The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Interruptions of Chest Compressions During Emergency Medical Systems Resuscitation
Abstract
Background— Survival after nontraumatic out-of-hospital (OOH) cardiac arrest in Tucson, Arizona, has been flat at 6% (121/2177) for the decade 1992 to 2001. We hypothesized that interruptions of chest compressions occur commonly and for substantial periods during treatment of OOH cardiac arrest and could be contributing to the lack of improvement in resuscitation outcome. Methods and Results— Sixty-one adult OOH cardiac arrest patients treated by automated external defibrillator (AED)–equipped Tucson Fire Department first responders from November 2001 through November 2002 were retrospectively reviewed. Reviews were performed according to the code arrest record and verified with the AED printout. Validation of the methodology for determining the performance of chest compressions was done post hoc. The median time from “9-1-1” call receipt to arrival at the patient’s side was 6 minutes, 27 seconds (interquartile range [IQR, 25% to 75%], 5 minutes, 24 seconds, to 7 minutes, 34 seconds). An additional 54 seconds (IQR, 38 to 74 seconds) was noted between arrival and the first defibrillation attempt. Initial defibrillation shocks never restored a perfusing rhythm (0/21). Chest compressions were performed only 43% of the time during the resuscitation effort. Although attempting to follow the 2000 guidelines for cardiopulmonary resuscitation, chest compressions were delayed or interrupted repeatedly throughout the resuscitation effort. Survival to hospital discharge was 7%, not different from that of our historical control (4/61 versus 121/2177; P =0.74). Conclusions— Frequent interruption of chest compressions results in no circulatory support during more than half of resuscitation efforts. Such interruptions could be a major contributing factor to the continued poor outcome seen with OOH cardiac arrest.
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Cummins, R. O., Chamberlain, D. A., Abramson, N. S., Allen, M., Baskett, P. J., Becker, L., Bossaert, L., Delooz, H. H., Dick, W. F., & Eisenberg, M. S. (1991) · Circulation · doi:10.1161/01.cir.84.2.960 · Cited by 1,670
Quality of Cardiopulmonary Resuscitation During Out-of-Hospital Cardiac Arrest
Wik, L. (2005) · JAMA · doi:10.1001/jama.293.3.299 · Cited by 1,538
Outcomes of Rapid Defibrillation by Security Officers after Cardiac Arrest in Casinos
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Self-citationQuality of Cardiopulmonary Resuscitation During In-Hospital Cardiac Arrest
Abella, B. S. (2005) · JAMA · doi:10.1001/jama.293.3.305 · Cited by 1,185
Public-Access Defibrillation and Survival after Out-of-Hospital Cardiac Arrest
(2004) · New England Journal of Medicine · doi:10.1056/nejmoa040566 · Cited by 1,130
Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest
Abella, B. S., Alvarado, J. P., & Myklebust, H. (2005) · ACC Current Journal Review · doi:10.1016/j.accreview.2005.03.040 · Cited by 941
Chamberlain, D., Cummins, R. O., Abramson, N., Allen, M., Baskett, P., Becker, L., Bossaert, L., Delooz, H., Dick, W., Eisenberg, M., et al. (1991) · Resuscitation · doi:10.1016/0300-9572(91)90061-3 · Cited by 914
Estimating Effectiveness of Cardiac Arrest Interventions: A Logistic Regression Survival Model
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Self-citationAdvanced Cardiac Life Support in Out-of-Hospital Cardiac Arrest
Stiell, I. G., Wells, G. A., Field, B., Spaite, D. W., Nesbitt, L. P., De Maio, V. J., Nichol, G., Cousineau, D., Blackburn, J., Munkley, D., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040325 · Cited by 835
Public Use of Automated External Defibrillators
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Cited by
Meaney, P. A., Bobrow, B. J., Mancini, M. E., Christenson, J., de Caen, A. R., Bhanji, F., Abella, B. S., Kleinman, M. E., Edelson, D. P., Berg, R. A., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31829d8654 · Cited by 1,072
Self-citationEuropean Resuscitation Council Guidelines for Resuscitation 2005
Soar, J., Deakin, C. D., Nolan, J. P., Abbas, G., Alfonzo, A., Handley, A. J., Lockey, D., Perkins, G. D., & Thies, K. (2005) · Resuscitation · doi:10.1016/j.resuscitation.2005.10.004 · Cited by 832
Christenson, J., Andrusiek, D., Everson-Stewart, S., Kudenchuk, P., Hostler, D., Powell, J., Callaway, C. W., Bishop, D., Vaillancourt, C., Davis, D., et al. (2009) · Circulation · doi:10.1161/circulationaha.109.852202 · Cited by 759
Self-citation(2007) · The Lancet · doi:10.1016/s0140-6736(07)60451-6 · Cited by 533
Bobrow, B. J. (2008) · JAMA · doi:10.1001/jama.299.10.1158 · Cited by 516
Metadata
- Authors
- Valenzuela, T. D., Kern, K. B., Clark, L. L., Berg, R. A., Berg, M. D., Berg, D. D., Hilwig, R. W., Otto, C. W., Newburn, D., & Ewy, G. A.
- Venue
- Circulation
- Published
- 2005-08-30
- Volume
- 112
- Issue
- 9
- Pages
- 1259-1265
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2162770324
- Cited by
- 316
- References
- 24
- FWCI
- 25.76
- Type
- journal article
- Language
- en
- Open access
- closed
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- Valenzuela, T. D., Kern, K. B., Clark, L. L., Berg, R. A., Berg, M. D., Berg, D. D., Hilwig, R. W., Otto, C. W., Newburn, D., & Ewy, G. A. (2005). Interruptions of Chest Compressions During Emergency Medical Systems Resuscitation. Circulation. https://doi.org/10.1161/circulationaha.105.537282
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