Authors (including presenting author) :
Leung CK(1), Li FYY(2), Wong DYL(3), Law KL(4), Tang PY(1), Li FHT(3), Lai MWF(5)
Affiliation :
(1)Intensive Care Unit, North District Hospital, (2)Department of Surgery, North District Hospital, (3)Central Nursing Division, North District Hospital, (4)Accident & Emergency Department, North District Hospital, (5)Department of Medicine, North District Hospital
Introduction :
Automated chest compression devices have been developed in recent years based on the researchers’ recommendation, that it could not only perform standardized chest compression but also generate artificial circulation in the same way as manual compression. Furthermore, the pandemic COVID-19 has exaggerated the infection risk for staff during CPR, the use of automatic chest could decrease the infection risk to healthcare workers.
Objectives :
We aimed to improve staff performance in resuscitation as well as the patients’ outcome, also to facilitate staff to use the device properly and efficiently so as to improve utilization rate.
Methodology :
North District Hospital has implemented 13 automatic chest compression devices since September, 2016. Hand-on teaching followed by video demonstration were provided for all staff. In order to monitor the effectiveness of the devices along with staff performance, we have collected all inpatient cardiac arrest records for analysis. Furthermore, we have monitored the frequency of devices used so as to observe their utilization rate. Finally, staff satisfaction survey was used to collect staffs’ feedback and for evaluation.
Result & Outcome :
- All clinical staff were trained. The total number of resuscitation episodes per month before and after implementation of device were nearly the same (17.8 VS 18.7). The return of spontaneous circulation was also similar (44.6% VS 44.1%). After implementation, till end of 2019, non-shockable rhythms were detected as 1st arrest rhythm in 88.9% of arrest cases. The utilization rate of 1st 6 months after implementation was 45.5 %, then was exceedingly increased to 72.9% at the end of 2019. 323 respondents were collected from survey. Majority of staff agreed related training was sufficient. More than half of respondents used automated chest compression devices during CPR every time, and 90% of them agreed external cardiac compression quality by automated chest compression devices was more reliable and effective, also easily operated. And there were also 90% of respondents reflecting this device could protect healthcare workers from contracting infection during CPR. - Excellent CPR is our golden standard in the initial treatment of cardiac arrest. As stated by resuscitation record, about 90% of 1st arrest rhythm was PEA or asystole indicated that high quality and demand of chest compression provided by the device is utmost useful and effective during CPR. Besides, the increasing trend of utilization rate and positive feedback from the staff satisfaction survey pointed out that the use of automatic chest compression device is the new trend in resuscitation.
