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• W1968489907 abstract "We read the article by Oh et al.1Oh JH, Lee SJ, Kim SE, et al. Effects of audio tone guidance on performance of CPR in simulated cardiac arrest with an advanced airway. Resuscitation 2008;79:273–7.Google Scholar with interest and thought that there must be a variety of pros and cons to this article. There are already several feedback systems for better cardiopulmonary resuscitation (CPR) performance. However, regardless of their effectiveness in the clinical setting, low economic efficiency prevents their practical use and application in the field. Oh et al.1Oh JH, Lee SJ, Kim SE, et al. Effects of audio tone guidance on performance of CPR in simulated cardiac arrest with an advanced airway. Resuscitation 2008;79:273–7.Google Scholar made a point that the accurate compression rate and ventilation counts can be managed by this audio tone guidance in a simulated cardiac arrest. However, the compression depth itself tends to be less controlled and compromised like other feedback systems. Considering the current CPR guidelines which focus on the importance of cardiac compression, the effectiveness of these sorts of feedback systems is questionable in terms of efforts to increase the quality of CPR performance. For increasing the quality of CPR performance, coordinating every step of CPR is important especially for physicians who are responsible for the critical care. Nevertheless, managing appropriate compression rate and ventilation counts would be virtually very hard for infrequent performers of CPR such as nurses and paramedics, particularly bystanders near out-of-hospital cardiac arrests (OHCAs). If this simplified feedback system can be introduced in the training course for CPR, this may effectively improve the compression rate and ventilation counts. Trained bystanders will concentrate on the compression depth in OHCA patients. With a minor technical modification, this audio tone guidance feedback system would be practically feasible at the scene due to its simplicity. For example, this simple feedback system can be applied to such devices as cellular phones or key rings like the currently available facemask. In addition, this feedback system could be embedded in identification cards or cards for organ donation. Moreover, technically embedded bracelets, necklaces or wrist watches can be critically useful for OHCA patients, especially those with a high risk of OHCA. In addition to the technical issues, propagation such as a nationwide advertising campaign is essential for improving the effectiveness in these feedback systems. The practical application of this simple feedback system to the scene plays a significant role in better CPR performance for numerous victims and bystanders of OHCA. None. Reply to Letter: The importance of clinical application of the simplified audio tone guidance feedback system to out-of-hospital cardiac arrest patientsResuscitationVol. 80Issue 2PreviewI am pleased that You et al. have taken an interest in our paper (Effects of audio tone guidance on performance of CPR in simulated cardiac arrest with an advanced airway). I agree with some of their opinions. In fact, we wanted to confirm that a simplified feedback system using audio tone guidance only could enhance the quality of cardiopulmonary resuscitation (CPR). However, our experiment revealed that the mean compression depth was significantly decreased during CPR with feedback. In most situations, CPR is performed by humans. Full-Text PDF" @default.
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• W1968489907 date "2009-02-01" @default.
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• W1968489907 title "The importance of clinical application of the simplified audio tone guidance feedback system to out-of-hospital cardiac arrest patients" @default.
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• W1968489907 doi "https://doi.org/10.1016/j.resuscitation.2008.10.031" @default.
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