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Bertilsson, E., Semark, B., Schildmeijer, K., Bremer, A. & Carlsson, J. (2019). Do-not-attempt-to resuscitate-orders in a Swedish Community Hospital: does the wording of these orders point towards discrimination?. Paper presented at The Congress of the European Resuscitation Council, Ljubljana, Slovenia, September 19-21, 2019. Resuscitation, 142(s1), e5-e5
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2019 (Engelska)Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 142, nr s1, s. e5-e5Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Elsevier, 2019
Nyckelord
Ethics, Patient involvement, Documentation, Do not attempt to resuscitate orders
Nationell ämneskategori
Medicinsk etik
Forskningsämne
Naturvetenskap, Medicin
Identifikatorer
urn:nbn:se:lnu:diva-89325 (URN)10.1016/j.resuscitation.2019.06.022 (DOI)
Konferens
The Congress of the European Resuscitation Council, Ljubljana, Slovenia, September 19-21, 2019
Tillgänglig från: 2019-09-26 Skapad: 2019-09-26 Senast uppdaterad: 2019-11-19Bibliografiskt granskad
Bertilsson, E., Semark, B., Schildmeijer, K., Bremer, A. & Carlsson, J. (2018). Usage of Do-not-attempt-to resuscitate-orders in a Swedish community hospital: patient involvement, documentation and compliance. Paper presented at The Congress of the European Resuscitation Council, Bologna, Italy, September 20–22, 2018. Resuscitation, 130(s1), e93-e94
Öppna denna publikation i ny flik eller fönster >>Usage of Do-not-attempt-to resuscitate-orders in a Swedish community hospital: patient involvement, documentation and compliance
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2018 (Engelska)Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 130, nr s1, s. e93-e94Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Elsevier, 2018
Nyckelord
Do-not-attempt-to resuscitate-orders, Cardiopulmonary resuscitation, Compliance, Patient involvement, Documentation
Nationell ämneskategori
Medicinsk etik
Forskningsämne
Naturvetenskap, Medicin
Identifikatorer
urn:nbn:se:lnu:diva-77920 (URN)10.1016/j.resuscitation.2018.07.193 (DOI)
Konferens
The Congress of the European Resuscitation Council, Bologna, Italy, September 20–22, 2018
Anmärkning

Part of special issue: RESUSCITATION 2018 - New technologies in resuscitation: Abstracts

Tillgänglig från: 2018-09-20 Skapad: 2018-09-20 Senast uppdaterad: 2019-04-12Bibliografiskt granskad
Schildmeijer, K., Semark, B., Årestedt, K., Israelsson, J., von Wangenheim, B. & Carlsson, J. (2017). Quality of chest compressions and complaince by healthcare professionals with real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation. In: 2nd International Nursing Conference, November 1-3, 2017, Barcelona, Spain: . Paper presented at 2nd International Nursing Conference, November 1-3, 2017, Barcelona, Spain.
Öppna denna publikation i ny flik eller fönster >>Quality of chest compressions and complaince by healthcare professionals with real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation
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2017 (Engelska)Ingår i: 2nd International Nursing Conference, November 1-3, 2017, Barcelona, Spain, 2017Konferensbidrag, Muntlig presentation med publicerat abstract (Övrigt vetenskapligt)
Nationell ämneskategori
Annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-72087 (URN)
Konferens
2nd International Nursing Conference, November 1-3, 2017, Barcelona, Spain
Tillgänglig från: 2018-04-03 Skapad: 2018-04-03 Senast uppdaterad: 2019-04-12Bibliografiskt granskad
Semark, B., Årestedt, K., Israelsson, J., von Wangenheim, B., Carlsson, J. & Schildmeijer, K. (2017). Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation. European Journal of Cardiovascular Nursing, 16(5), 453-457
Öppna denna publikation i ny flik eller fönster >>Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation
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2017 (Engelska)Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, nr 5, s. 453-457Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: A high quality of chest compressions, e.g. sufficient depth (5-6 cm) and rate (100-120 per min), has been associated with survival. The patient's underlay affects chest compression depth. Depth and rate can be assessed by feedback systems to guide rescuers during cardiopulmonary resuscitation. Aim: The purpose of this study was to describe the quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation. Method: An observational descriptive study was performed including 63 cardiac arrest events with a resuscitation attempt. Data files were recorded by Zoll AED Pro, and reviewed by RescueNet Code Review software. The events were analysed according to depth, rate, quality of chest compressions and underlay. Results: Across events, 12.7% (median) of the compressions had a depth of 5-6 cm. Compression depth of >6 cm was measured in 70.1% (median). The underlay could be identified from the electronic patient records in 54 events. The median compression depth was 4.5 cm (floor) and 6.7 cm (mattress). Across events, 57.5% (median) of the compressions were performed with a median frequency of 100-120 compressions/min and the most common problem was a compression rate of <100 (median=22.3%). Conclusions: Chest compression quality was poor according to the feedback system. However, the distribution of compression depth with regard to underlay points towards overestimation of depth when treating patients on a mattress. Audiovisual feedback devices ought to be further developed. Healthcare professionals need to be aware of the strengths and weaknesses of their devices.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2017
Nyckelord
Cardiopulmonary resuscitation, chest compression, feedback devices, mattresses, quality
Nationell ämneskategori
Kardiologi Omvårdnad
Forskningsämne
Hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-66970 (URN)10.1177/1474515117701060 (DOI)000402662800012 ()28565967 (PubMedID)2-s2.0-85020166997 (Scopus ID)
Tillgänglig från: 2017-07-20 Skapad: 2017-07-20 Senast uppdaterad: 2019-08-29Bibliografiskt granskad
Schildmeijer, K., Semark, B., Årestedt, K., Israelsson, J., Carlsson, J. & von Wangenheim, B. (2017). Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resusscitation. In: Paper presented at the 2nd International Nursing Conference (Nursing-2017), Barcelona, Spain, November 1-3, 2017: . Paper presented at 2nd International Nursing Conference (Nursing-2017), Barcelona, Spain, November 1-3, 2017. Madridge
Öppna denna publikation i ny flik eller fönster >>Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resusscitation
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2017 (Engelska)Ingår i: Paper presented at the 2nd International Nursing Conference (Nursing-2017), Barcelona, Spain, November 1-3, 2017, Madridge , 2017Konferensbidrag, Publicerat paper (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Madridge, 2017
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:lnu:diva-72085 (URN)
Konferens
2nd International Nursing Conference (Nursing-2017), Barcelona, Spain, November 1-3, 2017
Tillgänglig från: 2018-04-03 Skapad: 2018-04-03 Senast uppdaterad: 2019-05-20Bibliografiskt granskad
Israelsson, J., von Wangenheim, B., Årestedt, K., Semark, B., Schildmeijer, K. & Carlsson, J. (2017). Sensitivity and specificity of two different automated external defibrillators. Resuscitation, 120, 108-112
Öppna denna publikation i ny flik eller fönster >>Sensitivity and specificity of two different automated external defibrillators
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2017 (Engelska)Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 120, s. 108-112Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: The aim was to investigate the clinical performance of two different types of automated external defibrillators (AEDs). Methods: Three investigators reviewed 2938 rhythm analyses performed by AEDs in 240 consecutive patients (median age 72, q1-q3 = 62-83) who had suffered cardiac arrest between January 2011 and March 2015. Two different AEDs were used (AED A n = 105, AED B n = 135) in-hospital (n = 91) and out-of-hospital (n = 149). Results: Among 194 shockable rhythms, 17 (8.8%) were not recognized by AED A, while AED B recognized 100% (n = 135) of shockable episodes (sensitivity 91.2 vs 100%, p < 0.01). In AED A, 8 (47.1%) of these episodes were judged to be algorithm errors while 9 (52.9%) were caused by external artifacts. Among 1039 non-shockable rhythms, AED A recommended shock in 11 (1.0%), while AED B recommended shock in 63 (4.1%) of 1523 episodes (specificity 98.9 vs 95.9, p < 0.001). In AED A, 2 (18.2%) of these episodes were judged to be algorithm errors (AED B, n = 40, 63.5%), while 9 (81.8%) were caused by external artifacts (AED B, n = 23, 36.5%). Conclusions: There were significant differences in sensitivity and specificity between the two different AEDs. A higher sensitivity of AED B was associated with a lower specificity while a higher specificity of AED A was associated with a lower sensitivity. AED manufacturers should work to improve the algorithms. In addition, AED use should always be reviewed with a routine for giving feedback, and medical personnel should be aware of the specific strengths and shortcomings of the device they are using. (C) 2017 Elsevier B.V. All rights reserved.

Ort, förlag, år, upplaga, sidor
Elsevier, 2017
Nyckelord
Arrhythmia, AED, Defibrillation, Sensitivity, Specificity
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-68787 (URN)10.1016/j.resuscitation.2017.09.009 (DOI)000413760500025 ()28923243 (PubMedID)2-s2.0-85029709435 (Scopus ID)
Tillgänglig från: 2017-11-16 Skapad: 2017-11-16 Senast uppdaterad: 2019-08-29Bibliografiskt granskad
Schildmeijer, K., Israelsson, J., von Wangenheim, B., Semark, B., Årestedt, K. & Carlsson, J. (2016). Sensitivitet och specificitet hos två olika hjärtstartare. In: Presented at HLR2016: "Ett hjärtsäkert Sverige”, Gothenburg, Sweden, October 11-12, 2016: . Paper presented at HLR2016: "Ett hjärtsäkert Sverige”, Gothenburg, Sweden, October 11-12, 2016.
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2016 (Svenska)Ingår i: Presented at HLR2016: "Ett hjärtsäkert Sverige”, Gothenburg, Sweden, October 11-12, 2016, 2016Konferensbidrag, Poster (med eller utan abstract) (Övrigt vetenskapligt)
Nationell ämneskategori
Kardiologi
Forskningsämne
Hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-72091 (URN)
Konferens
HLR2016: "Ett hjärtsäkert Sverige”, Gothenburg, Sweden, October 11-12, 2016
Tillgänglig från: 2018-04-03 Skapad: 2018-04-03 Senast uppdaterad: 2019-10-07Bibliografiskt granskad
Semark, B., Årestedt, K., Israelsson, J., Carlsson, J., von Wangenheim, B. & Schildmeijer, K. (2015). Quality of chest compressions during CPR: comparison between manual and automatic review. In: : . Paper presented at Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015.
Öppna denna publikation i ny flik eller fönster >>Quality of chest compressions during CPR: comparison between manual and automatic review
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2015 (Engelska)Konferensbidrag, Poster (med eller utan abstract) (Övrigt vetenskapligt)
Nationell ämneskategori
Kardiologi
Forskningsämne
Hälsovetenskap; Hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-72099 (URN)
Konferens
Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015
Tillgänglig från: 2018-04-03 Skapad: 2018-04-03 Senast uppdaterad: 2019-11-12Bibliografiskt granskad
Semark, B., Årestedt, K., Israelsson, J., Carlsson, J., von Wangenheim, B. & Schildmeijer, K. (2015). Quality of chest compressions during CPR-comparison between manual and automatic review. Paper presented at Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015. Resuscitation, 96(Supplement 1), 66-66, Article ID AP058.
Öppna denna publikation i ny flik eller fönster >>Quality of chest compressions during CPR-comparison between manual and automatic review
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2015 (Engelska)Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, nr Supplement 1, s. 66-66, artikel-id AP058Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Elsevier, 2015
Nationell ämneskategori
Annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-72084 (URN)10.1016/j.resuscitation.2015.09.155 (DOI)
Konferens
Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015
Anmärkning

Part of special issue: Resuscitation 2015, ERC Symposium on Guidelines: Abstract Presentations

Tillgänglig från: 2018-04-03 Skapad: 2018-04-03 Senast uppdaterad: 2019-04-12Bibliografiskt granskad
Israelsson, J., von Wangenheim, B., Årestedt, K., Semark, B., Schildmeijer, K. & Carlsson, J. (2015). Sensitivity and specificity of two different automated external defibrillators used in-hospital and out-of-hospital. Paper presented at Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015. Resuscitation, 96(Supplement 1), 23-23, Article ID AS041.
Öppna denna publikation i ny flik eller fönster >>Sensitivity and specificity of two different automated external defibrillators used in-hospital and out-of-hospital
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2015 (Engelska)Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, nr Supplement 1, s. 23-23, artikel-id AS041Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Abstract [en]

Purpose: To investigate the performance of two different types of automated external defibrillators (AED) in out-of-hospital and in-hospital cardiac pulmonary resuscitation (CPR). Performance criteria in terms of sensitivity and specificity have been established but real life data are sparse.

Materials and methods: Three investigators reviewed 2938 rhythm analyses performed by AED in 240 consecutive patients (38.3% women) suffering cardiac arrest between January 2011 and March 2015. The mean age was 70.1 ± 17.0 (3 months–104 years). Two different AED were used (AED A n = 105, AED B n = 135) in-hospital (n = 91) and out-of-hospital (n = 149).

Results: Among 194 shockable rhythms, 17 (8.8%) were not recognized by AED A, while AED B recognized 100% (n = 135) of shockable episodes (p < 0.001). In AED A, 8 (47.1%) of these episodes were judged to be algorithm errors while 9 (52.9%) were caused by external artifacts. Among 1039 non-shockable rhythms, AED A recommended shock in 11 (1.0%), while AED B recommended shock in 63 (4.1%) of 1523 episodes (p < 0.001). In AED A, 2 (18.2%) of these episodes were judged to be algorithm errors (AED B, n = 40, 63.5%) while 9 (81.8%) were caused by external artifacts (AED B, n = 23, 36.5%). Fine ventricular fibrillation was analyzed as a separate category since guidelines do not recommend shock in these cases. AED A advised shock in 24 (80%) of 30 episodes, while AED B advised shock in 8 (47%) of 17 episodes (p < 0.027).

Conclusions: Significant differences in performance could be detected between two different AED. A higher sensitivity of AED B was associated with a lower specificity while a higher specificity of AED A was associated with a lower sensitivity. Caregivers should be aware of the specific shortcomings of the device they are using. AED manufacturers should try to improve the algorithms in order to minimize the gap between sensitivity and specificity.

Ort, förlag, år, upplaga, sidor
Elsevier, 2015
Nationell ämneskategori
Kardiologi
Forskningsämne
Hälsovetenskap
Identifikatorer
urn:nbn:se:lnu:diva-72096 (URN)10.1016/j.resuscitation.2015.09.053 (DOI)
Konferens
Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015
Anmärkning

Part of special issue: Resuscitation 2015, ERC Symposium on Guidelines: Abstract Presentations

Tillgänglig från: 2018-04-03 Skapad: 2018-04-03 Senast uppdaterad: 2019-11-12Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-4064-3815

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