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 |
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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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