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ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training
In-hospital resuscitation practices have changed by necessity in the Covid-19 era, principally due to precautions intended to protect caregivers from infection. This has resulted in serious delays in resuscitation response. ILCOR has recently modified its guidelines to separate defibrillation from o...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7647880/ https://www.ncbi.nlm.nih.gov/pubmed/33160419 http://dx.doi.org/10.1186/s13049-020-00804-y |
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author | Stewart, John A. |
author_facet | Stewart, John A. |
author_sort | Stewart, John A. |
collection | PubMed |
description | In-hospital resuscitation practices have changed by necessity in the Covid-19 era, principally due to precautions intended to protect caregivers from infection. This has resulted in serious delays in resuscitation response. ILCOR has recently modified its guidelines to separate defibrillation from other interventions, recognizing that shock success is extremely time-dependent and that defibrillation poses relatively little risk of Covid-19 transmission. The new recommendation calls for sending one caregiver into the isolation room in order to initiate bedside monitoring and defibrillate if indicated, while the code team is donning their personal protective equipment. Implementing this change requires focused training in that specific role. This can be accomplished by intensively training a subset of clinical staff to assume the responsibility and act without hesitation when a code occurs. Focused defibrillation training promises to avoid compromising the care of patients experiencing tachyarrhythmic arrests in the setting of Covid-19. Such a training program might even result in better survival than before the pandemic for this subset of patients. |
format | Online Article Text |
id | pubmed-7647880 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-76478802020-11-09 ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training Stewart, John A. Scand J Trauma Resusc Emerg Med Commentary In-hospital resuscitation practices have changed by necessity in the Covid-19 era, principally due to precautions intended to protect caregivers from infection. This has resulted in serious delays in resuscitation response. ILCOR has recently modified its guidelines to separate defibrillation from other interventions, recognizing that shock success is extremely time-dependent and that defibrillation poses relatively little risk of Covid-19 transmission. The new recommendation calls for sending one caregiver into the isolation room in order to initiate bedside monitoring and defibrillate if indicated, while the code team is donning their personal protective equipment. Implementing this change requires focused training in that specific role. This can be accomplished by intensively training a subset of clinical staff to assume the responsibility and act without hesitation when a code occurs. Focused defibrillation training promises to avoid compromising the care of patients experiencing tachyarrhythmic arrests in the setting of Covid-19. Such a training program might even result in better survival than before the pandemic for this subset of patients. BioMed Central 2020-11-07 /pmc/articles/PMC7647880/ /pubmed/33160419 http://dx.doi.org/10.1186/s13049-020-00804-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Commentary Stewart, John A. ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training |
title | ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training |
title_full | ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training |
title_fullStr | ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training |
title_full_unstemmed | ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training |
title_short | ILCOR’s revised Covid-19 defibrillation recommendation requires a new approach to training |
title_sort | ilcor’s revised covid-19 defibrillation recommendation requires a new approach to training |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7647880/ https://www.ncbi.nlm.nih.gov/pubmed/33160419 http://dx.doi.org/10.1186/s13049-020-00804-y |
work_keys_str_mv | AT stewartjohna ilcorsrevisedcovid19defibrillationrecommendationrequiresanewapproachtotraining |