Modified Protocol Improves Cardiac Arrest Survival

Optimizing chest compressions increases return of spontaneous circulation
By Jane Parry
HealthDay Reporter

TUESDAY, May 5 (HealthDay News) -- Modified guidelines on the out-of-hospital management of cardiac arrest patients that optimizes compressions and reduces disruption improves survival rates, according to a study published online on May 4 in Circulation.

Alex G. Garza, M.D., of Georgetown University School of Medicine in Washington, D.C., and colleagues analyzed data on survival rates for 1,097 adult primary ventricular fibrillation and pulseless ventricular tachycardia cardiac arrest cases admitted in the 36 months prior to the introduction of the revised resuscitation protocol, and compared results with those of 339 cases in the 12 months after the protocol was introduced. The protocol included mandatory pre-shock chest compressions at an increased rate of 50:2, delayed intubation, and, where available, strict use of manual defibrillators.

The survival rate of out-of-hospital arrest of presumed primary cardiac origin rose from 7.5 percent before the revised protocol was introduced to 13.9 percent afterwards, the investigators discovered. In the subset of witnessed cardiac arrest patients with initial rhythm of ventricular fibrillation there was an increase in return to spontaneous circulation from 37.8 percent before the revised protocol to 59.6 percent afterwards, the researchers noted.

"Further studies are warranted to look at the impact of the new 2005 American Heart Association guidelines on survival, and further work is needed to benchmark best practices in cardiac arrest," the authors conclude."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events