Automatic chest compression devices—when do they make sense? Philipp Adams, Ralf Schmitz, Dominik Laister, Matthias Rüther, Dennis Happe, Peter Sommerfeld, Guido Hartmann, Sascha Wecker
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.040
The American Journal of Emergency Medicine , Vol. 32 , Issue 1 ,
Published online: September 30 2013
x The current resuscitation guidelines of the European Resuscitation Council do not include automatic chest compression devices (ACDs) as standard equipment to support cardiopulmonary resuscitation attempts. One possible reason could be the lack of a list of indications and contraindications for the use of ACD systems. This review should give a summary of current studies and developments according to ACD systems and deliver a list of possible applications. Furthermore, we discuss some ethical problems with cardiopulmonary resuscitation attempts and, in particular, with ACD systems.
Usefulness of the compression-adjusted ventilation for adequate ventilation rate during cardiopulmonary resuscitation Yong-Chul Cho, Seung Ryu, Young-Seok Bak, Won-Joon Jeong
DOI: http://dx.doi.org/10.1016/j.ajem.2014.05.015
The American Journal of Emergency Medicine , Vol. 32 , Issue 8 ,
Published online: May 19 2014
x To perform high-quality cardiopulmonary resuscitation (CPR), high-quality chest compression and ventilation support should be performed. However, many providers still have not maintained an adequate ventilation rate but hyperventilated during CPR. Thus, this study was conducted to verify that the compression-adjusted ventilation (CAV) would be a more accurate ventilation method compared with the conventional ventilation (CV).
Combination of cardiac pacing and epinephrine does not always improve outcome of cardiopulmonary resuscitation Meng-Hua Chen, Tang-Wei Liu, Zhi-Yu Zeng, Lu Xie, Feng-Qing Song, Tao He, Shu-Rong Mo
DOI: http://dx.doi.org/10.1016/j.ajem.2007.03.013
The American Journal of Emergency Medicine , Vol. 25 , Issue 9 ,
Published in issue: November 2007
x We hypothesized that the combination of cardiac pacing and epinephrine would yield a better efficacy for cardiopulmonary resuscitation (CPR) and the combination of 2 therapies at different opportunity would achieve the same results of CPR. Cardiac arrest was induced by clamping the tracheal tubes in 60 Sprague-Dawley rats. At 10 minutes of asphyxia, the animals were prospectively randomized into 5 groups (n = 12/group), and received saline (Sal-gro, 1 mL, intravenous [IV]), epinephrine (Epi-gro, 0.4 mg/kg, IV), pacing (Pac-gro, transesophageal cardiac pacing combined with saline 1 mL, IV), pacing + epinephrine group 1 (PE-gro1, transesophageal cardiac pacing combined with epinephrine 0.4 mg/kg, IV), or pacing + epinephrine group 2 (PE-gro2, transesophageal cardiac pacing combined with epinephrine 0.4 mg/kg, IV, 4 minutes after the transesophageal cardiac pacing initiating and failing to resuscitate the animals), followed by initiation of CPR.
Determination by direct cardiac recording of the amount and location of myocardium depolarized during internal cardioversion : Paul G. Colavita, Patrick Wolf, Frederick R. Bartram, Michael Sweeney, William M. Smith, Raymond E. Ideker. Duke University, Durham, NC 27710
DOI: http://dx.doi.org/10.1016/0735-6757(84)90137-2
The American Journal of Emergency Medicine , Vol. 2 , Issue 4 ,
Published in issue: July 1984
LUCAS compared to manual cardiopulmonary resuscitation is more effective during helicopter rescue—a prospective, randomized, cross-over manikin study Gabriel Putzer, Patrick Braun, Andrea Zimmermann, Florian Pedross, Giacomo Strapazzon, Hermann Brugger, Peter Paal
DOI: http://dx.doi.org/10.1016/j.ajem.2012.07.018
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: September 24 2012
x High-quality chest-compressions are of paramount importance for survival and good neurological outcome after cardiac arrest. However, even healthcare professionals have difficulty performing effective chest-compressions, and quality may be further reduced during transport. We compared a mechanical chest-compression device (Lund University Cardiac Assist System [LUCAS]; Jolife, Lund, Sweden) and manual chest-compressions in a simulated cardiopulmonary resuscitation scenario during helicopter rescue.
Comparison of different techniques for in microgravity—a simple mathematic estimation of cardiopulmonary resuscitation quality for space environment S. Braunecker, B. Douglas, J. Hinkelbein
DOI: http://dx.doi.org/10.1016/j.ajem.2015.04.018
The American Journal of Emergency Medicine , Vol. 33 , Issue 7 ,
Published online: April 15 2015
x Since astronauts are selected carefully, are usually young, and are intensively observed before and during training, relevant medical problems are rare. Nevertheless, there is a certain risk for a cardiac arrest in space requiring cardiopulmonary resuscitation (CPR). Up to now, there are 5 known techniques to perform CPR in microgravity. The aim of the present study was to analyze different techniques for CPR during microgravity about quality of CPR.
A new method to detect cerebral blood flow waveform in synchrony with chest compression by near-infrared spectroscopy during CPR Yasuaki Koyama, Takafumi Wada, Brandon D. Lohman, Yuka Takamatsu, Junichi Matsumoto, Shigeki Fujitani, Yasuhiko Taira
DOI: http://dx.doi.org/10.1016/j.ajem.2013.07.002
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: August 21 2013
x The objective of the study is to demonstrate the utility of near-infrared spectroscopy (NIRS) in evaluating chest compression (CC) quality in cardiac arrest (CA) patients as well as determine its prognosis predictive value.
The suprasternal notch as a landmark of chest compression depth in CPR Tae Hu Kim, Soo Hoon Lee, Dong Hoon Kim, Ryun Kyung Lee, So Yeon Kim, Changwoo Kang, Jin Hee Jeong, Seong Chun Kim, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.026
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: November 16 2015
x This study was performed to determine a landmark for chest compression depth for adult cardiopulmonary resuscitation (CPR) using chest computed tomography and to evaluate the validity of the landmark.
Inhomogeneity and temporal effects in AutoPulse Assisted Prehospital International Resuscitation—an exception from consent trial terminated early Norman A. Paradis, Gregory Young, Stanley Lemeshow, James E. Brewer, Henry R. Halperin
DOI: http://dx.doi.org/10.1016/j.ajem.2010.02.002
The American Journal of Emergency Medicine , Vol. 28 , Issue 4 ,
Published in issue: May 2010
x The ASPIRE trial (AutoPulse Assisted Prehospital International Resuscitation) was multicenter exception from consent clinical trial that compared mechanical cardiopulmonary resuscitation (CPR) with a device (AutoPulse-CPR) to traditional manual CPR (manual-CPR) in out-of-hospital cardiac arrest. Enrollment was suspended early due to safety concerns. One site (site C) made a potentially important protocol change midtrial, and enrollment at that site was noted to be independently associated with outcome.
Index to volume 3 : Subjects
DOI: http://dx.doi.org/10.1016/0735-6757(85)90192-5
The American Journal of Emergency Medicine , Vol. 3 , Issue 6 ,
Published in issue: November 1985
Open-chest CPR: Not yet Arthur B. Sanders, Gordon A. Ewy
DOI: http://dx.doi.org/10.1016/0735-6757(84)90087-1
The American Journal of Emergency Medicine , Vol. 2 , Issue 6 ,
Published in issue: November 1984
Abdominal compressions do not achieve similar survival rates compared with chest compressions: an experimental study Theodoros Xanthos, Eleni Bassiakou, Ismene Dontas, Ioannis Pantazopoulos, Pavlos Lelovas, Evangelia Kouskouni, Lila Papadimitriou
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.040
The American Journal of Emergency Medicine , Vol. 29 , Issue 6 ,
Published online: May 3 2010
x The aim of this study is to investigate whether abdominal compression cardiopulmonary resuscitation (CPR) would result in similar survival rates and neurologic outcome than chest compression CPR in a swine model of cardiac arrest.
Chest compressions performed by ED staff: a randomized cross-over simulation study on the floor and on a stretcher Mustapha Sebbane, Megan Hayter, Joaquim Romero, Sophie Lefebvre, Colette Chabrot, Grégoire Mercier, Jean-Jacques Eledjam, Richard Dumont, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.013
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: July 16 2012
x Multiple factors may contribute to the observed survival variability following in-hospital cardiopulmonary resuscitation (CPR). While in-hospital CPR is most often performed on patients lying on a bed or stretcher, CPR training uses primarily manikins placed on the floor. We analyzed the quality of external chest compressions (ECC) in simulated cardiac arrest scenarios occurring both on a stretcher and on the floor.
Hemorrhagic shock caused by intramuscular hematoma of the pectoralis major after CPR Chia-Ching Hsu, Chih-Yuan Lin, Yi-Da Tsai, Shih-Hung Tsai
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.004
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: July 6 2015
x Cardiopulmonary resuscitation (CPR) associated with thoracic and cardiovascular injuries has been previously reviewed in the literature. Although the incidence of reported CPR-associated complications can be up to 65%, the most commonly reported complications are rib and sternum fractures. Intramuscular hematoma complicated with hemorrhagic shock has rarely been described in previous medical literature. Here, we present a patient who developed intramuscular hematoma of the pectoralis major complicated with hemorrhagic shock after CPR.
Chest compression moves blood during cardiac arrest by generating changes in intrathoracic pressure : Henry R. Halperin, Joshua E. Tsitlik, Alan Guerci, Nisha Chandra, Myron L. Weisfeldt. Johns Hopkins Medical Institutions, Baltimore, MD 21205
DOI: http://dx.doi.org/10.1016/0735-6757(84)90141-4
The American Journal of Emergency Medicine , Vol. 2 , Issue 4 ,
Published in issue: July 1984
Thrombolysis after initially unsuccessful cardiopulmonary resuscitation in presumed pulmonary embolism Qin Yin, Xiao Li, Chunsheng Li
DOI: http://dx.doi.org/10.1016/j.ajem.2014.06.031
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: July 1 2014
x The life-saving administration of thrombolytic therapy after initially unsuccessful cardiopulmonary resuscitation (CPR) in 7 patients with presumed pulmonary embolism (PE) was reported. Seven patients who had cardiac arrest were admitted to our emergency department. The clinical diagnosis of all these patients was highly suspected with PE; therefore, 50 mg recombinant tissue plasminogen activator with 50-mL dilution was administered in a 15-minute period after initially unsuccessful CPR. Of 7 patients, 5 (71.4%) achieved return of spontaneous circulation after CPR and thrombolytic therapy, and 3 (42.9%) of 7 patients were discharged alive through successive treatments.
The natural biochemical changes during ventricular fibrillation with cardiopulmonary resuscitation and the onset of postdefibrillation pulseless electrical activity Leslie A. Geddes, Rebecca A. Roeder, Ann E. Rundell, Michael P. Otlewski, Andre E. Kemeny, Aaron E. Lottes
DOI: http://dx.doi.org/10.1016/j.ajem.2006.01.030
The American Journal of Emergency Medicine , Vol. 24 , Issue 5 ,
Published in issue: September 2006
x The objective of this study was to document the biochemical changes during ventricular fibrillation (VF) with cardiopulmonary resuscitation (CPR), and to identify factors associated with postdefibrillation pulseless electrical activity (PD-PEA).
Mechanized cardiopulmonary resuscitation: Past, present, and future C.E. Barkalow
DOI: http://dx.doi.org/10.1016/0735-6757(84)90017-2
The American Journal of Emergency Medicine , Vol. 2 , Issue 3 ,
Published in issue: May 1984
Venous and arterial blood gases during and after cardiopulmonary resuscitation in dogs Sandra H. Ralston, William D. Voorhees, Lee Showen, Peter Schmitz, Constantina Kougias, Willis A. Tacker
DOI: http://dx.doi.org/10.1016/0735-6757(85)90036-1
The American Journal of Emergency Medicine , Vol. 3 , Issue 2 ,
Published in issue: March 1985
x This study was undertaken to characterize blood gas, p H, and lactate changes during and after cardiopulmonary resuscitation (CPR) in arterial and venous samples. Blood samples were withdrawn from the brachial artery, aortic arch, pulmonary artery, coronary sinus, and either the right or left cardiac ventricle of 24 anesthetized dogs. Ventricular fibrillation (VF) was induced electrically, and mechanical CPR was begun. Blood samples were withdrawn before CPR, at 2, 5, 7, and 9 minutes during CPR, and at 1, 3, 10, 30, and 60 minutes after defibrillation.
ED crowding and the outcomes of out-of-hospital cardiac arrest Jiwon Kang, Joonghee Kim, You Hwan Jo, Kyuseok Kim, Jae Hyuk Lee, Taeyun Kim, Jungyoup Lee, Ji Eun Hwang, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.002
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: August 4 2015
x Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA).
