TY - JOUR
T1 - Towards evidence-based emergency medicine
T2 - Best BETs from the Manchester Royal Infirmary
AU - MacKway-Jones, Kevin
AU - Adler, David
AU - Helming, Andrew
AU - Lupton, Joshua
AU - Gibbons, Ian
AU - Williams, Owen
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2020
Y1 - 2020
N2 - A review was carried out to see whether hands-on defibrillation could be performed safely. 6 papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that hands-on defibrillation has the potential to be performed safely if the rescuer uses appropriate electrical insulating barriers such as polyethylene gloves or class 1 electrical insulating gloves. The safety profile of nitrile gloves is unclear. Since detection of shock was used as a proxy for safety, additional investigation is warranted before hands-on defibrillation becomes common practice.
AB - A review was carried out to see whether hands-on defibrillation could be performed safely. 6 papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that hands-on defibrillation has the potential to be performed safely if the rescuer uses appropriate electrical insulating barriers such as polyethylene gloves or class 1 electrical insulating gloves. The safety profile of nitrile gloves is unclear. Since detection of shock was used as a proxy for safety, additional investigation is warranted before hands-on defibrillation becomes common practice.
KW - emergency care systems
UR - http://www.scopus.com/inward/record.url?scp=85098179331&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85098179331&partnerID=8YFLogxK
U2 - 10.1136/emermed-2020-210497
DO - 10.1136/emermed-2020-210497
M3 - Article
C2 - 31980551
AN - SCOPUS:85098179331
SN - 1472-0205
JO - Emergency Medicine Journal
JF - Emergency Medicine Journal
M1 - 210497
ER -