McMaster Textbook of Internal Medicine

Causes of delayed CPR in hospitals

2018-12-04

Bernd W. Böttiger

Recorded at the 4th McMaster International Review Course in Internal Medicine (MIRCIM).

What are the most common causes of in-hospital cardiopulmonary resuscitation (CPR) delay? What can be done to avoid it?

Bernd W. Böttiger, MD: The most common cause is probably that cardiac arrest is occurring on a “peripheral” [regular] ward and no one is witnessing that cardiac arrest. One of the steps towards better recognition of problems in our patients on “peripheral” wards and maybe also of cardiac arrest on “peripheral” wards would be some kind of telemetric supervision of their heart rate, blood pressure, and oxygen saturation. I know that many companies are working on these kinds of concepts right now.

See also

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First-line antibiotics in sepsis of unknown origin What are the first-line antibiotics in sepsis of unknown origin?
How can we improve survival after cardiac arrest: focus on postresuscitation care A lecture by Dr Bernd W. Böttiger, from University Hospital of Cologne, Germany, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2017.
EMS and rheumatologic emergencies What should emergency medical services (EMS) pay special attention to in terms of rheumatologic emergencies?
EMS and prevention of in-hospital cardiac arrests What is the role of emergency medical services in preventing in-hospital cardiac arrest?
Prehospital management of COPD exacerbations by EMS What are the current recommendations for prehospital management of patients with exacerbations of chronic obstructive pulmonary disease (COPD) by emergency medical services?
Improving organ donation rates How to improve organ donation rates?
Cardiopulmonary resuscitation and emergency cardiovascular care: key messages from new guidelines A lecture by Prof. Bernd W. Böttiger, from University Hospital Cologne, Germany, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2016.

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