Pre-hospital IAC-CPR versus standard CPR: paramedic resuscitation of XXXX .

@entity1 @entity1167
Recent studies evaluating interposed abdominal compression cardiopulmonary resuscitation (IAC-CPR) have demonstrated a significant increase in cardiac output, mean arterial pressure, and cerebral perfusion, as compared with standard CPR. A clinical evaluation of IAC-CPR effectiveness on resuscitation outcome has not been reported. A prospective randomized study comparing IAC-CRP with standard CPR for resuscitation of prehospital @entity1167 was undertaken using the Milwaukee County Paramedic System. The @entity1 were randomized following endotracheal intubation into IAC-CPR and standard CPR groups. Since October 1983, 291 @entity1 have qualified for the study group. Of these, 146 @entity1 had standard CPR, and 45 (31%) were successfully resuscitated. Of the 145 @entity1 treated with IAC-CPR, 40 (28%) were successfully resuscitated. Chi-square analysis reveals no significant difference between these groups. To determine whether abdominal compression increases regurgitation, the frequency of emesis before and after intubation was analyzed. No significant difference was found between the IAC-CPR and standard CPR groups. Thus, IAC-CPR applied by paramedics in the field to @entity1 following intubation does not improve cardiac resuscitation rates.
