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RECOVER evidence and knowledge gap analysis on veterinary CPR . Part 2: Preparedness and prevention
Author(s) -
McMichael Maureen,
Herring Jennifer,
Fletcher Daniel J.,
Boller Manuel
Publication year - 2012
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/j.1476-4431.2012.00752.x
Subject(s) - debriefing , medicine , preparedness , cardiopulmonary resuscitation , worksheet , referral , categorization , medical emergency , medical education , resuscitation , nursing , emergency medicine , psychology , philosophy , mathematics education , epistemology , political science , law
Objective To systematically examine the evidence on the effect of prevention and preparedness measures on outcomes in veterinary cardiopulmonary resuscitation and to determine knowledge gaps. Design Standardized, systematic evaluation of the literature, categorization of relevant articles according to level of evidence and quality, and development of consensus on conclusions for application of the concepts to clinical practice. Relevant questions were answered on a worksheet template and reviewed by the R eassessment C ampaign on V eterinary R esuscitation ( RECOVER ) prevention and preparedness domain members, by the RECOVER committee, and opened for comments by veterinary professionals for 3 months. Setting Academia, referral practice, and general practice. Results Nine worksheets were prepared to determine the extent to which preparation of the environment (charts, visual aids, etc) and personnel (training, debriefing, etc) are beneficial in improving return of spontaneous circulation. Conclusions Of the questions evaluated, only the association between anesthesia‐related cardiopulmonary arrest and better outcomes was supported by strong evidence. There is some evidence from the human literature that the use of cognitive aids, standardized didactic, and hands‐on training with high‐fidelity simulators, team and leadership training, and post‐cardiac arrest debriefing improve adherence to cardiopulmonary resuscitation guidelines and, in some cases, patient outcomes. Veterinary studies investigating these issues are lacking, and development of initial guidelines is a crucial first step.