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arrest should be analyzed. Allowing the chest to return to its normal position and makingdeep compressions, can make the difference in improving survival. The use of Q-CPRimproves the survival of patients in cardiac arrest and seem to be necessary for the trainingof professionals.

doi:10.1016/j.resuscitation.2010.09.210

50 Abstracts / Resuscita

P062

hest compression quality in healthcare professionals

emeraro F., Tammaro G., Imbriaco G., Taggi F., Cerchiari E.L.

Department of Anaesthetics and Intensive Care, Maggiore Hospital, Bologna, Italy

Purpose of the study: Cardiopulmonary resuscitation has been known as one of theeterminants of survival in cardiac arrest and the quality of the resuscitation provided alsoorrelates with outcome. Tools analyzing compressions and ventilations and providingeedback to the operator performing CPR, have been shown to improve CPR performance.his study was undertaken to assess the quality of cardiac compressions provided byealthcare personnel of the Maggiore Hospital Bologna, analyzed in a simulated sessionith and without audiovisual feedback (FB).

Materials and methods: All hospital personnel was invited to participate in a simulatedession to evaluate the proficiency in cardiac compressions (CC). Each participant wassked to perform a trial of 2 min of CC, answer a predefined set of questions and thenerform 2 more minutes of CC.

Participants were randomized to one of two groups, the first performing the sequenceC with feedback-questions-CC without feedback and the second the sequence CCithout feedback-questions-CC with feedback. We use a commercially available mon-

tor/defibrillator with CPR quality and audio recording capabilities (MRx-QCPR, Philipsedical Systems). We use also a Resusci Anne manikin and data regarding the quality of

PR were collected with Q-CPR Review (Laerdal Medical).Results: We present a preliminary data on 72 participants. The age of the participants

as 38 ± 8.4.The mean compression rate was 109.26 ± 25.61 min−1 when chest compressions

ere performed without feedback and 104.77 ± 13.03 min−1 when performed with feed-ack (p < 0.01).

The average compression depth was 46.37 ± 12.73 mm without and 44.48 ± 5.87 with-CPR guidance (p < 0.01).

Conclusions: We confirm previous study about the effectiveness of quality CPR feed-ack on chest compressions quality and we will evaluate at the end of this study theorrelation with previous CPR training of each participants.

oi:10.1016/j.resuscitation.2010.09.207

P063

urses competence in providing CPR

orschitzka S. 1, Steininger A. 2, Jukic-Puntigam M. 3, Zinka B. 4, Gross D. 5, Müller G. 6

Academy of Nursing, St. John of God, Vienna, AustriaAcademy of Nursing, St. John of God, Vienna, AustriaAcademy of Nursing, St. John of God, Vienna, AustriaAcademy of Nursing, St. John of God, Vienna, AustriaDepartment of Nursing Science and Gerontology, UMIT-The Health & Life Sciences University,ienna, AustriaDepartment of Nursing Science and Gerontology, UMIT-The Health & Life Sciences University,ienna, Austria

Purpose of the study: The aim of this paper is to show if CPR-training (cardio-ulmonary resuscitation) is able to improve nurses’ resuscitation skills. If yes, the authoroints out how this should be done.

Materials and methods: A research of the literature should answer the following ques-ion: Do registered nurses, who regularly exercise CPR during training, better performn doing CPR than those, who never or not regularly attend a CPR training? Further-

ore, the author suggests a CPR-training regarding their effectiveness and points outseful intervals between trainings. Literature was recruited through Medline and CINAHLCumulative Index to Nursing and Allied Health Literature), finally eight studies werehosen to be included.

Results: Broomfield (1996) showed that training is able to improve nurses’ resusci-ation skills. Castle et al. (2007) pointed out that BLS skills – thanks to better trainings –ncreased since 1987, when nurses’ lack of providing BLS was first shown.

Several studies show that the time span between trainings should not cover morehan six to a maximum of twelve months (Castle et al., 2007; Mäkinen et al., 2006; Cooper,999; Broomfield, 1996).

Training should consist out of two parts: a theoretical part, which could be done atome over the internet and a practical part where nurses should practice CPR under super-ision in small groups having as much time as they need to be confident in resuscitation

Mäkinen et al., 2006; Davies and Gould, 2000).

Conclusions: Nurses, who know exactly what to do in case of a cardiac arrest, canmprove patients’ survival outcome. Effective and regular CPR-Training in concern of best-ractice should therefore be a challenge for nursing.

oi:10.1016/j.resuscitation.2010.09.208

1S (2010) S1–S114

AP064

Monitoring possibilities of resuscitation efforts during cath-lab resuscitation

Wagner H. 1, Härdig B.M. 2, Harnek J. 1, Götberg M. 1, Olivecrona G.K. 1

1 Departement of Cardiology, University Hospital of Lund Sweden2 Jolife AB Lund Sweden

Purpose of study: Cardiac arrest situations are often dramatic and it is difficult to per-form studies on this patient category. In cardiac arrest situations in the cath-lab whenprolonged resuscitation efforts are needed, the introduction of mechanical chest com-pression devices has shown promise to reduce mortality during continued percutaneouscoronary interventions.

We hypothesized that a continuous monitoring system in the cath-lab with the abilityto save large data files could be used to depth analyze the vital parameters and resusci-tation related parameters during resuscitation efforts in individual patients.

Materials and methods: For mechanical chest compressions in the cath-lab, the LUCAS1 V1US (Jolife AB, Lund, Sweden) was used. Hemodynamic measurements, ETCO2 and O2saturation was collected every 2nd ms.

Results: In one patient we were able to closely monitor arterial pressure and SpO2from the start of coronary angiogram until the patient left the cath-lab after 90 min. Cir-culation was maintained with mechanical chest compressions for 52 min until he obtainedROSC. We were able to monitor ETCO2 for 50 min and venous pressure the last 30 minof resuscitation. The physiology parameters during 52 min of resuscitation and simulta-neous percutaneous coronary interventions and during a 10 min period after return ofspontaneous circulation was registered.

Conclusion: The setting with mechanical chest compression devices in the cath-labfor prolonged resuscitation alone or as a bridge to full cardio pulmonary support, bringsfurther knowledge of vital parameter’s response to mechanical chest compression andpharmacological substances during resuscitation efforts.

doi:10.1016/j.resuscitation.2010.09.209

AP065

How do you perform CPR? Q-CPR: A system for control CPR

Leis C., Hernández R., Paterna P.C., González V., Ochoa M.J., Torres E.

SAMUR- Protección Civil, Ayuntamiento de Madrid, Spain

Introduction: SAMUR is a prehospital emergency medical service. Aiming to improvesurvival of patients in cardiac arrest, Q-CPR device has been implemented. This systemallows measurement and feedback on compression depth, rate, trends and CPR interrup-tions. In this study, the relation between survival rates and the compressions in CPR hasbeen analyzed.

Methods: The research team linked the quality of CPR delivered using the Q-CPR devicewith the survival of the patients who suffered from an OOHCA. Age, gender, initial cardiacrhythm, previous Basic Life Support manoeuvres and response time were also considered.Methodology used is descriptive, analytical with data collection processed with Excel andSPSS v 17.0.

Results: We have studied 73 OOHCA treated with Q-CPR and 654 treated withoutQ-CPR from November 27th, 2007 until April 15th, 2010. Survival of patients treatedwith Q-CPR is higher than those treated without Q-CPR. (Q-CPR 46.8% ROSC and No Q-CPR 39.7%). Although no statistical significance was found, survival rate is higher thanexpected. We also found higher survival rates in 6 (Q-CPR: 63.4%, no Q-CPR 60.1%), 24 h(Q-CPR 53.7%, no Q-CPR 52.4%) and 7 days (Q-CPR 43.9%, no Q-CPR 33.8%) with Q-CPR(no statistical significance). There no differences between age, gender, initial rhythm,previous Basic Life Support manoeuvres and response time. Incomplete chest recoil havebeen linked with statistically significant relationship (p < 0.05) between ROSC and survivalto 24 h. Deep compressions rate have been related to survival to 6 h with statisticallysignificance.

Conclusions: Quality of CPR in order to improve the survival rate of patients in cardiac