Publication: A new method of pulse control in cardiopulmonary resuscitation; Continuous femoral pulse check.
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Date
2024-03-31
Authors
Authors
Sonmez E.
Taslidere B.
Ozkan A.
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Abstract
Objectives: The reliability of manual pulse checks has been questioned but is still recommended in cardiopulmonary resuscitation (CPR) guidelines. The aim is to compare the 10-s carotid pulse check (CPC) between heart massage cycles with the continuous femoral pulse check (CoFe PuC) in CPR, and to propose a better location to shorten the interruption times for pulse check.
Methods: A prospective study was conducted on 117 Non-traumatic CPR patients between January 2020 and January 2022. A total of 702 dependent pulse measurements were executed, where carotid and femoral pulses were simultaneously assessed. Cardiac ultrasound, end-tidal CO2, saturation, respiration, and blood pressure were employed for pulse validation.
Results: The decision time for determining the presence of a pulse in the last cycle of CPR was 3.03 ± 1.26 s for CoFe PuC, significantly shorter than the 10.31 ± 5.24 s for CPC. CoFe PuC predicted the absence of pulse with 74% sensitivity and 88% specificity, while CPC predicted the absence of pulse with 91% sensitivity and 61% specificity.
Conclusion: CoFe PuC provides much earlier and more effective information about the pulse than CPC. This shortens the interruption times in CPR. CoFe PuC should be recommended as a new and useful method in CPR guidelines.
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Keywords
Cardiopulmonary resuscitation, Carotid, Femoral, Manuel, Pulse check
Citation
Sonmez E., Taslidere B., Ozkan A., "A new method of pulse control in cardiopulmonary resuscitation; Continuous femoral pulse check.", The American journal of emergency medicine, cilt.80, ss.168-173, 2024