key: cord-0799751-je157u13
authors: Shekhar, Aditya C.; Mercer, Christopher; Blumen, Ira; Narula, Jagat
title: Suboptimal Rates of Return of Spontaneous Circulation with Prehospital CPR in the COVID-19 Era
date: 2020-07-16
journal: Resuscitation
DOI: 10.1016/j.resuscitation.2020.06.032
sha: 2c3262743984984e24b0f70e3edd5f95e0db221d
doc_id: 799751
cord_uid: je157u13

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interventions performed by healthcare providers of all levels, and favorable outcomes are heavily contingent on proper form and performance based on published standards. 3 It has been suggested that PPE hinders adequate CPR performance, 4 and there is also a hypothesized hesitation towards performing CPR which is considered an aerosol-generating procedure and carries an increased risk of virus transmission out of fear that it could lead to the infection of providers. 5 To understand if the pandemic has affected prehospital cardiac arrest care in the United States, Considering the significant decrease in the rate of ROSC achievement, these results likely indicate that either CPR quality has decreased or patients are somehow responding less favorably to the current conventions of resuscitation. Decreased CPR quality could be due to prehospital providers' hesitation to provide adequate CPR out of fear of contracting COVID-19 or hindrances due to the presence of personal protective equipment. Less favorable responses to CPR from patients in the

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