Focused nurse-defibrillation training: a simple and cost-effective strategy to improve survival from in-hospital cardiac arrest

Springer Science and Business Media LLC - Tập 18 - Trang 1-4 - 2010
John A Stewart1
1Cascade Healthcare Services, Seattle, Washington

Tóm tắt

Time to first defibrillation is widely accepted to correlate closely with survival and recovery of neurological function after cardiac arrest due to ventricular fibrillation or ventricular tachycardia. Focused training of a cadre of nurses to defibrillate on their own initiative may significantly decrease time to first defibrillation in cases of in-hospital cardiac arrest outside of critical care units. Such a program may be the best single strategy to improve in-hospital survival, simply and at reasonable cost.

Tài liệu tham khảo

Peberdy MA, Kaye W, Ornato JP, for the NRCPR Investigators: Cardiopulmonary resuscitation of adults in the hospital: A report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003, 58: 297-308. 10.1016/S0300-9572(03)00215-6. Ehlenbach WJ, Barnato AE, Curtis JR: Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly. N Engl J Med. 2009, 361 (1): 22-31. 10.1056/NEJMoa0810245. Andréasson AC, Herlitz J, Bång A: Characteristics and outcome among patients with a suspected in-hospital cardiac arrest. Resuscitation. 1998, 39 (1): 23-31. 10.1016/S0300-9572(98)00120-8. Burns JP, Edwards J, Johnson J: Do-not-resuscitate order after 25 years. Crit Care Med. 2003, 31: 1543-1550. 10.1097/01.CCM.0000064743.44696.49. Hillman K, Parr M, Flabouris A, Bishop G, Stewart A: Redefining in-hospital resuscitation: The concept of the medical emergency team. Resuscitation. 2001, 48 (2): 105-110. 10.1016/S0300-9572(00)00334-8. American Heart Association: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 7.2: Management of cardiac arrest. Circulation. 2005, 112: IV-58-IV-66. 10.1161/CIRCULATIONAHA.105.166557. Lee KH, Angus DC, Abramson NS: Cardiopulmonary resuscitation: What cost to cheat death?. Crit Care Med. 1996, 24: 2046-2052. 10.1097/00003246-199612000-00019. Stewart JA: Defibrillation training for general unit nurses. J Emerg Nurs. 1992, 18: 519-524. American Heart Association: Textbook of Advanced Cardiac Life Support. 1994, Dallas: American Heart Association, 2 American Heart Association: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 5: Electrical Therapies: Automated External Defibrillators, Defibrillation, Cardioversion, and Pacing. Circulation. 2005, 112: IV-35-IV-46. 10.1161/CIRCULATIONAHA.105.166554. Kenward G, Castle N, Hodgetts TJ: Should ward nurses be using automatic external defibrillators as first responders to improve the outcome from cardiac arrest? A systematic review of the primary research. Resuscitation. 2002, 52: 31-37. 10.1016/S0300-9572(01)00438-5. Forcina MS, Farhat AY, MD O'Neill WW: Cardiac arrest survival after implementation of automated external defibrillator technology in the in-hospital setting. Crit Care Med. 2009, 37: 1229-1236. 10.1097/CCM.0b013e3181960ff3. Kobayashi L, Lindquist DG, Jenouri IM: Comparison of sudden cardiac arrest resuscitation performance data obtained from in-hospital incident chart review and in situ high-fidelity medical simulation. Resuscitation. 2010, 81: 463-71. 10.1016/j.resuscitation.2010.01.003. Kaye W, Mancini ME, Lane-Truitt T: When minutes count--the fallacy of accurate time documentation during in-hospital resuscitation. Resuscitation. 2005, 65: 285-290. 10.1016/j.resuscitation.2004.12.020. Chan PS, Nichol G, Krumhotz HM: Hospital variation in time to defibrillation after in-hospital cardiac arrest. Arch Intern Med. 2009, 169: 1265-73. 10.1001/archinternmed.2009.196. Stewart JA: Determining accurate call-to-shock times is easy. Resuscitation. 2005, 67 (1): 150-151. 10.1016/j.resuscitation.2005.05.007. Chan PS, Krumholz HM, Nichol G: Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008, 358 (1): 9-17. 10.1056/NEJMoa0706467. Saxon LA: Survival after tachyarrhythmic arrest -- what are we waiting for?. NEJM. 2008, 358: 77-79. 10.1056/NEJMe0707823. Weisfeldt ML, Becker LB: Resuscitation after cardiac arrest: a 3-phase time-sensitive model. JAMA. 2002, 288: 3035-8. 10.1001/jama.288.23.3035. NRCPR Science Advisory Board: Delayed time to defibrillation after in-hospital cardiac arrest. 2008, [http://www.nrcpr.org/pdf/Time_to_Defibrillation.pdf] Stewart AJ, Martin DL: Knowledge and attitude of nurses on medical wards to defibrillation. J Royal Coll Phys Lond. 1994, 28: 399-404. Lloyd MS, Heeke B, Walter PF, Langberg JJ: Hands-on defibrillation: an analysis of electrical current flow through rescuers in direct contact with patients during biphasic external defibrillation. Circulation. 2008, 117: 2510-2514. 10.1161/CIRCULATIONAHA.107.763011. Mäkinen M, Niemi-Murola L, Kaila M, Castrén M: Nurses' attitudes towards resuscitation and national resuscitation guidelines--Nurses hesitate to start CPR-D. Resuscitation. 2009, 80: 1399-1404. 10.1016/j.resuscitation.2009.08.025. Marsch SCU, Tschan F, Semmer N: Performance of first responders in simulated cardiac arrests. Crit Care Med. 2005, 33: 963-967. 10.1097/01.CCM.0000157750.43459.07. Weil MH: Rhythms and outcomes of cardiac arrest. Crit Care Med. 2010, 38: 310-10.1097/CCM.0b013e3181b7825c.