Objective To establish an active reinforcement strategy for cardiopulmonary resuscitation(CPR) and evaluate its effect.
Methods The pre-hospital emergency teams were divided into the conventional CPR group and the CPR active reinforcement group, and the rescue process was recorded by video and mini-program. From June 2021 to December 2021, the data of 49 cases in the conventional CPR group and 51 cases in the CPR active reinforcement group were collected, and indicators such as rescue time, compression time, defibrillation time, mechanical compression device installation time, first adrenaline use time, and tracheal intubation time were calculated and compared between the two groups.
Results The chest compression fraction 69.67(61.75, 75.33)% and advanced airway establishment rate(84.3%) in the first 10 minutes in the CPR active reinforcement group were higher than those in the conventional CPR group 46.0(31.5, 53.5)%and 61.2%, and the difference was statistically significant(P < 0.05). There was no statistically significant difference between the cases in two groups in terms of mechanical compression use rate, adrenaline use rate, rescue mechanical installation time, time from rescue start to rescue mechanical installation completion, time from rescue start to first adrenaline use, time from rescue start to advanced airway establishment completion, etc.(P > 0.05). In terms of CPR outcome, the pre-hospital return of spontaneous circulation(ROSC) rates in the conventional CPR group and the CPR active reinforcement group were 38.8%(19/49) and 35.3%(18/51), respectively, and the difference was not statistically significant(P > 0.05).
Conclusions The implementation of the CPR active reinforcement strategy can significantly improve the chest compression fraction of pre-hospital cardiac arrest patients in the first 10 minutes, and the video review and rescue measures registration analysis can effectively improve the quality of CPR, which is worth further promotion.
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