Cardiopulmonary Resuscitation in the Covid-19 Pandemic Era

  • Joko Tri Atmojo STIKES Mamba'ul Ulum Surakarta https://orcid.org/0000-0002-6067-8687
  • Dewi Arradini STIKES Mitra Husada Karanganyar
  • Ernawati Ernawati Sekolah Menengah Kesehatan Empat Lima Surakarta
  • Aris Widiyanto STIKES Mamba'ul 'Ulum surakarta
  • Aquartuti Tri Darmayanti Universitas Sebelas Maret
DOI: https://doi.org/10.32583/keperawatan.v12i3.781
Keywords: cardio pulmonary resuscitation, covid-19, literature review

Abstract

Cardio Pulmonary Resuscitation before the arrival of an ambulance will increase the chances of life up to three times. However, there is concern that medical staff will infected acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 when performing CPR. The aimed of articles is to provide information based on clinical evidence related to the risk of transmission of COVID-19 to nurses when carrying out CPR and CPR strategies recommended during the COVID-19 pandemic. This systematic review was carried out in April 2020. By searching databases including PubMed, Google Scholar and Science Direct. Keywords used: "CPR Guideline" AND "Coronavirus", "CPR" AND "COVID-19", "Cardiac Arrest" AND "Coronavirus", "Transmisssion Coronavirus" AND "CPR". The results showed that transmission of the COVID-19 virus to nurses who performed CPR when using a complete PPE can occurred, through droplets or aerosols from patients who were in the air and entered through gaps that were formed accidentally by health workers when correcting positions, starting positions, wiping sweat or occurring when opening protective clothing. Changes in the CPR sequence by ignoring the assessment of the airway provide opportunities to minimize transmission. Chest compressions using assistive devices are highly recommended to be performed until the patient arrives at the hospital or can be given interpretation aids.