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High-quality cardiopulmonary resuscitation (CPR) is essential for return of spontaneous circulation (ROSC) in patients with cardiac arrest. However, some factors are known to be related with delays in chest compressions such as bed transfer, setting of CPR device, pulse and rhythm checks. This study aims to evaluate the potential impact of ultrasound on CPR quality by using retrospective video analysis.
All CPR scenarios in our department were recorded and masked for the purpose of video analysis. The investigators will record in-scene resuscitation manpower, the factors to interrupt chest compressions and whether introducing ultrasound into resuscitation process is related with delays in chest compressions. In addition, the investigators collect the patient's sex, age, initial rhythm and prognosis, including ROSC, survival to admission and survival to discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ultrasound use during resuscitation | The group with ultrasound integrated into the resuscitation efforts. |
| |
| no ultrasound use during resuscitation | The group without ultrasound integrated into the resuscitation efforts. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound use during resuscitation | Behavioral | ultrasound use during resuscitation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasound use would not delay in chest compressions during resuscitation. | chest compression fraction (chest compression time/total resuscitation time) between two groups. | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasound use would not influence the rates of return of spontaneous circulation. | rates of return of spontaneous circulation. | 60 mintues |
| Ultrasound use would not influence the rates of survival to admission. |
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Inclusion Criteria:
adult patients (more than 20 years) non-traumatic cardiac arrest
Exclusion Criteria:
traumatic cardiac arrest age less than 20 years.
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Adult patients (more than 20 years) with non-traumatic cardiac arrest at the emergency department of the National Taiwan University Hospital.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Taipei | 100 | Taiwan | |||
| Department of Emergency Medicine, National Taiwan University Hospital |
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rates of survival to admision between two groups.
| 7 days. |
| Ultrasound use would not influence the rates of survival to discharge. | rates of survival to discharge between two groups. | 3 months. |
| Taipei |
| Taiwan |