EBQ:Trial of Continuous or Interrupted Chest Compressions during CPR
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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
Trial was run by the Resuscitation Outcomes Consortium (ROC), which includes 10 clinical sites in North America and their associated regional EMS agencies. 8 ROC sites and 114 EMS agencies participated in this study.
Patient Demographics
Inclusion Criteria
- Adults with non-trauma related OHCA
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.