardiac arrest, the chain of survival from out-of-hospital cardiac arrest and...

  • Coaching bystanders in CPR boosts chances for survival from cardiac arrest. Foster, Melissa // Cardiology Today;Feb2012, Vol. 15 Issue 2, p1 

    The article reports on the statement issued by the American Heart Association that instructing bystanders to perform CPR in a cardiac arrest patient can increase the chance of survival.

  • Take 60 2nds to Strengthen Your Community This 4th of July by Learning the American Heart Association's Hands-Only CPRTM.  // Biomedical Market Newsletter;7/7/2012, Vol. 21, p1 

    The article reports that the Independence Day Anthem Blue Cross and Blue Shield in Kentucky is asking everyone to revisit the bygone musical era for 60 2nds to learn how to save a life with the hands-only cardiopulmonary resuscitation (CPR) from the American Heart Association. It states that the...

  • Anthem Blue Cross and Blue Shield in Indiana Invites You to Take 60 2nds to Strengthen Your Community This 4th of July by Learning the American Heart Association's Hands-Only CPRTM.  // Biomedical Market Newsletter;7/7/2012, Vol. 21, p1 

    The article reports that the Independence Day Anthem Blue Cross and Blue Shield in Indianapolis, Indiana is asking everyone to revisit the bygone musical era for 60 2nds to learn how to save a life with the hands-only cardiopulmonary resuscitation (CPR) from the American Heart Association. It...

  • YOU CAN BE A LIFESAVER. Garrett, Kelly // Better Homes & Gardens;Feb2009, Vol. 87 Issue 2, p196 

    The article reports that the American Heart Association (AHA) encourages hands-only cardiopulmonary resuscitation (CPR). According to the author, the AHA is hoping that more untrained bystanders will jump in with hands-only CPR because the chances of surviving sudden cardiac arrest fall seven to...

  • School training could reduce SCA fatalities.  // Medical Device Daily;4/2/2013, Vol. 17 Issue 63, Special section p2 

    The article discusses research on the use of school training to reduce sudden cardiac arrest (SCA) fatalities. It references a study by Robert Swor and colleagues, published in "Resuscitation." Study authors found that cardiac arrests in K-12 schools are extremely rare, but survival following...

  • The benefits of bystanders.  // Consumer Reports on Health;Oct2012, Vol. 24 Issue 10, p3 

    The article discusses a study of the survival rates from heart attacks occurring near hospitals in Japan based on the number of bystanders who volunteered help such as cardiopulmonary resuscitation (CPR).

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics