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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

790
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
790
Administering Oxygen by Mask01:30

Administering Oxygen by Mask

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Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
333

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Related Experiment Video

Updated: Jun 28, 2025

Ultrasonographic Assessment During Cardiopulmonary Resuscitation
06:04

Ultrasonographic Assessment During Cardiopulmonary Resuscitation

Published on: October 24, 2020

6.5K

Ongoing CPR with an onboard physician.

Alfredo Echarri Sucunza1, Patricia Fernández Del Valle2, Jose Antonio Iglesias Vázquez3

  • 1Servicio de Urgencias Extrahospitalarias de Navarra, Spain.

Resuscitation Plus
|April 22, 2024
PubMed
Summary
This summary is machine-generated.

Transporting patients with ongoing cardiopulmonary resuscitation (CPR) is uncommon in emergency medical services (EMS) with onboard physicians. This strategy, though rarely effective, may offer benefits for select patients with advanced interventions.

Keywords:
Emergency medical servicesOngoing CPROut of hospital cardiac arrestSurvival

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Area of Science:

  • Emergency Medicine
  • Cardiology
  • Critical Care

Background:

  • Data on ongoing cardiopulmonary resuscitation (CPR) during transport by emergency medical services (EMS) with onboard physicians are limited.
  • Understanding factors influencing transport decisions and patient outcomes is crucial for optimizing emergency care.

Purpose of the Study:

  • To identify factors associated with transporting patients with ongoing CPR.
  • To examine survival rates and neurological status at hospital discharge for these patients.

Main Methods:

  • An observational study analyzed out-of-hospital cardiac arrest (OHCA) cases from January 1 to December 31, 2022.
  • Patients undergoing CPR during transport were compared to those pronounced dead at the scene.
  • Key patient characteristics, initial rhythms, and interventions were recorded.

Main Results:

  • Out of 9321 cases, 3.7% were transported with ongoing CPR.
  • Transported patients were younger, had arrests outside the home, witnessed by EMS, and had initial rhythms other than asystole.
  • Mechanical CPR devices were used more frequently in transported patients.
  • Seven patients (2%) survived to discharge, with five achieving good neurological recovery (CPC1).

Conclusions:

  • Ongoing CPR during transport is an uncommon strategy in EMS with onboard physicians.
  • While generally having limited efficacy, advancements like mechanical CPR devices and specialized hospital treatments (e.g., ICP, ECMO) may improve outcomes for select patients.