A new method of pulse control in cardiopulmonary resuscitation; Continuous femoral pulse check


SÖNMEZ E., TAŞLIDERE B., Ozkan A.

American Journal of Emergency Medicine, vol.80, pp.168-173, 2024 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 80
  • Publication Date: 2024
  • Doi Number: 10.1016/j.ajem.2024.03.026
  • Journal Name: American Journal of Emergency Medicine
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.168-173
  • Keywords: Cardiopulmonary resuscitation, Carotid, Femoral, Manuel, Pulse check
  • Kütahya Health Sciences University Affiliated: No

Abstract

Objectives: The reliability of manual pulse checks has been questioned but is still recommended in cardiopulmonary resuscitation (CPR) guidelines. The aim is to compare the 10-s carotid pulse check (CPC) between heart massage cycles with the continuous femoral pulse check (CoFe PuC) in CPR, and to propose a better location to shorten the interruption times for pulse check. Methods: A prospective study was conducted on 117 Non-traumatic CPR patients between January 2020 and January 2022. A total of 702 dependent pulse measurements were executed, where carotid and femoral pulses were simultaneously assessed. Cardiac ultrasound, end-tidal CO2, saturation, respiration, and blood pressure were employed for pulse validation. Results: The decision time for determining the presence of a pulse in the last cycle of CPR was 3.03 ± 1.26 s for CoFe PuC, significantly shorter than the 10.31 ± 5.24 s for CPC. CoFe PuC predicted the absence of pulse with 74% sensitivity and 88% specificity, while CPC predicted the absence of pulse with 91% sensitivity and 61% specificity. Conclusion: CoFe PuC provides much earlier and more effective information about the pulse than CPC. This shortens the interruption times in CPR. CoFe PuC should be recommended as a new and useful method in CPR guidelines.