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Does 'heads-up' cardiopulmonary resuscitation improve outcomes for patients in out-of-hospital cardiac arrest? A systematic review.

Elphinstone, A; Laws, S (2020) Does 'heads-up' cardiopulmonary resuscitation improve outcomes for patients in out-of-hospital cardiac arrest? A systematic review. Br Paramed J, 4 (4). pp. 16-24. ISSN 1478-4726 https://doi.org/10.29045/14784726.2020.12.4.4.16
SGUL Authors: Laws, Samantha Anne

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Abstract

INTRODUCTION: Survival rates for patients in out-of-hospital cardiac arrest have remained around 10% in the United Kingdom for the past seven years. If outcomes are to be improved, research into new methods of advanced life support is required. One such method may be 'heads-up' cardiopulmonary resuscitation. METHODS: A systematic review of literature exploring heads-up cardiopulmonary resuscitation was conducted in an attempt to identify its effects on survival to discharge and neurological outcome. RESULTS: A comprehensive search of CINAHL, MEDLINE and Google Scholar was undertaken. Six papers were classed as sufficiently relevant for inclusion. Included studies were generally of low quality and none studied the effect of heads-up cardiopulmonary resuscitation on out-of-hospital cardiac arrest patients. Animal studies identified a significant reduction in intracranial pressure and increase in cerebral and coronary perfusion pressure for use of augmented heads-up cardiopulmonary resuscitation in the porcine model of cardiac arrest. CONCLUSION: Further research is required to analyse the effects and potential benefits of augmented heads-up cardiopulmonary resuscitation in out-of-hospital cardiac arrest.

Item Type: Article
Additional Information: © The Author(s) 2020 This work is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
Keywords: cardiopulmonary resuscitation, heads-up positioning, out-of-hospital cardiac arrest
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Journal or Publication Title: Br Paramed J
ISSN: 1478-4726
Language: eng
Dates:
DateEvent
1 March 2020Published
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 33456375
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/114715
Publisher's version: https://doi.org/10.29045/14784726.2020.12.4.4.16

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