EBQ:Trial of Continuous or Interrupted Chest Compressions during CPR

Under Review Journal Club Article
Graham Nichol et al. "Trial of Continuous or Interrupted Chest Compressions during CPR". New England Journal of Medicine. 2015. :.
PubMed Full text PDF

Clinical Question

Does continuous chest compressions improve outcomes vs the traditional 30:2 CPR format in patients with OHCA?

Conclusion

In patients with OHCA receiving CPR via EMS providers, continuous chest compressions did not result in improved survival to hospital discharge rates.

Major Points

Study Design

Cluster randomized trial with crossover, including 114 EMS agencies. Clusters of agencies were randomly assigned in a 1:1 ratio to perform continuous or interrupted chest compressions. Twice per year each cluster was crossed over to the other strategy.

Population

Patient Demographics

Inclusion Criteria

Exclusion Criteria

Interventions

Outcomes

Primary Outcome

Secondary Outcomes

Subgroup analysis

Criticisms & Further Discussion

External Links

See Also

Funding

Sponsored by the National Heart, Lung, and Blood Institute, the Canadian Institutes of of Health Research, and others.

References