An assessment of resuscitation quality in the television drama Emergency Room: Guideline non-compliance and low-quality cardiopulmonary resuscitation lead to a favorable outcome?

作者：Hinkelbein Jochen^*; Spelten Oliver; Marks Joerg; Hellmich Martin; Boettiger Bernd W; Wetsch Wolfgang A

来源：Resuscitation, 2014, 85(8): 1106-1110.

DOI：10.1016/j.resuscitation.2014.05.009

• Cardiopulmonary resuscitation (CPR)
• Resuscitation quality
• Television drama
• Emergency Room (ER)

Objective: Two earlier studies found that outcome after cardiopulmonary resuscitation (CPR) in the television medical drama Emergency Room (ER) is not realistic. No study has yet evaluated CPR quality in ER. %26lt;br%26gt;Design: Retrospective analysis of CPR quality in episodes of ER. %26lt;br%26gt;Setting: Three independent board-certified emergency physicians trained in CPR and the American Heart Association (AHA) guidelines reviewed ER episodes in two 5-year time-frames (2001-2005 and 2005-2009). Congruency with the corresponding 2000 and 2005 AHA guidelines was determined for each CPR scene. %26lt;br%26gt;Patients: None. %26lt;br%26gt;Interventions: None. %26lt;br%26gt;Main outcome measures: To evaluate whether CPR is in agreement with the specific algorithms of the AHA guidelines. Fisher%26apos;s exact test and Mann-Whitney-U-test were used to evaluate statistical significance (P %26lt; 0.05). %26lt;br%26gt;Results: A total of 136 on-screen cardiac arrests occurred in 174 episodes. Trauma was the leading cause of cardiac arrest (56.6%), which was witnessed in 80.1%. Return of spontaneous circulation occurred in 38.2%. Altogether, 19.1% of patients survived until ICU admission, and 5.1% were discharged alive. %26lt;br%26gt;Conclusions: Only one CPR scene was in agreement with the published AHA guidelines. However, low-quality CPR and non-compliance with the guidelines resulted in favorable outcomes.

• 出版日期2014-8
• 单位河北医科大学