Abstract

An estimated 300,000 patients suffer out-of-hospital cardiac arrest annually; around 8% o these patients survive. For these patients, there is mounting data that demonstrates high-quality cardiopulmonary resuscitation(CPR) increases the likelihood of return of spontaneous circulation and neurologically intact survival [1-4]. Despite the importance of high quality CPR, performance of CPR is inconsistent as the delivery requires coordinated teams and a built space to support quality care [5].

In 2015-16, we implemented an iterative, multidisciplinary simulation-based approach to determine the optimal physical layout of the ED resuscitation rooms to improve the resuscitation team's ability to: 1) obtain continuous, real-time feedback on the quality of delivered CPR; 2) quickly identify cardiac rhythm on pulse checks; and 3) identify the team leader. After consensus via survey, we evaluated CPR quality during cardiac resuscitation and determined the influence of the physical layout on CPR quality.

Author Details

Zakk Arciaga, MSN, RN; Michael Ehmann, MD, MPH; Kearra Cortolillo, BSN, RN, ATCN; Mustapha Saheed, MD

Sigma Membership

Non-member

Lead Author Affiliation

The Johns Hopkins Hospital, Baltimore, Maryland, USA

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

CPR, Ergonomics, Cardiac Arrest

Conference Name

Emergency Nursing 2019

Conference Host

Emergency Nurses Association

Conference Location

Austin, Texas, USA

Conference Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Poster

Additional Files

Abstract.pdf (105 kB)

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Evaluating the ergonomics of cardiac arrest: Quantitative

Austin, Texas, USA

An estimated 300,000 patients suffer out-of-hospital cardiac arrest annually; around 8% o these patients survive. For these patients, there is mounting data that demonstrates high-quality cardiopulmonary resuscitation(CPR) increases the likelihood of return of spontaneous circulation and neurologically intact survival [1-4]. Despite the importance of high quality CPR, performance of CPR is inconsistent as the delivery requires coordinated teams and a built space to support quality care [5].

In 2015-16, we implemented an iterative, multidisciplinary simulation-based approach to determine the optimal physical layout of the ED resuscitation rooms to improve the resuscitation team's ability to: 1) obtain continuous, real-time feedback on the quality of delivered CPR; 2) quickly identify cardiac rhythm on pulse checks; and 3) identify the team leader. After consensus via survey, we evaluated CPR quality during cardiac resuscitation and determined the influence of the physical layout on CPR quality.