Zoellner, Karim, Sellmann, Timur, Wetzchewald, Dietmar, Schwager, Heidrun, Cleff, Corvin, Thal, Serge C. and Marsch, Stephan ORCID: 0000-0002-4095-2765 (2021). U SO CARE-The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial. J. Clin. Med., 10 (22). BASEL: MDPI. ISSN 2077-0383

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Abstract

Background: Actual cardiopulmonary resuscitation (CPR) guidelines recommend point-of-care ultrasound (POCUS); however, data on POCUS during CPR are sparse and conflicting. This randomized trial investigated the effects of POCUS during CPR on team performance and diagnostic accuracy. Methods: Intensive Care and Emergency Medicine residents performed CPR with or without available POCUS in simulated cardiac arrests. The primary endpoint was hands-on time. Data analysis was performed using video recordings. Results: Hands-on time was 89% (87-91) in the POCUS and 92% (89-94) in the control group (difference 3, 95% CI for difference 2-4, p < 0.001). POCUS teams had delayed defibrillator attachments (33 vs. 26 sec, p = 0.017) and first rhythm analysis (74 vs. 52 sec, p = 0.001). Available POCUS was used in 71%. Of the POCUS teams, 53 stated a POCUS-derived diagnosis, with 49 being correct and 42 followed by a correct treatment decision. Four teams made a wrong diagnosis and two made an inappropriate treatment decision. Conclusions: POCUS during CPR resulted in lower hands-on times and delayed rhythm analysis. Correct POCUS diagnoses occurred in 52%, correct treatment decisions in 44%, and inappropriate treatment decisions in 2%. Training on POCUS during CPR should focus on diagnostic accuracy and maintenance of high-quality CPR.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Zoellner, KarimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sellmann, TimurUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wetzchewald, DietmarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schwager, HeidrunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cleff, CorvinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thal, Serge C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marsch, StephanUNSPECIFIEDorcid.org/0000-0002-4095-2765UNSPECIFIED
URN: urn:nbn:de:hbz:38-580351
DOI: 10.3390/jcm10225218
Journal or Publication Title: J. Clin. Med.
Volume: 10
Number: 22
Date: 2021
Publisher: MDPI
Place of Publication: BASEL
ISSN: 2077-0383
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LIFE-SUPPORT; COUNCIL GUIDELINES; ARREST; ECHOCARDIOGRAPHY; ASSOCIATION; PERFORMANCE; QUALITY; STRESSMultiple languages
Medicine, General & InternalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/58035

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