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Quality of chest compressions performed by inexperienced rescuers in simulated cardiac arrest associated with pregnancy

Authors
 Seunghwan Kim  ;  Je Sung You  ;  Hye Sun Lee  ;  Jae Ho Lee  ;  Yoo Seok Park  ;  Sung Phil Chung  ;  Incheol Park 
Citation
 RESUSCITATION, Vol.84(1) : 98-102, 2013 
Journal Title
RESUSCITATION
ISSN
 0300-9572 
Issue Date
2013
MeSH
Adult ; Clinical Competence* ; Cross-Over Studies ; Female ; Heart Arrest/therapy* ; Heart Massage/standards* ; Humans ; Male ; Manikins ; Pregnancy ; Pregnancy Complications, Cardiovascular/therapy* ; Prospective Studies ; Students, Medical ; Video Recording
Keywords
High-quality chest compression ; Pregnancy ; Cardiac arrest
Abstract
OBJECTIVE:
We aimed to compare the quality of chest compressions performed by inexperienced rescuers in different positions, notably supine and at a 30° inclined lateral position, to ascertain whether high-quality chest compression is feasible on a pregnant subject in cardiac arrest.
SUBJECTS AND METHODS:
We performed a prospective, randomised crossover design study. Each participant performed 2-min chest compressions in two different positions on a mannequin: a supine position and a 30° left inclined lateral position. After 2 min of chest compression in one position, the participant took a rest for 10 min to minimise rescuer fatigue and then performed chest compression in the second position. Data on chest compression rate, mean chest compression depth, correct compression depth rate, correct recoil rate, and correct hand position rate were collected. To measure the angle between the rescuer's arm and the victim's chest surface, chest compressions were recorded with a video recorder. After each practice session, participants were asked to report the subjective difficulty of performing chest compressions using a visual analogue scale.
RESULTS:
All 32 participants successfully completed the study. The mean compression rate and depth were 121.0 per minute and 53.3 mm in the supine position and 118.8 per minute and 52.0 mm in the inclined lateral position, respectively (p=0.978 and p=0.260, respectively). Also, there were no differences in the correct compression depth rate, the correct hand position rate, or the correct recoil rate (p=0.426, p=0.467, and p=0.260, respectively). However, the lowest and highest angles and the subjective difficulty of chest compression differed significantly (p<0.001, p<0.001, and p=0.007, respectively).
CONCLUSIONS:
Inexperienced rescuers appear to be capable of performing high-quality chest compressions in a 30° inclined lateral position on pregnant women in a simulated cardiac arrest state.
Full Text
http://www.sciencedirect.com/science/article/pii/S0300957212002985
DOI
10.1016/j.resuscitation.2012.06.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Park, In Cheol(박인철) ORCID logo https://orcid.org/0000-0001-7033-766X
You, Je Sung(유제성) ORCID logo https://orcid.org/0000-0002-2074-6745
Lee, Hye Sun(이혜선) ORCID logo https://orcid.org/0000-0001-6328-6948
Chung, Sung Phil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86223
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