Reporting and improving quality of cardiopulmonary resuscitation (CPR) during out of hospital cardiac arrest.
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AbstractCand.med Jo Kramer-Johansen (f.1969) has studied how quality of CPR can be measured and modified by automated feedback during out of hospital cardiac arrest. The results from 284 episodes of cardiac arrest treated in the ambulance services of Akershus, London, and Stockholm show variable and poor quality of CPR characterized by too shallow chest compressions and too many and too long pauses. In the thesis he discusses and recommends standards for measuring and reporting CPR quality for the purposes of avoiding confounded clinical trials and for quality assurance and improvement in all professional services. The Norwegian Air Ambulance Foundation supported this work with a full time scholarship. Supervisors have been Professor Petter Andreas Steen and Lars Wik (NAKOS).
List of Papers
Wik,L.; Kramer-Johansen,J.; Myklebust,H.; Sørebø,H.; Svensson,L.; Fellows,B.; Steen,P.A Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest,. .JAMA 2005;293:299-304. Abstract.
Kramer-Johansen,J.; Myklebust,H.; Wik,L.; Fellows,B.; Svensson,L.; Sørebø,H.; Steen,P.A Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback :a prospective interventional study. Resuscitation 2006;71:283-92. Abstract.
Kramer-Johansen,J.; Wik,L.; Steen,P.A Advanced cardiac life support before and after tracheal intubation-direct measurements of quality,Resuscitation 2005;68:61-9. Abstract.
Kramer-Johansen,J.; Edelson,D.P; Abella,B.S.; Becker,L.B.; Wik,L.; Steen, P.A. Pauses in chest compression and inappropriate shocks; a comparison of manual and semi-automatic defibrillation attempts, Resuscitation 2007;73:212-20. Abstract.