Chest compressions performed by ED staff: a randomized cross-over simulation study on the floor and on a stretcher
| Autor: | Richard Dumont, Sophie Lefebvre, Sylvain Boet, Megan A. Hayter, Gregoire Mercier, Joaquim Romero, Jean-Jacques Eledjam, Colette Chabrot, Mustapha Sebbane, Patricia Houston |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Posture Heart Massage Emergency Nursing Cpr training Manikins Nursing Assistants Intensive care medicine Humans Cardiopulmonary resuscitation Cross over Cross-Over Studies Observed Survival business.industry Kneeling General Medicine Cardiopulmonary Resuscitation Surgery Heart Arrest Multiple factors Emergency Medicine Physical therapy Female Guideline Adherence business Emergency Service Hospital |
| Zdroj: | The American journal of emergency medicine. 30(9) |
| ISSN: | 1532-8171 |
| Popis: | Multiple factors may contribute to the observed survival variability following in-hospital cardiopulmonary resuscitation (CPR). While in-hospital CPR is most often performed on patients lying on a bed or stretcher, CPR training uses primarily manikins placed on the floor. We analyzed the quality of external chest compressions (ECC) in simulated cardiac arrest scenarios occurring both on a stretcher and on the floor.Prospective cross-over simulation study enrolling ED nurses and nurse's aides as part of an annual evaluation. Simulated CPR was performed in the 2 rescuer-mode for 2 min, both kneeling on the floor, and standing beside a knee high stretcher. The order of position was randomized. ECC parameters were compared.ED nurses (n=48) and nurse's aides (n=26) performed 128 scenarios. Mean ECC depth was 32 ± 13 mm on the floor and 27 ± 11 mm on a stretcher (∆: 5 mm, 95%CI [3-7], P.001). Participants last trained within a year (n=17) developed deeper ECCs than their colleagues (n=47) in both positions (floor: 39 ± 12 mm vs stretcher: 34 ± 11 mm (p=0.016) for those trained within the year, and floor: 29 ± 12 mm vs stretcher: 24 ± 10 mm (P.001) for those trained over a year ago).The quality of chest compressions performed by ED staff was below 2005 guideline standards, with decreased ECC depth during CPR on a stretcher. Annual refresher courses should be implemented in the ED, with a focus on obtaining required ECC depth while standing next to a stretcher. |
| Databáze: | OpenAIRE |
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