Universität zu Köln

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:	Creators Email ORCID ORCID Put Code Zoellner, Karim UNSPECIFIED UNSPECIFIED UNSPECIFIED Sellmann, Timur UNSPECIFIED UNSPECIFIED UNSPECIFIED Wetzchewald, Dietmar UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwager, Heidrun UNSPECIFIED UNSPECIFIED UNSPECIFIED Cleff, Corvin UNSPECIFIED UNSPECIFIED UNSPECIFIED Thal, Serge C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Marsch, Stephan UNSPECIFIED orcid.org/0000-0002-4095-2765 UNSPECIFIED
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:	Keywords Language LIFE-SUPPORT; COUNCIL GUIDELINES; ARREST; ECHOCARDIOGRAPHY; ASSOCIATION; PERFORMANCE; QUALITY; STRESS Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58035