A New Method of Pulse Control in Cardiopulmonary Resuscitation; Continuous Femoral Pulse Check
Authors: E Sonmez, B Taslidere, A Ozkan
Published in: American Journal of Emergency Medicine, 2024 March 32
Conclusions:
Continuous femoral pulse check (CoFe PuC) in CPR is quicker and more efficient than the traditional carotid pulse check method, suggesting potential revisions to current CPR guidelines to incorporate CoFe PuC for faster and possibly more effective resuscitation efforts.
Methods:
- Study Design: Prospective observational study.
- Setting: Conducted on 117 non-traumatic CPR patients from January 2020 to January 2022.
- Procedure: Simultaneous assessment of carotid and femoral pulses during CPR with a total of 702 pulse measurements.
- Tools: Validation of pulse detection was supported by cardiac ultrasound, end-tidal CO2, saturation, respiration, and blood pressure measurements.
Results:
- Time Efficiency: The average time to determine pulse presence using CoFe PuC was significantly shorter (3.03 ± 1.26 seconds) compared to CPC (10.31 ± 5.24 seconds).
- Diagnostic Accuracy:
- CoFe PuC had a sensitivity of 74% and a specificity of 88% for detecting pulse absence.
- CPC showed higher sensitivity (91%) but lower specificity (61%) for the same.