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Comparison of times of intervention during pediatric CPR maneuvers using ABC and CAB sequences: a randomized trial
Comparison of times of intervention during pediatric CPR maneuvers using ABC and CAB sequences: a randomized trial
- Source :
- Resuscitation. 83(12)
- Publication Year :
- 2011
-
Abstract
- The proposed introduction of the CAB (circulation, airway, breathing) sequence for cardiopulmonary resuscitation has raised some perplexity within the pediatric community. We designed a randomized trial intended to verify if and how much timing of intervention in pediatric cardiopulmonary resuscitation is affected by the use of the CAB vs. the ABC (airway, breathing, circulation) sequence.340 volunteers, paired into 170 two-person teams, performed 2-rescuer healthcare provider BLS with both a CAB and ABC sequence. Their performances were audio-video recorded and times of intervention in the two scenarios, cardiac and respiratory arrest, were monitored.The CAB sequence compared to ABC prompts quicker recognition of respiratory (CAB vs. ABC=17.48 ± 2.19 vs. 19.17 ± 2.38s; p0.05) or cardiac arrest (CAB vs. ABC=17.48 ± 2.19 vs. 41.67 ± 4.95; p0.05) and faster start of ventilatory maneuvers (CAB vs. ABC=19.13 ± 1.47s vs. 22.66 ± 3.07; p0.05) or chest compressions (CAB vs. ABC=19.27 ± 2.64 vs. 43.40 ± 5.036; p0.05).Compared to ABC the CAB sequence prompts shorter time of intervention both in diagnosing respiratory or cardiac arrest and in starting ventilation or chest compression. However, this does not necessarily entail prompter resumption of spontaneous circulation and significant reduction of neurological sequelae, an issue that requires further studies.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
resuscitation
Respiratory arrest
Heart Massage
Emergency Nursing
quality improvement
law.invention
Young Adult
pediatric cpr
abc
cardiopulmonary resuscitation
cba
pediatric
Randomized controlled trial
law
Intervention (counseling)
medicine
Humans
Cardiopulmonary resuscitation
Intensive care medicine
Child
Cross-Over Studies
business.industry
fungi
food and beverages
Crossover study
Cardiopulmonary Resuscitation
Heart Arrest
Emergency medicine
Emergency Medicine
Breathing
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Airway
Healthcare providers
Subjects
Details
- ISSN :
- 18731570
- Volume :
- 83
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Resuscitation
- Accession number :
- edsair.doi.dedup.....6b8f35475c4b225d67cf2de016cf888b