Format

Send to

Choose Destination
Resuscitation. 2017 Nov;120:38-44. doi: 10.1016/j.resuscitation.2017.08.235. Epub 2017 Aug 31.

Improvements in the quality of advanced life support and patient outcome after implementation of a standardized real-life post-resuscitation feedback system.

Author information

1
Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
2
Municipal Ambulance Service, Vienna, Austria.
3
Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria. Electronic address: fritz.sterz@meduniwien.ac.at.
4
Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Institute, Cluster for Cardiovascular Research, Vienna, Austria.

Abstract

BACKGROUND:

Educational aspects in the training of advanced life support (ALS) represent a key role in critical care management of patients with out-of-hospital cardiac arrest (OHCA) and received special attention in guidelines of various international societies. While a positive association of feedback on ALS performance in training conditions is well established, data on the impact of a real-life post-resuscitation feedback on both ALS quality and outcome remain scarce and inconclusive. We aimed to elucidate the impact of a standardized post-resuscitation feedback on quality of ALS and improvements in patient outcome, in a real-life out-of-hospital setting.

METHODS:

We prospectively enrolled and analyzed 2209 patients presenting with OHCA receiving resuscitation attempts by the municipal emergency medical service (EMS) of Vienna over a two-year period. A standardized post-resuscitation feedback protocol was delivered to the respective EMS-team to elucidate its impact on the quality of ALS.

RESULTS:

We observed that both chest compression rates and ratios were in accordance to recommendations of recent guidelines. While interruptions of chest compressions longer than 30s declined during the observation period (-6.5%) rates of the recommended chest compressions during defibrillator-charging periods increased (+8.9%). Since the percentage of ROSC and 30-day survival remained balanced, the frequencies of both survival until hospital discharge (+6.3%) and favorable neurological outcome (+16%) in survivors significantly increased during the observation period.

CONCLUSION:

Improvements in the quality of advanced life support as well the patient outcome were observed after the implementation of a standardized post-resuscitation feedback protocol.

KEYWORDS:

Advanced life support; Feedback; Out-of-hospital cardiac arrest; Outcome

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center