Basics in advanced life support: A role for download audit and metronomes

  • Fletcher D
  • Galloway R
  • Chamberlain D
 et al. 
  • 20


    Mendeley users who have this article in their library.
  • 39


    Citations of this article.


An intention in 2003 to undertake a multicentre trial in the United Kingdom of compressions before and after defibrillation could not be realized because of concerns at the time in relation to informed consent. Instead, the new protocol was introduced in one ambulance service, ahead of the 2005 Guidelines, with greater emphasis on compressions. The results were monitored by analysis of electronic ECG downloads. Deficiencies in the standard of basic life support were identified but were not unique to our service. The introduction of metronomes and the provision of feedback to crews led to major improvements in performance. Our experience has implications for the emergency pre-hospital care of cardiac arrest. © 2008 Elsevier Ireland Ltd. All rights reserved.

Author-supplied keywords

  • Audit
  • CPR
  • Compressions
  • Electronic downloads
  • Pauses

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • David Fletcher

  • Robert Galloway

  • Douglas Chamberlain

  • Jane Pateman

  • Geoffrey Bryant

  • Robert G. Newcombe

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free