'Push as Hard as You Can' Instruction for Telephone Cardiopulmonary Resuscitation: A Randomized Simulation Study
| Autor: | Heinz Novosad, Dominik Roth, Raphael van Tulder, Philip Eisenburger, Wolfgang Schreiber, Christof Havel, Benedikt H. Heidinger, Harald Herkner, Fritz Sterz, Christof Constantin Chwojka |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Medical Priority Dispatch System medicine.medical_treatment Physical Exertion Heart Massage Intervention group Manikins Standard deviation Young Adult Primary outcome medicine Humans Single-Blind Method Cardiopulmonary resuscitation Verbal Behavior business.industry Middle Aged medicine.disease Cardiopulmonary Resuscitation Confidence interval Telephone Blood pressure Physical Endurance Emergency Medicine Physical therapy Female Medical emergency business Random intercept |
| Zdroj: | The Journal of Emergency Medicine. 46:363-370 |
| ISSN: | 0736-4679 |
| DOI: | 10.1016/j.jemermed.2013.08.067 |
| Popis: | Background The medical priority dispatch system (MPDS®) assists lay rescuers in protocol-driven telephone-assisted cardiopulmonary resuscitation (CPR). Objective Our aim was to clarify which CPR instruction leads to sufficient compression depth. Methods This was an investigator-blinded, randomized, parallel group, simulation study to investigate 10 min of chest compressions after the instruction "push down firmly 5 cm" vs. "push as hard as you can." Primary outcome was defined as compression depth. Secondary outcomes were participants exertion measured by Borg scale, provider's systolic and diastolic blood pressure, and quality values measured by the skill-reporting program of the Resusci ® Anne Simulator manikin. For the analysis of the primary outcome, we used a linear random intercept model to allow for the repeated measurements with the intervention as a covariate. Results Thirteen participants were allocated to control and intervention. One participant (intervention) dropped out after min 7 because of exhaustion. Primary outcome showed a mean compression depth of 44.1 mm, with an inter-individual standard deviation (SD b ) of 13.0 mm and an intra-individual standard deviation (SD w ) of 6.7 mm for the control group vs. 46.1 mm and a SD b of 9.0 mm and SD w of 10.3 mm for the intervention group (difference: 1.9; 95% confidence interval −6.9 to 10.8; p = 0.66). Secondary outcomes showed no difference for exhaustion and CPR-quality values. Conclusions There is no difference in compression depth, quality of CPR, or physical strain on lay rescuers using the initial instruction "push as hard as you can" vs. the standard MPDS ® instruction "push down firmly 5 cm." |
| Databáze: | OpenAIRE |
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