https://scholars.lib.ntu.edu.tw/handle/123456789/560376
標題: | Obstacles delaying the prompt deployment of piston-type mechanical cardiopulmonary resuscitation devices during emergency department resuscitation: A video-recording and time-motion study | 作者: | EDWARD PEI-CHUAN HUANG HUI-CHIH WANG PATRICK CHOW-IN KO Chang A.M. CHIA-MING FU Chen J.-W. Liao Y.-C. Liu H.-C. Fang Y.-D. CHIH-WEI YANG WEN-CHU CHIANG MATTHEW HUEI-MING MA SHYR-CHYR CHEN |
公開日期: | 2013 | 卷: | 84 | 期: | 9 | 起(迄)頁: | 1208-1213 | 來源出版物: | Resuscitation | 摘要: | Background: The quality of cardiopulmonary resuscitation (CPR) is important to survival after cardiac arrest. Mechanical devices (MD) provide constant CPR, but their effectiveness may be affected by deployment timeliness. Objectives: To identify the timeliness of the overall and of each essential step in the deployment of a piston-type MD during emergency department (ED) resuscitation, and to identify factors associated with delayed MD deployment by video recordings. Methods: Between December 2005 and December 2008, video clips from resuscitations with CPR sessions using a MD in the ED were reviewed using time-motion analyses. The overall deployment timeliness and the time spent on each essential step of deployment were measured. Results: There were 37 CPR recordings that used a MD. Deployment of MD took an average 122.6. ±. 57.8. s. The 3 most time-consuming steps were: (1) setting the device (57.8. ±. 38.3. s), (2) positioning the patient (33.4. ±. 38.0. s), and (3) positioning the device (14.7. ±. 9.5. s). Total no flow time was 89.1. ±. 41.2. s (72.7% of total time) and associated with the 3 most time-consuming steps. There was no difference in the total timeliness, no-flow time, and no-flow ratio between different rescuer numbers, time of day of the resuscitation, or body size of patients. Conclusions: Rescuers spent a significant amount of time on MD deployment, leading to long no-flow times. Lack of familiarity with the device and positioning strategy were associated with poor performance. Additional training in device deployment strategies are required to improve the benefits of mechanical CPR. ? 2013 Elsevier Ireland Ltd. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/560376 | ISSN: | 0300-9572 | DOI: | 10.1016/j.resuscitation.2013.03.028 | SDG/關鍵字: | adult; aged; article; awareness; body size; clinical article; compression; emergency care; emergency physician; emergency ward; female; heart arrest; human; life support equipment; male; out of hospital cardiac arrest; outcome variable; priority journal; quality control; resuscitation; retrospective study; sternum; tertiary health care; videorecording; Cardiopulmonary resuscitation (CPR); Mechanical devices; No-flow time; Quality; Time-motion analysis; Video-recording; Adult; Aged; Analysis of Variance; Cardiopulmonary Resuscitation; Cohort Studies; Defibrillators; Electric Countershock; Emergency Service, Hospital; Equipment Design; Equipment Safety; Female; Heart Arrest; Hospital Mortality; Humans; Male; Middle Aged; Patient Positioning; Retrospective Studies; Risk Assessment; Survival Rate; Taiwan; Time and Motion Studies; Treatment Outcome; Video Recording |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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