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Survival increases with clinical team debriefing after in-hospital cardiac arrest
Date:8/4/2014

A new study found that staff members who joined structured team debriefings after emergency care for children suffering in-hospital cardiac arrests improved their CPR performance and substantially increased the rates of patients surviving with favorable neurological outcomes.

The study team, at The Children's Hospital of Philadelphia (CHOP), said their research suggests that including all members of the intensive care unit (ICU) team, not just those immediately involved in the cardiac arrests, broadens learning and may improve compliance with standardized national guidelines for performing CPR. "Bringing together all members of the multidisciplinary team for a post-event debrief better prepares everyone who could come in future contact with a patient in sudden cardiac arrest," said lead author Heather Wolfe, M.D., a critical care physician at The Children's Hospital of Philadelphia.

More than 200,000 cardiac arrests occur every year in U.S. hospitals. And while survival outcomes have improved over the last ten years, still more than 60 percent of these patients will not make it out of the hospital alive. This fact highlights how important it will be to disseminate the team's successful findings.

The current study appears in a recent issue of Critical Care Medicine.

The researchers performed a single-center prospective study of children who received chest compressions in the ICU at CHOP between December 2008 and June 2012, encompassing 120 CPR events. The study team compared a historical control group, up to June 2010, with an intervention group of patients receiving CPR between December 2010 and June 2012, following the implementation of the post-arrest debriefing program. Patient survival with favorable neurologic outcome increased to 50 percent among the intervention group, compared to 29 percent during the pre-intervention period.

"The team debriefings were associated with a near-doubling of good neu
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Contact: Joey McCool Ryan
McCool@email.chop.edu
267-426-6070
Children's Hospital of Philadelphia
Source:Eurekalert

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