About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Survival Increases With Structured Team Debriefing After In-Hospital Cardiac Arrest

by Bidita Debnath on August 10, 2014 at 11:48 PM
Font : A-A+

Survival Increases With Structured Team Debriefing After In-Hospital Cardiac Arrest

Staff members who joined structured team debriefings after emergency care for children suffering in-hospital cardiac arrests improved their CPR performance and also increased the rates of patients surviving with favorable neurological outcomes, finds a new study.

The study team, at The Children's Hospital of Philadelphia (CHOP), said their research suggests that including all members of the intensive care unit (ICU) team, not just those immediately involved in the cardiac arrests, broadens learning and may improve compliance with standardized national guidelines for performing CPR. "Bringing together all members of the multidisciplinary team for a post-event debrief better prepares everyone who could come in future contact with a patient in sudden cardiac arrest," said lead author Heather Wolfe, M.D., a critical care physician at The Children's Hospital of Philadelphia.

Advertisement

More than 200,000 cardiac arrests occur every year in U.S. hospitals. And while survival outcomes have improved over the last ten years, still more than 60 percent of these patients will not make it out of the hospital alive. This fact highlights how important it will be to disseminate the team's successful findings.

The current study appears in a recent issue of Critical Care Medicine.

The researchers performed a single-center prospective study of children who received chest compressions in the ICU at CHOP between December 2008 and June 2012, encompassing 120 CPR events. The study team compared a historical control group, up to June 2010, with an intervention group of patients receiving CPR between December 2010 and June 2012, following the implementation of the post-arrest debriefing program. Patient survival with favorable neurologic outcome increased to 50 percent among the intervention group, compared to 29 percent during the pre-intervention period.
Advertisement

"The team debriefings were associated with a near-doubling of good neurological survival for children who suffer a cardiac arrest in our ICU," said Wolfe, who added, "Our unique, interdisciplinary debriefing program resulted in improvements of CPR technique to levels of American Heart Association (AHA) Guideline compliance previously not thought possible -this was truly a stellar achievement."

At The Children's Hospital of Philadelphia, all ICU physicians, respiratory therapists and nurses are certified in pediatric advanced life support and/or advanced cardiovascular life support and participate in frequent mock code and rolling refresher CPR training.

"This study demonstrates how doctors, nurses, and other healthcare providers can come together to improve in-hospital care and save lives," said Robert Sutton, M.D., M.S.C.E., chair of the hospital's Resuscitation Committee and senior author on the project.

"This is the first study in children showing that pre-training with simulation and debriefing teams on how we can do it better improves survival. It also highlights what a unique program we have here for cardiac arrest patients from prevention, care during arrest, and post-arrest care," said Robert Berg, M.D., chief of critical care medicine at The Children's Hospital of Philadelphia.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Health Benefits of Sea Buckthorn
Contraceptive Pills in Polycystic Ovary Syndrome (PCOS) Curtail Type 2 Diabetes Risk
Mushroom May Help Cut Down the Odds of Developing Depression
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Chest Pain Palpitations And Arrhythmias Cardiac Catheterization Statins Cardiomyopathy Cardiac Arrest 

Recommended Reading
No Reduction in Surviving Cardiac Arrest or Hospitalizations for Heart Failure With Spironolactone
No significant reduction found in composite time to either death from cardiovascular causes, ......
Cardiac Arrest in Pregnant Women More Common Than Previously Reported
The first large US study on cardiac arrest in pregnant women suggests although cardiac arrest ......
New Training Approach Helping Improve Survival Rates of Kids Suffering Cardiac Arrest
A new way to boost the survival of pediatric patients whose hearts stop while they are hospitalized ...
Sudden Cardiac Arrests Not So Sudden Always, Show Warning Signs
Sudden cardiac arrest isn't always so sudden, reveals a study of middle-age men wherein more than .....
Cardiac Arrest
Cardiac arrest occurs when the heart stops beating abruptly due to an electrical malfunction. Blood ...
Cardiac Catheterization
Cardiac catheterization is a radiological procedure for both diagnosis and treatment of heart condit...
Cardiomyopathy
Cardiomyopathy weakens the heart muscles and the heart loses strength to pump blood throughout the b...
Chest Pain
Ask any one who has experienced intense chest pain and they will vouch for the fact that it was the ...
Palpitations And Arrhythmias
Palpitations are unpleasant sensation of one’s own heartbeat....
Statins
Statins are new wonder drugs that are proving to be efficacious, not merely in relieving symptoms bu...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use