Novel head-up CPR position raises odds of survival of out-of-hospital heart attacks. ACEP22
Individuals who experience out-of-hospital cardiac arrest with nonshockable presentations have a better chance of survival when first responders use a novel CPR approach that includes gradual head-up positioning combined with basic but effective circulation-enhancing adjuncts, as shown from data from more than 2000 patients.
For that reason, a modified physiologic approach to CPR was designed. It involves an airway adjunct called an impedance threshold device and active compression-decompression with a device "resembling a toilet plunger," Pepe said. , patients with nonshockable presentations always have had grim prognoses, Pepe said. Until now, lifesaving advances had not been found, despite the fact that nonshockable presentations constitute approximately 80% of OHCA cases, or about 250,000 to 300,00 cases a year in the United States, he said. presentations. The NP-CPR group had a significant threefold improvement in SURV-NI compared to patients treated with conventional CPR in the high-functioning systems .
"All of these devices have now been cleared by the Food and Drug Administration and should be adopted by all first-in responders," said Pepe."But they should be implemented as a bundle and in the proper sequence and as soon as feasible."
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