Basic life support providers’ assessment of centre of the chest and inter-nipple line for hand position and their underlying anatomical structures

Autor: Gavin D. Perkins, David Higgie, Ben Miller, Thomas P. Butler, Joyce Yeung, John Hughes, Fang Gao, Mark Minshall, James W. Digby
Rok vydání: 2011
Předmět:
Zdroj: Resuscitation. 82:190-194
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2010.10.008
Popis: INTRODUCTION\ud Effective chest compression is an integral part of good quality cardiopulmonary resuscitation. There remains uncertainty over the optimal method for identifying the correct hand position for chest compression. The aim of this study was to identify the relationship between basic life support (BLS) providers assessment of the inter-nipple line (INL) versus the centre of the chest (CoC) and to identify the anatomical structures underneath these land marks.\ud METHOD\ud Thirty consecutive patients having elective CT scans of the thorax were recruited and photographs of the patient fully clothed were taken in the supine position. 30 healthcare students trained in BLS were asked to mark the ‘point between the nipples’ and the ‘centre of the chest’ on each photograph in a random sequence. Corresponding points were marked on the CT images and the underlying anatomical structures were identified.\ud RESULTS\ud Hand positions using CoC landmark were significantly higher and were more variable than INL landmark (Measurement represented as ratio of sternal length: mean CoC 0.709, 95% CI 0.677, 0.740 vs mean INL 0.803 95% CI 0.772, 0.835; p
Databáze: OpenAIRE
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