RESEARCH PAPER · Western Journal of Emergency Medicine · 2020

Minimizing Pulse Check Duration Through Educational Video Review

David P. Yamane, Patrick McCarville, Natalie Sullivan, Evan Kuhl, C Lanam, Christopher Payette, Anahita Rahimi‐Saber, Jennifer Rabjohns, Andrew Dunn Sparks, Keith S. Boniface, Aaran B. Drake

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Point-of-care ultrasound compression of the carotid artery for pulse determination in cardiopulmonary resuscitation
Resuscitation · 2022-07-02
Soo Yeon Kang, Ik Joon Jo, Gun Tak Lee, Jong Eun Park, Taerim Kim, Se Uk Lee, Sung Yeon Hwang, Tae Gun Shin, Kyunga Kim, Ji Sun Shim, Hee Jo Yoon
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Factors Associated With Prolonged Pauses Between Chest Compressions in RCP With POCUS
Research Square · 2023-02-01
Carlos Alberto de Melo Filho
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O impacto do ultrassom point-of-care transtorácico no tempo de pausa entre as compressões torácicas durante a reanimação cardiopulmonar: revisão sistemática e metanálise
Revista JRG de Estudos Acadêmicos · 2023-02-15
Carlos Alberto de Melo Filho, Aline Ferreira Miranda, Daise Costa Silva, Lucas Guilherme Macedo Guterres, Rafael Lima Soares, Camila Alves Melo, Ellen Nayhara Cardoso de Oliveira, Isabela de Araújo Torres Nogueira, Wanderson Alves Ribeiro, ⁠Sueli de Souza Costa, Maine Virgínia Alves Confessor
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Comparison of carotid artery ultrasound and manual method for pulse check in cardiopulmonary resuscitation
The American Journal of Emergency Medicine · 2023-06-07
Sercan Özlü, Serkan Bılgın, Adnan Yamanoğlu, Ahmet Kayalı, Mehmet Göktuğ Efgan, Osman Sezer Çınaroğlu, Davut Tekyol
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Use of Point-of-Care Ultrasound by Intensive Care Unit Triage Teams in Evaluating Unstable Patients Outside Intensive Care Units
Cureus · 2023-11-20
Pranjal Bodh Gupta, Geoffrey Kenton Lighthall, Natalie N. Htet
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Application of Technology in Cardiopulmonary Resuscitation, a Narrative Review
Journal of Clinical Medicine · 2023-11-29
Catherine V. Levitt, Kirsten Boone, Quincy Khoi Tran, Ali Pourmand
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Point of care ultrasound and shock: The value in bedside diagnosis and hemodynamic assessment in undifferentiated shock patients
Journal of Translational Critical Care Medicine · 2024-08-30
Catherine Nguyen, Dominic Parfianowicz, Courtney E. Bennett
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Enhancing Cardiopulmonary Resuscitation: A Hemodynamic Approach Using Doppler Ultrasound and Echocardiography
Annals of Military and Health Sciences Research · 2025-04-27
Seyed Mohsen Afkhami, Mahzad Roostaei Hosein Abadi, Mohammad Reza Azimi Aval, Ali Omrani Nava, Maryam Masaeli, Ebrahim Karimi, Saman Solaimanian, Mohammad Salimi
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Transesophageal Echocardiography for Pulse Evaluation during Cardiopulmonary Resuscitation
Journal of Emergency Medicine · 2026-05-05
Semih Musa Coşkun, Mehmet Göktuğ Efgan, Ejder Saylav Bora, Serkan Bılgın, Adnan Yamanoğlu, Zeynep Karakaya
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The Interrater Reliability of Cardiac Arrest Video Review: A Pilot Study
American Journal of Medical Quality · 2026-07-01
Moshe Ryan Ostreicher, Joseph Landers, Molly McCann Pineo, Ghania Haddad, Tabetha Garver-Mosher, Timmy Li, Lance B. Becker, Daniel M. Rolston, Daniel Jafari
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Abstract

INTRODUCTION: The American Heart Association Guidelines for Cardiopulmonary Resuscitation (CPR) recommend pulse checks of less than 10 seconds. We assessed the effect of video review-based educational feedback on pulse check duration with and without point-of-care ultrasound (POCUS). METHODS: Cameras recorded cases of CPR in the emergency department (ED). Investigators reviewed resuscitation videos for ultrasound use during pulse check, pulse check duration, and compression-fraction ratio. Investigators reviewed health records for patient outcomes. Providers received written feedback regarding pulse check duration and compression-fraction ratio. Researchers reviewed selected videos in multidisciplinary grand round presentations, with research team members facilitating discussion. These presentations highlighted strategies that include the following: limit on pulse check duration; emphasis on compressions; and use of "record, then review" method for pulse checks with POCUS. The primary endpoint was pulse check duration with and without POCUS. RESULTS: Over 19 months, investigators reviewed 70 resuscitations with a total of 325 pulse checks. The mean pulse check duration was 11.5 ± 8.8 seconds (n = 224) and 13.8 ± 8.6 seconds (n = 101) without and with POCUS, respectively. POCUS pulse checks were significantly longer than those without POCUS (P = 0.001). Mean pulse check duration per three-month block decreased statistically significantly from study onset to the final study period (from 17.2 to 10 seconds [P<0.0001]) overall; decreased from 16.6 to 10.5 seconds (P<0.0001) without POCUS; and with POCUS from 19.8 to 9.88 seconds (P<0.0001) with POCUS. Pulse check times decreased significantly over the study period of educational interventions. The strongest effect size was found in POCUS pulse check duration (P = -0.3640, P = 0.002). CONCLUSION: Consistent with previous studies, POCUS prolonged pulse checks. Educational interventions were associated with significantly decreased overall pulse-check duration, with an enhanced effect on pulse checks involving POCUS. Performance feedback and video review-based education can improve CPR by increasing chest compression-fraction ratio.

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