Basics in advanced life support: A role for download audit and metronomes

被引：46

作者：

Fletcher, David ^{[1
]}

Galloway, Robert ^{[2
]}

Chamberlain, Douglas ^{[1
,2
,3
]}

Pateman, Jane ^{[1
,2
]}

Bryant, Geoffrey ^{[2
]}

Newcombe, Robert G. ^{[3
]}

机构：

[1] SE Coast Ambulance Trust, Lewes BN7 2XW, E Sussex, England

[2] Royal Sussex Cty Hosp, Brighton BN2 5BE, E Sussex, England

[3] Cardiff Univ Hth Pk, Sch Med, Dept Primary Care & Publ Hlth Med Stat, Cardiff CF14 4YS, S Glam, Wales

来源：

RESUSCITATION | 2008年 / 78卷 / 02期

关键词：

audit; electronic downloads; CPR; compressions; pauses;

D O I：

10.1016/j.resuscitation.2008.03.003

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

An intention in 2003 to undertake a multicentre trial in the United Kingdom of compressions before and after defibrillation could not be realized because of concerns at the time in relation to informed consent. Instead, the new protocol was introduced in one ambulance service, ahead of the 2005 Guidelines, with greater emphasis on compressions. The results were monitored by analysis of electronic ECG downloads. Deficiencies in the standard of basic life support were identified but were not unique to our service. The introduction of metronomes and the provision of feedback to crews led to major improvements in performance. Our experience has implications for the emergency pre-hospital care of cardiac arrest. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

引用

页码：127 / 134

页数：8

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