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Inhospital cardiac arrest - the crucial first 5 min: a simulation study

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Inhospital cardiac arrest - the crucial first 5 min : a simulation study. / Stærk, Mathilde; Glerup Lauridsen, Kasper; Støtt, Camilla Thomsen et al.

In: Advances in Simulation, Vol. 7, 29, 09.2022.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

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Stærk M, Glerup Lauridsen K, Støtt CT, Riis DN, Løfgren B, Krogh K. Inhospital cardiac arrest - the crucial first 5 min: a simulation study. Advances in Simulation. 2022 Sep;7:29. doi: 10.1186/s41077-022-00225-0

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Stærk, Mathilde ; Glerup Lauridsen, Kasper ; Støtt, Camilla Thomsen et al. / Inhospital cardiac arrest - the crucial first 5 min : a simulation study. In: Advances in Simulation. 2022 ; Vol. 7.

Bibtex

@article{f8edb6660d5b417e9ee365825c997262,
title = "Inhospital cardiac arrest - the crucial first 5 min: a simulation study",
abstract = "BACKGROUND: Early recognition and call for help, fast initiation of chest compressions, and early defibrillation are key elements to improve survival after cardiac arrest but are often not achieved. We aimed to investigate what occurs during the initial treatment of unannounced in situ simulated inhospital cardiac arrests and reasons for successful or inadequate initial resuscitation efforts.METHODS: We conducted unannounced full-scale in situ simulated inhospital cardiac arrest followed by a debriefing. Simulations and debriefings were video recorded for subsequent analysis. We analyzed quantitative data on actions performed and time measurements to key actions from simulations and qualitative data from transcribed debriefings.RESULTS: We conducted 36 simulations. Time to diagnosis of cardiac arrest was 37 (27; 55) s. Time to first chest compression from diagnosis of cardiac arrest was 37 (18; 74) s, time to calling the cardiac arrest team was 144 (71; 180) s, and time to first shock was 221 (181; 301) s. We observed participants perform several actions after diagnosing the cardiac arrest and before initiating chest compressions. Domains emerging from the debriefings were teaming and resources. Teaming included the themes communication, role allocation, leadership, and shared knowledge, which all included facilitators and barriers. Resources included the themes knowledge, technical issues, and organizational resources, of which all included barriers, and knowledge also included facilitators.CONCLUSION: Using unannounced in situ simulated cardiac arrests, we found that key elements such as chest compressions, calling the cardiac arrest team, and defibrillation were delayed. Perceived barriers to resuscitation performance were leadership and teaming, whereas experience, clear leadership, and recent training were perceived as important facilitators for treatment progress.",
author = "Mathilde St{\ae}rk and {Glerup Lauridsen}, Kasper and St{\o}tt, {Camilla Thomsen} and Riis, {Dung Nguyen} and Bo L{\o}fgren and Kristian Krogh",
note = "{\textcopyright} 2022. The Author(s).",
year = "2022",
month = sep,
doi = "10.1186/s41077-022-00225-0",
language = "English",
volume = "7",
journal = "Advances in Simulation",
issn = "2059-0628",
publisher = "BioMed Central",

}

RIS

TY - JOUR

T1 - Inhospital cardiac arrest - the crucial first 5 min

T2 - a simulation study

AU - Stærk, Mathilde

AU - Glerup Lauridsen, Kasper

AU - Støtt, Camilla Thomsen

AU - Riis, Dung Nguyen

AU - Løfgren, Bo

AU - Krogh, Kristian

N1 - © 2022. The Author(s).

PY - 2022/9

Y1 - 2022/9

N2 - BACKGROUND: Early recognition and call for help, fast initiation of chest compressions, and early defibrillation are key elements to improve survival after cardiac arrest but are often not achieved. We aimed to investigate what occurs during the initial treatment of unannounced in situ simulated inhospital cardiac arrests and reasons for successful or inadequate initial resuscitation efforts.METHODS: We conducted unannounced full-scale in situ simulated inhospital cardiac arrest followed by a debriefing. Simulations and debriefings were video recorded for subsequent analysis. We analyzed quantitative data on actions performed and time measurements to key actions from simulations and qualitative data from transcribed debriefings.RESULTS: We conducted 36 simulations. Time to diagnosis of cardiac arrest was 37 (27; 55) s. Time to first chest compression from diagnosis of cardiac arrest was 37 (18; 74) s, time to calling the cardiac arrest team was 144 (71; 180) s, and time to first shock was 221 (181; 301) s. We observed participants perform several actions after diagnosing the cardiac arrest and before initiating chest compressions. Domains emerging from the debriefings were teaming and resources. Teaming included the themes communication, role allocation, leadership, and shared knowledge, which all included facilitators and barriers. Resources included the themes knowledge, technical issues, and organizational resources, of which all included barriers, and knowledge also included facilitators.CONCLUSION: Using unannounced in situ simulated cardiac arrests, we found that key elements such as chest compressions, calling the cardiac arrest team, and defibrillation were delayed. Perceived barriers to resuscitation performance were leadership and teaming, whereas experience, clear leadership, and recent training were perceived as important facilitators for treatment progress.

AB - BACKGROUND: Early recognition and call for help, fast initiation of chest compressions, and early defibrillation are key elements to improve survival after cardiac arrest but are often not achieved. We aimed to investigate what occurs during the initial treatment of unannounced in situ simulated inhospital cardiac arrests and reasons for successful or inadequate initial resuscitation efforts.METHODS: We conducted unannounced full-scale in situ simulated inhospital cardiac arrest followed by a debriefing. Simulations and debriefings were video recorded for subsequent analysis. We analyzed quantitative data on actions performed and time measurements to key actions from simulations and qualitative data from transcribed debriefings.RESULTS: We conducted 36 simulations. Time to diagnosis of cardiac arrest was 37 (27; 55) s. Time to first chest compression from diagnosis of cardiac arrest was 37 (18; 74) s, time to calling the cardiac arrest team was 144 (71; 180) s, and time to first shock was 221 (181; 301) s. We observed participants perform several actions after diagnosing the cardiac arrest and before initiating chest compressions. Domains emerging from the debriefings were teaming and resources. Teaming included the themes communication, role allocation, leadership, and shared knowledge, which all included facilitators and barriers. Resources included the themes knowledge, technical issues, and organizational resources, of which all included barriers, and knowledge also included facilitators.CONCLUSION: Using unannounced in situ simulated cardiac arrests, we found that key elements such as chest compressions, calling the cardiac arrest team, and defibrillation were delayed. Perceived barriers to resuscitation performance were leadership and teaming, whereas experience, clear leadership, and recent training were perceived as important facilitators for treatment progress.

U2 - 10.1186/s41077-022-00225-0

DO - 10.1186/s41077-022-00225-0

M3 - Journal article

C2 - 36085089

VL - 7

JO - Advances in Simulation

JF - Advances in Simulation

SN - 2059-0628

M1 - 29

ER -