The sounds of cardiac arrest: Innovating to obtain an accurate record during in-hospital cardiac arrest

N. Duran, J. Riera, X. Nuvials, J. C. Ruiz-Rodriguez, J. Serra, J. Rello, Roser Anglès, Joan Balcells, Bárbara Borgatta, Alejandra García, Rosa Maria Gràcia, Simone Gattarello, Joan Ramon Masclans, Mercedes Palomar, Elisabeth Papiol, Anna Parra, Marcos Pérez, Purificación Pérez, Teresa Pont, Judith SacanellAnna Sánchez, Oriol Roca, Jessica Souto, José Luis Bóveda, Jesús Caballero, Alejandra García, Maria Lourdes Pérez, Helena Puigderrajols, Adolfo Ruiz

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    Resum

    Background: To obtain an accurate audit during in-hospital cardiac arrest, following recommendations of the Utstein style and measuring time intervals between the different interventions, is difficult. Objective: To assess whether the use of an audio recording system during in-hospital cardiac arrest resuscitation allows the register of more items during cardiopulmonary resuscitation. Material and methods: Prospective observational study between January 2008 and December 2009. The population that were included, were hospitalized patients and non-hospitalized patients assisted by a cardiac arrest team, except for critical areas. An audio recording system with a timer was turned on when cardiac arrest team was alerted. Recordings were reviewed to fill in the items recommended by the Utstein style. Time intervals were calculated. Mean number of completed items per patient were compared between recorded and non-recorded cardiac arrest. Results: 119 CA team alerts took place. 64 (53.7%) cases were real CA and 37 (57.8%) of them were properly recorded. A mean number of items per patient in recorded cardiac arrest cases were 18.18 (±3.2) vs. 15.96 (±4.1) in non-recorded cardiac arrest cases (p< 0.05). In the recorded cases, mean times were: alert - arrival: 1.23 (±0.95). min; arrival - cardiopulmonary resuscitation initiation: 0.63 (±0.38). min; arrival - first defibrillation: 2.06 (±1.33). min; arrival - intubation: 8.42 (±4.64). min; arrival - first adrenaline: 3.30 (±1.98). min. Conclusions: The audio recording system permits the register of a larger number of items per patient during in-hospital cardiac arrest and allows measurement of time intervals between the different interventions during cardiopulmonary resuscitation. © 2012 Elsevier Ireland Ltd.
    Idioma originalEnglish
    Pàgines (de-a)1219-1222
    RevistaResuscitation
    Volum83
    Número10
    DOIs
    Estat de la publicacióPublicada - 1 d’oct. 2012

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