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
Hauptverfasser: 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
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container_end_page 1172
container_issue 9
container_start_page 1169
container_title The American journal of emergency medicine
container_volume 29
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 &amp; 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 &amp; 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>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24791310$$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. 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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.</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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