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    Episode 5: The Numbers Game: CPR Quality & Data-Driven Medicine

     

    Nicole Kupchik, MN, RN, interviews Dr. Dana Edelson who works with the University of Chicago as a hospitalist and is the founder and CEO of Quant HC.

    Dr. Edelson discusses the importance of patient-driven and data-driven medicine and her work regarding CPR quality – including how her team addressed the “pause problem” and lowered their median CPR pause to less than 2 seconds.

    Interested in learning more? Visit these resources:

    Improving In-Hospital Cardiac Arrest Process and Outcomes with Performance Debriefing

     Edelson DP, Litzinger B, Arora V, Walsh D, Kim S, Lauderdale DS, Vanden Hoek TL, Becker LB, Abella BS.

    Arch Intern Med. 2008 May 26;168(10):1063-9. doi: 10.1001/archinte.168.10.1063.

    The Longest Pause - Clinical Summary

    Brouwer T, Walker R, Chapman F, Koster, R. Association Between Chest Compression Interruptions and Clinical Outcomes of Ventricular Fibrillation Out-of-Hospital Cardiac Arrest. Circulation. 2015;132:1030-1037.

    Notably, this study finds that:

    • In 36% of patients, the longest pause was a non-shock chest compression pause. Survival was significantly lower in this group than in the patients whose longest pause was during defibrillation.
    • Fewer long pauses may be more harmful than multiple short pauses, even if overall chest compression fraction is similar.

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