Making the transition to high quality CPR: implications for paramedic practice

Out of hospital cardiac arrest remains a leading cause of mortality. Well known components of good quality cardiopulmonary resuscitation (CPR) include proper chest compression rate and depth, and allowing full chest recoil. Recently, new metrics have been developed that will lead the transition from good to high quality CPR. These include hands-off time, peri-shock pause and chest compression fraction. This article discusses new findings that show how these new metrics are associated with improved survival from out of hospital cardiac arrest and how they can be implemented by paramedics performing cardiac arrest resuscitation using current and evolving defibrillator technology.

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