Abstract P-154: CARDIOPULMONARY RESUSCITATION (CPR) DURING THE CARE OF THE EMBRACE TRANSPORT SERVICE; AN AUDIT

Abstract

Aims & Objectives: Audit episodes of CPR delivered by the Embrace Team during patient transfers focusing on the phase of transfer; causative themes; relative numbers of CPR and patient outcomes. Methods Cases identified using a local internal case review database and GAMUT data collection process over a time period of 1/1/2014 – 31/08/2017. A retrospective case note audit was then performed using a bespoke audit tool. Results 16 care episodes were identified including 20 episodes of CPR. In the audit period 3968 acute transfers were performed giving a CPR rate of 0.004% or 4 in 1000 acute transfers. 4 patients had more than one episode of CPR. Parents being present during CPR was documented in 3 out of 16 cases. In 6 cases resuscitation time lines were documented, some by ambulance drivers to a very high standard. The following images demonstrate the point in transfer of cardiac arrest, events leading up to CPR delivery and patient outcomes.Conclusions Cardiac arrest is an uncommon event during Embrace transport, this audit gave a rate of CPR of 4 per 1000 acute transfers. Collaboration with other transport services to compare this data will improve patient care. We highlighted a relationship between issues with endotracheal tubes triggering the onset of cardiac arrest. We recommend including a resuscitation timeline in transport paperwork to be used in a resuscitation situation to improve information handover to the receiving unit. Parents should be invited to observe resuscitation if staff are available to support them.