Home Cardiac arrest Shorter pulse checks linked to more ROSC
Cardiac arrest
Shorter pulse checks linked to more ROSC
Association Between Capnographic Changes During Pulse Checks of Varying Durations and Clinical Outcomes During Cardiopulmonary Resuscitation: A Multicenter Study From Türkiye (CaPTuRe)
Resuscitation · 2026-10 · Added 22 October 2026
A 252-patient quasi-randomised multicentre study in Türkiye found pulse checks completed within 5 seconds were associated with roughly double the ROSC rate of checks lasting 6–10 seconds (36.3% vs 19.5%, OR 2.39), alongside better capnographic dynamics.
- Study type
- Other
- Design
- Multicentre prospective quasi-randomised controlled study
- Participants
- 252 cardiac arrest patients (124 with ≤5-second checks, 128 with 6–10-second checks)
- Main finding
- Shorter pulse checks were linked to higher ROSC (36.3% vs 19.5%; OR 2.39, 95% CI 1.35–4.24) and more favourable ETCO2 loss and recovery patterns
- Caveat
- Quasi-randomised, not truly randomised, so healthier arrests may have had quicker checks; the abstract doesn't say whether arrests were in or out of hospital
- Bottom line
- Hypothesis-generating
Why it matters in Australia (High relevance). Pulse-check duration is something every rescuer on every arrest controls, wherever they work, and capnography-guided CPR quality is standard monitoring practice.
Learning goal
Improve my technique for keeping pulse checks brief during cardiac arrest resuscitation while interpreting capnography trends.
More
- Topic: Cardiac arrest
- Daily scan: 22 October 2026
- Podcast: Paramedic Papers Daily, 22 October 2026
Related papers on Cardiac arrest
-
Fatigue common a year after cardiac arrest
A Victorian population-based cohort of 728 out-of-hospital cardiac arrest survivors found fatigue in 35.8%, anxiety in 22.6% and depression in 18.0% at 12 months, with heavier symptom burden linked to worse quality of life, function and return to work.
-
Physician-directed ALS: no survival gain
A 129,207-case Korean difference-in-differences study found regions adopting video physician-directed prehospital ALS for cardiac arrest had modestly higher prehospital ROSC (+1.35 percentage points) but no gain in survival or neurological outcome, with prehospital times stretching about 4 minutes.
-
Pad application is the AED time bottleneck
Timestamps from 8,115 remotely monitored Japanese AEDs showed pad application consumed a median 81% of the power-on-to-first-analysis interval, with completion inside about 50 seconds marking shocks delivered within 60 seconds of power-on.
-
Dispatcher training + volunteer app: more CPR, no outcome gain
A stepped-wedge cluster-randomised trial in French EMS agencies found dispatcher training in arrest recognition, telephone CPR and a geolocated volunteer responder app was associated with more bystander CPR (61.4% to 70.9%, adjusted OR 1.54), an effect that lost significance after adjusting for secular trends; clinical outcomes did not improve.