This article is part of the supplement: Danish Society for Emergency Medicine: Research Symposium 2009 .

Poster presentation

Does cardio-pulmonary resuscitation influence perception of time?

Susanne Hosbond¹ , Lars Folkestad² and Mikkel Brabrand¹

¹  Department of Cardiology, Odense University Hospital, Denmark

²  Department of Acute Care Medicine, Sydvestjysk Sygehus, Esbjerg, Denmark

author email corresponding author email

from Danish Society for Emergency Medicine: Research Symposium 2009
Copenhagen, Denmark. 26 April 2009

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17(Suppl 2):P8doi:10.1186/1757-7241-17-S2-P8

The electronic version of this abstract is the complete one and can be found online at: http://www.sjtrem.com/content/17/S2/P8

Published:

20 August 2009

© 2009 Hosbond et al; licensee BioMed Central Ltd.

Introduction

Time is an important factor in several phases of cardio-pulmonary resuscitation, e.g. external chest compressions, medicine-administration and defibrillation.

When performing CPR it is difficult to maintain a good perception of time and this may have negative consequences for patient survival. The purpose of this study was to determine whether the staff's perception of time was intact during CPR.

Methods

The study took place over a two day period, in connection with a scenario-based advanced cardio-pulmonary resuscitation training session at a regional hospital, using current advanced CPR guidelines. Ten cardiac arrest scenarios were performed on a computerized patient simulator. The participants were asked during CPR how much time was elapsed until the question was asked. After termination of scenarios participants were asked independently how long time the treatment lasted when terminated. An observer recorded the actual time.

Results

The study included 24 participants (eight resident physicians, eight intern physicians and eight nurses). The mean error was -19.6 seconds (SD +/- 84.3) in time elapsed since diagnosing the cardiac arrest until the first question regarding elapsed time was asked, ergo underestimation of time. Regarding elapsed time until termination of treatment, the mean error was 32.4 seconds (SD +/- 202.7), ergo overestimation of time. Both physicians and nurses underestimate and overestimate time.

Conclusion

Perception of time during and immediately after CPR is affected.

We found both overestimation and underestimation of time. This shows the importance of having one person on the cardiac arrest team responsible for keeping track of time.

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