From: Cardiopulmonary resuscitation practices in the Netherlands: results from a nationwide survey
Hospital location level na (%) | University locations (n = 8) | Teaching locations (n = 63) | Non-teaching locations (n = 28) | Total locations n = 99) |
---|---|---|---|---|
Pre-arrest variables | ||||
Mandatory DNR-counselling upon admission | 8 (100) | 57 (90.5) | 23 (82.1) | 88 (88.9) |
Rapid Response System available | 7 (87.5) | 55/61 (90.2) | 25/27 (92.6) | 87/96 (90.6) |
Type of Rapid Response System | ||||
EWS | 2/7 (28.6) | 33/55 (60.0) | 16/25 (64.0) | 51/87 (58.6) |
MEWS | 5/7 (71.4) | 13/55 (23.6) | 8/25 (32.0) | 26/87 (29.9) |
NEWS | 0 | 2/55 (3.6) | 1/25 (4.0) | 3/87 (3.4) |
Own scoring system | 0 | 5/55 (9.1) | 0 | 5/87 (5.7) |
Number of team members RRT | ||||
2 persons | 6/6 (100) | 34/54 (62.9) | 15/25 (60.0) | 55/85 (64.7) |
3 persons | 0 | 15/54 (27.8) | 9/25 (36.0) | 23/85 (27.1) |
4 persons | 0 | 2/54 (3.7) | 1/25 (4.0) | 3/85 (3.5) |
Peri-arrest variables | ||||
ERC/NRR 2015 Guidelines | 8 (100) | 60 (95.2) | 27 (96.4) | 95 (96.0) |
Availability Medical Doctor with ALS certificate | ||||
24/7 | 8 (100) | 37/62 (59.7) | 11 (39.3) | 56/98 (57.1) |
Daytime + evening | 0 | 4/62 (6.5) | 3 (10.7) | 7/98 (7.1) |
Daytime | 0 | 3/62 (4.8) | 0 | 3/98 (3.1) |
No strict regulations | 0 | 12/62 (19.4) | 10 (35.7) | 22/98 (22.4) |
No doctor with ALS certificate | 0 | 6/62 (9.7) | 4 (14.3) | 10/98 (10.2) |
Training frequency | ||||
Twice a year | 2 (25.0) | 26 (41.3) | 13 (46.4) | 41 (41.4) |
Once a year | 4 (50.0) | 35 (55.5) | 13 (46.4) | 52 (52.5) |
Less than once a year | 2 (25.0) | 2 (3.2) | 2 (7.1) | 6 (6.1) |
Transthoracic echo use during CPR | 7 (87.5) | 35/62 (56.5) | 17 (60.7) | 59/98 (60.2) |
Performed by (resident) cardiologist | 7/7 (100) | 26/35 (74.3) | 14/17 (82.4) | 47/59 (79.7) |
Mechanical CPR use during CPR | 5 (62.5) | 23 (36.5) | 12 (42.9) | 39 (39.4) |
LUCAS | 2/5 (40.0) | 15/23 (65.2) | 9/12 (75.0) | 27/39 (66.7) |
AutoPulse | 2/5 (40.0) | 6/23 (26.1) | 3/12 (25.0) | 11/39 (28.2) |
Team size | ||||
< 4 persons | 2 (25.0) | 10/59 (16.9) | 5/26 (19.2) | 17/93 (18.3) |
4 persons | 3 (37.5) | 17/59 (28.8) | 3/26 (11.5) | 23/93 (24.7) |
> 4 persons | 3 (37.5) | 32/59 (54.2) | 18/26 (69.2) | 53/93 (57.0) |