In-hospital resuscitation - problem of quality
Abstract
Aim of the study. To make an overview of the modern algorithm of advanced life support of the European Resuscitation Council (ERC) and to assess the compliance with current recommendations of the resuscitation activities of medical personnel in a multi-field hospital. Materials and methods. The study was conducted in a multidisciplinary hospital in Moscow in 2016. At the first stage, the assessment of the skills of basic cardiopulmonary resuscitation (CPR) was conducted; at the second stage - skills of advanced life support was assessed. During the training scenarios teams were audio- and video-recorded, and also parameters of chest compression were recorded. The ERC guidelines 2015 were used as reference criteria. Statistical analysis of the data was carried out with the help of Statistica 7.0. Results. Without the feedback function less than 30% of medical workers performed chest compressions (CC) of sufficient depth and frequency, and the majority fell into a group performing only 0-20 % of compression in accordance with ERC guidelines 2015. Analysis of the quantitative indicators of the implementation of advanced life support in resuscitation teams testified to their inconsistency with ERC guidelines. The rate of CC exceeded the target range in both scenarios. The percentage of CC in target was within the recommended limits in both scenarios. Pre- and post-shock pauses were more than recommended (more than 5 seconds) in both scenarios. Conclusion. The results we obtained prove the inadequacy of resuscitation skills and confirm the relevance of systematic simulation training and retraining.
About the Authors
A. N. Kuzovlev
Research Institute for General Reanimatology n. a. V. A. Negovsky
Russian Federation
Russian Federation
S. N. Abdusalamov
Institute for Advanced Training
Russian Federation
Russian Federation
R. M. Linchak
State Research Centre for Preventive Medicine
Russian Federation
Russian Federation
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Review
For citations:
Kuzovlev A.N., Abdusalamov S.N., Linchak R.M. In-hospital resuscitation - problem of quality. Medical alphabet. 2017;2(17):35-39. (In Russ.)
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