Out-of-hospital use of an automated chest compression device: facilitating access to extracorporeal life support or non–heart-beating organ procurement
Abstract Objective The aim of the study was to assess the ease-of-use, safety, and usefulness of an automated external chest compression device for cardiopulmonary resuscitation. Methods Adults with out-of-hospital cardiac arrest (OHCA) were included prospectively. The emergency medical services (EM...
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Veröffentlicht in: | The American journal of emergency medicine 2011-11, Vol.29 (9), p.1169-1172 |
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creator | Agostinucci, Jean Marc, MD Ruscev, Mirko, MD Galinski, Michel, MD Gravelo, Serge Petrovic, Tomislav, MD Carmeaux, Cyril Haouache, Hakim, MD Roussin, France, MD Adnet, Frédéric, MD Lapostolle, Frédéric, MD |
description | Abstract Objective The aim of the study was to assess the ease-of-use, safety, and usefulness of an automated external chest compression device for cardiopulmonary resuscitation. Methods Adults with out-of-hospital cardiac arrest (OHCA) were included prospectively. The emergency medical services (EMS) in a large suburb northeast of Paris (France) recorded data for standard criteria for EMS care for CA and specific criteria on device use—application time, ease of application and use (visual analog scale score: 0, impossible; 5, very easy), technical incidents, and clinical complications. Results We attended 4868 OHCA patients (January 2005 to April 2010) and used the device in 285 patients (6%) (212 males [74%], 73 females [26%]; median age, 56 [43-70] years). Results (medians with 25-75 percentiles) were as follows: time to apply device, 30 seconds (20-60); ease of application and activation, 5 (4-5) and 5 (5-5), respectively; duration of use, 30 (20-41) minutes; return to spontaneous circulation (ROSC), 76 patients (27%); and time to ROSC, 19 (12-32) minutes after placement. Twenty-seven patients (9%) with refractory CA benefited from extracorporeal life support. Overall, 32 patients were alive after 24 hours, 11 at 7 days, and 3 at 1 month. An additional 23 patients (8%) with refractory CA were selected for non–heart-beating kidney procurement. Ten patients were used to harvest kidneys and 15 were transplanted. There were 21 technical incidents (7%) and 19 clinical complications (7%). Conclusion The device was easy to use in routine emergency practice and of particular value in facilitating access to extracorporeal life support or non–heart-beating organ procurement. These uses should be itemized in all OHCA studies. |
doi_str_mv | 10.1016/j.ajem.2010.06.029 |
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Methods Adults with out-of-hospital cardiac arrest (OHCA) were included prospectively. The emergency medical services (EMS) in a large suburb northeast of Paris (France) recorded data for standard criteria for EMS care for CA and specific criteria on device use—application time, ease of application and use (visual analog scale score: 0, impossible; 5, very easy), technical incidents, and clinical complications. Results We attended 4868 OHCA patients (January 2005 to April 2010) and used the device in 285 patients (6%) (212 males [74%], 73 females [26%]; median age, 56 [43-70] years). Results (medians with 25-75 percentiles) were as follows: time to apply device, 30 seconds (20-60); ease of application and activation, 5 (4-5) and 5 (5-5), respectively; duration of use, 30 (20-41) minutes; return to spontaneous circulation (ROSC), 76 patients (27%); and time to ROSC, 19 (12-32) minutes after placement. Twenty-seven patients (9%) with refractory CA benefited from extracorporeal life support. Overall, 32 patients were alive after 24 hours, 11 at 7 days, and 3 at 1 month. An additional 23 patients (8%) with refractory CA were selected for non–heart-beating kidney procurement. Ten patients were used to harvest kidneys and 15 were transplanted. There were 21 technical incidents (7%) and 19 clinical complications (7%). Conclusion The device was easy to use in routine emergency practice and of particular value in facilitating access to extracorporeal life support or non–heart-beating organ procurement. These uses should be itemized in all OHCA studies.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2010.06.029</identifier><identifier>PMID: 20951528</identifier><identifier>CODEN: AJEMEN</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Automation ; Biological and medical sciences ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - instrumentation ; Cardiopulmonary Resuscitation - methods ; CPR ; Emergency ; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care ; Emergency medical care ; Emergency medical services ; Emergency Medical Services - methods ; Extracorporeal Circulation - statistics & numerical data ; Female ; Heart ; Heart attacks ; Heart Massage - instrumentation ; Heart Massage - methods ; Humans ; Intensive care medicine ; Intubation ; Kidneys ; Male ; Medical sciences ; Middle Aged ; Onsite ; Out-of-Hospital Cardiac Arrest - therapy ; Prospective Studies ; Time Factors ; Tissue and Organ Procurement - statistics & numerical data ; Trauma ; Treatment Outcome</subject><ispartof>The American journal of emergency medicine, 2011-11, Vol.29 (9), p.1169-1172</ispartof><rights>2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-8d1b46a05197f422b5fa7d5c72423087d46900aeb46f7bc5770c1236e1c67a673</citedby><cites>FETCH-LOGICAL-c468t-8d1b46a05197f422b5fa7d5c72423087d46900aeb46f7bc5770c1236e1c67a673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1030945193?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24791310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20951528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agostinucci, Jean Marc, MD</creatorcontrib><creatorcontrib>Ruscev, Mirko, MD</creatorcontrib><creatorcontrib>Galinski, Michel, MD</creatorcontrib><creatorcontrib>Gravelo, Serge</creatorcontrib><creatorcontrib>Petrovic, Tomislav, MD</creatorcontrib><creatorcontrib>Carmeaux, Cyril</creatorcontrib><creatorcontrib>Haouache, Hakim, MD</creatorcontrib><creatorcontrib>Roussin, France, MD</creatorcontrib><creatorcontrib>Adnet, Frédéric, MD</creatorcontrib><creatorcontrib>Lapostolle, Frédéric, MD</creatorcontrib><title>Out-of-hospital use of an automated chest compression device: facilitating access to extracorporeal life support or non–heart-beating organ procurement</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Objective The aim of the study was to assess the ease-of-use, safety, and usefulness of an automated external chest compression device for cardiopulmonary resuscitation. Methods Adults with out-of-hospital cardiac arrest (OHCA) were included prospectively. The emergency medical services (EMS) in a large suburb northeast of Paris (France) recorded data for standard criteria for EMS care for CA and specific criteria on device use—application time, ease of application and use (visual analog scale score: 0, impossible; 5, very easy), technical incidents, and clinical complications. Results We attended 4868 OHCA patients (January 2005 to April 2010) and used the device in 285 patients (6%) (212 males [74%], 73 females [26%]; median age, 56 [43-70] years). Results (medians with 25-75 percentiles) were as follows: time to apply device, 30 seconds (20-60); ease of application and activation, 5 (4-5) and 5 (5-5), respectively; duration of use, 30 (20-41) minutes; return to spontaneous circulation (ROSC), 76 patients (27%); and time to ROSC, 19 (12-32) minutes after placement. Twenty-seven patients (9%) with refractory CA benefited from extracorporeal life support. Overall, 32 patients were alive after 24 hours, 11 at 7 days, and 3 at 1 month. An additional 23 patients (8%) with refractory CA were selected for non–heart-beating kidney procurement. Ten patients were used to harvest kidneys and 15 were transplanted. There were 21 technical incidents (7%) and 19 clinical complications (7%). Conclusion The device was easy to use in routine emergency practice and of particular value in facilitating access to extracorporeal life support or non–heart-beating organ procurement. These uses should be itemized in all OHCA studies.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Automation</subject><subject>Biological and medical sciences</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - instrumentation</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>CPR</subject><subject>Emergency</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency Medical Services - methods</subject><subject>Extracorporeal Circulation - statistics & numerical data</subject><subject>Female</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Heart Massage - instrumentation</subject><subject>Heart Massage - methods</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intubation</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Onsite</subject><subject>Out-of-Hospital Cardiac Arrest - therapy</subject><subject>Prospective Studies</subject><subject>Time Factors</subject><subject>Tissue and Organ Procurement - statistics & numerical data</subject><subject>Trauma</subject><subject>Treatment Outcome</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks1u1DAUhS0EosPAC7BAlhBileHaSewEISRUlR-pUhfA2vI4Nx0PiR1sp6I73oEVr9cnwdEMVOqClWX7O_ee62NCnjLYMGDi1X6j9zhuOOQDEBvg7T2yYnXJi4ZJdp-sQJZ1IWQtT8ijGPcAjFV19ZCccGhrVvNmRX5fzKnwfbHzcbJJD3SOSH1PtaN6Tn7UCTtqdhgTNX6cAsZovaMdXlmDr2mvjR2yLll3SbUx-ZomT_FHCtr4MPmAueZge6RxnvI2UR-o8-7m568d6pCKLR7EPlzmnlPwZg44okuPyYNeDxGfHNc1-fr-7Mvpx-L84sOn03fnhalEk4qmY9tKaKhZK_uK823da9nVRvKKl9DIrhItgMYM9XJrainBMF4KZEZILWS5Ji8PdXPv73MeVI02GhwG7dDPUbVQAeOiKTP5_A6593Nw2ZxiUEJbZQ8LxQ-UCT7GgL2agh11uM6QWnJTe7XkppbcFAiVc8uiZ8fS83bE7p_kb1AZeHEEdDR66IN2xsZbrpItK7OLNXlz4DA_2ZXFoKKx6Ax2NqBJqvP2_z7e3pGbwTqbO37Da4y386rIFajPyw9bPhgDyPK2Kf8AmMbN9g</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Agostinucci, Jean Marc, MD</creator><creator>Ruscev, Mirko, MD</creator><creator>Galinski, Michel, MD</creator><creator>Gravelo, Serge</creator><creator>Petrovic, Tomislav, MD</creator><creator>Carmeaux, Cyril</creator><creator>Haouache, Hakim, MD</creator><creator>Roussin, France, MD</creator><creator>Adnet, Frédéric, MD</creator><creator>Lapostolle, Frédéric, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Out-of-hospital use of an automated chest compression device: facilitating access to extracorporeal life support or non–heart-beating organ procurement</title><author>Agostinucci, Jean Marc, MD ; Ruscev, Mirko, MD ; Galinski, Michel, MD ; Gravelo, Serge ; Petrovic, Tomislav, MD ; Carmeaux, Cyril ; Haouache, Hakim, MD ; Roussin, France, MD ; Adnet, Frédéric, MD ; Lapostolle, Frédéric, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-8d1b46a05197f422b5fa7d5c72423087d46900aeb46f7bc5770c1236e1c67a673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Automation</topic><topic>Biological and medical sciences</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - instrumentation</topic><topic>Cardiopulmonary Resuscitation - methods</topic><topic>CPR</topic><topic>Emergency</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency Medical Services - methods</topic><topic>Extracorporeal Circulation - statistics & numerical data</topic><topic>Female</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Heart Massage - instrumentation</topic><topic>Heart Massage - methods</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intubation</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Onsite</topic><topic>Out-of-Hospital Cardiac Arrest - therapy</topic><topic>Prospective Studies</topic><topic>Time Factors</topic><topic>Tissue and Organ Procurement - statistics & numerical data</topic><topic>Trauma</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agostinucci, Jean Marc, MD</creatorcontrib><creatorcontrib>Ruscev, Mirko, MD</creatorcontrib><creatorcontrib>Galinski, Michel, MD</creatorcontrib><creatorcontrib>Gravelo, Serge</creatorcontrib><creatorcontrib>Petrovic, Tomislav, MD</creatorcontrib><creatorcontrib>Carmeaux, Cyril</creatorcontrib><creatorcontrib>Haouache, Hakim, MD</creatorcontrib><creatorcontrib>Roussin, France, MD</creatorcontrib><creatorcontrib>Adnet, Frédéric, MD</creatorcontrib><creatorcontrib>Lapostolle, Frédéric, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agostinucci, Jean Marc, MD</au><au>Ruscev, Mirko, MD</au><au>Galinski, Michel, MD</au><au>Gravelo, Serge</au><au>Petrovic, Tomislav, MD</au><au>Carmeaux, Cyril</au><au>Haouache, Hakim, MD</au><au>Roussin, France, MD</au><au>Adnet, Frédéric, MD</au><au>Lapostolle, Frédéric, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Out-of-hospital use of an automated chest compression device: facilitating access to extracorporeal life support or non–heart-beating organ procurement</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>29</volume><issue>9</issue><spage>1169</spage><epage>1172</epage><pages>1169-1172</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>Abstract Objective The aim of the study was to assess the ease-of-use, safety, and usefulness of an automated external chest compression device for cardiopulmonary resuscitation. Methods Adults with out-of-hospital cardiac arrest (OHCA) were included prospectively. The emergency medical services (EMS) in a large suburb northeast of Paris (France) recorded data for standard criteria for EMS care for CA and specific criteria on device use—application time, ease of application and use (visual analog scale score: 0, impossible; 5, very easy), technical incidents, and clinical complications. Results We attended 4868 OHCA patients (January 2005 to April 2010) and used the device in 285 patients (6%) (212 males [74%], 73 females [26%]; median age, 56 [43-70] years). Results (medians with 25-75 percentiles) were as follows: time to apply device, 30 seconds (20-60); ease of application and activation, 5 (4-5) and 5 (5-5), respectively; duration of use, 30 (20-41) minutes; return to spontaneous circulation (ROSC), 76 patients (27%); and time to ROSC, 19 (12-32) minutes after placement. Twenty-seven patients (9%) with refractory CA benefited from extracorporeal life support. Overall, 32 patients were alive after 24 hours, 11 at 7 days, and 3 at 1 month. An additional 23 patients (8%) with refractory CA were selected for non–heart-beating kidney procurement. Ten patients were used to harvest kidneys and 15 were transplanted. There were 21 technical incidents (7%) and 19 clinical complications (7%). Conclusion The device was easy to use in routine emergency practice and of particular value in facilitating access to extracorporeal life support or non–heart-beating organ procurement. These uses should be itemized in all OHCA studies.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20951528</pmid><doi>10.1016/j.ajem.2010.06.029</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Automation Biological and medical sciences Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - instrumentation Cardiopulmonary Resuscitation - methods CPR Emergency Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Emergency medical care Emergency medical services Emergency Medical Services - methods Extracorporeal Circulation - statistics & numerical data Female Heart Heart attacks Heart Massage - instrumentation Heart Massage - methods Humans Intensive care medicine Intubation Kidneys Male Medical sciences Middle Aged Onsite Out-of-Hospital Cardiac Arrest - therapy Prospective Studies Time Factors Tissue and Organ Procurement - statistics & numerical data Trauma Treatment Outcome |
title | Out-of-hospital use of an automated chest compression device: facilitating access to extracorporeal life support or non–heart-beating organ procurement |
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