Recommendations on ambulance cardiopulmonary resuscitation in basic life support systems

Marcus Eng Hock Ong, Sang Do Shin, Soon Swee Sung, Hideharu Tanaka, Matthew Huei-Ming, Kyoung Jun Song, Tatsuya Nishiuchi, Benjamin Sieu Hon Leong, Sarah Abdul Karim, Chih Hao Lin, Hyun Wook Ryoo, Hyun Ho Ryu, Taku Iwami, Kentaro Kajino, Patrick Chow In Ko, Kyung Won Lee, Nathida Sumetchotimaytha, Robert Swor, Brent Myers, Kevin MackeyBryan McNally

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

AbstractAim. Cardiopulmonary resuscitation (CPR) during ambulance transport can be a safety risk for providers and can affect CPR quality. In many Asian countries with basic life support (BLS) systems, patients experiencing out-of-hospital cardiac arrest (OHCA) are routinely transported in ambulances in which CPR is performed. This paper aims to make recommendations on best practices for CPR during ambulance transport in BLS systems. Methods. A panel consisting of 20 experts (including 4 North Americans) in emergency medical services (EMS) and resuscitation science was selected, and met over two days. We performed a literature review and selected 33 candidate issues in five core areas. Using Delphi methodology, the issues were classified into dichotomous (yes/no), multiple choice, and ranking questions. Primary consensus between experts was reached when there was more than 70% agreement. Questions with 60-69% agreement were made more specific and were submitted for a second round of voting. Results. The panel agreed upon 24 consensus statements with more than 70% agreement (2 rounds of voting). The recommendations cover the following: length of time on the scene; advanced airway at the scene; CPR prior to transport; rhythm analysis and defibrillation during transport; prehospital interventions; field termination of resuscitation (TOR); consent for TOR; destination hospital; transport protocol; number of staff members; restraint systems; mechanical CPR; turning off of the engine for rhythm analysis; alternative CPR; and feedback for CPR quality. Conclusion. Recommendations for CPR during ambulance transport were developed using the Delphi method. These recommendations should be validated in clinical settings.

Original languageEnglish
Pages (from-to)491-500
Number of pages10
JournalPrehospital Emergency Care
Volume17
Issue number4
DOIs
StatePublished - 1 Oct 2013

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Life Support Systems
Ambulances
Cardiopulmonary Resuscitation
Resuscitation
Politics
Out-of-Hospital Cardiac Arrest
Emergency Medical Services
Practice Guidelines

Keywords

  • Ambulance
  • Cardiac arrest
  • Consensus
  • Resuscitation

Cite this

Hock Ong, Marcus Eng ; Shin, Sang Do ; Sung, Soon Swee ; Tanaka, Hideharu ; Huei-Ming, Matthew ; Song, Kyoung Jun ; Nishiuchi, Tatsuya ; Leong, Benjamin Sieu Hon ; Karim, Sarah Abdul ; Lin, Chih Hao ; Ryoo, Hyun Wook ; Ryu, Hyun Ho ; Iwami, Taku ; Kajino, Kentaro ; Ko, Patrick Chow In ; Lee, Kyung Won ; Sumetchotimaytha, Nathida ; Swor, Robert ; Myers, Brent ; Mackey, Kevin ; McNally, Bryan. / Recommendations on ambulance cardiopulmonary resuscitation in basic life support systems. In: Prehospital Emergency Care. 2013 ; Vol. 17, No. 4. pp. 491-500.
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title = "Recommendations on ambulance cardiopulmonary resuscitation in basic life support systems",
abstract = "AbstractAim. Cardiopulmonary resuscitation (CPR) during ambulance transport can be a safety risk for providers and can affect CPR quality. In many Asian countries with basic life support (BLS) systems, patients experiencing out-of-hospital cardiac arrest (OHCA) are routinely transported in ambulances in which CPR is performed. This paper aims to make recommendations on best practices for CPR during ambulance transport in BLS systems. Methods. A panel consisting of 20 experts (including 4 North Americans) in emergency medical services (EMS) and resuscitation science was selected, and met over two days. We performed a literature review and selected 33 candidate issues in five core areas. Using Delphi methodology, the issues were classified into dichotomous (yes/no), multiple choice, and ranking questions. Primary consensus between experts was reached when there was more than 70{\%} agreement. Questions with 60-69{\%} agreement were made more specific and were submitted for a second round of voting. Results. The panel agreed upon 24 consensus statements with more than 70{\%} agreement (2 rounds of voting). The recommendations cover the following: length of time on the scene; advanced airway at the scene; CPR prior to transport; rhythm analysis and defibrillation during transport; prehospital interventions; field termination of resuscitation (TOR); consent for TOR; destination hospital; transport protocol; number of staff members; restraint systems; mechanical CPR; turning off of the engine for rhythm analysis; alternative CPR; and feedback for CPR quality. Conclusion. Recommendations for CPR during ambulance transport were developed using the Delphi method. These recommendations should be validated in clinical settings.",
keywords = "Ambulance, Cardiac arrest, Consensus, Resuscitation",
author = "{Hock Ong}, {Marcus Eng} and Shin, {Sang Do} and Sung, {Soon Swee} and Hideharu Tanaka and Matthew Huei-Ming and Song, {Kyoung Jun} and Tatsuya Nishiuchi and Leong, {Benjamin Sieu Hon} and Karim, {Sarah Abdul} and Lin, {Chih Hao} and Ryoo, {Hyun Wook} and Ryu, {Hyun Ho} and Taku Iwami and Kentaro Kajino and Ko, {Patrick Chow In} and Lee, {Kyung Won} and Nathida Sumetchotimaytha and Robert Swor and Brent Myers and Kevin Mackey and Bryan McNally",
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Hock Ong, ME, Shin, SD, Sung, SS, Tanaka, H, Huei-Ming, M, Song, KJ, Nishiuchi, T, Leong, BSH, Karim, SA, Lin, CH, Ryoo, HW, Ryu, HH, Iwami, T, Kajino, K, Ko, PCI, Lee, KW, Sumetchotimaytha, N, Swor, R, Myers, B, Mackey, K & McNally, B 2013, 'Recommendations on ambulance cardiopulmonary resuscitation in basic life support systems', Prehospital Emergency Care, vol. 17, no. 4, pp. 491-500. https://doi.org/10.3109/10903127.2013.818176

Recommendations on ambulance cardiopulmonary resuscitation in basic life support systems. / Hock Ong, Marcus Eng; Shin, Sang Do; Sung, Soon Swee; Tanaka, Hideharu; Huei-Ming, Matthew; Song, Kyoung Jun; Nishiuchi, Tatsuya; Leong, Benjamin Sieu Hon; Karim, Sarah Abdul; Lin, Chih Hao; Ryoo, Hyun Wook; Ryu, Hyun Ho; Iwami, Taku; Kajino, Kentaro; Ko, Patrick Chow In; Lee, Kyung Won; Sumetchotimaytha, Nathida; Swor, Robert; Myers, Brent; Mackey, Kevin; McNally, Bryan.

In: Prehospital Emergency Care, Vol. 17, No. 4, 01.10.2013, p. 491-500.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Recommendations on ambulance cardiopulmonary resuscitation in basic life support systems

AU - Hock Ong, Marcus Eng

AU - Shin, Sang Do

AU - Sung, Soon Swee

AU - Tanaka, Hideharu

AU - Huei-Ming, Matthew

AU - Song, Kyoung Jun

AU - Nishiuchi, Tatsuya

AU - Leong, Benjamin Sieu Hon

AU - Karim, Sarah Abdul

AU - Lin, Chih Hao

AU - Ryoo, Hyun Wook

AU - Ryu, Hyun Ho

AU - Iwami, Taku

AU - Kajino, Kentaro

AU - Ko, Patrick Chow In

AU - Lee, Kyung Won

AU - Sumetchotimaytha, Nathida

AU - Swor, Robert

AU - Myers, Brent

AU - Mackey, Kevin

AU - McNally, Bryan

PY - 2013/10/1

Y1 - 2013/10/1

N2 - AbstractAim. Cardiopulmonary resuscitation (CPR) during ambulance transport can be a safety risk for providers and can affect CPR quality. In many Asian countries with basic life support (BLS) systems, patients experiencing out-of-hospital cardiac arrest (OHCA) are routinely transported in ambulances in which CPR is performed. This paper aims to make recommendations on best practices for CPR during ambulance transport in BLS systems. Methods. A panel consisting of 20 experts (including 4 North Americans) in emergency medical services (EMS) and resuscitation science was selected, and met over two days. We performed a literature review and selected 33 candidate issues in five core areas. Using Delphi methodology, the issues were classified into dichotomous (yes/no), multiple choice, and ranking questions. Primary consensus between experts was reached when there was more than 70% agreement. Questions with 60-69% agreement were made more specific and were submitted for a second round of voting. Results. The panel agreed upon 24 consensus statements with more than 70% agreement (2 rounds of voting). The recommendations cover the following: length of time on the scene; advanced airway at the scene; CPR prior to transport; rhythm analysis and defibrillation during transport; prehospital interventions; field termination of resuscitation (TOR); consent for TOR; destination hospital; transport protocol; number of staff members; restraint systems; mechanical CPR; turning off of the engine for rhythm analysis; alternative CPR; and feedback for CPR quality. Conclusion. Recommendations for CPR during ambulance transport were developed using the Delphi method. These recommendations should be validated in clinical settings.

AB - AbstractAim. Cardiopulmonary resuscitation (CPR) during ambulance transport can be a safety risk for providers and can affect CPR quality. In many Asian countries with basic life support (BLS) systems, patients experiencing out-of-hospital cardiac arrest (OHCA) are routinely transported in ambulances in which CPR is performed. This paper aims to make recommendations on best practices for CPR during ambulance transport in BLS systems. Methods. A panel consisting of 20 experts (including 4 North Americans) in emergency medical services (EMS) and resuscitation science was selected, and met over two days. We performed a literature review and selected 33 candidate issues in five core areas. Using Delphi methodology, the issues were classified into dichotomous (yes/no), multiple choice, and ranking questions. Primary consensus between experts was reached when there was more than 70% agreement. Questions with 60-69% agreement were made more specific and were submitted for a second round of voting. Results. The panel agreed upon 24 consensus statements with more than 70% agreement (2 rounds of voting). The recommendations cover the following: length of time on the scene; advanced airway at the scene; CPR prior to transport; rhythm analysis and defibrillation during transport; prehospital interventions; field termination of resuscitation (TOR); consent for TOR; destination hospital; transport protocol; number of staff members; restraint systems; mechanical CPR; turning off of the engine for rhythm analysis; alternative CPR; and feedback for CPR quality. Conclusion. Recommendations for CPR during ambulance transport were developed using the Delphi method. These recommendations should be validated in clinical settings.

KW - Ambulance

KW - Cardiac arrest

KW - Consensus

KW - Resuscitation

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DO - 10.3109/10903127.2013.818176

M3 - Article

C2 - 23992201

AN - SCOPUS:84883407456

VL - 17

SP - 491

EP - 500

JO - Prehospital Emergency Care

JF - Prehospital Emergency Care

SN - 1090-3127

IS - 4

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