An analysis of the standard of CPR chest compressions carried out on football-equipped and overweight simulation manikins.
Longo JA, Lyman KJ, Hanson TA, et. al. Prehosp Emerg Care. 2023 Feb 3:1-6. doi: 10.1080/10903127.2023.2172494. Epub forward of print.
https://pubmed.ncbi.nlm.nih.gov/36692382/
Take-House Message
Emergency responders provide shallower CPR chest compressions to overweight manikins sporting American soccer chest/shoulder pads than these with out tools or weight problems.
Background
Rapid administration of high-quality CPR is a crucial part of the cardiac chain of survival. Each physique measurement and protecting tools impression the effectiveness of chest compressions. Nonetheless, few investigators have examined how protecting tools (e.g., shoulder pads) on overweight people impacts the efficiency of chest compressions.
Research Objective
The researchers carried out a examine to evaluate the standard of CPR chest compressions by an emergency responder throughout 4 randomized circumstances that assorted whether or not the manikin represented somebody with weight problems or wore American soccer tools. Â
Strategies
The researchers recruited a comfort pattern of fifty emergency responders with completely different ranges of coaching (emergency medical responder to paramedic). The emergency responders then carried out 4 trials of CPR. Every trial lasted 2 minutes, with a 3-minute break between every trial. The contributors accomplished the trials on manikins simulating 4 circumstances: (1) conventional manikin with no tools, (2) conventional manikin with American soccer chest/shoulder pads, (3) overweight manikin with American soccer chest/shoulder pads, and (4) overweight manikin with no tools. The researchers measured the effectiveness of the compressions utilizing a Laerdal CPRmeter 2 machine, which data compression charge, launch, and depth. Throughout trials with out tools, the emergency responders wanted to take away the protecting tools earlier than starting chest compressions. This protocol allowed the examine staff to measure how lengthy an emergency responder took to take away the protecting tools.
Outcomes
The depth of chest compressions suffered when the overweight manikin had American soccer chest/shoulder pads. Emergency responders used extra pressure throughout chest compressions on the overweight manikin with out pads than within the different three circumstances. The typical charge of supply and variety of compressions have been comparable no matter weight problems and protecting tools. No matter manikin or protecting tools, the emergency responders solely met the advisable compression charge in 40% (overweight with pads) to 51% (not-obese with pads) of compressions and the advisable depth in 7% (overweight with pads) to 22% not-obese with pads) of compressions.
Viewpoints
The recruited educated emergency responders typically failed to offer efficient chest compressions to simulated sufferers, particularly in the event that they have been overweight and sporting American soccer chest/shoulder pads. Therefore, emergency responders might profit from further coaching concerning CPR on numerous physique sorts with and with out protecting sports activities tools. Additional, we want extra analysis to breed these outcomes, to take a look at different kinds of tools which will impression the standard of chest compressions, and to look at the good thing about common coaching with on-field situations with emergency responders and athletic trainers.
Medical Implications
Clinicians should be conscious of the sufferers they deal with and the way tools, physique sorts, and different elements might impression the standard of CPR chest compressions. Clinicians might profit from incorporating overweight CPR manikins into their coaching.
Questions for Dialogue
Do you incorporate equipment-specific situations or manikins which can be overweight into your CPR coaching? If not, what limitations would you encounter in working towards incorporating manikins which can be overweight or equipment-specific situations?
Written by Kyle Harris
Reviewed by Jeffrey Driban
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