Quality of Cardiopulmonary Resuscitation During In-Hospital Cardiac Arrest

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Abstract
Survival from cardiac arrest remains low despite the introduction of cardiopulmonary resuscitation (CPR) more than 50 years ago.1-3 The delivery of CPR, with correctly performed chest compressions and ventilations, exerts a significant survival benefit in both animal and human studies.4-8 Conversely, interruptions in CPR or failure to provide compressions during cardiac arrest (“no-flow time”) have been noted to have a negative impact on survival in animal studies.7 Consensus guidelines clearly define how CPR is to be performed,9 but the parameters of CPR in actual practice are not routinely measured, nor is the quality known.

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