Recommendations of the Resuscitation Council of Serbia for the implementation of resuscitation measures during the Covid 19 pandemic
Keywords:
cardicardiopulmonary resuscitation, ethics during resuscitation, resuscitation training, basic life support, advanced life support
Abstract
The COVID 19 pandemic is caused by a virus we do not know enough about. The new situation has led to the need to enable quality resuscitation of patients with COVID 19 infection, but with quality protection of medical professionals from the risk of infection. Our efforts within our program activities are aimed at making recommendations to the Resuscitation Council of Serbia as the leading professional professional organization for the implementation of resuscitation measures in the conditions of the COVID 19 pandemic.
We have made Recommendations for the implementation of resuscitation measures, Recommendations for ethical issues, the application of resuscitation measures in patients with COVID 19 infection and recommendations for training during the COVID-19 pandemic.
We have made recommendations in cooperation with the European Resuscitation Council and other partner organizations, which are part of the network of national councils for resuscitation medicine in Europe.
The recommendations will be modified in the coming period with the appearance of new knowledge and supplemented in relation to this basic text on the basis of new scientific evidence every 6 months until the adoption of unique recommendations of the European Resuscitation Council which are expected to be published in autumn 2021.
References
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17. Raboud J, Shigayeva A, McGeer A, Bontovics E, Chapman M, Gravel D, Henry B, Lapinsky S, Loeb M, McDonald LC, Ofner M, Paton S, Reynolds D, Scales D, Shen S, Simor A, Stewart T, Vearncombe M, Zoutman D and Green K. Risk factors for SARS transmission from patients requiring intubation: a multicentre investigation in Toronto, Canada. PLoS One. 2010;5:e10717.
18. Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ 2005; 173(5):489–49
19. Schumacher J, Gray SA, Michel S, Alcock R and Brinker A. Respiratory protection during simulated emergency pediatric life support: a randomized, controlled, crossover study. Prehospital & Disaster Medicine. 2013;28:33-8.
20. Shin H, Oh J, Lim TH, Kang H, Song Y and Lee S. Comparing the protective performances of 3 types of N95 filtering facepiece respirators during chest compressions: A randomized simulation study. Medicine. 2017;96:e8308.
21. Simonds AK, Hanak A, Chatwin M, Morrell M, Hall A, Parker KH, Siggers JH and Dickinson RJ. Evaluation of droplet dispersion during non-invasive ventilation, oxygen therapy, nebuliser treatment and chest physiotherapy in clinical practice: implications for management of pandemic influenza and other airborne infections. Health Technol Assess. 2010;14:131-172.
22. Watson L, Sault W, Gwyn R and Verbeek PR. The "delay effect" of donning a gown during cardiopulmonary resuscitation in a simulation model. CJEM Canadian Journal of Emergency Medical Care. 2008;10:333-8.
2. Biddison LD, Berkowitz KA, Courtney B, et al. Ethical considerations: care of the critically illand injured during pandemics and disasters: CHEST consensus statement. Chest 2014; 146 (4 Suppl):e145S–55S
3. Bossaert LL, Perkins GD, Askitopoulou H, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 11. The ethics of resuscitation and end-of-life decisions. Resuscitation 2015; 95:302–311
4. Chalumeau M, Bidet P, Lina G, Mokhtari M, Andre MC, Gendrel D, Bingen E and Raymond J. Transmission of Panton-Valentine leukocidin-producing Staphylococcus aureus to a physician during resuscitation of a child. Clinical Infectious Diseases. 2005;41:e29-30.
5. Chan PS, Krumholz HM, Nichol G and Nallamothu BK. Delayed Time to Defibrillation after In-Hospital Cardiac Arrest. New England Journal of Medicine. 2008;358:9-17.
6. Christian MD, Loutfy M, McDonald LC, Martinez KF, Ofner M, Wong T, Wallington T, Gold WL, Mederski B, Green K, Low DE and Team SI. Possible SARS coronavirus transmission during cardiopulmonary resuscitation. Emerg Infect Dis. 2004;10:287-93.
7. Deakin CD, O'Neill JF, Tabor T. Does compression-only cardiopulmonary resuscitation generate adequate passive ventilation during cardiac arrest? Resuscitation. 2007;75:53-9.
8. Gräsner J-T, Wnent J, Herlitz J, Perkins GD, Lefering R, Tjelmeland I, Koster RW, Masterson S, Rossell-Ortiz F, Maurer H, Böttiger BW, Moertl M, Mols P, Alihodžić H, Hadžibegović I, Ioannides M, Truhlář A, Wissenberg M, Salo A, Escutnaire J, Nikolaou N, Nagy E, Jonsson BS, Wright P, Semeraro F, Clarens C, Beesems S, Cebula G, Correia VH, Cimpoesu D, Raffay V, Trenkler S, Markota A, Strömsöe A, Burkart R, Booth S and Bossaert L. Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation. 2020;148:218-226.
9. Hawkes C, Booth S, Ji C, Brace-McDonnell SJ, Whittington A, Mapstone J, Cooke MW, Deakin CD, Gale CP, Fothergill R, Nolan JP, Rees N, Soar J, Siriwardena AN, Brown TP and Perkins GD. Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation. 2017;110:133-140.
10. Kamikura T, Iwasaki H, Myojo Y, Sakagami S, Takei Y, Inaba H. Advantage of CPR-first over call-first actions for out-of-hospital cardiac arrests in nonelderly patients and of noncardiac aetiology. Resuscitation. 2015;96:37-45.
11. Kim WY, Choi W, Park SW, Wang EB, Lee WJ, Jee Y, Lim KS, Lee HJ, Kim SM, Lee SO, Choi SH, Kim YS, Woo JH and Kim SH. Nosocomial transmission of severe fever with thrombocytopenia syndrome in Korea. Clinical Infectious Diseases. 2015;60:1681-3.
12. Knapp J, Weigand MA and Popp E. Transmission of tuberculosis during cardiopulmonary resuscitation. Focus on breathing system filters. [German]. Notfall und Rettungsmedizin. 2016;19:48-51.
13. Liu W, Tang F, Fang LQ, De Vlas SJ, Ma HJ, Zhou JP, Looman CWN, Richardus JH and Cao WC. Risk factors for SARS infection among hospital healthcare workers in Beijing: A case control study. Tropical Medicine and International Health. 2009;14:52-59.
14. Loeb M, McGeer A, Henry B, Ofner M, Rose D, Hlywka T, Levie J, McQueen J, Smith S, Moss L, Smith A, Green K and Walter SD. SARS among critical care nurses, Toronto. Emerging infectious diseases. 2004;10:251-5.
15. Nam HS, Yeon MY, Park JW, Hong JY and Son JW. Healthcare worker infected with Middle East Respiratory Syndrome during cardiopulmonary resuscitation in Korea, 2015. Epidemiol Health. 2017;39:e2017052.
16. Nikolaou N, Dainty KN, Couper K, Morley P, Tijssen J, Vaillancourt C, Olasveegen T, Mancini MB, Travers A, Løfgren B, Nishiyama C, Stanton D, Ristagno G, Considine J, Castren M, Smyth M, Kudenchuk P, Escalante R, Gazmuri R, Brooks S, Chung SP, Hatanaka T, Perkins G, Maconachie I, Aickin R, Caen AD, Atkins D, Bingham R, Couto TB, Guerguerian A-M, Meaney P, Nadkarni V, Ng K-C, Nuthall G, Ong Y-KG, Reis A, Schexnayder S, Shimizu N and Voorde PVd. A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children. Resuscitation. 2019;138:82-105.
17. Raboud J, Shigayeva A, McGeer A, Bontovics E, Chapman M, Gravel D, Henry B, Lapinsky S, Loeb M, McDonald LC, Ofner M, Paton S, Reynolds D, Scales D, Shen S, Simor A, Stewart T, Vearncombe M, Zoutman D and Green K. Risk factors for SARS transmission from patients requiring intubation: a multicentre investigation in Toronto, Canada. PLoS One. 2010;5:e10717.
18. Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ 2005; 173(5):489–49
19. Schumacher J, Gray SA, Michel S, Alcock R and Brinker A. Respiratory protection during simulated emergency pediatric life support: a randomized, controlled, crossover study. Prehospital & Disaster Medicine. 2013;28:33-8.
20. Shin H, Oh J, Lim TH, Kang H, Song Y and Lee S. Comparing the protective performances of 3 types of N95 filtering facepiece respirators during chest compressions: A randomized simulation study. Medicine. 2017;96:e8308.
21. Simonds AK, Hanak A, Chatwin M, Morrell M, Hall A, Parker KH, Siggers JH and Dickinson RJ. Evaluation of droplet dispersion during non-invasive ventilation, oxygen therapy, nebuliser treatment and chest physiotherapy in clinical practice: implications for management of pandemic influenza and other airborne infections. Health Technol Assess. 2010;14:131-172.
22. Watson L, Sault W, Gwyn R and Verbeek PR. The "delay effect" of donning a gown during cardiopulmonary resuscitation in a simulation model. CJEM Canadian Journal of Emergency Medical Care. 2008;10:333-8.
Published
2020/12/01
How to Cite
Raffay, V., Budimski, M., Lazić, A., Josipovic, M., Fiser, Z., & Obradović, I. (2020). Recommendations of the Resuscitation Council of Serbia for the implementation of resuscitation measures during the Covid 19 pandemic. Journal Resuscitatio Balcanica, 6(16), 246 - 254. https://doi.org/10.5937/jrb6-27396
Section
Članci