Comparison of chest compression quality in walking versus straddling cardiopulmonary resuscitation during stretcher transportation: A prospective randomised crossover study using manikins

Autor: Kaori Soma, Akifumi Maeda, Masanao Kobayashi, Mikako Shinchi
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Sternum
Resuscitation
Critical Care and Emergency Medicine
Physiology
Health Care Providers
medicine.medical_treatment
Nurses
Pilot Projects
Transportation
Walking
030204 cardiovascular system & hematology
Manikins
Hand position
0302 clinical medicine
Stretchers
Interquartile range
Medicine and Health Sciences
Cardiac Arrest
Prospective Studies
Medical Personnel
Prospective cohort study
Musculoskeletal System
Cross-Over Studies
Multidisciplinary
Compression (physics)
Professions
Transportation of Patients
Research Design
Anesthesia
Engineering and Technology
Medicine
Female
Safety
Anatomy
Research Article
Adult
Computer and Information Sciences
Science
Cardiology
Research and Analysis Methods
03 medical and health sciences
Sex Factors
medicine
Humans
In patient
Cardiopulmonary resuscitation
Skeleton
Biological Locomotion
business.industry
Biology and Life Sciences
Pilot Studies
030208 emergency & critical care medicine
Data Compression
Crossover study
Cardiopulmonary Resuscitation
Health Care
People and Places
Feasibility Studies
Population Groupings
business
Zdroj: PLoS ONE, Vol 14, Iss 5, p e0216739 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: The optimal strategy to ensure chest compression quality for patients being transported on a stretcher has not been established yet. We hypothesised that straddling cardiopulmonary resuscitation may improve chest compression quality in patients being transported on stretchers. We conducted a prospective randomised crossover study using manikins to investigate whether straddling cardiopulmonary resuscitation improves chest compression quality (depth, recoil, rate, correct hand position) performed on patients during stretcher transportation compared to walking cardiopulmonary resuscitation. Walking and straddling cardiopulmonary resuscitation were performed for 2 minutes each. The mean chest compression depth (mm) for 2 minutes was significantly greater in the straddling cardiopulmonary resuscitation group than in the walking cardiopulmonary resuscitation group (median, 51.3 [interquartile range, 46.7–55.5] versus 40.9 [34.6–50.1], P = 0.003). An adequate depth of chest compressions could not be achieved when walking cardiopulmonary resuscitation was performed by female participants, but the depth of chest compressions was within the acceptable range when female participants performed straddling cardiopulmonary resuscitation. On the other hand, the degree of deterioration was relatively small in male participants, even when they performed walking cardiopulmonary resuscitation. In patients with cardiac arrest being transported on a stretcher, straddling cardiopulmonary resuscitation improved the depth of chest compressions compared to walking cardiopulmonary resuscitation. Female rescuers, in particular, may consider using straddling cardiopulmonary resuscitation.
Databáze: OpenAIRE
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