Are we making progress when it comes to improving CPR performance among healthcare professionals?
Edelson: Over the past four years, we’ve implemented multiple programs in my institution to try to improve CPR quality. We’ve instituted instantaneous feedback, along with debriefing, and saw improvement in CPR quality. Now, CPR quality, in terms of compression depth and rate and ventilation rate, is significantly better. We get a pulse back in almost 60 percent of cases, which is a 50 percent improvement in pulse rate prior to implementing these programs. Q: Can training result in chest compressions that are closer to the ideal rate? Edelson: If you train people to deliver the proper rate of compressions, it can be done. Almost 100 percent of people deliver the proper depth post-training. There were a couple of scientific papers that came out a few years ago that found EMS chest compressions were not being delivered about 50 percent of the time, even when they accounted for legitimate reasons to have the responder’s hands off of the chest. The assumption was that CPR performance is be
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