lnu.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 15) Show all publications
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
Open this publication in new window or tab >>Do-not-attempt-to resuscitate-orders in a Swedish Community Hospital: does the wording of these orders point towards discrimination?
Show others...
2019 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 142, no s1, p. e5-e5Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Ethics, Patient involvement, Documentation, Do not attempt to resuscitate orders
National Category
Medical Ethics
Research subject
Natural Science, Medicine
Identifiers
urn:nbn:se:lnu:diva-89325 (URN)10.1016/j.resuscitation.2019.06.022 (DOI)
Conference
The Congress of the European Resuscitation Council, Ljubljana, Slovenia, September 19-21, 2019
Available from: 2019-09-26 Created: 2019-09-26 Last updated: 2019-11-19Bibliographically approved
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
Open this publication in new window or tab >>Usage of Do-not-attempt-to resuscitate-orders in a Swedish community hospital: patient involvement, documentation and compliance
Show others...
2018 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 130, no s1, p. e93-e94Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Do-not-attempt-to resuscitate-orders, Cardiopulmonary resuscitation, Compliance, Patient involvement, Documentation
National Category
Medical Ethics
Research subject
Natural Science, Medicine
Identifiers
urn:nbn:se:lnu:diva-77920 (URN)10.1016/j.resuscitation.2018.07.193 (DOI)
Conference
The Congress of the European Resuscitation Council, Bologna, Italy, September 20–22, 2018
Note

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

Available from: 2018-09-20 Created: 2018-09-20 Last updated: 2019-04-12Bibliographically approved
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.
Open this publication in new window or tab >>Quality of chest compressions and complaince by healthcare professionals with real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation
Show others...
2017 (English)In: 2nd International Nursing Conference, November 1-3, 2017, Barcelona, Spain, 2017Conference paper, Oral presentation with published abstract (Other academic)
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:lnu:diva-72087 (URN)
Conference
2nd International Nursing Conference, November 1-3, 2017, Barcelona, Spain
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-04-12Bibliographically approved
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
Open this publication in new window or tab >>Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation
Show others...
2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no 5, p. 453-457Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
Cardiopulmonary resuscitation, chest compression, feedback devices, mattresses, quality
National Category
Cardiac and Cardiovascular Systems Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-66970 (URN)10.1177/1474515117701060 (DOI)000402662800012 ()28565967 (PubMedID)2-s2.0-85020166997 (Scopus ID)
Available from: 2017-07-20 Created: 2017-07-20 Last updated: 2019-08-29Bibliographically approved
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
Open this publication in new window or tab >>Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resusscitation
Show others...
2017 (English)In: Paper presented at the 2nd International Nursing Conference (Nursing-2017), Barcelona, Spain, November 1-3, 2017, Madridge , 2017Conference paper, Published paper (Other academic)
Place, publisher, year, edition, pages
Madridge, 2017
National Category
Nursing
Identifiers
urn:nbn:se:lnu:diva-72085 (URN)
Conference
2nd International Nursing Conference (Nursing-2017), Barcelona, Spain, November 1-3, 2017
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-05-20Bibliographically approved
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
Open this publication in new window or tab >>Sensitivity and specificity of two different automated external defibrillators
Show others...
2017 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 120, p. 108-112Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Arrhythmia, AED, Defibrillation, Sensitivity, Specificity
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-68787 (URN)10.1016/j.resuscitation.2017.09.009 (DOI)000413760500025 ()28923243 (PubMedID)2-s2.0-85029709435 (Scopus ID)
Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2019-08-29Bibliographically approved
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.
Open this publication in new window or tab >>Sensitivitet och specificitet hos två olika hjärtstartare
Show others...
2016 (Swedish)In: Presented at HLR2016: "Ett hjärtsäkert Sverige”, Gothenburg, Sweden, October 11-12, 2016, 2016Conference paper, Poster (with or without abstract) (Other academic)
National Category
Cardiac and Cardiovascular Systems
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-72091 (URN)
Conference
HLR2016: "Ett hjärtsäkert Sverige”, Gothenburg, Sweden, October 11-12, 2016
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-10-07Bibliographically approved
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.
Open this publication in new window or tab >>Quality of chest compressions during CPR: comparison between manual and automatic review
Show others...
2015 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Cardiac and Cardiovascular Systems
Research subject
Health and Caring Sciences; Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-72099 (URN)
Conference
Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-11-12Bibliographically approved
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.
Open this publication in new window or tab >>Quality of chest compressions during CPR-comparison between manual and automatic review
Show others...
2015 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, no Supplement 1, p. 66-66, article id AP058Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2015
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:lnu:diva-72084 (URN)10.1016/j.resuscitation.2015.09.155 (DOI)
Conference
Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015
Note

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

Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-04-12Bibliographically approved
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.
Open this publication in new window or tab >>Sensitivity and specificity of two different automated external defibrillators used in-hospital and out-of-hospital
Show others...
2015 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, no Supplement 1, p. 23-23, article id AS041Article in journal, Meeting abstract (Other academic) 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.

Place, publisher, year, edition, pages
Elsevier, 2015
National Category
Cardiac and Cardiovascular Systems
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-72096 (URN)10.1016/j.resuscitation.2015.09.053 (DOI)
Conference
Resuscitation 2015: The Guidelines Congress, Prague, Czech Republic, October 29-31, 2015
Note

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

Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-11-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4064-3815

Search in DiVA

Show all publications