Evidence map›Paper›PMID 38784406›Full record

ArticleResuscitation plus2024

Efficiency of two-member crews in delivering prehospital advanced life support cardiopulmonary resuscitation: A scoping review.

Miroslav Keselica, David Peřan, Metoděj Renza, František Duška, David Omáčka, Sebastian Schnaubelt, Ileana Lulic, Roman Sýkora

Abstract readScoping Review
In one paragraph

Article in Resuscitation plus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Miroslav KeselicaDepartment of Anesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Šrobárova 1150/50, Prague 100 34, Czech Republic.
David PeřanDepartment of Anesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Šrobárova 1150/50, Prague 100 34, Czech Republic.
Metoděj RenzaDepartment of Anesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Šrobárova 1150/50, Prague 100 34, Czech Republic.
František DuškaDepartment of Anesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Šrobárova 1150/50, Prague 100 34, Czech Republic.
David OmáčkaDepartment of Anesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Šrobárova 1150/50, Prague 100 34, Czech Republic.
Sebastian SchnaubeltDepartment of Emergency Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
Ileana LulicDepartment of Anesthesiology, Intensive Care and Pain Medicine, Clinical Hospital Merkur, Zajceva 19, 10000 Zagreb, Croatia.
Roman SýkoraDepartment of Anesthesia and Intensive Care, Third Faculty of Medicine, Charles University and FNKV University Hospital, Šrobárova 1150/50, Prague 100 34, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Advanced Life Support (ALS) during cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) is frequently administered by two-member crews. However, ALS CPR is mostly designed for larger crews, and the feasibility and efficacy of implementing ALS guidelines for only two rescuers remain unclear. Objective: This scoping review aims to examine the existing evidence and identify knowledge gaps in the efficiency of pre-hospital ALS CPR performed by two-member teams. Design: A comprehensive search was undertaken across the following databases: PubMed, Web of Science, SCOPUS, Cochrane Library Trials, and ClinicalTrials.gov. The search covered publications in English or German from January 1, 2005, to November 30, 2023. The review included studies that focused on ALS CPR procedures carried out by two-member teams in adult patients in either simulated or clinical settings. Results: A total of 22 articles were included in the qualitative synthesis. Seven topics in two-person prehospital ALS/CPR delivery were identified: 1) effect of team configuration on clinical outcome and CPR quality, 2) early airway management and ventilation techniques, 3) mechanical chest compressions, 4) prefilled syringes, 5) additional equipment, 6) adaptation of recommended ALS/CPR protocols, and 7) human factors. Conclusion: There is a lack of comprehensive data regarding the adaptation of the recommended ALS algorithm in CPR for two-member crews. Although simulation studies indicate potential benefits arising from the employment of mechanical chest compression devices, prefilled syringes, and automation-assisted protocols, the current evidence is too limited to support specific modifications to existing guidelines.

Indexed as

Advanced life supportCardiopulmonary resuscitationCrew sizeEmergency medical serviceOut-of-hospital cardiac arrestTwo-member team

Identifiers

PMID38784406
PMCPMC11111834

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.