CHAPTER 28 CPR QUALITY IN OUT-OF-HOSPITAL CARDIAC ARREST

Quality of Cardiopulmonary Resuscitation During Out-of-Hospital Cardiac Arrest

Wik L, Kramer-Johansen J, Myklebust H, et al. JAMA. 2005;293(3):299–304

BACKGROUND

Since standards and guidelines were first published almost 38 years ago for cardiopulmonary resuscitation (CPR), countless health care professionals have been trained in CPR. Studies have shown that outcomes in cardiac arrest improve with higher-quality CPR.¹ Unfortunately, other studies show that a knowledge gap exists regarding quality of CPR in real-life cardiac arrest scenarios despite training.²

OBJECTIVES

To measure the quality of out-of-hospital CPR performed by ambulance personnel, as measured by adherence to CPR guidelines.

METHODS

Case series looking at cardiac arrests in three European regions.

Participants

One hundred and seventy-six patients, >18 years old, with out-of-hospital cardiac arrest between March 2002 and October 2003.

Intervention

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