Puls

• Manueller Pulscheck ungenau, Studien unter HLM bei Bypass 15-75% von Fachpersonal¹², 10s oft überschritten initial und bei pulse checks
• Besser zur Entscheidung CPR j/n:
  • SpO2-Kurve: hilft nur wenn pos.
  • etCO2: >10 mmHg Chance auf ROSC
  • Arterie: DBP >30-40 mmHg + Kurve
  • POCUS

Footnotes

1. Tibballs. Resuscitation 2010. The influence of time on the accuracy of healthcare personnel to diagnose paediatric cardiac arrest by pulse palpation ↩

2. Eberle. Resuscitation 1996. Checking the carotid pulse check: diagnostic accuracy of first responders in patients with and without a pulse. In 10% (6/59), an absent carotid pulse was not recognized as pulselessness. In 45% (66/147), a pulse was not identified despite a carotid pulse with a systolic pressure > or = 80 mmHg. Only 1/59 (2%) identified pulselessness correctly within 10 s. ↩