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- W2096928216 abstract "The systematic review and meta-analysis by Wallace et al1 evaluates several important cardiopulmonary resuscitation (CPR) metrics (ie, chest compression depth and rate, no-flow fraction, and ventilation rate) with the stated purpose of estimating their associations with survival. In the end, the authors only identified chest compression depth as significantly associated with survival, but with a difference of only 2.4 mm between those who survived and those who did not. Additionally, no other metric was found to be significantly associated with survival.Article see p 148What should we make of the findings reported by Wallace et al,1 and are we to believe CPR mechanics truly lacks importance? The absence of significant associations between chest compression rate, no-flow fraction, and ventilatory rate and survival may be attributable to certain limitations inherent in meta-analyses, including (1) ecological fallacy, (2) assumption of independence of variables, and (3) type II error.There is a tremendous amount of minute-to-minute variability during the resuscitation of someone in cardiac arrest. A patient with a mean chest compression rate of 100 per minute, but with a range of 0 to 150 compressions per minute, will have periods of time in which there is significantly lower- and higher-than-optimal compression rates. Previous research has found that cardiac arrest patients have <70 chest compressions performed per minute in up to 21.7% of the total resuscitation effort.2 Aggregating minute-to-minute compression rate variability to a mean …" @default.
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- W2096928216 date "2013-03-01" @default.
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- W2096928216 title "Learning to Fly" @default.
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- W2096928216 doi "https://doi.org/10.1161/circoutcomes.113.000147" @default.
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