Two-thumb-encircling advantageous for lay responder infant CPR: a randomised manikin study
| Autor: | David Bogumil, Rita V. Burke, Jeffrey L. Pellegrino, Jonathan L. Epstein |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Psychological intervention Thumb Manikins Fingers Hand position Young Adult 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intervention (counseling) Pressure medicine Humans Cardiopulmonary resuscitation Fatigue Cross-Over Studies business.industry Teaching Infant Guideline Middle Aged Cardiopulmonary Resuscitation Infant mortality Heart Arrest medicine.anatomical_structure Caregivers Subjective data Pediatrics Perinatology and Child Health Physical therapy Female business |
| Zdroj: | Archives of Disease in Childhood. 104:530-534 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/archdischild-2018-314893 |
| Popis: | ObjectivePaediatric health providers and educators influence infant mortality through advocacy and training within families and communities. This research sought to establish the efficacy and training of two-finger versus two-thumb-encircling techniques for lone responder infant chest compressions with ventilations in initially trained infant caregivers.DesignThis is a randomised, cross-over educational intervention assessed on instrumented manikins using the 2015 guideline measures of quality infant cardiopulmonary resuscitation (CPR). Additional subjective data on the experience were collected through self-reporting.SettingNon-healthcare community organisations and secondary school classrooms.ParticipantsFourteen years or older, fluent in English and had not taken infant CPR in the last 5 years.InterventionsGroups of eight participants were randomised to learn one technique, practised and then tested for 8 min. After a 30 min rest, the group repeated the process using the other technique.Main outcome measuresMean chest compression depth and rate, compression fraction, and correct hand position; tiredness and pain as reported by the caregiver.ResultsThe two-thumb-encircling technique achieved a deeper mean compression depth over the 8 min period (2.0 mm, pConclusionsThe two-thumb-encircling technique improved compression depth, over an 8 min scenario, and was preferred by caregivers. This adds to the existing literature on the advantages of two-thumb-encircling as a technique for lone and team infant CPR, which counters current guidelines. |
| Databáze: | OpenAIRE |
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