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Basics in advanced life support: A role for download audit and metronomes

Fletcher, David, Galloway, Robert, Chamberlain, Douglas, Pateman, Jane, Bryant, Geoffrey and Newcombe, Robert Gordon 2008. Basics in advanced life support: A role for download audit and metronomes. Resuscitation 78 (2) , pp. 127-134. 10.1016/j.resuscitation.2008.03.003

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Abstract

An intention in 2003 to undertake a multicentre trial in the United Kingdom of compressions before and after defibrillation could not be realized because of concerns at the time in relation to informed consent. Instead, the new protocol was introduced in one ambulance service, ahead of the 2005 Guidelines, with greater emphasis on compressions. The results were monitored by analysis of electronic ECG downloads. Deficiencies in the standard of basic life support were identified but were not unique to our service. The introduction of metronomes and the provision of feedback to crews led to major improvements in performance. Our experience has implications for the emergency pre-hospital care of cardiac arrest.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Audit, Electronic downloads, CPR, Compressions, Pauses
Publisher: Elsevier
ISSN: 0300-9572
Last Modified: 30 Jun 2017 02:19
URI: http://orca.cf.ac.uk/id/eprint/25404

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